Correlation of Psoas Muscle Index with Fragility Vertebral Fracture: A Retrospective Cross-Sectional Study of Middle-Aged and Elderly Women

Abstract

Objective. To investigate the correlation of psoas muscle index (PMI) with fragility vertebral fracture. Methods. A total of 184 middle-aged and elderly women were included in the study. We measured the bilateral psoas muscle area on the picture archiving and communication system (PACS) from computed tomography images and calculated PMI. We observed lateral radiographs of the thoracolumbar spine and assessed vertebral fractures using the Genant semiquantitative method. The T-score, bone mineral density (BMD) of the lumbar (L)1-4, femoral neck, and trochanter were measured by dual-energyX-ray absorptiometry (DXA). The data was collected and then statistically analyzed. Results. The PMI of the nonosteoporosis group was higher than that of the osteoporosis group ( P value = 0.006). Height in the nonosteoporosis group was higher than that in the osteoporosis group ( P value = 0.013). Weight, body mass index (BMI), left psoas muscle area, BMD of the L1-4, femoral neck, femoral trochanter, and T-score in the nonosteoporosis group were higher than those in the osteoporosis group ( P value <0.001). The right psoas muscle area in the nonosteoporosis group was higher than that in the osteoporosis group ( P value = 0.008). The incidence of combined thoracolumbar fracture was significantly higher in the osteoporosis group than that in the nonosteoporosis group ( P value <0.001). For nonosteoporosis subjects, the PMI of the vertebral fracture group was lower than that of the nonvertebral fracture group ( P value = 0.034). Conclusions. A decrease in height, weight, BMI, bilateral psoas muscle area, and PMI is associated with osteoporosis. Combined thoracolumbar fractures are more common in osteoporosis. Sarcopenia may be an independent risk factor for nonosteoporotic vertebral fractures.

Exploring the interplay between paraspinal muscular status and bone health in osteoporosis and fracture risk: a comprehensive literature review on computed tomography (CT) and magnetic resonance imaging (MRI) studies

“…Zhang et al ( 47 ), in their postmenopausal women-based study, showed that a decrease in height, weight, BMI, bilateral psoas area and muscle index were associated with OP. They also observed that psoas muscle index of non-osteoporotic patients with vertebral fractures was lower compared to non-osteoporotic patients with non-vertebral fractures; they did not find a significant difference regarding psoas muscle index in osteoporotic patients with or without vertebral fractures.…”

Comparison Between the Clinical Effect of Percutaneous Kyphoplasty for Osteoporosis Vertebral Compression Fracture Patient with or Without Sarcopenia: A Retrospective Cohort Study

“…Therefore, they proposed that sarcopenia may be an independent risk factor for OVCF. 21 Additionally, Kajiki et al collected the clinical data of 87 patients and analyzed the relationships between psoas muscle index, bone mineral density, and fracture risk. They found that the psoas muscle index was significantly correlated with BMD and fracture (r = 0.413 and r = −0.545, both P < 0.001).…”