COMPARISON OF PSOAS MORPHOLOGY AND LUMBAR LORDOSIS IN DIFFERENT POSTURES
ABSTRACT Objective: To compare the interobserver reliability of measurements of psoas morphology and lumbar lordosis in different positions and to standardize the performance of magnetic resonance imaging in the prone and lateral positions. Methods: This is a cross-sectional study carried out with...
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Format: | Article |
Language: | English |
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Sociedade Brasileira de Coluna (SBC)
2022-04-01
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Series: | Coluna/Columna |
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Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512022000100200&tlng=en |
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author | Murilo Tavares Daher Pedro Paulo Souza Fortuna Rodrigo Augusto do Amaral Renato Tavares Daher Ricardo Tavares Daher Matheus Carvalho Batista Pedro Felisbino Jr Vinício Nunes Nascimento Gabriel Henrique de Oliveira Pokorny Juliane Leite Orcino Raphael Rezende Pratali Luiz Pimenta Carlos Fernando Pereira da Silva Herrero |
author_facet | Murilo Tavares Daher Pedro Paulo Souza Fortuna Rodrigo Augusto do Amaral Renato Tavares Daher Ricardo Tavares Daher Matheus Carvalho Batista Pedro Felisbino Jr Vinício Nunes Nascimento Gabriel Henrique de Oliveira Pokorny Juliane Leite Orcino Raphael Rezende Pratali Luiz Pimenta Carlos Fernando Pereira da Silva Herrero |
author_sort | Murilo Tavares Daher |
collection | DOAJ |
description | ABSTRACT Objective: To compare the interobserver reliability of measurements of psoas morphology and lumbar lordosis in different positions and to standardize the performance of magnetic resonance imaging in the prone and lateral positions. Methods: This is a cross-sectional study carried out with asymptomatic volunteers of both sexes, aged over 18 years, with no known pathological changes in the lumbar region. Magnetic resonance imaging of the lumbar spine was performed in the supine, right lateral decubitus and prone positions, obtaining images in T2-weighted sequences in the sagittal and axial planes. The distances were measured from the psoas to the vertebral plateau and from the psoas to the lumbar plexus. The exams were assessed by two independent, blinded orthopedists. Results: There was excellent agreement between the measurements of vertebral size (ICC=0.92), low agreement for plexus distance (ICC=0.63) and high agreement for the anterior margin (ICC=0.84). Conclusion: There was good reproducibility of 2 of the 3 measures proposed, suggesting that the technique in the lateral and prone positions is capable of generating quality images. Level of Evidence 3B; Prospective. |
first_indexed | 2024-04-13T10:17:57Z |
format | Article |
id | doaj.art-e4f6b219bb8040a99328fb10b90e254e |
institution | Directory Open Access Journal |
issn | 2177-014X |
language | English |
last_indexed | 2024-04-13T10:17:57Z |
publishDate | 2022-04-01 |
publisher | Sociedade Brasileira de Coluna (SBC) |
record_format | Article |
series | Coluna/Columna |
spelling | doaj.art-e4f6b219bb8040a99328fb10b90e254e2022-12-22T02:50:40ZengSociedade Brasileira de Coluna (SBC)Coluna/Columna2177-014X2022-04-0121110.1590/s1808-185120222101250513COMPARISON OF PSOAS MORPHOLOGY AND LUMBAR LORDOSIS IN DIFFERENT POSTURESMurilo Tavares Daherhttps://orcid.org/0000-0001-9589-5596Pedro Paulo Souza Fortunahttps://orcid.org/0000-0003-3307-6231Rodrigo Augusto do Amaralhttps://orcid.org/0000-0003-3007-0571Renato Tavares Daherhttps://orcid.org/0000-0003-2567-0994Ricardo Tavares Daherhttps://orcid.org/0000-0002-6846-7315Matheus Carvalho Batistahttps://orcid.org/0000-0002-2477-476XPedro Felisbino Jrhttps://orcid.org/0000-0003-3952-8470Vinício Nunes Nascimentohttps://orcid.org/0000-0002-5280-8146Gabriel Henrique de Oliveira Pokornyhttps://orcid.org/0000-0002-7907-8032Juliane Leite Orcinohttps://orcid.org/0000-0002-7039-0214Raphael Rezende Pratalihttps://orcid.org/0000-0002-0992-6163Luiz Pimentahttps://orcid.org/0000-0002-5702-5431Carlos Fernando Pereira da Silva Herrerohttps://orcid.org/0000-0001-9599-8544ABSTRACT Objective: To compare the interobserver reliability of measurements of psoas morphology and lumbar lordosis in different positions and to standardize the performance of magnetic resonance imaging in the prone and lateral positions. Methods: This is a cross-sectional study carried out with asymptomatic volunteers of both sexes, aged over 18 years, with no known pathological changes in the lumbar region. Magnetic resonance imaging of the lumbar spine was performed in the supine, right lateral decubitus and prone positions, obtaining images in T2-weighted sequences in the sagittal and axial planes. The distances were measured from the psoas to the vertebral plateau and from the psoas to the lumbar plexus. The exams were assessed by two independent, blinded orthopedists. Results: There was excellent agreement between the measurements of vertebral size (ICC=0.92), low agreement for plexus distance (ICC=0.63) and high agreement for the anterior margin (ICC=0.84). Conclusion: There was good reproducibility of 2 of the 3 measures proposed, suggesting that the technique in the lateral and prone positions is capable of generating quality images. Level of Evidence 3B; Prospective.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512022000100200&tlng=enMagnetic ResonancePsoas MusclesPatient Positioning |
spellingShingle | Murilo Tavares Daher Pedro Paulo Souza Fortuna Rodrigo Augusto do Amaral Renato Tavares Daher Ricardo Tavares Daher Matheus Carvalho Batista Pedro Felisbino Jr Vinício Nunes Nascimento Gabriel Henrique de Oliveira Pokorny Juliane Leite Orcino Raphael Rezende Pratali Luiz Pimenta Carlos Fernando Pereira da Silva Herrero COMPARISON OF PSOAS MORPHOLOGY AND LUMBAR LORDOSIS IN DIFFERENT POSTURES Coluna/Columna Magnetic Resonance Psoas Muscles Patient Positioning |
title | COMPARISON OF PSOAS MORPHOLOGY AND LUMBAR LORDOSIS IN DIFFERENT POSTURES |
title_full | COMPARISON OF PSOAS MORPHOLOGY AND LUMBAR LORDOSIS IN DIFFERENT POSTURES |
title_fullStr | COMPARISON OF PSOAS MORPHOLOGY AND LUMBAR LORDOSIS IN DIFFERENT POSTURES |
title_full_unstemmed | COMPARISON OF PSOAS MORPHOLOGY AND LUMBAR LORDOSIS IN DIFFERENT POSTURES |
title_short | COMPARISON OF PSOAS MORPHOLOGY AND LUMBAR LORDOSIS IN DIFFERENT POSTURES |
title_sort | comparison of psoas morphology and lumbar lordosis in different postures |
topic | Magnetic Resonance Psoas Muscles Patient Positioning |
url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512022000100200&tlng=en |
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