Sarcopenia does not affect clinical outcomes following lumbar fusion.
Publication/Presentation Date
6-1-2019
Abstract
Sarcopenia, defined as decreased skeletal muscle mass or function, has recently been found to have increased perioperative morbidity and mortality. The relationship between sarcopenia and clinical outcomes in patients undergoing lumbar fusion has not been examined. This study investigates whether sarcopenia affects fusion rates and outcomes following single-level lumbar decompression and fusion. A retrospective analysis was undertaken of 97 consecutive patients who underwent a single level lumbar fusion for degenerative spondylolisthesis. Demographics, perioperative data, and patient reported clinical outcomes were collected. Measurements of paraspinal muscle CSA were made using a standardized protocol at the level of the L3-4 disc space on a preoperative lumbar MRI. Univariate analysis was used to compare cohorts with regards to demographics, comorbidities, and clinical outcomes. Of 97 patients, 16 patients (15.8%) were in the sarcopenic cohort utilizing a threshold of 986.1 mm
Volume
64
First Page
150
Last Page
154
ISSN
1532-2653
Published In/Presented At
McKenzie, J. C., Wagner, S. C., Sebastian, A., Casper, D. S., Mangan, J., Stull, J., Hilibrand, A. S., Vaccaro, A. R., & Kepler, C. (2019). Sarcopenia does not affect clinical outcomes following lumbar fusion. Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia, 64, 150–154. https://doi.org/10.1016/j.jocn.2019.03.015
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
30898487
Department(s)
Administration and Leadership
Document Type
Article