Back Muscle Morphometry: Effects on Outcomes of Spine Surgery

Khan, Asra; Weiss, Emma; Khan, Abdul Wali; Omeis, Ibrahim; Verla, Terence

doi:10.1016/j.wneu.2017.03.097

Cited by 18 publications

(15 citation statements)

References 48 publications

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“…In addition, Ranger et al showed that the extent of paraspinal muscle atrophy was associated with postoperative low back pain [18]. In addition, Khan et al described that back-muscle morphometry should be included as a predictor of clinical outcomes in order to improve postoperative functional results and reduce the surgery-related complications [19]. Hence, more and more surgeons believed that decreasing the injury extent of paraspinal muscles was very important to improve the postoperative functional outcomes and reduce the surgical complication rate.…”

Section: Discussionmentioning

confidence: 99%

An Innovative Percutaneous Endoscopic Transforaminal Lumbar Interbody Fusion for the Treatment of Lumbar Spinal Stenosis with Degenerative Instability: a prospective cohort study

Yin

Ding

Zhou

et al. 2021

Preprint

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Lumbar spinal stenosis (LSS) is most common lumbar degenerative diseases for people with low back pain. Endoscopic lumbar fusion technique was considered as a promising treatment for LSS with degenerative instability. The objective of this study was to compared the clinical effects for the treatment of Lumbar spinal stenosis (LSS) with degenerative instability between the innovative percutaneous endoscopic transforaminal lumbar interbody fusion (PE-TLIF) technique and posterior lumbar interbody fusion (PLIF) technique. Between April 2019 and December 2019, 40 patients with single-segment LSS were prospectively included in our study. Visual Analogue Scale (VAS) on lumbar and leg pain (VAS-LBP, VAS-LP), Oswestry Disability Index (ODI), serum Creatine Kinase (CK), the maximal cross-sectional area of multifidus muscle (Max-CSA) and the peak intensity of Sulphur hexafluoride microbubble contrast agent (PI) around the surgical incision by contrast-enhanced ultrasonography were evaluated preoperatively, post-operatively and at regular follow-up. All patients were followed up. The VAS-LBP, VAS-LP, ODI after operation were improved significantly compared to these data before operation in all the patients (P < 0.05). The VAS-LBP at 1 weeks, 3 months after operation in PE-TLIF group were significantly lower than these in PLIF group (P < 0.05). The injury degree of multifidus muscle evaluated by MAX-CSA and PI was significantly less in PE-TLIF group after operation(P < 0.05). There was no significant difference on the complication rate between these two groups (P > 0.05). Our results presented PE-TLIF technique could obtain comparable effective outcomes as conventional PLIF for the treatment of LSS with degenerative instability. The Patients with PE-TLIF had less muscle injury, less pain and quicker postoperative rehabilitation. (A multicenter non-randomized controlled study for percutaneous endoscope transforaminal lumbar interbody fusion (PE-TLIF) and traditional open surgery for the treatment of degenerative diseases of the lumbar spine;2019/4/13; http://www.chictr.org.cn/showproj.aspx?proj=38002; ChiCTR1900022492)

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Section: Discussionmentioning

confidence: 99%

An Innovative Percutaneous Endoscopic Transforaminal Lumbar Interbody Fusion for the Treatment of Lumbar Spinal Stenosis with Degenerative Instability: a prospective cohort study

Yin

Ding

Zhou

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…Studies on the impact of paraspinal muscle quantity and quality on spinal diseases have been evaluated by CT and MRI [ 5 , 6 , 13 ]. The poor quantity and quality of paraspinal muscles resulted in degenerative lumbar kyphosis by quantitative analysis using CT [ 14 , 15 , 16 ].…”

Section: Discussionmentioning

confidence: 99%

“…Age-related structural change in paraspinal muscles has an important role for movement and stabilization of the spine [ 4 , 5 ]. Some studies suggest relationships between paraspinal muscles and global sagittal alignment in adult spinal deformity [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Long-Term Influence of Paraspinal Muscle Quantity in Adolescent Idiopathic Scoliosis Following Deformity Correction by Posterior Approach

Kim

Yang

Chang

et al. 2021

JCM

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Pedicle screw instrumentation (PSI) through posterior approach has been the mainstay of deformity correction for adolescent idiopathic scoliosis (AIS). However, changes in the quantity of paraspinal muscles after AIS surgery has remained largely unknown. The aim of this study was to investigate long-term follow-up changes in paraspinal muscle volume in AIS surgery via a posterior approach. Forty-two AIS patients who underwent deformity correction by posterior approach were analyzed through a longitudinal assessment of a cross-sectional area (CSA) in paraspinal muscles with a minimum five-year follow-up. The CSA were measured using axial computed tomography images at the level of the upper endplate L4 by manual tracing. The last follow-up CSA ratio of the psoas major muscle (124.5%) was significantly increased compared to the preoperative CSA ratio (122.0%) (p < 0.005). The last follow-up CSA ratio of the multifidus and erector spine muscles significantly decreased compared to the preoperative CSA ratio (all p < 0.005). The CSA ratio of the erector spine muscle was correlated with the CSA ratio of the psoas major (correlation coefficient = 0.546, p < 0.001). Therefore, minimizing the injury to the erector spine muscle is imperative to maintaining psoas major muscle development in AIS surgery by posterior approach.

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“…Presently, most scholars believe that the degree of postoperative residual low back pain is signi cantly related to paraspinal muscle atrophy and fatty in ltration (29)(30)(31). For instance, Teichtahl et al believe that paraspinal muscle atrophy is related to the degeneration of the intervertebral disc that results in chronic low back pain (32).…”

Section: Discussionmentioning

confidence: 99%

The Effect of Posterior Lumbar Dynamic Fixation and Intervertebral Fusion on Paraspinal Muscles

Lin

Wang

Xiang

et al. 2021

Preprint

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Background: The aim of this study was to analyze the effect of unilateral K-rod dynamic internal fixation on paraspinal muscles for lumbar degenerative diseases. Methods: This study retrospectively collected 52 patients who underwent lumbar surgery with the K-rod group or PLIF. The operation time, intraoperative blood loss, postoperative drainage volume, postoperative exercise time were compared in the two groups. The visual analog scale (VAS) score and the oswestry dysfunction index (ODI) were employed to evaluate the clinical outcomes. The functional cross-sectional area (FCSA) of the paraspinal muscles and paraspinal muscles fat infiltration were measured to assess on the paraspinal muscles. Results: As compared with the PLIF group, the operation time, the postoperative time in the field, and the average postoperative hospital stay in the K-rod internal fixation group were significantly shortened. At the last follow-up, both the groups showed significant improvement in the VAS score and ODI. The FCSA atrophy of the upper and lower adjacent segments (UAS and LAS) of the K-rod internal group was significantly less than that of the PLIF group. The extent of increase in the fatty infiltration of the paraspinal muscles in the K-rod group was significantly lesser than that in the PLIF group. The postoperative low back pain of the two groups of patients was significantly positively correlated with the FCSA atrophy.Conclusions: As compared to PLIF, the posterior lumbar unilateral K-rod dynamic internal fixation showed significantly lesser paraspinal muscle atrophy and fatty infiltration, which were significantly positively correlated with postoperative low back pain.

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Back Muscle Morphometry: Effects on Outcomes of Spine Surgery

Cited by 18 publications

References 48 publications

An Innovative Percutaneous Endoscopic Transforaminal Lumbar Interbody Fusion for the Treatment of Lumbar Spinal Stenosis with Degenerative Instability: a prospective cohort study

An Innovative Percutaneous Endoscopic Transforaminal Lumbar Interbody Fusion for the Treatment of Lumbar Spinal Stenosis with Degenerative Instability: a prospective cohort study

Long-Term Influence of Paraspinal Muscle Quantity in Adolescent Idiopathic Scoliosis Following Deformity Correction by Posterior Approach

The Effect of Posterior Lumbar Dynamic Fixation and Intervertebral Fusion on Paraspinal Muscles

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