Evidence map›Paper›PMID 37891498›Full record

ArticleBMC musculoskeletal disorders2023

Fat infiltration of the posterior paraspinal muscles is inversely associated with the fat infiltration of the psoas muscle: a potential compensatory mechanism in the lumbar spine.

Maximilian Muellner, Henryk Haffer, Erika Chiapparelli, Yusuke Dodo, Jennifer Shue, Ek T Tan, Jiaqi Zhu, Matthias Pumberger, Andrew A Sama, Frank P Cammisa and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
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  3. Article
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  5. Article
  6. [Brain sciences · 2025
    Article
  7. Article
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  10. Are the facet joint parameters risk factors for cage subsidence after TLIF in patients with lumbar degenerative spondylolisthesis?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 · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 2 countries.

Maximilian MuellnerSpine Care Institute, Hospital for Special Surgery, New York City, NY, USA. maximilian.muellner@charite.de.
Henryk HafferSpine Care Institute, Hospital for Special Surgery, New York City, NY, USA.
Erika ChiapparelliSpine Care Institute, Hospital for Special Surgery, New York City, NY, USA.
Yusuke DodoSpine Care Institute, Hospital for Special Surgery, New York City, NY, USA.
Jennifer ShueSpine Care Institute, Hospital for Special Surgery, New York City, NY, USA.
Ek T TanDepartment of Radiology and Imaging, Hospital for Special Surgery, Weill Cornell Medicine, New York City, NY, USA.
Jiaqi ZhuBiostatistics Core, Hospital for Special Surgery, New York City, NY, USA.
Matthias PumbergerCenter for Musculoskeletal Surgery, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität Zu Berlin, Berlin, Germany.
Andrew A SamaSpine Care Institute, Hospital for Special Surgery, New York City, NY, USA.
Frank P CammisaSpine Care Institute, Hospital for Special Surgery, New York City, NY, USA.
Federico P GirardiSpine Care Institute, Hospital for Special Surgery, New York City, NY, USA.
Alexander P HughesSpine Care Institute, Hospital for Special Surgery, New York City, NY, USA.
Hospital for Special Surgery · USHumboldt-Universität zu Berlin · DECharité - Universitätsmedizin Berlin · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe function of the paraspinal muscles and especially the psoas muscle in maintaining an upright posture is not fully understood. While usually considered solely as a hip flexor, the psoas muscle and its complex anatomy suggest that the muscle has other functions involved in stabilizing the lumbar spine. The aim of this study is to determine how the psoas muscle and the posterior paraspinal muscles (PPM; erector spinae and multifidus) interact with each other.

methodsA retrospective review including patients undergoing posterior lumbar fusion surgery between 2014 and 2021 at a tertiary care center was conducted. Patients with a preoperative lumbar magnetic resonance imaging (MRI) scan performed within 12 months prior to surgery were considered eligible. Exclusion criteria included previous spinal surgery at any level, lumbar scoliosis with a Cobb Angle > 20° and patients with incompatible MRIs. MRI-based quantitative assessments of the cross-sectional area (CSA), the functional cross-sectional area (fCSA) and the fat area (FAT) at L4 was conducted. The degree of fat infiltration (FI) was further calculated. FI thresholds for FI

resultsOne hundred ninetypatients (57.9% female) with a median age of 64.7 years and median BMI of 28.3 kg/m

conclusionAs the FI

Indexed as

Paraspinal MusclesPsoas MusclesFemaleHumansLumbar VertebraeLumbosacral RegionMagnetic Resonance ImagingMaleMiddle AgedRetrospective StudiesConnective tissueLumbar lordosisMuscle qualityPosterior paraspinal musclesPsoas muscleSpinal fusionSpinal stabilitySpine

Identifiers

PMID37891498
PMCPMC10604445
OpenAlexW4387972806

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.