PMID- 37010611
OWN - NLM
STAT- MEDLINE
DCOM- 20230626
LR  - 20240109
IS  - 1432-0932 (Electronic)
IS  - 0940-6719 (Linking)
VI  - 32
IP  - 7
DP  - 2023 Jul
TI  - Preoperative cross-sectional area of psoas muscle correlates with short-term 
      functional outcomes after posterior lumbar surgery.
PG  - 2326-2335
LID - 10.1007/s00586-023-07533-7 [doi]
AB  - PURPOSE: To determine the optimal level for the measurement of psoas 
      cross-sectional area and examine the correlation with short-term functional 
      outcomes of posterior lumbar surgery. METHODS: Patients who underwent minimally 
      invasive posterior lumbar surgery were included in this study. The 
      cross-sectional area of psoas muscle was measured at each intervertebral level on 
      T2-weighted axial images of preoperative MRI. Normalized total psoas area (NTPA) 
      (mm(2)/m(2)) was calculated as total psoas area normalized to patient height. 
      Intraclass Correlation Coefficient (ICC) was calculated for the analysis of 
      inter-rater reliability. Patient reported outcome measures including Oswestry 
      disability index (ODI), visual analog scale (VAS), short form health survey 
      (SF-12) and patient-reported outcomes measurement information system were 
      collected. A multivariate analysis was performed to elucidate independent 
      predictors associated with failure to reach minimal clinically important 
      difference (MCID) in each functional outcome at 6 months. RESULTS: The total of 
      212 patients were included in this study. ICC was highest at L3/4 [0.992 (95% CI: 
      0.987-0.994)] compared to the other levels [L1/2 0.983 (0.973-0.989), L2/3 0.991 
      (0.986-0.994), L4/5 0.928 (0.893-0.952)]. Postoperative PROMs were significantly 
      worse in patients with low NTPA. Low NTPA was an independent predictor of failure 
      to reach MCID in ODI (OR = 2.68; 95% CI: 1.26-5.67; p = 0.010) and VAS leg 
      (OR = 2.43; 95% CI: 1.13-5.20; p = 0.022). CONCLUSION: Decreased psoas 
      cross-sectional area on preoperative MRI correlated with functional outcomes 
      after posterior lumbar surgery. NTPA was highly reliable, especially at L3/4.
CI  - (c) 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, 
      part of Springer Nature.
FAU - Urakawa, Hikari
AU  - Urakawa H
AD  - Hospital for Special Surgery, 535 E 70th St, New York, NY, 10021, USA.
FAU - Sato, Kosuke
AU  - Sato K
AD  - Hospital for Special Surgery, 535 E 70th St, New York, NY, 10021, USA.
FAU - Vaishnav, Avani S
AU  - Vaishnav AS
AD  - Hospital for Special Surgery, 535 E 70th St, New York, NY, 10021, USA.
FAU - Lee, Ryan
AU  - Lee R
AD  - Hospital for Special Surgery, 535 E 70th St, New York, NY, 10021, USA.
FAU - Chaudhary, Chirag
AU  - Chaudhary C
AD  - Hospital for Special Surgery, 535 E 70th St, New York, NY, 10021, USA.
FAU - Mok, Jung Kee
AU  - Mok JK
AD  - Hospital for Special Surgery, 535 E 70th St, New York, NY, 10021, USA.
FAU - Virk, Sohrab
AU  - Virk S
AD  - North Shore University Hospital, 300 Community Dr, Manhasset, NY, USA.
AD  - Long Island Jewish Medical Center, 825 Northern Blvd, Great Neck, NY, USA.
FAU - Sheha, Evan
AU  - Sheha E
AD  - Hospital for Special Surgery, 535 E 70th St, New York, NY, 10021, USA.
AD  - Weill Cornell Medical College, 1300 York Ave, New York, NY, USA.
FAU - Katsuura, Yoshihiro
AU  - Katsuura Y
AD  - Adventist Health Howard Memorial, 1 Marcela Dr, Willits, CA, USA.
FAU - Kaito, Takashi
AU  - Kaito T
AD  - Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, Japan.
FAU - Gang, Catherine Himo
AU  - Gang CH
AD  - Hospital for Special Surgery, 535 E 70th St, New York, NY, 10021, USA.
FAU - Qureshi, Sheeraz A
AU  - Qureshi SA
AUID- ORCID: 0000-0002-7177-1756
AD  - Hospital for Special Surgery, 535 E 70th St, New York, NY, 10021, USA. 
      sheerazqureshimd@gmail.com.
AD  - Weill Cornell Medical College, 1300 York Ave, New York, NY, USA. 
      sheerazqureshimd@gmail.com.
LA  - eng
GR  - No direct funding was received for this study. However, this study used REDCap 
      (Research Electronic Data Capture) hosted at Weill Cornell Medicine Clinical and 
      Translational Science Center supported by the National Center For Advancing 
      Translational Science of the National Institute of Health under award number: UL1 
      TR002384./NH/NIH HHS/United States
GR  - No direct funding was received for this study. However, this study used REDCap 
      (Research Electronic Data Capture) hosted at Weill Cornell Medicine Clinical and 
      Translational Science Center supported by the National Center For Advancing 
      Translational Science of the National Institute of Health under award number: UL1 
      TR002384./NH/NIH HHS/United States
GR  - UL1 TR002384/TR/NCATS NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
DEP - 20230403
PL  - Germany
TA  - Eur Spine J
JT  - European spine journal : official publication of the European Spine Society, the 
      European Spinal Deformity Society, and the European Section of the Cervical Spine 
      Research Society
JID - 9301980
SB  - IM
MH  - Humans
MH  - *Psoas Muscles/diagnostic imaging
MH  - Reproducibility of Results
MH  - Minimally Invasive Surgical Procedures
MH  - Lumbar Vertebrae/diagnostic imaging/surgery
MH  - Lumbosacral Region
MH  - *Spinal Fusion/methods
MH  - Treatment Outcome
MH  - Retrospective Studies
OTO - NOTNLM
OT  - Functional outcomes
OT  - Minimal clinically important difference
OT  - Muscle health
OT  - Posterior lumbar surgery
OT  - Psoas
OT  - Sarcopenia
EDAT- 2023/04/04 06:00
MHDA- 2023/06/26 06:41
CRDT- 2023/04/03 11:16
PHST- 2021/10/18 00:00 [received]
PHST- 2023/01/09 00:00 [accepted]
PHST- 2022/09/26 00:00 [revised]
PHST- 2023/06/26 06:41 [medline]
PHST- 2023/04/04 06:00 [pubmed]
PHST- 2023/04/03 11:16 [entrez]
AID - 10.1007/s00586-023-07533-7 [pii]
AID - 10.1007/s00586-023-07533-7 [doi]
PST - ppublish
SO  - Eur Spine J. 2023 Jul;32(7):2326-2335. doi: 10.1007/s00586-023-07533-7. Epub 2023 
      Apr 3.