关键词: Osteoporosis (OP) computed tomography (CT) magnetic resonance imaging (MRI) paravertebral muscles spine vertebral fractures

来  源:   DOI:10.21037/qims-23-1770   PDF(Pubmed)

Abstract:
UNASSIGNED: Computed tomography (CT) and magnetic resonance imaging (MRI) of the spine are fundamental non-invasive tools to investigate the status of the bone and soft tissue in vivo. A novel and promising approach is to investigate the quality and quantity of paraspinal muscles even beyond the clinical question. The aim of the present review is to summarize current evidence on CT and MRI about the relationship between paraspinal muscular status and bone health in osteoporosis (OP) and fracture risk.
UNASSIGNED: Literature research was carried out on September 2023 using PubMed, Scopus, and Cochrane databases.
UNASSIGNED: Research investigating the intricate interplay between musculature and bone health reveals that degenerating paraspinal muscles, characterized by shrinking and fatty infiltration, are associated with lower bone mineral density (BMD) and the development of OP. Additionally, research indicates that weaker paraspinal muscles are linked to a higher risk of fractures, including those at the spine.
UNASSIGNED: The findings suggest that paraspinal muscle health may be a significant factor in identifying individuals at risk for OP and fractures. Further investigation is needed to explore the potential of paraspinal muscles in preventing these conditions.
摘要:
脊柱的计算机断层扫描(CT)和磁共振成像(MRI)是研究体内骨骼和软组织状态的基本非侵入性工具。一种新颖且有前途的方法是研究椎旁肌肉的质量和数量,甚至超出了临床问题。本综述的目的是总结CT和MRI关于骨质疏松(OP)和骨折风险的椎旁肌肉状态与骨骼健康之间关系的现有证据。
文献研究于2023年9月使用PubMed进行,Scopus,和Cochrane数据库。
研究肌肉组织和骨骼健康之间复杂的相互作用表明,退化的椎旁肌肉,以收缩和脂肪渗透为特征,与较低的骨密度(BMD)和OP的发展有关。此外,研究表明,椎旁肌肉较弱与骨折的风险更高,包括脊柱上的那些。
研究结果表明,椎旁肌肉健康可能是确定有OP和骨折风险的个体的重要因素。需要进一步的研究来探索椎旁肌肉在预防这些疾病中的潜力。
公众号