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Volumetric Muscle Measurements Indicate Significant Muscle Degeneration In Single-Level Disc Herniation Patients.

Kaan Yaltırık, Burhan Oral Güdü, Yüksel Işık, Çiğdem Altunok, Ufuk Tipi, Başar Atalay
Published 2018 · Medicine
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BACKGROUND There is a strong relationship between lower back pain and paraspinal muscle atrophy. In this study, we aimed to investigate the prevalence of lumbar paravertebral muscle atrophy in patients with and without single-level disc herniation. METHODS The 110 retrospectively analyzed patients in this study were divided into 2 groups. Group A included 55 patients with radiologically confirmed single-level disc herniation with back pain and radiculopathy. Group B included 55 patients with back pain without radiologic lumbar disc herniation. The paravertebral muscle cross-sectional areas were measured in both groups by 2 independent observers. RESULTS In total, 68 women and 42 men were examined. Their mean age was 40.85 years old. The mean ages of groups A and B were 42.49 and 39.22 years, respectively. The cross-sectional areas of the multifidus muscles (MM) and erector spinae muscles were significantly greater in group B than in group A (P < 0.0001). However, there were no statistically significant differences in the psoas major cross-sectional areas, disc heights, and perpendicular distances between the MM and the laminae. CONCLUSIONS The MM and erector spinae muscle groups are innervated by the dorsal root of the spinal nerve arising from the same level; therefore, long-term pressure on the root caused by disc herniation can cause atrophy and degeneration of that muscle group.
This paper references
10.1007/s00586-007-0529-1
Polysegmental innervation of the medial paraspinal lumbar muscles
Michael Kottlors (2007)
10.1007/s00586-009-1191-6
Multifidus muscle changes and clinical effects of one-level posterior lumbar interbody fusion: minimally invasive procedure versus conventional open approach
Shunwu Fan (2009)
10.1007/s00586-017-5228-y
Association between paraspinal muscle morphology, clinical symptoms and functional status in patients with lumbar spinal stenosis
Maryse Fortin (2017)
10.1186/s12891-016-1376-1
Correlation between lumbar dysfunction and fat infiltration in lumbar multifidus muscles in patients with low back pain
Markus Hildebrandt (2017)
10.1186/s12891-017-1522-4
Correlation between intervertebral disc degeneration, paraspinal muscle atrophy, and lumbar facet joints degeneration in patients with lumbar disc herniation
Dong Sun (2017)
10.3941/jrcr.v8i5.1401
Long-term lumbar multifidus muscle atrophy changes documented with magnetic resonance imaging: a case series.
Mark A Woodham (2014)
10.1186/1741-7015-5-2
Are MRI-defined fat infiltrations in the multifidus muscles associated with low back pain?
Per Kjaer (2007)
10.5152/dir.2015.15307
Age and sex-based distribution of lumbar multifidus muscle atrophy and coexistence of disc hernia: an MRI study of 2028 patients.
Elif Evrim Ekin (2016)
10.1097/BRS.0b013e318155837b
Asymmetric Atrophy of Multifidus Muscle in Patients With Unilateral Lumbosacral Radiculopathy
Jung Keun Hyun (2007)
10.1186/1471-2474-12-65
Computed tomographic analysis of the quality of trunk muscles in asymptomatic and symptomatic lumbar discectomy patients
Katie G Bouche (2011)
10.3171/2009.7.SPINE08448
Morphological changes of the multifidus muscle in patients with symptomatic lumbar disc herniation.
Joerg Franke (2009)
10.1097/00007632-200103150-00012
Histochemical Changes in the Multifidus Muscle in Patients With Lumbar Intervertebral Disc Herniation
Kiyoshi Yoshihara (2001)
10.1097/00007632-199612010-00011
Multifidus Muscle Recovery Is Not Automatic After Resolution of Acute, First‐Episode Low Back Pain
Julie A. Hides (1996)
10.1016/j.ncl.2007.01.004
Epidemiology and risk factors for spine pain.
Devon I. Rubin (2007)
10.3340/jkns.2009.46.6.515
Comparison of percutaneous endoscopic lumbar discectomy and open lumbar microdiscectomy for recurrent disc herniation.
Dong Yeob Lee (2009)
10.1016/j.pmrj.2009.11.006
The role of the lumbar multifidus in chronic low back pain: a review.
Michael D Freeman (2010)
10.1016/j.spinee.2009.10.018
Computed tomography-evaluated features of spinal degeneration: prevalence, intercorrelation, and association with self-reported low back pain.
Leonid Kalichman (2010)
10.1007/s00586-010-1482-y
Does minimally invasive lumbar disc surgery result in less muscle injury than conventional surgery? A randomized controlled trial
Mark P Arts (2010)
10.1007/s005860000190
CT imaging of trunk muscles in chronic low back pain patients and healthy control subjects
Lieven A Danneels (2000)
10.3340/jkns.2011.50.3.201
Changes in the cross-sectional area of multifidus and psoas in unilateral sciatica caused by lumbar disc herniation.
Wook Kim (2011)
10.2106/JBJS.G.01311
Architectural analysis and intraoperative measurements demonstrate the unique design of the multifidus muscle for lumbar spine stability.
Samuel R. Ward (2009)
10.3171/spi.2007.6.2.121
Serum creatine phosphokinase activity and histological changes in the multifidus muscle: a prospective randomized controlled comparative study of discectomy with or without retraction.
Kadir Kotil (2007)
10.1007/s00256-015-2252-z
Lumbar multifidus muscle changes in unilateral lumbar disc herniation using magnetic resonance imaging
Naime Altınkaya (2015)
10.3928/0147-7447-20030501-14
Atrophy of the multifidus muscle in patients with lumbar disk herniation: histochemical and electromyographic study.
Kiyoshi Yoshihara (2003)
10.1097/00007632-200009010-00009
Histochemistry and Morphology of the Multifidus Muscle in Lumbar Disc Herniation: Comparative Study Between Diseased and Normal Sides
Wei-guo Zhao (2000)
10.1097/PHM.0b013e31819c506d
Multifidus Morphology in Persons Scheduled for Single-Level Lumbar Microdiscectomy: Qualitative and Quantitative Assessment with Anatomical Correlates
K. Kulig (2009)
10.1016/j.apmr.2011.09.017
Multifidus atrophy is localized and bilateral in active persons with chronic unilateral low back pain.
George J. Beneck (2012)
10.1016/j.jmpt.2013.12.010
Reliability of the Goutallier classification in quantifying muscle fatty degeneration in the lumbar multifidus using magnetic resonance imaging.
Patrick J. Battaglia (2014)



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