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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Main Authors: 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
Format: Article
Language:English
Published: Sociedade Brasileira de Coluna (SBC) 2022-04-01
Series:Coluna/Columna
Subjects:
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.
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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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