Usefulness of the Measurement of the Psoas and Paraspinal Muscles by Computed Tomography and Magnetic Resonance

Keywords: Sarcopenia, Hounsfied units, spine, psoas, multifidus, fat infiltration

Abstract

Background: Sarcopenia is becoming increasingly significant in the research of various diseases to predict morbidity and mortality in the perioperative period. 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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Author Biographies

Emmanuel Padini, Orthopedics and Traumatology Service, Sanatorio Loma Linda, Saenz Peña, Chaco, Argentina
Orthopedics and Traumatology Service, Sanatorio Loma Linda, Saenz Peña, Chaco, Argentina
Pedro Luis Bazán, Spinal Pathology Unit, Orthopedics and Traumatology Service, Hospital Interzonal General de Agudos “General San Martín”, La Plata, Buenos Aires, Argentina
Spinal Pathology Unit, Orthopedics and Traumatology Service, Hospital Interzonal General de Agudos “General San Martín”, La Plata, Buenos Aires, Argentina.
Álvaro Enrique Borri, Spinal Pathology Unit, Orthopedics and Traumatology Service, Hospital Interzonal General de Agudos “General San Martín”, La Plata, Buenos Aires, Argentina
Spinal Pathology Unit, Orthopedics and Traumatology Service, Hospital Interzonal General de Agudos “General San Martín”, La Plata, Buenos Aires, Argentina
Martín Medina, Spinal Pathology Unit, Orthopedics and Traumatology Service, Hospital Interzonal General de Agudos “General San Martín”, La Plata, Buenos Aires, Argentina
Spinal Pathology Unit, Orthopedics and Traumatology Service, Hospital Interzonal General de Agudos “General San Martín”, La Plata, Buenos Aires, Argentina
Jorge Fernando Carrizo Becerra, Orthopedics and Traumatology Service, Clínica Mercedario, Hospital Descentralizado, San Juan, Argentina
Orthopedics and Traumatology Service, Clínica Mercedario, Hospital Descentralizado, San Juan, Argentina

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Published
2023-04-24
How to Cite
Padini, E., Bazán, P. L., Borri, Álvaro E., Medina, M., & Carrizo Becerra, J. F. (2023). Usefulness of the Measurement of the Psoas and Paraspinal Muscles by Computed Tomography and Magnetic Resonance. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 88(2), 132-137. https://doi.org/10.15417/issn.1852-7434.2023.88.2.1512
Section
Clinical Research

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