Relation of bone mineral density with fat infiltration of paraspinal muscles: The Goutallier classification

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dc.contributor.authorOzer, Firuzan Firat
dc.contributor.authorGuler, Emel
dc.date.accessioned2024-10-26T18:04:07Z
dc.date.available2024-10-26T18:04:07Z
dc.date.issued2024
dc.departmentSivas Cumhuriyet Üniversitesi
dc.description.abstractObjectives: Muscle and bone tissue are interrelated throughout their developmental processes via paracrine and endocrine pathways. Osteosarcopenia has emerged with the growing data proving the high rate of simultaneous occurrence of sarcopenia and osteoporosis. We aimed to evaluate the relationship between osteoporosis, and muscle quality by grading the fatty infiltration in paraspinal muscles according to the Goutallier classification in magnetic resonance imaging (MRI). Methods: Data of postmenopausal patients who underwent MRI for low back pain were analyzed retrospectively. Lumbar spine and femoral neck bone mineral density (BMD) were measured by using dual energy X-ray absorptiometry (DXA). Grade of paraspinal muscle fatty infiltration for each level of lumbar vertebrae including L1L2, L2-L3, L3-L4, was evaluated separately according to Goutallier classification system. Results: A total of 91 postmenopausal women were included in the study. The mean age of the study population was 60.5 +/- 11. Lumbar vertebrae L1-L4 total T-scores and BMD g/cm2 were lower in patients with higher grades of Goutallier classification (P = 0.031 and P = 0.023, respectively). The distribution of the severity of fatty degeneration was significantly higher in the osteoporosis/osteopenia group at all 3 disc levels. No significant correlation was observed between femoral neck BMD and paraspinal muscle fat infiltration. Conclusions: There is a strong relationship between osteoporosis of the lumbar spine and paraspinal muscle quality, which can be considered as a reflection of osteosarcopenia. The Goutailler classification can be an effective and easy method in the evaluation of muscle quality with MRI.
dc.identifier.doi10.1016/j.afos.2024.04.002
dc.identifier.endpage88
dc.identifier.issn2405-5255
dc.identifier.issn2405-5263
dc.identifier.issue2
dc.identifier.pmid39035231
dc.identifier.startpage84
dc.identifier.urihttps://doi.org/10.1016/j.afos.2024.04.002
dc.identifier.urihttps://hdl.handle.net/20.500.12418/28759
dc.identifier.volume10
dc.identifier.wosWOS:001261566100001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier
dc.relation.ispartofOsteoporosis and Sarcopenia
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectOsteoporosis
dc.subjectGoutallier classification
dc.subjectMuscle quality
dc.subjectFat infiltration
dc.subjectParaspinal muscles
dc.titleRelation of bone mineral density with fat infiltration of paraspinal muscles: The Goutallier classification
dc.typeArticle

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