Association between subaxial paraspinal muscle parameters and cervical vertebral bone quality in preoperative patients

This study presents novel insights into the relationship between cervical vertebral bone mineral quality and paraspinal muscle parameters, particularly at the C3 level, which showed the highest number of significant associations. The findings suggest that measurements of paraspinal muscles at C3 could serve as a proxy for assessing bone quality across the subaxial cervical spine, offering a new perspective in preoperative evaluations for cervical spine surgery. This study is the first to report significant associations between VBQ and paraspinal muscle parameters throughout the subaxial cervical spine.