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Fig 1.

Spinopelvic parameters measured.

Superior line: pelvic incidence—PI (left); pelvic tilt—PT (center); sacral slope—SS (right). Middle line: lumbar lordosis—LL (left); thoracic kyphosis—TK (left-middle); thoracolumbar alignment—TL (middle-right); C2 pelvic angle—CPA (right). Inferior line: spinosacral angle—SSA (left); sagittal vertical axis—SVA (center); L1S1 and T1S1 length (right).

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Fig 1 Expand

Fig 2.

A) Lumbar lordosis angle measured by L3 inferior endplate to sacral endplate (L3-S1). B) Lumbar intervertebral angles: L3-L4, L4-L5, and L5-S1.

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Fig 2 Expand

Fig 3.

Sagittal T2-weighted image to demonstrate the superior and inferior limits of MRI axial slices acquisition.

A) The white arrows point to the L3 superior endplate; the dashed arrow points the anterior margin of the S1 superior endplate. B) The white lines represent the upper and inferior limits of the block of axial slices.

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Fig 3 Expand

Fig 4.

Superior line: Axial T1-weighted MRI at L4-L5 level with segmented lumbar muscles on Display® software.

Right (green) and left (red) sides were indicated. Left: multifidus; center: erector spinae; right: psoas. Inferior line: Axial MRI sequences used to fat infiltration extraction. Left: In-Phase image; center: Out-Phase image; right: fat map.

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Fig 4 Expand

Table 1.

Lumbar musculature morphometric measurements expressed as mean, standard deviation (SD) and range (minimum and maximum).

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Table 1 Expand

Table 2.

Lumbar musculature morphometric measurements of cross sectional areas (mm2) and fat fraction (%) according to intervertebral level expressed as mean and standard deviation (SD).

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Table 2 Expand

Table 3.

Spinopelvic parameters expressed as mean, standard deviation (SD) and range (minimum and maximum).

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Table 3 Expand

Table 4.

Volumetry and fat fraction expressed as mean and standard deviation (SD) of the lumbar musculature according to gender and side.

*: Significant difference for p <0.05.

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Table 4 Expand

Table 5.

Correlation of anthropometric characteristics with fat fraction and volume values on lumbar musculature.

* Denotes a significant correlation (p <0.05).

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Table 5 Expand

Table 6.

Correlation (r) of the volume and fat fraction values on lumbar musculature with the spinopelvic parameters.

* Denotes a significant correlation (p <0.05).

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Table 7.

Intraclass coefficient (ICC) and confidence interval (95% CI) for interobserver and intraobserver analysis on muscle volumes and spinopelvic parameters.

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Table 7 Expand