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

Yaltırık, Kaan; Güdü, Burhan Oral; Işık, Yüksel; Altunok, Çiğdem; Tipi, Ufuk; Atalay, Başar

doi:10.1016/j.wneu.2018.05.019

Cited by 21 publications

(24 citation statements)

References 27 publications

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“…Paraspinal muscles are thought to have a "tuning/balancing mechanism" that can correct the spinal deformity of mild scoliosis and prevent further progression of the curve (3). AIS is associated with muscle imbalances of the ES and MF, with regards to muscle volume, fatty infiltration, the proportion of muscle fiber, and electromyography (EMG) activity (11)(12)(13)(20)(21)(22)(23)(24). Jiang et al (12) demonstrated that there is a significant muscle imbalance of the paraspinal muscles in that the ES and MF are larger on the convex side than the concave side in patients with AIS aged 11-17 years.…”

Section: Discussionmentioning

confidence: 99%

“…Yaltırık et al. (11) reported that the CSAs of the MF and ES are significantly larger in patients without hernia than in those with single-level hernia. Besides, Jiang et al.…”

Section: Introductionmentioning

confidence: 99%

“…For example, greater CSAs of ES and MF were associated with lower levels of low back disability (10). Yaltırık et al (11) reported that the CSAs of the MF and ES are significantly larger in patients without hernia than in those with single-level hernia. Besides, Jiang et al (12) demonstrated that there is a significant imbalance of muscle volume and fatty infiltration of the ES and MF in patients with AIS and that these changes affect different vertebra levels, with the most imbalance of muscle volume at the apex vertebra.…”

Section: Introductionmentioning

confidence: 99%

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Assessment of the cross-sectional areas of the psoas major in patients with adolescent idiopathic scoliosis before skeletal maturity

Zhu

Tian

et al. 2020

Acta Radiol

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Background The psoas major (PM) can support the lumbar spine and plays an important role in lumbar movement and maintaining lumbar curvature. Purpose To analyze morphological changes of PM and its relation with the severity of adolescent idiopathic scoliosis (AIS). Material and Methods The study was conducted on patients with AIS (age range = 10–18 years) with primary lumbar scoliosis. The cross-sectional area (CSA) of the PM at the L1–L5 levels were measured. The CSA of the PM in patients with AIS was compared with the average CSA of the PM in age-matched controls. The difference in PM at the apical vertebrae level was compared with the Cobb angle to determine the association between PM imbalance and severity of scoliosis. Results The CSA of the PM was larger on the concave side than the convex side at the apical vertebrae level and other lumber levels. Patients with a larger Cobb angle had statistically higher PM imbalance at the apical vertebrae level. The CSA of the PM on both the concave and convex sides of patients with AIS were larger than the average CSA of controls aged 16–18 years; however, there was no significant difference between patients with AIS and controls aged 10–15 years. Conclusion There is a significant PM imbalance in patients with AIS before skeletal maturity, and the imbalance is related to the severity of scoliosis. The morphology of PM changed with the progression of scoliosis.

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Section: Discussionmentioning

confidence: 99%

“…Yaltırık et al. (11) reported that the CSAs of the MF and ES are significantly larger in patients without hernia than in those with single-level hernia. Besides, Jiang et al.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Assessment of the cross-sectional areas of the psoas major in patients with adolescent idiopathic scoliosis before skeletal maturity

Zhu

Tian

et al. 2020

Acta Radiol

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“…Paravertebral muscles (PVMs) and ligaments provide dynamic stability to the lumbar spine (4). Previous studies have focused on the degeneration of intervertebral discs and small joints but did not examine the role of PVMs in supporting spinal balance (5)(6)(7)(8). However, the association between PVMs and scoliosis remains to be elucidated.…”

Section: Introductionmentioning

confidence: 99%

Assessment of the association between paraspinal muscle degeneration and quality of life in patients with degenerative lumbar scoliosis

et al. 2020

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The present study aimed to determine the characteristics of multifidus, erector spinae and psoas major degeneration in elderly patients with degenerative lumbar scoliosis (DLS) and the correlation between asymmetric changes and patient quality of life. A total of 49 patients with lumbar scoliosis (DLS group) and 38 healthy individuals (control group) were prospectively examined. The functional cross-sectional area, cross-sectional area difference index (CDI) and fat infiltration rate (FIR) of the multifidus, erector spinae and psoas major at the apical vertebral level were measured using MRI. The visual analogue scale (VAS) score, Oswestry Disability Index (ODI) and 36-item Short Form Health Survey (SF-36) score were used to evaluate patient quality of life. Correlations between the degree of asymmetric muscular degeneration and quality of life were analysed. The CDI of the multifidus, erector spinal and psoas major was higher in the DLS group compared with that in the control group. The CDI of the multifidus was found to be positively associated with the Cobb angle of lumbar scoliosis. Similar results were obtained for fat infiltration between the two groups. In addition, the CDI and FIR difference index of the multifidus was positively correlated with the VAS score and ODI but negatively correlated with the SF-36 score. The quality of life significantly decreased with increasing asymmetric atrophy and fat infiltration in the multifidus. Thus, strategies to enhance the function of the multifidus may have a positive impact on quality of life (Chinese Clinical Trial Registry, registration date, 2018.11.12; registration no. ChiCTR1800019459.).

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“…The lumbosacral multifidus is innervated by the dorsal root of the lumbar nerve [19], which divides from the spinal nerve [20,21] and passes through a bone fiber ring to the medial edge of the intertransverse muscles, and is divided into the medial and lateral branch. The medial branch runs backward and downward at the lateral side of the lower vertebrae, passes through the bone fiber tube, reaches the dorsal side of the lamina, and then enters the multifidus muscle.…”

Section: Anatomy and Function Of Multifidusmentioning

confidence: 99%

Research Progress on the Mechanism of Lumbarmultifidus Injury and Degeneration

Wang

Jia

et al. 2021

Oxidative Medicine and Cellular Longevity

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This review summarizes recent research progress in the clinical features, image manifestations, and pathological mechanism of multifidus injury. After a brief introduction to the fiber classification, innervation, blood supply, and multifidus function, some factors of multifidus injury, consisting of denervation, intraoperative incision selection and traction, and lumbar degenerative disease are overviewed. In addition, the clinical index of multifidus injury including myoglobin, creatine kinase, IL-6, C-reactive protein, the cross-sectional area of multifidus, the degree of fat infiltration, and intraoperative biopsy are summarized. Furthermore, we recommend that patients with chronic low back pain should take the long-term exercise of lumbodorsal muscles. Finally, some remaining issues, including external fixation and the imaging quantitative evaluation criteria of multifidus, need to be further explored in the future.

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

Cited by 21 publications

References 27 publications

Assessment of the cross-sectional areas of the psoas major in patients with adolescent idiopathic scoliosis before skeletal maturity

Assessment of the cross-sectional areas of the psoas major in patients with adolescent idiopathic scoliosis before skeletal maturity

Assessment of the association between paraspinal muscle degeneration and quality of life in patients with degenerative lumbar scoliosis

Research Progress on the Mechanism of Lumbarmultifidus Injury and Degeneration

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