Paraspinal muscle morphometry in cervical spondylotic myelopathy and its implications in clinicoradiological outcomes following central corpectomy: clinical article.

@article{Thakar2014ParaspinalMM,
  title={Paraspinal muscle morphometry in cervical spondylotic myelopathy and its implications in clinicoradiological outcomes following central corpectomy: clinical article.},
  author={Sumit Thakar and Dilip Mohan and S. Furtado and N. S. Sai Kiran and R. Dadlani and Saritha Aryan and A. Rao and A. Hegde},
  journal={Journal of neurosurgery. Spine},
  year={2014},
  volume={21 2},
  pages={
          223-30
        }
}
OBJECT The objective of this study was to assess the cross-sectional areas (CSAs) of the superficial, deep flexor (DF), and deep extensor (DE) paraspinal muscles in patients with cervical spondylotic myelopathy (CSM), and to evaluate their correlations with functional status and sagittal spinal alignment changes following central corpectomy with fusion and plating. METHODS In this retrospective study of 67 patients who underwent central corpectomy with fusion and plating for CSM, the CSAs of… Expand
Lumbar paraspinal muscle morphometry and its correlations with demographic and radiological factors in adult isthmic spondylolisthesis: a retrospective review of 120 surgically managed cases.
TLDR
Compared with normative controls, patients with IS suffer selective atrophy of their MF muscle, whereas their ES muscle undergoes a compensatory hypertrophy, indicating the role of this deep stabilizer in the biomechanical stability of spondylolisthetic spines. Expand
Morphological characteristics of the deep cervical paraspinal muscles in patients with single level cervical spondylotic myelopathy.
TLDR
In C5/6 single level CSM patients, fat infiltration and atrophy of deep paraspinal muscles especially Lcap, LC and MF mainly occurred in the level of spinal cord compression and caudal adjacent level, which may suggest that multiple mechanisms are involved in paraspINAL muscles degeneration in CSM. Expand
Cervical Paraspinal Muscle Atrophy Rates Following Laminoplasty and Laminectomy with Fusion for Cervical Spondylotic Myelopathy.
TLDR
PMA should be part of the decision making process when a posterior approach is considered, inasmuch as this study demonstrates that cervical laminoplasty was associated with significantly lower rates of PMA compared with cervical laminationectomy and fusion. Expand
Association Between Paraspinal Muscle Morphology, Clinical Symptoms, and Functional Status in Patients With Degenerative Cervical Myelopathy
TLDR
The results suggest an association between cervical muscle morphology and DCM clinical symptoms and functional status and a significant increase in muscle fatty infiltration and CSA asymmetry at the level below the compression was observed in patients with DCM. Expand
Fatty infiltration of the cervical multifidus musculature and their clinical correlates in spondylotic myelopathy
TLDR
Examining the relationship between MFI and CSM's clinical manifestations found increased MFI of the multifidus muscles is associated with cervical myelopathy and a clinically significant decline in sensorimotor function as measured by mJOA and Nurick scores. Expand
Does the mesodermal derangement in Chiari Type I malformation extend to the cervical spine? Evidence from an analytical morphometric study on cervical paraspinal muscles.
TLDR
Patients with CMI demonstrate alterations in their cervical paraspinal musculature even in the absence of coexistent syringomyelia, which could be related to a significantly steeper cervical taper ratio that their cervical cords are exposed to. Expand
Relation of Deep Paraspinal Muscles' Cross-Sectional Area of the Cervical Spine and Bone Union in Anterior Cervical Decompression and Fusion: A Retrospective Study.
TLDR
The extensorCSAs were related to fusion rate and timing, and as the extensor CSAs increased, fusion timing decreased, and this was an independent factor for decreasing the possibility of nonunion in men and women. Expand
Association of MRI-defined lumbar paraspinal muscle mass and slip percentage in degenerative and isthmic spondylolisthesis
TLDR
No significant correlation was found in the degenerative spondylolisthesis group between any of the muscle CSA ratios and SP, and this discrepancy between the two groups suggests that exercise programs or interventions regarding the segmental stability of isthmic spondyolistheses and degenerativespondyllisthesis should be distinguished in clinical practice. Expand
Deep flexor sarcopenia as a predictor of poor functional outcome after anterior cervical discectomy in patients with myelopathy
TLDR
This study has for the first time identified the utility of paraspinal morphometrics in predicting disease-specific functional outcome after cervical spine surgery and suggested it could be included in future risk stratification algorithms for patients with cervical disc disease. Expand
Fatty Infiltration of Cervical Spine Extensor Musculature: Is there a Relationship With Cervical Sagittal Balance?
TLDR
Atrophic changes with FI of these muscle groups is associated with worsening CD and is an important predictor of postoperative sagittal alignment. Expand
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