The association between spondylolisthesis and decreased muscle health throughout the lumbar spine for patients with operative lumbar spinal stenosis

被引:9
|
作者
Virk, Sohrab [1 ]
Sandhu, Milan [2 ]
Wright-Chisem, Joshua [1 ]
Vaishnav, Avani [1 ]
Albert, Todd [1 ,2 ]
Qureshi, Sheeraz A. [1 ,2 ]
机构
[1] Hosp Special Surg, 535 E 70th St, New York, NY 10021 USA
[2] Weill Cornell Med Coll, New York, NY 10021 USA
关键词
Muscle health; Spondylolisthesis; Lumbar spine surgery; Patient-reported outcomes; Lumbar spinal stenosis; CROSS-SECTIONAL AREA; QUALITY-OF-LIFE; LOW-BACK-PAIN; PARASPINAL MUSCLE; FATTY DEGENERATION; GOUTALLIER CLASSIFICATION; INDIVIDUALS; DISABILITY; KYPHOSIS; GRADE;
D O I
10.1007/s00586-021-06832-1
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Purpose There are data underlining the relationship between muscle health and spine related pathology, but little data regarding changes in paralumbar muscle associated with lumbar spondylolisthesis. We aimed to define changes in paralumbar muscle health associated with spondylolisthesis. Methods A retrospective review was performed on consecutive patients with lumbar spine pathology requiring an operation. A pre-operative lumbar MRI was analysed for muscle health measurements including lumbar indentation value (LIV), paralumbar cross-sectional area divided by body mass index (PL-CSA/BMI), and Goutallier classification of fatty atrophy. All measurements were taken from an axial slice of a T2-weighted image at lumbar disc spaces. Baseline health-related quality of life scores (HRQOLs), narcotic use and areas of stenosis were tracked. We performed Chi-square analyses and student's t test to determine statistically significant differences between cohorts. Results There were 307 patients (average age 56.1 +/- 16.7 years, 141 females) included within our analysis. 112 patients had spondylolisthesis. There were no differences in baseline HRQOLs between the spondylolisthesis cohort (SC) and non-spondylolisthesis cohort (non-SC). There were significantly worse PL-CSA/BMI at L2-L3 (p = 0.03), L3-L4 (p = 0.04) and L4-L5 (p = 0.02) for the SC. Goutallier classification of paralumbar muscle was worse for SC at L1-L2 (p = 0.04) and at L4-L5 (p < 0.001). Increased grade of spondylolisthesis was associated with worse PL-CSA at L1-L2 (p = 0.02), L2-L3 (p = 0.03) and L3-L4 (p = 0.05). Similarly, there were worse Goutallier classification scores associated with higher-grade spondylolisthesis at all levels (p < 0.05). Conclusion There are significant detrimental changes to paralumbar muscle health throughout the lumbar spine associated with spondylolisthesis.
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收藏
页码:2605 / 2612
页数:8
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