ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2019
Sarcopenia is related to spinal sagittal imbalance in patients with spinopelvic mismatch.
Article in 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, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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25 citing papers in PubMed, 53 citations in OpenAlex.
- Improving spinal alignment through innovative resistance training with outdoor fitness equipment in middle-aged and older adults: a randomized controlled trial.Scientific reports · 2025Trial
- Combined exercise and nutrition intervention for older women with spinal sarcopenia: an open-label single-arm trial.BMC geriatrics · 2023Trial
- Fatty infiltration of paraspinal muscles and its association with sagittal spinal malalignment in the general population.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 · 2026Article
- Clinical Outcomes and Risk Factors Associated with Spinal Kyphotic Deformity Following Osteoporotic Vertebral Fracture.Journal of clinical medicine · 2025Article
- Sarcopenia and the management of spinal disease in the elderly.GeroScience · 2025Review
- Surgery for spinal deformity with osteoporosis: Achieving successful fusion.Osteoporosis and sarcopenia · 2024Review
- Sagittal imbalance syndrome, a new concept, helps determining a long fusion for patients with degenerative lumbar spinal stenosis and severe global sagittal imbalance.Journal of orthopaedic surgery and research · 2024Article
- [Increased muscle mass increases risks of intervertebral disc degeneration: a two-sample Mendelian randomization study].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2023Article
- Impact of spinal sagittal malalignment on locomotive syndrome and physical function in community-dwelling middle aged and older women.BMC musculoskeletal disorders · 2023Article
- The association between paraspinal muscle degeneration and osteoporotic vertebral compression fracture severity in postmenopausal women.Journal of back and musculoskeletal rehabilitation · 2023Article
- T2 mapping and fat quantification of lumbar paraspinal muscle in ankylosing spondylitis: a case control study.BMC musculoskeletal disorders · 2022Article
- Impact of Sarcopenia and Bone Mineral Density on Implant Failure after Dorsal Instrumentation in Patients with Osteoporotic Vertebral Fractures.Medicina (Kaunas, Lithuania) · 2022Article
- Clinical characteristics of geriatric patients with non-specific chronic low back pain.Scientific reports · 2022Article
- Prevalence of Restless Legs Syndrome and its Symptoms among Patients with Spinal Disorders.Journal of clinical medicine · 2021Article
- Article
- Higher Paraspinal Muscle Density Effect on Outcomes After Anterior Cervical Discectomy and Fusion.Global spine journal · 2021Article
- Trunk Muscle Mass Measured by Bioelectrical Impedance Analysis Reflecting the Cross-Sectional Area of the Paravertebral Muscles and Back Muscle Strength: A Cross-Sectional Analysis of a Prospective Cohort Study of Elderly Population.Journal of clinical medicine · 2021Article
- Association between handgrip strength and subsequent vertebral-fracture risk following percutaneous vertebral augmentation.Journal of bone and mineral metabolism · 2021Article
- Presence of sarcopenia does not affect the clinical results of balloon kyphoplasty for acute osteoporotic vertebral fracture.Scientific reports · 2021Article
- Article
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Authors and funding
10 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo clarify the relationship between sarcopenia and spinopelvic parameters.
methodsAmong outpatients of spine surgery department, 126 patients (mean age 77.2 years. M/F = 71/55) were included. We diagnosed patients with sarcopenia using the diagnostic algorithm of the Asian Working Group for Sarcopenia. Spinopelvic parameters and the prevalence of spinopelvic mismatch (pelvic incidence minus lumbar lordosis ≥ 10°) were investigated and compared between patients with and without sarcopenia. Furthermore, we compared the spinopelvic parameters between the Sarcopenia and No Sarcopenia groups under each condition of spinopelvic match and mismatch.
resultsThe prevalence of sarcopenia in this study was 21.4%. Overall, the spinopelvic parameters except thoracic kyphosis (TK) (Sarcopenia: 34.7°, No Sarcopenia: 24.3°, p < 0.01) were not significantly different between the Sarcopenia and No Sarcopenia groups. Prevalence of patients with spinopelvic mismatch was also not significantly different between the Sarcopenia and No Sarcopenia groups (37.0% vs. 42.4%, p = 0.66). Among patients without spinopelvic mismatch, there was no spinopelvic parameter with a significant difference between the 2 groups. However, among patients with spinopelvic mismatch, sagittal vertebral axis (SVA) (115.7 mm vs. 58.7 mm, p < 0.01) and TK (36.6° vs. 21.3°, p < 0.01) of the Sarcopenia group were significantly larger than those of the No Sarcopenia group. Moreover, sarcopenia was independently related to a significant increase in SVA (β = 50.7, p < 0.01) and TK (β = 14.0, p < 0.01) in patients with spinopelvic mismatch, after adjustment for age.
conclusionsSarcopenia is related to spinal sagittal imbalance because of insufficient compensation by flattening thoracic kyphosis in patients with spinopelvic mismatch. These slides can be retrieved under Electronic Supplementary Material.
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