ArticleFrontiers in surgery2026
Impact of preoperative lumbar paraspinal muscle quality on the prognosis of open pedicle screw fixation for thoracolumbar fractures.
Article in Frontiers in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To investigate the association of preoperative paraspinal muscle quality (quantified by fat infiltration) on the clinical and radiographic outcomes following open pedicle screw fixation (OPSF) for thoracolumbar fractures. Methods: This retrospective study analyzed the clinical data of 48 patients with single-segment thoracolumbar fractures who underwent OPSF surgery between January 2021 and December 2023. Patients were stratified into a low-fat group (LFG, FI < 25%, Results: The groups were comparable in all baseline and perioperative characteristics ( Conclusion: Preoperative lumbar paraspinal muscle quality is not associated with the initial surgical reduction but is significantly associated with the long-term maintenance of radiographic correction after OPSF, especially in unstable fracture patterns. Assessment of paraspinal muscle quality could serve as a valuable prognostic tool for surgical planning and patient counseling.
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