Vertebral Bone Quality Score and Paraspinal Muscles Fat Infiltration in Chronic Low Back Pain: A Prospective Cross-Sectional Study

Motivation: The relationship between paraspinal muscles fat infiltration and vertebral body changes remain unclear. So motivation is to explore the relationship between the two and gain new insights about their interaction. Goal(s): This study is to determine whether there is a correlation between paraspinal muscles fat infiltration and VBQ score and MCs. Approach: A multimodal magnetic resonance imaging technique was employed to assess paraspinal muscles fat infiltration, VBQ score, and MCs in patients with CLBPResults: There is no significant difference in paraspinal muscles PDFF between Modic classification. A positive linear relationship is observed between VBQ and total paraspinal muscles PDFF. Impact: These findings contribute to our understanding of the association between paraspinal muscles fat infiltration and VBQ in CLBP patients. Further research can explore the clinical implications of these findings to improve alleviate CLBP symptoms.