Multiple regression-based correlation between abdominal aortic calcification and paravertebral muscle degeneration

Objective, to investigate the correlation between abdominal aortic calcification and paravertebral muscle degeneration, and to explore possible common risk factors for both. Methods, all patients with lumbar spinal stenosis admitted to Hospital X for MC and CT examination from 2016 to 2024 were selected, and through screening and exclusion, a total of 352 patients with LSS were included in the study, which consisted of 202 males and 150 females aged 40-80 years, with a mean of 63.24 years. The degree of paraspinal muscle degeneration in lumbar MRI, the degree of abdominal aortic calcification in lumbar CT scanning, as well as the patient’s age, duration of LSS, glomerular filtration rate and other indicators were counted, and the distribution characteristics of abdominal aortic calcification and its correlation with paraspinal muscle degeneration were analyzed by the method of multiple regression. Results, of the 352 patients with LSS who were included to meet the criteria, the calcification group (151, 42.90%) and the non-calcification group (201, 57.10%). Mild, moderate and severe paravertebral muscle degeneration accounted for 56.53%, 28.69% and 14.77%, respectively. The AACS in patients with mild PD degeneration stage, moderate PD degeneration stage and severe PD degeneration, all showed a gradual increasing trend with age (P<0.001). Regression results showed that age, paravertebral muscle degeneration and eGFR were risk factors for AAC in patients with LSS. Conclusion, there was a significant correlation between abdominal aortic atherosclerotic calcification and paravertebral muscle degeneration (P<0.001), and the degree of PD degeneration can be used as an effective indicator for early warning of the occurrence of AAC in patients with LSS.