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Open Access 01-12-2024 | Sarcopenia | Research

Correlation between preoperative CT scan of the paraspinal, psoas, and gluteus muscles and postoperative ambulatory status in patients with femoral neck fractures

Authors: Akihito Suto, Kengo Fujii, Takushi Nakatani, Kaishi Ogawa, Takumi Ichihara, Sayori Li, Kosuke Sato, Kousei Miura, Toru Funayama, Masashi Yamazaki

Published in: BMC Musculoskeletal Disorders | Issue 1/2024

Abstract

Background

This study aimed to investigate the relationship between femoral neck fractures and sarcopenia.

Methods

This was a retrospective analysis of 92 patients with femoral neck fractures, from September 2017 to March 2020, who were classified into high ambulatory status (HG) and low ambulatory status (LG) groups. Ambulatory status was assessed before surgery, one week after surgery, at discharge, and during the final follow-up. To evaluate sarcopenia, muscle mass and fatty degeneration of the muscles were measured using preoperative CT. An axial slice of the superior end of the L5 vertebra was used to evaluate the paraspinal and psoas muscles, a slice of the superior end of the femoral head for the gluteus maximus muscle, and a slice of the inferior end of the sacroiliac joint for the gluteus medius muscle. The degeneration of the muscles was evaluated according to the Goutallier classification.

Results

The cross-sectional area of the gluteus medius and paraspinal muscles was significantly correlated with ambulatory status before the injury, at discharge, and during the final follow-up.

Conclusions

Measurement of the gluteus medius and paraspinal muscles has the potential to evaluate sarcopenia and predict ambulatory status after femoral neck fractures.

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Title: Correlation between preoperative CT scan of the paraspinal, psoas, and gluteus muscles and postoperative ambulatory status in patients with femoral neck fractures
Authors: Akihito Suto
Kengo Fujii
Takushi Nakatani
Kaishi Ogawa
Takumi Ichihara
Sayori Li
Kosuke Sato
Kousei Miura
Toru Funayama
Masashi Yamazaki
Publication date: 01-12-2024
Publisher: BioMed Central
Keyword: Sarcopenia
Published in: BMC Musculoskeletal Disorders / Issue 1/2024
Electronic ISSN: 1471-2474
DOI: https://doi.org/10.1186/s12891-024-07251-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Correlation between preoperative CT scan of the paraspinal, psoas, and gluteus muscles and postoperative ambulatory status in patients with femoral neck fractures

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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