Association Between Paraspinal Muscle Parameters and Single-Segment Degenerative Lumbar Spondylolisthesis

作者：Shuang Liu, Qi Shi, Weiwei Da, Chun-Chun Xue, Lin Chen, Yu-Nan Li, Yongpeng Xue, Wen-Lan Du, Xiaofeng Li · 发表于：Spine · 年份：2024 · DOI：10.1097/brs.0000000000005140 · 被引用次数：13 · 研究领域：Spine and Intervertebral Disc Pathology、Musculoskeletal pain and rehabilitation、Scoliosis diagnosis and treatment

STUDY DESIGN: A retrospective, cross-sectional cohort study. OBJECTIVE: This study aimed to investigate the association between paraspinal muscle parameters and single-segment degenerative lumbar spondylolisthesis (DLS). SUMMARY OF BACKGROUND DATA: The relationship between lumbar paraspinal muscle morphology and single-segment DLS remains unclear. METHODS: A retrospective review was conducted on 115 patients with L4/5 single-segment DLS and 105 subjects without DLS. Two independent investigators assessed the relative cross-sectional area and fat infiltration rate of the multifidus, erector spinae, and psoas major at L3/4, L4/5, and L5/S1 levels, comparing these measurements between the 2 groups. In addition, binary logistic regression analysis was performed with DLS as the dependent variable to analyze the relative cross-sectional area and fat infiltration rate of different paraspinal muscles. Within the DLS group, the correlation between paraspinal muscle characteristics and the anteroposterior diameter of the spinal canal was examined. RESULTS: The fat infiltration rate of multifidus, erector spinae, and psoas major was higher in the DLS group than in the control group, whereas the relative cross-sectional area of multifidus and psoas major was lower in the DLS group. Binary logistic regression analysis revealed a significant correlation between the fat infiltration rate of multifidus and psoas major and DLS. The relative cross-sectional area of multifidus and erector spina...