Relationship of spinal alignment with muscular volume and fat infiltration of lumbar trunk muscles.

Fat infiltration and atrophy of lumbar muscles are related to spinal degenerative conditions and may cause functional deficits. Spinal alignment exerts biomechanical influence on lumbar intervertebral discs and joints. Our objective was to evaluate if spinopelvic parameters correlate with the lumbar...

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Main Authors: Rafael Menezes-Reis, Gustavo Perazzoli Bonugli, Carlos Ernesto Garrido Salmon, Debora Mazoroski, Carlos Fernando Pereira da Silva Herrero, Marcello Henrique Nogueira-Barbosa
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2018-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0200198&type=printable
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author Rafael Menezes-Reis
Gustavo Perazzoli Bonugli
Carlos Ernesto Garrido Salmon
Debora Mazoroski
Carlos Fernando Pereira da Silva Herrero
Marcello Henrique Nogueira-Barbosa
author_facet Rafael Menezes-Reis
Gustavo Perazzoli Bonugli
Carlos Ernesto Garrido Salmon
Debora Mazoroski
Carlos Fernando Pereira da Silva Herrero
Marcello Henrique Nogueira-Barbosa
author_sort Rafael Menezes-Reis
collection DOAJ
description Fat infiltration and atrophy of lumbar muscles are related to spinal degenerative conditions and may cause functional deficits. Spinal alignment exerts biomechanical influence on lumbar intervertebral discs and joints. Our objective was to evaluate if spinopelvic parameters correlate with the lumbar muscle volume and fat infiltration. This is an observational, prospective and cross-sectional study. Ninety-three asymptomatic adult aged 20-40 years were included. Lumbar lordosis (LL), thoracic kyphosis (TK), pelvic incidence (PI), pelvic tilt (PT), sacral slope (SS), thoracolumbar alignment (TL), sagittal vertical axis (SVA), C2-pelvic angle (CPA), spinosacral angle (SSA), lack of lordosis (PI-LL), L1S1 and T1S1 length were measured on panoramic spine radiographs. Lumbar axial T1-weighted and In- and Out-Phase images were obtained on 1.5T MRI scanner and were used to extract the muscle volumes and fat fractions of multifidus, erector spinae, and psoas. All muscle volumes were higher in men than women (p<0.05). The fat fraction was higher in the multifidus and erector spinae in women (p<0.05). Multifidus volume was weakly correlated with PT (R = 0.22), PI (R = 0.22), LL (R = 0.34) and CPA (R = 0.29). Erectors spinae volume were correlated with CPA (R = 0.21). Psoas volume correlated with TK (R = 0.21), TL (R = 0.27) and SVA (R = -0.23). The lumbar muscle volumes showed a moderated correlation with T1S1 length (R = 0.55 to 0.62). Spinopelvic parameters showed correlation with lumbar muscle volumes but not with muscle fat infiltration on asymptomatic young adults.
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spelling doaj-art-8f499565b1bb4c268b7f470265bc19c22025-08-20T03:12:50ZengPublic Library of Science (PLoS)PLoS ONE1932-62032018-01-01137e020019810.1371/journal.pone.0200198Relationship of spinal alignment with muscular volume and fat infiltration of lumbar trunk muscles.Rafael Menezes-ReisGustavo Perazzoli BonugliCarlos Ernesto Garrido SalmonDebora MazoroskiCarlos Fernando Pereira da Silva HerreroMarcello Henrique Nogueira-BarbosaFat infiltration and atrophy of lumbar muscles are related to spinal degenerative conditions and may cause functional deficits. Spinal alignment exerts biomechanical influence on lumbar intervertebral discs and joints. Our objective was to evaluate if spinopelvic parameters correlate with the lumbar muscle volume and fat infiltration. This is an observational, prospective and cross-sectional study. Ninety-three asymptomatic adult aged 20-40 years were included. Lumbar lordosis (LL), thoracic kyphosis (TK), pelvic incidence (PI), pelvic tilt (PT), sacral slope (SS), thoracolumbar alignment (TL), sagittal vertical axis (SVA), C2-pelvic angle (CPA), spinosacral angle (SSA), lack of lordosis (PI-LL), L1S1 and T1S1 length were measured on panoramic spine radiographs. Lumbar axial T1-weighted and In- and Out-Phase images were obtained on 1.5T MRI scanner and were used to extract the muscle volumes and fat fractions of multifidus, erector spinae, and psoas. All muscle volumes were higher in men than women (p<0.05). The fat fraction was higher in the multifidus and erector spinae in women (p<0.05). Multifidus volume was weakly correlated with PT (R = 0.22), PI (R = 0.22), LL (R = 0.34) and CPA (R = 0.29). Erectors spinae volume were correlated with CPA (R = 0.21). Psoas volume correlated with TK (R = 0.21), TL (R = 0.27) and SVA (R = -0.23). The lumbar muscle volumes showed a moderated correlation with T1S1 length (R = 0.55 to 0.62). Spinopelvic parameters showed correlation with lumbar muscle volumes but not with muscle fat infiltration on asymptomatic young adults.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0200198&type=printable
spellingShingle Rafael Menezes-Reis
Gustavo Perazzoli Bonugli
Carlos Ernesto Garrido Salmon
Debora Mazoroski
Carlos Fernando Pereira da Silva Herrero
Marcello Henrique Nogueira-Barbosa
Relationship of spinal alignment with muscular volume and fat infiltration of lumbar trunk muscles.
PLoS ONE
title Relationship of spinal alignment with muscular volume and fat infiltration of lumbar trunk muscles.
title_full Relationship of spinal alignment with muscular volume and fat infiltration of lumbar trunk muscles.
title_fullStr Relationship of spinal alignment with muscular volume and fat infiltration of lumbar trunk muscles.
title_full_unstemmed Relationship of spinal alignment with muscular volume and fat infiltration of lumbar trunk muscles.
title_short Relationship of spinal alignment with muscular volume and fat infiltration of lumbar trunk muscles.
title_sort relationship of spinal alignment with muscular volume and fat infiltration of lumbar trunk muscles
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0200198&type=printable
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