Addressing "Hidden" Muscle Health in Complex Geriatric Spinal Deformity
Bengaluru: Dr. Ramesh Dalwai is bringing attention to the critical role of paraspinal muscle health in successful spine surgery outcomes. In a recent case involving a 68-year-old female with a five-year history of worsening back pain and radiating leg numbness, Dr. Dalwai utilized advanced MRI assessment to evaluate Sarcopenia (loss of muscle mass) and fatty infiltration of the lumbar muscles. "It is not just about the bones; it is about the entire ecosystem of the spine," noted Dr. Dalwai. By considering the patient's paraspinal muscle status alongside radiological parameters, the surgical team was able to better predict and prevent mechanical complications. This case highlights Dr. Dalwai’s holistic approach to treating elderly patients, ensuring that surgical strategies are tailored to the patient's specific frailty index and muscle quality.
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