4.7 Review

Impact of Sarcopenia on Spinal Spondylosis: A Literature Review

Journal

JOURNAL OF CLINICAL MEDICINE
Volume 12, Issue 16, Pages -

Publisher

MDPI
DOI: 10.3390/jcm12165401

Keywords

spinal diseases; spondylosis; sarcopenia; muscle mass; literature review

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This review summarizes the existing knowledge on the impact of sarcopenia on spinal spondylosis (SS) and highlights potential issues in the literature. While research suggests that sarcopenia may negatively affect the quality of life and postoperative outcomes in SS, there is still controversy regarding the relationship between sarcopenia and pain. The assessment of sarcopenia is identified as an important challenge, and further high-quality research is needed to clarify the relationship between SS and sarcopenia.
Sarcopenia and spinal spondylosis (SS) are important health challenges among older individuals; however, data regarding the effect of sarcopenia on SS are lacking. Hence, we aimed to organize the existing knowledge on the impact of sarcopenia on SS and explore potential issues in the available literature. We examined the trends and interventions regarding sarcopenia and SS, searching five databases (PubMed, Embase, CINHAL, Web of Science, and Cochrane Library) from inception to January 2023. Sarcopenia-related events were screened, selected, and reviewed, ultimately identifying 19 relevant studies. The identified reports were predominantly retrospective observational studies addressing lumbar degenerative spine disease (LDSD). Sarcopenia could negatively impact the quality of life and postoperative outcomes in several diseases, including cervical spondylotic myelopathy (CSM) and LDSD. However, there was no consensus among the studies regarding the relationship between sarcopenia and pain. These discrepancies were attributed to gaps in the assessment of sarcopenia, which the current study identifies as important challenges. This review identified several problems in the literature, including the limited number of studies examining CSM, adult spinal deformity (ASD) and scoliosis, and the retrospective study design of most reports. The further accumulation of quality research is needed to clarify the relationship between SS and sarcopenia.

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