Usefulness of the Measurement of the Psoas and Paraspinal Muscles by Computed Tomography and Magnetic Resonance
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Abstract
Objectives: The objectives of this study were to evaluate the efficacy of computed tomography and magnetic resonance imaging in measuring the psoas and paraspinal muscles and to compare these indexes with age, sex, and pathology.
Materials and Methods: Computed tomography and magnetic resonance imaging of outpatients were used. Muscle measurements were taken at the L3 and L4 pedicles.
Results: The study included 18 CT and 34 MRI scans. The patients were divided into groups based on their age range, which was 15 to 80 years. In the overall averages, males were above the global average in both studies. Regarding age ranges, it was observed that the first group (15-29 years) had a higher muscle volume and Hounsfield units in the psoas compared to the >60 age group. Patients consulting for spondylolisthesis had less muscle mass than those with discopathy.
Conclusions: There is no difference between magnetic resonance imaging and computed tomography in measuring the paraspinal and psoas muscles. It is evident that the decrease in muscle volume is common in older patients and those with diseases that affect spinal balance.
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References
trauma. Surgery 2017;162(2):377-84. https://doi.org/10.1016/j.surg.2017.03.014
2. Yamashita M, Kamiya K, Matsunaga A, Kitamura T, Hamazaki N, Matsuzawa R, et al. Prognostic value of psoas muscle area and density in patients who undergo cardiovascular surgery. Can J Cardiol 2017;33(12):1652-9. https://doi.org/10.1016/j.cjca.2017.10.009
3. Lee SH, Park SW, Kim YB, Nam TK, Lee YS. The fatty degeneration of lumbar paraspinal muscles on computed tomography scan according to age and disc level. Spine J 2017;17(1):81-7. https://doi.org/10.1016/j.spinee.2016.08.001
4. Jones KI, Doleman B, Scott S, Lund JN, Williams JP. Simple psoas cross-sectional area measurement is a quick and easy method to assess sarcopenia and predicts major surgical complications. Colorectal Dis 2015;17(1):O20-6. https://doi.org/10.1111/codi.12805
5. Yanishi M, Kinoshita H, Tsukaguchi H, Kimura Y, Koito Y, Jino J, et al. Dual energy X-ray absorptiometry and bioimpedance analysis are clinically useful for measuring muscle mass in kidney transplant recipients with sarcopenia. Transplant Proc 2018;50(1):150-4. https://doi.org/10.1016/j.transproceed.2017.12.023
6. Shahidi B, Parra CL, Berry DB, Hubbard JC, Gombatto S, Zlomislic V, et al. Contribution of lumbar spine
pathology and age to paraspinal muscle size and fatty infiltration. Spine (Phila Pa 1976) 2017;42(8):616-23. https://doi.org/10.1097/BRS.0000000000001848
7. McKenzie JC, Wagner SC, Sebastian A, Casper DS, Mangan J, Stull J, et al. Sarcopenia does not affect clinical outcomes following lumbar fusion. J Clin Neurosci 2019;64:150-4. https://doi.org/10.1016/j.jocn.2019.03.015
8. Fortin M, Gazzi Macedo L. Multifidus and paraspinal muscle group cross-sectional areas of patients with low back pain and control patients: a systematic review with a focus on blinding. Phys Ther 2013;93(7):873-88. https://doi.org/10.2522/ptj.20120457
9. Moskven E, Bourassa-Moreau E, Charest-Morin R, Flexman A, Street J. The impact of frailty and sarcopenia on postoperative outcomes in adult spine surgery. A systematic review of the literature. Spine J 2018;18(12):2354-69. https://doi.org/10.1016/j.spinee.2018.07.008
10. Ranson CA, Burnett AF, Kerslake R, Batt ME, O’Sullivan PB. An investigation into the use of MR imaging to determine the functional cross sectional area of lumbar paraspinal muscles. Eur Spine J 2006;15(6):764-73. https://doi.org/10.1007/s00586-005-0909-3
11. Hu ZJ, He J, Zhao FD, Fang XQ, Zhou LN, Fan SW. An assessment of the intra- and inter-reliability of the
lumbar paraspinal muscle parameters using CT scan and magnetic resonance imaging. Spine (Phila Pa 1976) 2011;36(13):E868-74. https://doi.org/10.1097/BRS.0b013e3181ef6b51