The Evaluation of The Relationship Between Psoas Muscle Atrophy and Intervertebral Disc and Facet Joint Degeneration in Patients With Lumbar Pain Using Lumbar Spine MRI
Öz
Objective: The purpose of the present study was to determine the relationship between psoas muscle lipoatrophy and facet and disc degeneration in patients
with low back pain with lumbar spinal Magnetic Resonance Imaging (MRI).
Material and Methods: A total of 304 patients who had low back pain were included in this retrospective cross-sectional study. The lumbar MRIs of all patients were evaluated for signs of psoas muscle atrophy. Fat content for each muscle was graded semi-quantitatively (Grade 0-4). The disc and facet joint
degenerations of each patient were also graded. Psoas muscle thickness was measured in the mediolateral axial plane parallel to the vertebra.
Results: It was found that the mean right psoas muscle thickness score of the patients was 35.9±7.2 mm on average, and the mean left psoas muscle thickness score was 35.8±7.1 mm. It was also found that 41.8% of the right psoas muscle degeneration was grade 1, 41.1% was grade 2, 33.6% of the left psoas muscle degeneration was grade 1, 45.1% was grade 2, 64.1% of the right facet degeneration was grade 1, 23.4% was grade 2, and 53.9% of the left facet degeneration was grade 1, and 30.3% was grade 2.
Conclusion: When lumbar spine MRI examinations are evaluated, psoas muscles must also be evaluated in terms of atrophy. Indicating psoas muscle lipoatrophy in patients with low back pain may be useful for better rehabilitation planning.
Anahtar Kelimeler
Disc, Facet joint, Low back pain, Magnetic Resonance Imaging, Psoas muscle
Destekleyen Kurum
yok
Teşekkür
We look forward to hearing from you at your earliest convenience.
Sincerely,
Serkan Ünlğü
Department of Radiology
Malatya Eğitim ve Araştırma Hastanesi , Malatya
Turkey
Phone: 05066285899
Fax Number:
E mail: serkanunlu19@yahoo.com
Kaynakça
- Moore KL, Dalley AF, Agur AMR.Clinically Oriented Anatomy. 6th ed. Philadelphia: Lippincott Williams & Wilkins; 2010. p.508-669.
- He K, Head J, Mouchtouris N, Hines K, Shea P, Schmidt R et al. The implications of paraspinal muscle atrophy in low back pain, thoracolumbar pathology, and clinical outcomes after spine surgery: A review of the literature. Global Spine J. 2020;10(5):657- 666.
- Hides JA, Richardson CA, Jull GA. Multifidus muscle recovery is not automatic after resolution of acute, first-episode low back pain. Spine (Phila Pa 1976). 1996;21:2763–2769.
- Demoulin C, Crielaard JM, Vanderthommen M. Spinal muscle evaluation in healthy individuals and low-back-pain patients: a literature review. Joint Bone Spine. 2007;74:9–13.
- Wan Q, Lin C, Li X, Zeng W, Ma C. MRI assessment of paraspinal muscles in patients with acute and chronic unilateral low back pain. Br J Radiol. 2015;88:20140546
- Diebo BG, Shah NV, Boachie‑Adjei O, Zhu F, Rothenfluh DA, Paulino CB et al. Adult spinal deformity. Lancet 2019;394(10193):160-172.
- Oh CH, Yoon SH. Whole spine disc degeneration survey according to the ages and sex using pfirrmann disc degeneration grades. Korean J Spine. 2017;14(4):148-154.
- Flicker PL, Fleckenstein JL, Ferry K, Payne J, Ward C, Mayer T et al. Lumbar muscle usage in chronic low back pain. Magnetic resonance imaging evaluation. Spine. 1993.18(5);582-586.
- Akı S. Lomber Vertebral Kolonun Fonksiyonel Anatomisi. In: Ed. Erdine S.Ağrı, Güneş Kitabevi, 2000,328-337.
- Gerber C, Meyer DC, Schneeberger AG, Hoppeler H, von Rechenberg B. Effect of tendon release and delayed repair on the structure of the muscles of the rotator cuff:an experimental study in sheep. J Bone joint Surg Am 2004;86:1973-1982.