Relationship between Multi-slice Spiral CT Measurements of Morphological Parameters of Lumbar Muscle Group and the Severity of Clinical Symptoms
Objective To analyze the relationship between multi-slice spiral CT measurements of morphological parameters of lumbar muscle group and the severity of clinical symptoms.Methods Sixty patients with low back pain symptoms who were admitted to the hospital from January 2015 to December 2023 were enrolled in this study.All patients underwent multi-slice spiral CT scan.The cross-sectional areas and CT values of the psoas major,quadratus lumborum and erector spinae were measured at the longest transverse process level of L3 vertebral body.According to Japan Orthopedic Association(JOA)score,the patients were divided into mild group,moderate group and severe group.Clinical data and morphological parameters of lumbar muscle group of patients with different severity of clinical symptoms were comparatively analyzed.Results According to JOA score,27 patients with scores between 17 and 23 were included in the mild group,20 patients with scores between 8 and 17 were included in the moderate group,and 13 patients with scores＜8 were included in the severe group.There was no statistically significant difference in clinical data among patients with different severity of clinical symptoms(P＞0.05).The cross-sectional areas and CT values of the psoas major,quadratus lumborum and erector spinae in patients with different severity of clinical symptoms were significantly different(P＞0.05).Spearman correlation analysis found that cross-sectional areas and CT values of the psoas major,quadratus lumborum and erector spinae were negatively correlated with the severity of clinical symptoms(P＜0.05).Multivariate logistic regression analysis results showed that cross-sectional areas and CT values of the psoas major,quadratus lumborum and erector spinae were factors influencing the severity of clinical symptoms(P＜0.05).Conclusion There is a significant correlation between multi-slice spiral CT measurements of morphological parameters of lumbar muscle group and the severity of clinical symptoms in patients with low back pain.
Low Back PainSeverity of Clinical SymptomMulti-slice Spiral CTMorphological Parameters of Lumbar Muscle GroupJapanese Orthopedic Association Score
NETL
NSTL
万方数据
