Orthopaedic Poster Session
AB164. SOH24AB_155. The relationship between radiological paraspinal lumbar measures and clinical measures of sarcopenia in older patients with chronic lower back pain
Neil Wu1,2, Denys Gibbons3, Jake McDonnell4, Joseph Butler4, Daniel Ahern4, Grainne Cunniffe4, Rose-Anne Kenny3, Roman Romero-Ortuno3
1School of Medicine, University College Dublin, Dublin, Ireland;
2Health Sciences Centre, University College Dublin, Belfield, Dublin, Ireland;
3Trinity Biomedical Sciences Institute, School of Medicine, Trinity College, Dublin, Ireland;
4National Spinal Injuries Unit, Mater Misericordiae University Hospital, Dublin, Ireland
Background: Sarcopenia is postulated to be an influential factor in chronic low back pain. The aim of this study is to evaluate the relationship between traditional clinical measures of sarcopenia and novel radiographic methods which evaluate overall muscle status, such as adjusted psoas cross-sectional area (APCSA) and degree of fat infiltration (%FI) in paraspinal muscles, in patients with chronic low back pain.
Methods: Prospective study performed at our institution from 01/01/2019–01/04/2019. Inclusion criteria were patients ≥65 years old not requiring surgical intervention presenting to a low back pain assessment clinic.
Results: A total of 25 patients were identified (mean age: 73 years, 62% male). On Spearman’s analyses, %FI shared a significant relationship with hand grip strength (r=−0.37; P=0.03), chair rise (r=0.38; P=0.03), stair-climbing (SC) (r=0.64; P<0.01), and visual analogue scale scores (r=−0.14; P=0.02). Comparably, a statistically significant correlation was evident between APCSA and %FI (r=−0.40; P=0.02) on analysis.
Conclusions: The results of our study demonstrate a statistically significant relationship between APCSA and %FI in the multifidus and erector spinae muscles. Further significant associations of relatability were depicted with traditional clinical measures of sarcopenia. Thus, %FI may be a supplemental indicator of the sarcopenic status of patients presenting with chronic low back pain.
Keywords: Adjusted psoas cross-sectional area (APCSA); chronic low back pain; fat infiltration; paraspinal muscles; sarcopenia
Acknowledgments
Funding: None.
Conflicts of Interest: The authors have no conflicts of interest to declare.
Ethical Statement: The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0/.
doi: 10.21037/map-24-ab164
Cite this abstract as: Wu N, Gibbons D, McDonnell J, Butler J, Ahern D, Cunniffe G, Kenny RA, Romero-Ortuno R. AB164. SOH24AB_155. The relationship between radiological paraspinal lumbar measures and clinical measures of sarcopenia in older patients with chronic lower back pain. Mesentery Peritoneum 2024;8:AB164.
