Multislice Computed Tomography in Diagnosing Changes in the Gluteal Muscles of Patients with Scoliosis at Different Ages and with Different Magnitudes of Deformation Before Treatment

Objective. To study the gluteal muscles in patients with scoliosis of various etiologies using multislice computed tomography (MSCT).Material and methods. MSCT was first used to study the gluteal muscles of 27 patients with idiopathic scoliosis. The patients were examined to study the vertebral colu...

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Main Authors: G. V. Diachkova, Yu. Zeynalov, M. A. Korabel’nikov, K. A. Diachkov, T. A. Larionova, I. V. Sutyagin
Format: Article
Language:English
Published: Luchevaya Diagnostika, LLC 2020-06-01
Series:Вестник рентгенологии и радиологии
Subjects:
Online Access:https://www.russianradiology.ru/jour/article/view/563
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author G. V. Diachkova
Yu. Zeynalov
M. A. Korabel’nikov
K. A. Diachkov
T. A. Larionova
I. V. Sutyagin
author_facet G. V. Diachkova
Yu. Zeynalov
M. A. Korabel’nikov
K. A. Diachkov
T. A. Larionova
I. V. Sutyagin
author_sort G. V. Diachkova
collection DOAJ
description Objective. To study the gluteal muscles in patients with scoliosis of various etiologies using multislice computed tomography (MSCT).Material and methods. MSCT was first used to study the gluteal muscles of 27 patients with idiopathic scoliosis. The patients were examined to study the vertebral column in order to determine a method and tactics for scoliosis treatment. The muscles were additionally examined using workstations and programs for MSCT data processing. In a control group of 18 patients with no clinical manifestations of spinal and hip joint abnormalities or those detected on CT, their gluteal muscles were examined due to their pelvic organ diseases.Results. Patients younger than 18 years of age who had spinal deformations of not more than 60 degrees had muscle changes as moderate hypotrophy, increased density, especially that of the gluteus medius muscle to 62.01 ± 7.20 HU. In patients over 18 years of age, the muscle density decreased at any magnitude of deformation and was the smaller the older patients were. In patients with spinal deformation greater than 90 degrees, the density of the gluteus maximus muscle on the convex side was significantly different from that on the concave side and was less on the concave side (p <0.05) than in those with a deformation of 60–90 degrees.Conclusion. The results showed that in patients with scoliosis, the gluteal muscles were affected not only by the magnitude of deformation, but also by age. In patients over 18 years of age, muscle changes with equal magnitudes of deformation were more pronounced and were manifested by hypotrophy, atrophy, and fatty degeneration.
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spelling doaj.art-1232dfbed506487da71fc25e48f1a0e12024-01-27T18:38:36ZengLuchevaya Diagnostika, LLCВестник рентгенологии и радиологии0042-46762619-04782020-06-01101314715410.20862/0042-4676-2020-101-3-147-154333Multislice Computed Tomography in Diagnosing Changes in the Gluteal Muscles of Patients with Scoliosis at Different Ages and with Different Magnitudes of Deformation Before TreatmentG. V. Diachkova0Yu. Zeynalov1M. A. Korabel’nikov2K. A. Diachkov3T. A. Larionova4I. V. Sutyagin5National Ilizarov Medical Research Center for Traumatology and Ortopedics, Ministry of Health of the Russian FederationClinic of the Military Medical Department of the State Security Service of the Republic of AzerbaijanRadiologic Center of the Multidisciplinary Medical Center “Medical City”National Ilizarov Medical Research Center for Traumatology and Ortopedics, Ministry of Health of the Russian FederationNational Ilizarov Medical Research Center for Traumatology and Ortopedics, Ministry of Health of the Russian FederationNational Ilizarov Medical Research Center for Traumatology and Ortopedics, Ministry of Health of the Russian FederationObjective. To study the gluteal muscles in patients with scoliosis of various etiologies using multislice computed tomography (MSCT).Material and methods. MSCT was first used to study the gluteal muscles of 27 patients with idiopathic scoliosis. The patients were examined to study the vertebral column in order to determine a method and tactics for scoliosis treatment. The muscles were additionally examined using workstations and programs for MSCT data processing. In a control group of 18 patients with no clinical manifestations of spinal and hip joint abnormalities or those detected on CT, their gluteal muscles were examined due to their pelvic organ diseases.Results. Patients younger than 18 years of age who had spinal deformations of not more than 60 degrees had muscle changes as moderate hypotrophy, increased density, especially that of the gluteus medius muscle to 62.01 ± 7.20 HU. In patients over 18 years of age, the muscle density decreased at any magnitude of deformation and was the smaller the older patients were. In patients with spinal deformation greater than 90 degrees, the density of the gluteus maximus muscle on the convex side was significantly different from that on the concave side and was less on the concave side (p <0.05) than in those with a deformation of 60–90 degrees.Conclusion. The results showed that in patients with scoliosis, the gluteal muscles were affected not only by the magnitude of deformation, but also by age. In patients over 18 years of age, muscle changes with equal magnitudes of deformation were more pronounced and were manifested by hypotrophy, atrophy, and fatty degeneration.https://www.russianradiology.ru/jour/article/view/563idiopathic scoliosisgluteal musclesmultislice computed tomography
spellingShingle G. V. Diachkova
Yu. Zeynalov
M. A. Korabel’nikov
K. A. Diachkov
T. A. Larionova
I. V. Sutyagin
Multislice Computed Tomography in Diagnosing Changes in the Gluteal Muscles of Patients with Scoliosis at Different Ages and with Different Magnitudes of Deformation Before Treatment
Вестник рентгенологии и радиологии
idiopathic scoliosis
gluteal muscles
multislice computed tomography
title Multislice Computed Tomography in Diagnosing Changes in the Gluteal Muscles of Patients with Scoliosis at Different Ages and with Different Magnitudes of Deformation Before Treatment
title_full Multislice Computed Tomography in Diagnosing Changes in the Gluteal Muscles of Patients with Scoliosis at Different Ages and with Different Magnitudes of Deformation Before Treatment
title_fullStr Multislice Computed Tomography in Diagnosing Changes in the Gluteal Muscles of Patients with Scoliosis at Different Ages and with Different Magnitudes of Deformation Before Treatment
title_full_unstemmed Multislice Computed Tomography in Diagnosing Changes in the Gluteal Muscles of Patients with Scoliosis at Different Ages and with Different Magnitudes of Deformation Before Treatment
title_short Multislice Computed Tomography in Diagnosing Changes in the Gluteal Muscles of Patients with Scoliosis at Different Ages and with Different Magnitudes of Deformation Before Treatment
title_sort multislice computed tomography in diagnosing changes in the gluteal muscles of patients with scoliosis at different ages and with different magnitudes of deformation before treatment
topic idiopathic scoliosis
gluteal muscles
multislice computed tomography
url https://www.russianradiology.ru/jour/article/view/563
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