通过腰肌测量评估椎体压缩性骨折骨质疏松患者的肌肉疏松症

Irfan Atik, Enes Gul
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摘要

研究目的研究设计:横断面研究。研究地点与时间研究时间:2020 年 1 月至 2023 年 3 月,土耳其锡瓦斯市锡瓦斯 Cumhuriyet 大学放射科:在 L2 椎体水平测量腰肌面积(PMA)、腰肌指数(PMI)和腰肌密度(PMD),通过计算机断层扫描(CT)从肌肉质量诊断肌肉疏松症。研究结果表明,肌肉疏松症与骨质疏松性压缩骨折之间的关系在 p 值上具有显著性:对 37 例压缩性骨折和 37 例未发生压缩性骨折的骨质疏松症患者进行了研究。研究组的 PMA 和 PMI 在统计学上明显较低(P 结论:骨质疏松是导致压缩性骨折的重要风险因素:肌肉疏松症是骨质疏松性压缩骨折的重要风险因素。腰肌测量结果显示与骨质疏松症和脊椎骨折有明显关联,并可通过 CT 扫描轻松确定:肌肉疏松症 骨质疏松性压缩骨折 腰肌
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of Sarcopenia by Psoas Muscle Measurements in Osteoporotic Patients with Vertebral Compression Fracture.

Objective: To examine the effect of sarcopenia on osteoporotic vertebral compression fracture with psoas muscle measurements.

Study design: Cross-sectional study. Place and Duration of the Study: Department of Radiology, Sivas Cumhuriyet University, Sivas, Turkiye, from January 2020 to March 2023.

Methodology: Measurements evaluating psoas muscle area (PMA), psoas muscle index (PMI), and psoas muscle density (PMD) were made at L2 vertebral corpus level for the diagnosis of sarcopenia from muscle mass with computed tomography (CT). The association between sarcopenia and osteoporotic compression fracture was examined with significance at p <0.05.

Results: Osteoporotic patients with 37 compression fractures and 37 without compression fractures were examined. PMA and PMI were statistically significantly lower in the study group (p <0.01). PMD was also found to be statistically significantly lower in the study group (p <0.05). Diagnostic performance (DP) was good for the discrimination of patients and control groups for psoas area (AUC = 0.88; 95% confidence interval (CI) 0.807 - 0.956 and PMI (AUC = 0.83; 95% CI 0.734 - 0.917. It was poor for psoas density (AUC = 0.66, 95% CI 0.531 - 0.782).

Conclusion: Sarcopenia is an important risk factor for osteoporotic compression fracture. Psoas measurements show a significant association with osteoporosis and vertebral fracture and can be easily determined on CT scan.

Key words: Sarcopenia, Osteoporotic compression fracture, Psoas muscle.

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