The fatty degeneration of the lumbar erector spinae muscles affects dynamic spinal compensation ability during gait in adult spinal deformity
Abstract This study aimed to investigate whether fat infiltration in lumbar paravertebral muscles assessed by magnetic resonance imaging (MRI) could be related to dynamic sagittal spino-pelvic balance during gait in adult spinal deformity (ASD). This is a retrospective analysis of 28 patients with A...
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Nature Portfolio
2021-09-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-021-97358-5 |
| _version_ | 1819198513250041856 |
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| author | Kousei Miura Hideki Kadone Tomoyuki Asada Masao Koda Toru Funayama Hiroshi Takahashi Hiroshi Noguchi Kentaro Mataki Yosuke Shibao Kosuke Sato Fumihiko Eto Mamoru Kono Kenji Suzuki Masashi Yamazaki |
| author_facet | Kousei Miura Hideki Kadone Tomoyuki Asada Masao Koda Toru Funayama Hiroshi Takahashi Hiroshi Noguchi Kentaro Mataki Yosuke Shibao Kosuke Sato Fumihiko Eto Mamoru Kono Kenji Suzuki Masashi Yamazaki |
| author_sort | Kousei Miura |
| collection | DOAJ |
| description | Abstract This study aimed to investigate whether fat infiltration in lumbar paravertebral muscles assessed by magnetic resonance imaging (MRI) could be related to dynamic sagittal spino-pelvic balance during gait in adult spinal deformity (ASD). This is a retrospective analysis of 28 patients with ASD. The fat infiltration rate of lumbar erector spinae muscles, multifidus muscles and psoas major muscles was measured by T2 weighted axial MRI at L1-2 and L4-5. Dynamic sagittal spinal and pelvic angles during gait were evaluated using 3D motion analysis. The correlation between fat infiltration rate of those muscles with variations in dynamic kinematic variables while walking and static radiological parameters was analyzed. Spinal kyphosis and pelvic anteversion significantly increased during gait. Fat infiltration rate of erector spinae muscles at L1-2 was positively correlated with thoracic kyphosis (r = 0.392, p = 0.039) and pelvic tilt (r = 0.415, p = 0.028). Increase of spinal kyphosis during walking was positively correlated with fat infiltration rate of erector spinae muscles both at L1-2 (r = 0.394, p = 0.038) and L4-5 (r = 0.428, p = 0.023). Qualitative evaluation of lumbar erector spinae muscles assessed by fat infiltration rate has the potential to reflect dynamic spino-pelvic balance during gait. |
| first_indexed | 2024-12-23T03:01:38Z |
| format | Article |
| id | doaj.art-fb9cda6d36904ce09fb669faef440779 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-12-23T03:01:38Z |
| publishDate | 2021-09-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-fb9cda6d36904ce09fb669faef4407792022-12-21T18:02:24ZengNature PortfolioScientific Reports2045-23222021-09-011111710.1038/s41598-021-97358-5The fatty degeneration of the lumbar erector spinae muscles affects dynamic spinal compensation ability during gait in adult spinal deformityKousei Miura0Hideki Kadone1Tomoyuki Asada2Masao Koda3Toru Funayama4Hiroshi Takahashi5Hiroshi Noguchi6Kentaro Mataki7Yosuke Shibao8Kosuke Sato9Fumihiko Eto10Mamoru Kono11Kenji Suzuki12Masashi Yamazaki13Department of Orthopaedic Surgery, Faculty of Medicine, University of TsukubaCenter for Innovative Medicine and Engineering, University of Tsukuba HospitalDepartment of Orthopaedic Surgery, Faculty of Medicine, University of TsukubaDepartment of Orthopaedic Surgery, Faculty of Medicine, University of TsukubaDepartment of Orthopaedic Surgery, Faculty of Medicine, University of TsukubaDepartment of Orthopaedic Surgery, Faculty of Medicine, University of TsukubaDepartment of Orthopaedic Surgery, Faculty of Medicine, University of TsukubaDepartment of Orthopaedic Surgery, Faculty of Medicine, University of TsukubaDepartment of Orthopaedic Surgery, Faculty of Medicine, University of TsukubaDepartment of Orthopaedic Surgery, Faculty of Medicine, University of TsukubaDepartment of Orthopaedic Surgery, Faculty of Medicine, University of TsukubaDepartment of Orthopaedic Surgery, Faculty of Medicine, University of TsukubaCenter for Cybernics Research, University of TsukubaDepartment of Orthopaedic Surgery, Faculty of Medicine, University of TsukubaAbstract This study aimed to investigate whether fat infiltration in lumbar paravertebral muscles assessed by magnetic resonance imaging (MRI) could be related to dynamic sagittal spino-pelvic balance during gait in adult spinal deformity (ASD). This is a retrospective analysis of 28 patients with ASD. The fat infiltration rate of lumbar erector spinae muscles, multifidus muscles and psoas major muscles was measured by T2 weighted axial MRI at L1-2 and L4-5. Dynamic sagittal spinal and pelvic angles during gait were evaluated using 3D motion analysis. The correlation between fat infiltration rate of those muscles with variations in dynamic kinematic variables while walking and static radiological parameters was analyzed. Spinal kyphosis and pelvic anteversion significantly increased during gait. Fat infiltration rate of erector spinae muscles at L1-2 was positively correlated with thoracic kyphosis (r = 0.392, p = 0.039) and pelvic tilt (r = 0.415, p = 0.028). Increase of spinal kyphosis during walking was positively correlated with fat infiltration rate of erector spinae muscles both at L1-2 (r = 0.394, p = 0.038) and L4-5 (r = 0.428, p = 0.023). Qualitative evaluation of lumbar erector spinae muscles assessed by fat infiltration rate has the potential to reflect dynamic spino-pelvic balance during gait.https://doi.org/10.1038/s41598-021-97358-5 |
| spellingShingle | Kousei Miura Hideki Kadone Tomoyuki Asada Masao Koda Toru Funayama Hiroshi Takahashi Hiroshi Noguchi Kentaro Mataki Yosuke Shibao Kosuke Sato Fumihiko Eto Mamoru Kono Kenji Suzuki Masashi Yamazaki The fatty degeneration of the lumbar erector spinae muscles affects dynamic spinal compensation ability during gait in adult spinal deformity Scientific Reports |
| title | The fatty degeneration of the lumbar erector spinae muscles affects dynamic spinal compensation ability during gait in adult spinal deformity |
| title_full | The fatty degeneration of the lumbar erector spinae muscles affects dynamic spinal compensation ability during gait in adult spinal deformity |
| title_fullStr | The fatty degeneration of the lumbar erector spinae muscles affects dynamic spinal compensation ability during gait in adult spinal deformity |
| title_full_unstemmed | The fatty degeneration of the lumbar erector spinae muscles affects dynamic spinal compensation ability during gait in adult spinal deformity |
| title_short | The fatty degeneration of the lumbar erector spinae muscles affects dynamic spinal compensation ability during gait in adult spinal deformity |
| title_sort | fatty degeneration of the lumbar erector spinae muscles affects dynamic spinal compensation ability during gait in adult spinal deformity |
| url | https://doi.org/10.1038/s41598-021-97358-5 |
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