MRI-semiotics of para-vertebral muscles changes in patients with idiopathic scoliosis
https://doi.org/10.52560/2713-0118-2023-6-34-49
Abstract
The article presents data on the state of the paravertebral muscles studied by magnetic resonance imaging (MRI) in 26 patients with idiopathic scoliosis with various degrees of spinal deformity. A decrease in muscle area and fatty degeneration, expressed from the concave side, were noted. The area of the paravertebral muscles on the concave side in deformity of 70–90 ° significantly differed from the area of the muscles on the convex side. The average degree of fat infiltration of various muscles along the concave side ranged from 14 to 28 %. The degree of fatty degeneration and hypotrophy of the paravertebral muscles should be taken into account when preparing for surgery, during its performance and when developing a rehabilitation program in the postoperative period.
About the Authors
G. V. DiachkovaRussian Federation
Diachkova Galina Viktorovna, M. D. Med., Professor, Head of the laboratory
6, ul. M. Ulyanova, Kurgan, 640014, Russia
+7 (3522) 45-26-14
Yu. L. Zeynalov
Azerbaijan
Zeynalov Yusif Latifovich, Ph. D, Orthopedic Spine Surgeon
1, Baku Mektebli, pos. Badamdar, Sabail district, AZ1000, Republic of Azerbaijan
+9 (945) 038-88-10
A. V. Burtsev
Russian Federation
Burtsev Alexander Vladimirovich, M. D. Med., Director
6, ul. M. Ulyanova, Kurgan, 640014, Russia
+7 (3522) 45-47-47
K. A. Diachkov
Russian Federation
Diachkov Konstantin Alexandrovich, M. D. Med., Leading Scientific Researcher, Head of Radiology Dept.
6, ul. M. Ulyanova, Kurgan, 640014, Russia
+7 (3522) 45-37-49
T. A. Larionova
Russian Federation
Larionova Tatyana Adislavovna, Ph. D, Senior Research Associate
6, ul. M. Ulyanova, Kurgan, 640014, Russia
+7 (3522) 45-37-49
References
1. Zeynalov Yu. L., Burtsev A. V., Diachkova G. V., Diachkov K. A. Idiopathic scoliosis «syndromocomplex». Geniy Ortopedii. 2023. No. 29(1). P. 49–56. (in Russ.). https://doi.org/10.18019/1028-4427-2023-29-1-49-56
2. Zeynalov Yu. L. The system of treatment of patients with idiopathic scoliosis based on a new clinical diagnostic and rehabilitation complex: Dis. ... doc. medical Sciences. Kurgan: 1FSBI “National Medical Research Center of Trauma and Orthopaedics named after academician G.A. Ilizarov”, Ministry of Health of Russia, Kurgan, Russia, 2023. P. 309. (In Russ.).
3. Mikhailovsky M. V., Vasyura A. S., Novikov V. V. et al. Surgical correction of adult idiopathic scoliosis in adult patients of young and middle age. Hirurgija pozvonochnika. 2018. No. 15(3). P. 52–60. (In Russ.). https://doi.org/10.14531/ss2018.3.52-60
4. Sergeenko O. M., Savin D. M., Molotkov Yu. V., Sayfutdinov M. S. The use of MRI in the examination of patients with idiopathic scoliosis: a systematic review of the literature. Hirurgija pozvonochnika. 2022. No. 19(4). P. 30–39. (In Russ.). https://doi.org/10.14531/ss2022.4.30-39
5. Shchurova E. N., Filimonova G. N., Ryabykh S. O. Influence of the deformity magnitude in the thoracic spine on the morphological picture of the paraspinal muscles in patients with severe idiopathic scoliosis. Geniy Ortopedii. 2021. No. 27(1). P. 68–73. (In Russ.). https://doi.org/10.18019/1028-4427-2021-27-1-68-
6.
7. Berry D. B., Grant C. D., Farnsworth C. L., Englund E. K., Newton P. O., Shahidi B. The influence of 3D curve severity on paraspinal muscle fatty infiltration in patients with adolescent idiopathic scoliosis. Spine Deform. 2021. No. 9(4). P. 987–995. https://doi.org/10.1007/s43390-021-00318-2
8. Burian E., Becherucci E. A., Junker D. et al. Association of Cervical and Lumbar Paraspinal Muscle Composition Using Texture Analysis of MR-Based Proton Density Fat Fraction Maps. Diagnostics (Basel). 2021. No. 11(10). Р. 1929. https://doi.org/10.3390/diagnostics11101929
9. Chen L., Sun Z., He J., Xu Y., Li Z., Zou Q., Li B. Effectiveness and safety of surgical interventions for treating adolescent idiopathic scoliosis: a Bayesian metaanalysis. BMC Musculoskelet Disord. 2020. No. 1(1). Р. 27. https://doi.org/10.1186/s12891-020-03233-1
10. Cho S. M., Kim S. H., Ha S. K., Kim S. D., Lim D. J., Cha J., Kim B. J. Paraspinal muscle changes after single-level posterior lumbar fusion: volumetric analyses and literature review. BMC Musculoskelet Disord. 2020. No. 1(1). Р. 3. https:// doi.org/10.1186/s12891-020-3104-0
11. Darnis A., Grobost P., Roussouly P. Very long-term clinical and radiographic outcomes after posterior spinal fusion with pedicular screws for thoracic adolescent idiopathic scoliosis. Spine Deform. 2021. No. 9(2). P. 441–449. https://doi.org/10.1007/s43390-020-00217-y
12. Ding J. Z., Kong C., Li X. Y., Sun X. Y., Lu S. B., Zhao G. G. Different degeneration patterns of paraspinal muscles in degenerative lumbar diseases: a MRI analysis of 154 patients. Eur Spine J. 2022. No. 1(3). P. 764–773. https://doi.org/10.1007/s00586-021-07053-2
13. Fadzan M., Bettany-Saltikov J. Etiological Theories of Adolescent Idiopathic Scoliosis: Past and Present. Open Orthop J. 2017. No. 1. P. 1466–1489. https://doi.org/10.2174/1874325001711011466
14. Federau C., Kroismayr D., Dyer L., Farshad M., Pfirrmann C. Demonstration of asymmetric muscle perfusion of the back after exercise in patients with adolescent idiopathic scoliosis using intravoxel incoherent motion (IVIM) MRI. NMR Biomed. 2020. No. 33(3). Р. 4194. https://doi.org/10.1002/nbm.4194
15. Ferrero E., Skalli W., Khalifé M., Carlier R., Feydy A., Felter A., Guigui P., Lafage V. Volume of spinopelvic muscles: comparison between adult spinal deformity patients and asymptomatic subjects. Spine Deform. 2021. No. 9(6). P. 1617–1624. https://doi.org/10.1007/s43390-021-00357-9
16. Han G., Jiang Y., Zhang B., Gong C., Li W. Imaging Evaluation of Fat Infiltration in Paraspinal Muscles on MRI: A Systematic Review with a Focus on Methodology. Orthop Surg. 2021. No. 13(4). P. 1141–1148. https://doi.org/10.1111/os.12962
17. Hildebrandt М., Fankhauser G., Meichtry А., Luomajoki H. Correlation between lumbar dysfunction and fat infiltration in lumbar multifidus muscles in patients with low back pain. BMC Musculoskelet Disord. 2017. No. 18(1). P. 12. https://doi.org/10.1186/s12891-016-1376-1
18. Jiang J., Meng Y., Jin X., Zhang C., Zhao J., Wang C., Gao R., Zhou X. Volumetric and Fatty Infiltration Imbalance of Deep Paravertebral Muscles in Adolescent Idiopathic Scoliosis. Med. Sci Monit. 2017. No. 23. P. 2089–2095. https://doi.org/10.12659/msm.902455
19. Kim H. J., Yang J. H., Chang D. G., Suk S. I., Suh S. W., Nam Y., Kim S. I., Song K. S. Long-Term Influence of Paraspinal Muscle Quantity in Adolescent Idiopathic Scoliosis Following Deformity Correction by Posterior Approach. J. Clin. Med. 2021. Oct 19. No. 10(20). P. 4790. https://doi.org/10.3390/jcm10204790
20. Marunowski K., Świętoń D., Bzyl W., Grzywińska M., Bandosz P., Khrichenko D., Piskunowicz M. Reference values for MRI-derived psoas and paraspinal muscles and macroscopic fat infiltrations in paraspinal muscles in children. J. Cachexia Sarcopenia Muscle. 2022. No. 13(5). P. 2515–2524. https://doi.org/10.1002/jcsm.13049
21. Sung S., Chae H. W., Lee H. S., Kim S., Kwon J. W., Lee S. B., Moon S. H., Lee H. M., Lee B. H. Incidence and Surgery Rate of Idiopathic Scoliosis: A Nationwide Database Study. Int J. Environ Res Public Health. 2021. No. 18(15). P. 8152. https://doi.org/10.3390/ijerph18158152
22. Wajchenberg M., Astur N., Fernandes E.A., Paredes-Gamero E. J., Luciano R. P., Schmidt B., Oliveira A. S. B., Martins D. E. Assessment of fatty infiltration of the multifidus muscle in patients with adolescent idiopathic scoliosis through evaluation by magnetic resonance imaging compared with histological analysis: a diagnostic accuracy study. J. Pediatr. Orthop. B. 2019. No. 28(4). P. 362–367. https://doi.org/10.1097/BPB.0000000000000578
23. Watanabe K., Ohashi M., Hirano T., Katsumi K., Shoji H., Mizouchi T., Endo N., Hasegawa K. The influence of lumbar muscle volume on curve progression after skeletal maturity in patients with adolescent idiopathic scoliosis: a longterm follow-up study. Spine Deform. 2018. No. 6(6). P. 691–698.e1. https://doi.org/10.1016/j.jspd.2018.04.003
24. Xia W., Fu H., Zhu Z., Liu C., Wang K., Xu S., Liu H. Association between back muscle degeneration and spinal-pelvic parameters in patients with degenerative spinal kyphosis. BMC Musculoskelet Disord. 2019. No. 20(1). P. 454. https://doi.org/10.1186/s12891-019-2837-0
25. Yeung K. H., Man G. C. W., Shi L. et al. Magnetic resonance imaging-based morphological change of paraspinal muscles in girls with adolescent idiopathic scoliosis. Spine (Phila Pa 1976). 2019. No. 44(19). P. 1356–1363. https://doi.org/10.1097/BRS.0000000000003078
26. Zaydman A. M., Strokova E. L., Pahomova N. Y. et al. Etiopathogenesis of adolescent idiopathic scoliosis: Review of the literature and new epigenetic hypothesis on altered neural crest cells migration in early embryogenesis as the key event. Med. Hypotheses. 2021. No. 151. P. 110585. https://doi.org/10.1016/j.mehy.2021.110585
27. Zhang Y., Zhou Z., Wang C., Cheng X., Wang L., Duanmu Y., Zhang C., Veronese N., Guglielmi G. Reliability of measuring the fat content of the lumbar vertebral marrow and paraspinal muscles using MRI mDIXON-Quant sequence. Diagn Interv Radiol. 2018. No. 24(5). P. 302–307. https://doi.org/10.5152/dir.2018.17323
28. Zhu D. C., Lin J. H., Xu J. J., Guo Q., Wang Y. H., Jiang C., Lu H. G., Wu Y. S. An assessment of morphological and pathological changes in paravertebral muscle degeneration using imaging and histological analysis: a cross-sectional study. BMC Musculoskelet Disord. 2021. No. 22(1). P. 854. https://doi.org/10.1186/s12891-021-04734-3
Supplementary files
Review
For citations:
Diachkova G.V., Zeynalov Yu.L., Burtsev A.V., Diachkov K.A., Larionova T.A. MRI-semiotics of para-vertebral muscles changes in patients with idiopathic scoliosis. Radiology - Practice. 2023;(6):34-49. (In Russ.) https://doi.org/10.52560/2713-0118-2023-6-34-49