Journal of Korean Medicine Rehabilitation (한방재활의학과학회지)

The society of Korean Medicine Rehabilitation (한방재활의학과학회)
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Correlation between Fatty Infiltration of Lumbar Paraspinal Muscle and Slip Percentage on 45 Korean Medicinal Treatment Cases of Spondylolisthesis: A Retrospective Study

척추전방전위증 환자 45예의 요추주변근육의 지방침착도와 전위정도의 상관성에 대한 후향적 연구

  • Kim, Yu-Gon (Department of Korean Medicine Rehabilitation, Mokhuri Neck and Back Hospital) ;
  • Kim, Dae-Ho (Department of Public Health Care, Sangju-si Public Health Center) ;
  • Jeong, Hyeon-Gyo (Department of Korean Medicine Rehabilitation, Mokhuri Neck and Back Hospital) ;
  • Lim, Jin-Woong (Department of Acupuncture and Moxibustion, Mokhuri Neck and Back Hospital) ;
  • Kim, Yong-Hwa (Department of Acupuncture and Moxibustion, Mokhuri Neck and Back Hospital) ;
  • Kang, Deok (Department of Korean Medicine Rehabilitation, Mokhuri Neck and Back Hospital) ;
  • Jeong, Hwe-Joon (Department of Korean Medicine Rehabilitation, Mokhuri Neck and Back Hospital) ;
  • Shin, Kyung-Moon (Department of Acupuncture and Moxibustion, Mokhuri Neck and Back Hospital) ;
  • Shin, Dong-Hoon (Department of Acupuncture and Moxibustion, Mokhuri Neck and Back Hospital) ;
  • Yang, Jae-Woo (Department of Acupuncture and Moxibustion, Mokhuri Neck and Back Hospital) ;
  • O, Ji-Hoon (Department of Acupuncture and Moxibustion, Mokhuri Neck and Back Hospital) ;
  • Cho, Jae-Seong (Department of Korean Medicine Rehabilitation, Mokhuri Neck and Back Hospital)
  • 김유곤 (모커리한방병원 한방재활의학과) ;
  • 김대호 (상주시 보건소 건강증진과) ;
  • 정현교 (모커리한방병원 한방재활의학과) ;
  • 임진웅 (모커리한방병원 침구과) ;
  • 김용화 (모커리한방병원 침구과) ;
  • 강덕 (모커리한방병원 한방재활의학과) ;
  • 정회준 (모커리한방병원 한방재활의학과) ;
  • 신경문 (모커리한방병원 침구과) ;
  • 신동훈 (모커리한방병원 침구과) ;
  • 양재우 (모커리한방병원 침구과) ;
  • 오지훈 (모커리한방병원 침구과) ;
  • 조재성 (모커리한방병원 한방재활의학과)
  • Received : 2021.09.06
  • Accepted : 2021.10.07
  • Published : 2022.01.31
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Abstract

Objectives Objective of this study is to investigate the role of paraspinal muscles by examining the correlation between slip percentage (SP) of spondylolisthesis and fatty infiltration of lumbar paraspinal muscle. Methods Retrospective analysis was performed on 45 patients diagnosed with spondylolisthesis based on medical records. Using T2-weighted axial magnetic resonance imaging, cross-sectional areas (CSAs) of psoas major (PM), multifidus (MU) and erector spinae (ES) were calculated and divided by CSA of lower level vertebral body (VB). SP was measured using sagittal T2-weighted images. Correlation of SP with muscle relative cross-sectional area (RCSA) and muscle fatty infiltration by Goutallier classification was respectively analyzed using Spearman correlation. Statistic assessment conducted by Wilcoxon signed rank test and paired t-test using program GraphPad prism 5 (GraphPad Software, Inc., San Diego, CA, USA). Results Spondylolisthesis forward slip percentage by Taillard's method was negatively associated with both side MU RCSAs. No significant correlation was found between PM RCSA, ES RCSA and SP. Forward slippage was significantly correlated with fatty infiltration of lumbar paraspinal muscle measured by Goutallier classification. Conclusions This study is to understand the role of paraspinal muscle affecting spinal instability by investigating correlation between statistical deviation of lumbar muscle characters (RCSA, fatty infiltration of lumbar muscle) and SP. We found that spondylolisthesis SP is positively related to fatty infiltration of lumbar paraspinal muscle. and is negatively associated with both side MU RCSAs.

Keywords

References

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