ArticleGlobal spine journal2021
Higher Paraspinal Muscle Density Effect on Outcomes After Anterior Cervical Discectomy and Fusion.
Article in Global spine journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Association of paraspinal fat infiltration with postoperative clinical outcomes in older cervical spondylotic myelopathy patients undergoing anterior cervical discectomy and fusion.BMC geriatrics · 2026Article
- The Impact of Cervical Multifidus Sarcopenia on Outcomes After Laminoplasty for Cervical Ossification of the Posterior Longitudinal Ligament.The Journal of bone and joint surgery. American volume · 2026Article
- Article
- Relationship Between Paraspinal Muscle Degeneration and Functional Outcomes Following Anterior Cervical Spine Surgery for Degenerative Disk Disease: A Systematic Review.Journal of clinical medicine · 2025Review
- Impact of sarcopenia on postoperative clinical outcomes in patients with cervical spondylotic myelopathy undergoing anterior cervical discectomy and fusion.European journal of medical research · 2025Article
- Risk factors for poor neurological recovery after anterior cervical discectomy and fusion: imaging characteristics.Journal of orthopaedic surgery and research · 2024Article
- Morphological Changes of Deep Extensor Neck Muscles in Relation to the Maximum Level of Cord Compression and Canal Compromise in Patients With Degenerative Cervical Myelopathy.Global spine journal · 2024Article
- Correlation between degeneration of cervical intervertebral disc and degeneration of paravertebral muscle.Frontiers in endocrinology · 2024Article
- Comparison of the effectiveness of zero-profile device and plate cage construct in the treatment of one-level cervical disc degenerative disease combined with moderate to severe paraspinal muscle degeneration.Frontiers in endocrinology · 2023Article
- Cervical muscle morphometry and composition demonstrate prognostic value in degenerative cervical myelopathy outcomes.Frontiers in neurology · 2023Article
- The fatty infiltration into cervical paraspinal muscle as a predictor of postoperative outcomes: A controlled study based on hybrid surgery.Frontiers in endocrinology · 2023Article
- Fatty infiltration in cervical extensor muscle: is there a relationship with cervical sagittal alignment after anterior cervical discectomy and fusion?BMC musculoskeletal disorders · 2022Article
- Cervical paraspinal muscle fatty degeneration and postoperative kyphosis after cervical laminoplasty.Journal of craniovertebral junction & spineArticle
- Cervical paraspinal sarcopenia affects ability to achieve PROMIS minimal clinically important difference in patients undergoing anterior cervical discectomy and fusion.Journal of craniovertebral junction & spineArticle
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designRetrospective cohort study.
objectivesStudies in the lumbar spine suggest a correlation between sarcopenia and worse patient outcomes. The purpose of this study was to determine whether paraspinal Goutalier grade of fat degeneration is associated with patient-reported outcomes in patients undergoing anterior cervical discectomy and fusion (ACDF).
methodsWe performed a retrospective review of a prospective cohort of patients undergoing 1- to 3-level ACDF at a single institution between the years 2011-2014. We utilized preoperative magnetic resonance images to classify patients into Goutalier grades. Patient-reported outcomes, including Neck Disability Index (NDI), RAND score, and EQ-5D score were collected and analyzed according to patients' Goutalier grade.
resultsWe identified 69 patients for inclusion. A total of 29 patients were classified as Goutalier 0-1 (group 1), 29 were Goutalier 1.5-2 (group 2), and 11 were Goutalier 2.5-4.0 (group 3). All Goutalier groups experienced significant improvement in all 3 outcome scores. Average postoperative NDI scores were 25.3 in group 1, 13.9 in group 2, and 25.1 in group 3 (
conclusionsThe present study is the first to assess the association between cervical paraspinal muscle Goutalier grade and patient-reported outcomes following ACDF. Based on our study, patients with worse cervical paraspinal degeneration may benefit from improved symptom relief in comparison to patients with a lesser degree of degeneration undergoing ACDF.
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