Association of paraspinal muscle morphology or composition with sagittal spinopelvic alignment: a systematic review and meta-analysis

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Discussion

Systematic review finds significant correlations between paraspinal muscle morphology and sagittal spinopelvic alignment metrics.

A positive association exists between paraspinal muscle morphology and thoracic kyphosis, indicating muscle size impacts spinal alignment.
Sixteen observational studies were analyzed, revealing 15 significant correlations between muscle composition and spinopelvic parameters.
Analysis utilized meta-analysis techniques to consolidate findings, emphasizing the relevance of muscle morphology in assessing sagittal alignment.
The results highlight the need for further research to ascertain causality and underlying mechanisms linking muscle composition and spinal health.

Si et al. (2025) studied this question.

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