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Impact of Multifidus Muscle Atrophy on the Occurrence of Secondary Symptomatic Adjacent Osteoporotic Vertebral Compression Fractures
- Source :
- Calcified Tissue International. 110:421-427
- Publication Year :
- 2021
- Publisher :
- Springer Science and Business Media LLC, 2021.
-
Abstract
- To assess the potential influence of multifidus atrophy and fatty degeneration on the incidence of adjacent vertebral compression fractures within one year after the index fracture. In a retrospective cohort study, patients who underwent surgery for an OVCF were identified and baseline characteristics, fracture patterns and the occurrence of secondary adjacent fractures within one year were obtained by chart review. Multifidus muscle atrophy and fatty degeneration were determined on preoperative MRI or CT scans. In this analysis of 191 patients (mean age 77 years, SD 8, 116 female), OF type 3 was the most common type of OVCF (49.2%). Symptomatic adjacent OVCFs within one year after index fracture were observed in 23/191 patients (12%) at mean 12, SD 12 weeks (range 1–42 weeks) postoperatively. The mean multifidus muscle area was 264, SD 53 mm2 in patients with an adjacent vertebral fracture and 271, SD 92 mm2 in patients without a secondary fracture (p = 0.755). Mean multifidus fatty infiltration was graded Goutallier 2.2, SD 0.6 in patients with an adjacent fracture and Goutallier 2.2, SD 0.7 in patients without an adjacent fracture (p = 0.694). Pre-existing medication with corticosteroids was associated with the occurrence of an adjacent fracture (p = 0.006). Multifidus area and multifidus fatty infiltration had no significant effect on the occurrence of adjacent vertebral fractures within one year after the index fracture. Patients with a pre-existing medication with corticosteroids were more likely to sustain an adjacent fracture.
- Subjects :
- Male
medicine.medical_specialty
Endocrinology, Diabetes and Metabolism
Osteoporosis
Paraspinal Muscles
Multifidus muscle
Endocrinology
Atrophy
Fractures, Compression
Spinal fracture
medicine
Humans
Kyphoplasty
Orthopedics and Sports Medicine
Aged
Retrospective Studies
business.industry
Vertebral compression fracture
Retrospective cohort study
medicine.disease
Surgery
Muscular Atrophy
Treatment Outcome
Sarcopenia
Orthopedic surgery
Spinal Fractures
Female
business
Osteoporotic Fractures
Subjects
Details
- ISSN :
- 14320827
- Volume :
- 110
- Database :
- OpenAIRE
- Journal :
- Calcified Tissue International
- Accession number :
- edsair.doi.dedup.....9b0f1edbfc7533da71c493acd8023847