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Paraspinal Muscles of Patients with Lumbar Diseases
- Source :
- Journal of neurological surgery. Part A, Central European neurosurgery. 79(4)
- Publication Year :
- 2018
-
Abstract
- Objective The treatment of atrophy or increased fat infiltration of the lumbar paraspinal muscles of patients with back pain, lumbar radiculopathy, or lumbar degenerative kyphosis is controversial. We review the literature on changes in the lumbar paraspinal muscles of these patients. Methods We searched Medline for relevant English-language articles and retrieved 25 articles published from 1993 to 2017 on changes in the lumbar paraspinal muscles; 21 met our study criteria. We categorized each article into three groups: randomized clinical trial, nonrandomized prospective study, or retrospective study. Results We found 1 randomized prospective, 3 nonrandomized prospective, and 17 retrospective studies. Atrophies of the multifidus muscle are found at the level of the L5 vertebral body in patients with back pain, lumbar radiculopathy, and lumbar degenerative kyphosis. Increased fat infiltration to the multifidus muscle was found in the patients with lumbar radiculopathy or lumbar degenerative kyphosis. However, there are controversies over fat infiltration to the multifidus muscle in the patients with back pain and the efficiency of a paramedian surgical approach to prevent the atrophy of the multifidus muscle. Conclusions Atrophy of the multifidus muscle was found in patients with back pain, lumbar radiculopathy, and lumbar degenerative kyphosis. There was increased fat infiltration to the multifidus muscle in those patients with lumbar radiculopathy or lumbar degenerative kyphosis.
- Subjects :
- musculoskeletal diseases
medicine.medical_specialty
Kyphosis
Paraspinal Muscles
Lumbar vertebrae
Multifidus muscle
03 medical and health sciences
0302 clinical medicine
Lumbar
Atrophy
Back pain
Medicine
Humans
Prospective cohort study
030222 orthopedics
Lumbar Vertebrae
medicine.diagnostic_test
business.industry
Lumbosacral Region
Magnetic resonance imaging
medicine.disease
Magnetic Resonance Imaging
Surgery
medicine.anatomical_structure
Back Pain
Spinal Diseases
Neurology (clinical)
medicine.symptom
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 21936323
- Volume :
- 79
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Journal of neurological surgery. Part A, Central European neurosurgery
- Accession number :
- edsair.doi.dedup.....41a33f02fb36312698c3cad6133b15a6