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Evaluation Of Lumbar Multifidus Muscle In Patients With Lumbar Disc Herniation: Are Complex Quantitative MRI Measurements Needed?

Bulent Colakoglu, Deniz Alis
Published 2019 · Medicine
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Objective To assess the composition of lumbar multifidus muscle, in patients with unilateral lumbar disc herniation causing nerve compression, using quantitative and qualitative magnetic resonance imaging (MRI) measurement methods. Methods Two radiologists retrospectively measured MRI signal intensity of the multifidus muscle, as high intensity represents more fat, and visually graded the fat content using a 5-point grading system in patients with unilateral subarticular lumbar disc herniation. Findings from the herniated and contralateral sides were compared. The association between fat content and severity of nerve compression and symptom duration were also evaluated. Results Ninety patients (aged 24–70 years) were included. Signal intensity of the affected multifidus muscle was significantly higher versus the contralateral muscle for quantitative measurements and qualitative scoring for both investigators. Significant correlations were observed between the severity of nerve compression and symptom duration and the degree of fat content in the affected multifidus muscle. Conclusions Higher fat composition was observed in the multifidus muscle ipsilateral to the lumbar disc herniation versus the contralateral side. Straightforward visual grading of muscle composition regarding fat infiltration appeared to be as useful as quantitative measurement.
This paper references
10.1186/s12891-018-2266-5
Relationships between paraspinal muscle morphology and neurocompressive conditions of the lumbar spine: a systematic review with meta-analysis
Jeffrey R. Cooley (2018)
10.2522/ptj.20110380
Quantitative Paraspinal Muscle Measurements: Inter-Software Reliability and Agreement Using OsiriX and ImageJ
Maryse Fortin (2012)
10.1007/s00256-015-2252-z
Lumbar multifidus muscle changes in unilateral lumbar disc herniation using magnetic resonance imaging
Naime Altınkaya (2015)
10.1097/00003086-199407000-00014
Fatty muscle degeneration in cuff ruptures. Pre- and postoperative evaluation by CT scan.
Daniel Goutallier (1994)
10.1002/(SICI)1097-4598(199810)21:10<1350::AID-MUS21>3.0.CO;2-4
Focal atrophy of the multifidus muscle in lumbosacral radiculopathy.
William W. Campbell (1998)
10.1097/BRS.0000000000000286
Accuracy of Magnetic Resonance Imaging Signal Intensity Ratio Measurements in the Evaluation of Multifidus Muscle Injury and Atrophy Relative to That of Histological Examinations
Hu Zhi-jun (2014)
10.1016/j.spinee.2014.04.022
Lumbar disc nomenclature: version 2.0: Recommendations of the combined task forces of the North American Spine Society, the American Society of Spine Radiology and the American Society of Neuroradiology.
David F. Fardon (2014)
10.1259/bjr.20140546
MRI assessment of paraspinal muscles in patients with acute and chronic unilateral low back pain.
Qing Wan (2015)
10.1097/01.brs.0000248453.51165.0b
Rapid Atrophy of the Lumbar Multifidus Follows Experimental Disc or Nerve Root Injury
Paul William Hodges (2006)
10.1016/j.spinee.2012.08.020
Is level- and side-specific multifidus asymmetry a marker for lumbar disc pathology?
Michele Battie (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)
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)
10.1007/s00586-005-0909-3
An investigation into the use of MR imaging to determine the functional cross sectional area of lumbar paraspinal muscles
Craig A Ranson (2005)
10.1097/01.bsd.0000163819.61680.4a
Influence of Facet and Posterior Muscle Degeneration on Clinical Results of Lumbar Total Disc Replacement: Two-Year Follow-Up
Jean-Charles Le Huec (2005)
10.1159/000421562
Effect of Endurance Training on Disuse Muscle Atrophy Induced by Body Suspension in Rats
Toshitada Yoshioka (1992)
MRI evaluation of fatty degeneration of paravertebral muscles in the patients with lumbar disc herniation with nerve root compression
A Boyacı (2015)
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)
10.5535/arm.2017.41.5.801
Asymmetric Atrophy of Paraspinal Muscles in Patients With Chronic Unilateral Lumbar Radiculopathy
Jinmann Chon (2017)
10.1007/s00586-016-4503-7
Paraspinal muscle asymmetry and fat infiltration in patients with symptomatic disc herniation
Maryse Fortin (2016)
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)
10.1007/BF02428311
Running training alters fiber type composition in spinal muscles
Kaija Puustjärvi (1994)
10.1136/annrheumdis-2013-204428
The global burden of low back pain: estimates from the Global Burden of Disease 2010 study
Damian G. Hoy (2014)
10.1097/BRS.0b013e318155837b
Asymmetric Atrophy of Multifidus Muscle in Patients With Unilateral Lumbosacral Radiculopathy
Jung Keun Hyun (2007)
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)
10.1097/00007632-199304000-00008
The Lumbar Multifidus Muscle Five Years After Surgery for a Lumbar Intervertebral Disc Herniation
Jussi Rantanen (1993)
10.3928/0147-7447-20030501-14
Atrophy of the multifidus muscle in patients with lumbar disk herniation: histochemical and electromyographic study.
Kiyoshi Yoshihara (2003)
10.1148/radiol.2302021289
MR image-based grading of lumbar nerve root compromise due to disk herniation: reliability study with surgical correlation.
Christian W A Pfirrmann (2004)
10.1097/00007632-200103150-00012
Histochemical Changes in the Multifidus Muscle in Patients With Lumbar Intervertebral Disc Herniation
Kiyoshi Yoshihara (2001)
10.5535/arm.2013.37.4.498
The Location of Multifidus Atrophy in Patients With a Single Level, Unilateral Lumbar Radiculopathy
Jung-Il Kang (2013)
10.1016/0268-0033(86)90146-4
The morphology of the human lumbar multifidus.
J E Macintosh (1986)
10.1097/00007632-199304000-00009
Local Denervation Atrophy of Paraspinal Muscles in Postoperative Failed Back Syndrome
Toni Sihvonen (1993)
10.1097/00007632-199610010-00004
Effects of Muscle Dysfunction on Lumbar Spine Mechanics: A Finite Element Study Based on a Two Motion Segments Model
W Z Kong (1996)
10.3171/2009.7.SPINE08448
Morphological changes of the multifidus muscle in patients with symptomatic lumbar disc herniation.
Joerg Franke (2009)



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