骨矿物质密度与脊柱旁肌肉脂肪浸润的关系Goutallier 分类法

IF 2.5 Q3 ENDOCRINOLOGY & METABOLISM Osteoporosis and Sarcopenia Pub Date : 2024-06-01 DOI:10.1016/j.afos.2024.04.002
Firuzan Fırat Ozer , Emel Güler
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引用次数: 0

摘要

目的 肌肉和骨骼组织通过旁分泌和内分泌途径在整个发育过程中相互关联。随着越来越多的数据证明肌肉疏松症和骨质疏松症的同时发生率很高,骨质疏松症也随之出现。我们的目的是根据磁共振成像(MRI)中的 Goutallier 分类法对脊柱旁肌肉的脂肪浸润进行分级,从而评估骨质疏松症与肌肉质量之间的关系。腰椎和股骨颈的骨矿密度(BMD)通过双能 X 射线吸收仪(DXA)进行测量。根据 Goutallier 分类系统,分别评估了腰椎各层次(包括 L1-L2、L2-L3、L3-L4)脊柱旁肌肉脂肪浸润的等级。Goutallier 分级较高的患者腰椎 L1-L4 总 T 值和 BMD g/cm2 均较低(分别为 P = 0.031 和 P = 0.023)。骨质疏松症/骨质疏松症组在所有三个椎间盘水平上的脂肪变性严重程度分布都明显较高。结论腰椎骨质疏松症与脊柱旁肌肉质量之间存在密切关系,可视为骨质疏松症的一种反映。Goutailler分类法是利用磁共振成像评估肌肉质量的一种有效而简便的方法。
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Relation of bone mineral density with fat infiltration of paraspinal muscles: The Goutallier classification

Objectives

Muscle and bone tissue are interrelated throughout their developmental processes via paracrine and endocrine pathways. Osteosarcopenia has emerged with the growing data proving the high rate of simultaneous occurrence of sarcopenia and osteoporosis. We aimed to evaluate the relationship between osteoporosis, and muscle quality by grading the fatty infiltration in paraspinal muscles according to the Goutallier classification in magnetic resonance imaging (MRI).

Methods

Data of postmenopausal patients who underwent MRI for low back pain were analyzed retrospectively. Lumbar spine and femoral neck bone mineral density (BMD) were measured by using dual energy X-ray absorptiometry (DXA). Grade of paraspinal muscle fatty infiltration for each level of lumbar vertebrae including L1-L2, L2-L3, L3-L4, was evaluated separately according to Goutallier classification system.

Results

A total of 91 postmenopausal women were included in the study. The mean age of the study population was 60.5 ± 11. Lumbar vertebrae L1-L4 total T-scores and BMD g/cm2 were lower in patients with higher grades of Goutallier classification (P = 0.031 and P = 0.023, respectively). The distribution of the severity of fatty degeneration was significantly higher in the osteoporosis/osteopenia group at all 3 disc levels. No significant correlation was observed between femoral neck BMD and paraspinal muscle fat infiltration.

Conclusions

There is a strong relationship between osteoporosis of the lumbar spine and paraspinal muscle quality, which can be considered as a reflection of osteosarcopenia. The Goutailler classification can be an effective and easy method in the evaluation of muscle quality with MRI.

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来源期刊
Osteoporosis and Sarcopenia
Osteoporosis and Sarcopenia Orthopedics, Sports Medicine and Rehabilitation, Endocrinology, Diabetes and Metabolism, Obstetrics, Gynecology and Women's Health, Geriatrics and Gerontology
自引率
5.00%
发文量
23
审稿时长
66 days
期刊最新文献
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