Changes In The Cross-sectional Area Of Multifidus And Psoas In Unilateral Sciatica Caused By Lumbar Disc Herniation.
Wook Kim, Sang-Ho Lee, Dong Yeob Lee
Published 2011 · Medicine
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OBJECTIVE To quantitatively evaluate the asymmetry of the multifidus and psoas muscles in unilateral sciatica caused by lumbar disc herniation using magnetic resonance imaging (MRI). METHODS Seventy-six patients who underwent open microdiscectomy for unilateral L5 radiculopathy caused by disc herniation at the L4-5 level were enrolled, of which 39 patients (51.3%) had a symptom duration of 1 month or less (group A), and 37 (48.7%) had a symptom duration of 3 months or more (group B). The cross-sectional areas (CSAs) of the multifidus and psoas muscles were measured at the mid-portion of the L4-5 disc level on axial MRI, and compared between the diseased and normal sides in each group. RESULTS The mean symptom duration was 0.6±0.4 months and 5.4±2.7 months for groups A and B, respectively (p<0.001). There were no differences in the demographics between the 2 groups. There was a significant difference in the CSA of the multifidus muscle between the diseased and normal sides (p<0.01) in group B. In contrast, no significant multifidus muscle asymmetry was found in group A. The CSA of the psoas muscle was not affected by disc herniation in either group. CONCLUSION The CSA of the multifidus muscle was reduced by lumbar disc herniation when symptom duration was 3 months or more.
This paper references
Changes in Cross‐Sectional Area of Psoas Major Muscle in Unilateral Sciatica Caused by Disc Herniation
Trikam R. Dangaria (1998)
Measurement of the trunk musculature of active males using CT scan radiography: implications for force and moment generating capacity about the L4/L5 joint.
Stuart M. McGill (1988)
Lumbar Paraspinal Muscle Function, Perception of Lumbar Position, and Postural Control in Disc Herniation-Related Back Pain
Ville Leinonen (2003)
Histochemistry and Morphology of the Multifidus Muscle in Lumbar Disc Herniation: Comparative Study Between Diseased and Normal Sides
Wei-guo Zhao (2000)
Local Denervation Atrophy of Paraspinal Muscles in Postoperative Failed Back Syndrome
Toni Sihvonen (1993)
The Effect of Early Isolated Lumbar Extension Exercise Program for Patients with Herniated Disc Undergoing Lumbar Discectomy
Gun Hwan Choi (2005)
Asymmetric Atrophy of Multifidus Muscle in Patients With Unilateral Lumbosacral Radiculopathy
Jung Keun Hyun (2007)
Pain, trunk muscle strength, spine mobility and disability following lumbar disc surgery.
Arja H Häkkinen (2003)
Multifidus Muscle Recovery Is Not Automatic After Resolution of Acute, First‐Episode Low Back Pain
Julie A. Hides (1996)
The Lumbar Multifidus Muscle Five Years After Surgery for a Lumbar Intervertebral Disc Herniation
Jussi Rantanen (1993)
Evidence of lumbar multifidus muscle wasting ipsilateral to symptoms in patients with acute/subacute low back pain.
Julie A. Hides (1994)
Surgery versus prolonged conservative treatment for sciatica.
Wilco C. Peul (2007)
CT imaging of trunk muscles in chronic low back pain patients and healthy control subjects
Lieven A Danneels (2000)
Can Exercise Therapy Improve the Outcome of Microdiscectomy?
Patricia Dolan (2000)
Morphological changes of the multifidus muscle in patients with symptomatic lumbar disc herniation.
Joerg Franke (2009)
Magnetic resonance imaging of the discs and trunk muscles in patients with chronic low back pain and healthy control subjects.
Riitta Parkkola (1993)
Changes in the Cross-Sectional Area of Multifidus and Psoas in Patients With Unilateral Back Pain: The Relationship to Pain and Disability
Karen L. Barker (2004)
1987 Volvo Award in Basic Science: The Morphology of the Lumbar Erector Spinae
J E Macintosh (1987)
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ASSESSMENT OF THE CORRELATION BETWEEN LUMBAR DISC HERNIATION WITH THE VOLUME OF THE PARASPINAL MUSCLES AND THE DEGREE OF ADIPOSITY
Ümmühan Özelçi (2016)
Reliability of Real‐time Ultrasound Imaging for the Assessment of Trunk Stabilizer Muscles: A Systematic Review of the Literature
Morteza Taghipour (2019)
Asymmetric Atrophy of Paraspinal Muscles in Patients With Chronic Unilateral Lumbar Radiculopathy
Jinmann Chon (2017)
Transversus abdominis and multifidus asymmetry in runners measured by MRI: a cross-sectional study
Ulrike H Mitchell (2019)
Cross‐sectional area of lumbar spinal muscles and vertebral endplates: a secondary analysis of 91 computed tomography images of children aged 2–20
Ella Been (2018)
Increased intramuscular fatty infiltration without differences in lumbar muscle cross-sectional area during remission of unilateral recurrent low back pain.
Roseline D'hooge (2012)
Magnetic resonance imaging of lumbar trunk parameters in chronic low backache patients and healthy population: a comparative study
Roop G. Singh (2016)
CT-derived Pre-treatment Thoracic Sarcopenia is associated with Late Mortality After Thoracic Endovascular Aortic Repair.
Sydney L Olson (2019)
Lumbar multifidus muscle changes in unilateral lumbar disc herniation using magnetic resonance imaging
Naime Altınkaya (2015)
Evaluation of Treatment of Herniated Lumbar Disc Sciatica by Epidural Corticosteroid Injection
Quang-Tri Lê (2020)
Genes associated with persistent lumbar radicular pain; a systematic review
Siri Bjorland (2016)
The Relationship of Lumbar Multifidus Muscle Change to Disc Hernia and Low Back Pain: An Magnetic Resonance Imaging Study
Emrah Sayit (2019)
Population-based study of age- and sex-related differences in muscle density and size in thoracic and lumbar spine: the Framingham study
Fjóla Jóhannesdóttir (2018)
The Effect of Lumbosacral Transitional Vertebrae (LSTV) on Paraspinal Muscle Volume in Patients with Low Back Pain.
Fatma Esra Bahadir Ulger (2019)
Evaluation of lumbar multifidus muscle in patients with lumbar disc herniation: are complex quantitative MRI measurements needed?
Bulent Colakoglu (2019)
Multifidus and Paraspinal Muscle Group Cross-Sectional Areas of Patients With Low Back Pain and Control Patients: A Systematic Review With a Focus on Blinding
Maryse Fortin (2013)
Lumbar Muscle Cross-Sectional Areas Do Not Predict Clinical Outcomes in Adults With Spinal Stenosis: A Longitudinal Study.
Alfred C. Gellhorn (2017)
Image changes of paraspinal muscles and clinical correlations in patients with unilateral lumbar spinal stenosis
Yanyu Chen (2013)
Can diffusion tensor imaging and tractography represent cross‐sectional area of lumbar multifidus in patients with LUMBAR spine disease?
Jeehae Oh (2018)
The relationship between pain and functional disability with morphological changes of psoas major in discogenic low back pain patients
Waleed S. Mahmoud (2016)
Muscle Atrophy Measurement as Assessment Method for Low Back Pain Patients.
Elżbieta Skorupska (2018)
Functional and Morphological Changes in the Deep Lumbar Multifidus Using Electromyography and Ultrasound
Shanshan Zhang (2018)
Inconsistent descriptions of lumbar multifidus morphology: A scoping review
Anke Hofste (2020)
Do variations in paraspinal muscle morphology and composition predict low back pain in men?
Maryse Fortin (2015)
Paraspinal muscle, facet joint, and disc problems: risk factors for adjacent segment degeneration after lumbar fusion.
Jong Yeol Kim (2016)
Paraspinal muscle asymmetry and fat infiltration in patients with symptomatic disc herniation
Maryse Fortin (2016)
The Association between Imaging Parameters of the Paraspinal Muscles, Spinal Degeneration, and Low Back Pain
Leonid Kalichman (2017)
Relationships between paraspinal muscle morphology and neurocompressive conditions of the lumbar spine: a systematic review with meta-analysis
Jeffrey R. Cooley (2018)
Paraspinal Muscles of Patients with Lumbar Diseases
Moon Soo Park (2018)
Association between paraspinal muscle morphology, clinical symptoms and functional status in patients with lumbar spinal stenosis
Maryse Fortin (2017)
UNILATERAL CHANGES OF THE MULTIFIDUS IN PERSONS WITH LUMBAR DISC HERNIATION: A SYSTEMATIC REVIEW AND META-ANALYSIS.
Sjoerd Stevens (2020)
A laboratory study on trunk angle in patients with lumbar disc herniation during bending exercises based on motion sensors
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