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脊柱特异性缩症:区分副脊柱肌肉缩症与一般性缩症

Lukas Schönnagel¹, Erika Chiaparelli², Gaston Camino-Willhuber³

¹Department of Orthopaedic Surgery, Hospital for Special Surgery, Weill Cornell Medicine, 520 E 70th New York, NY 10021, USA; Center for Musculoskeletal Surgery, Charité - Universitätsmedizin Berlin, Luisenstraße 64, 10117 Berlin, Germany.

The spine journal : official journal of the North American Spine Society

|March 3, 2024

概括

由于相关性较低,通用 Sarcopenia 查工具可能会误诊脊柱特异性. 这表明脊柱手术患者的普遍和脊柱特异性肌肉缩有不同的原因.

科学领域:

整形外科整形外科整形外科
老年病的医生老年病的医生
放射学放射学是一门学科.

背景情况:

在脊柱外科手术的结果中,泛性肉类和副脊柱肌肉 (PM) 缩是显著的.
普遍性和脊柱特异性肉类症之间的关系尚不清楚.

研究的目的:

为了研究泛性缩症和脊柱特异性缩症之间的关联.

主要方法:

对125名经历腰椎脊髓融合的患者进行了回顾性横截面研究.
通过SPPB,握力和psoas指数评估的泛性肉类.
通过使用定制的MATLAB软件测量PM的脂肪透 (FI) 来评估脊柱特异性肉症.

主要成果:

在一般化萨尔科佩尼亚测量和PM脂肪透 (例如,握力rho=-0.43) 之间发现了较低的相关性.
对于严重的多胞体缩,Psoas指数和握力显示中等预测值 (AUC 0.71-0.72).
面关节关节病和前狭窄症与严重的多管缩有关.

结论:

在泛性和脊柱特异性肉类之间存在较低的相关性.
仅仅依靠一般的 Sarcopenia 查工具,就有可能错误诊断.
一般和脊柱特异性肉类可能有不同的潜在原因.

关键词:

在 EGWSOP2中,握力强度握力强度握力强度副脊椎肌肉组织的肌肉.普索亚斯 (Psoas) 指数是什么意思 SPPBB SPPB 这是一个很好的选择.萨尔科佩尼亚是什么意思萨尔科佩尼亚脊柱特异性肉类.

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