Ipsilateral atrophy of paraspinal and psoas muscle in unilateral back pain patients with monosegmental degenerative disc disease
| Autor: | I Kalaitzoglou, G Gouvas, N Michailidis, Pavlos Christodoulou, Avraam Ploumis, Alexander Beris |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Male medicine.medical_specialty Back Pain/*pathology Intervertebral Disc Degeneration Degenerative disc disease Psoas Muscles Muscular Atrophy Spinal Young Adult Atrophy medicine Back pain Humans Intervertebral Disc Degeneration/*diagnosis/pathology Radiology Nuclear Medicine and imaging Muscular Atrophy Spinal/*pathology Pain Measurement Sciatica Full Paper medicine.diagnostic_test business.industry Magnetic resonance imaging General Medicine Middle Aged medicine.disease Magnetic Resonance Imaging Muscle atrophy Muscular Atrophy/*pathology Surgery Oswestry Disability Index Muscular Atrophy Cross-Sectional Studies Back Pain Female medicine.symptom business Psoas Muscles/*pathology |
| Zdroj: | The British Journal of Radiology. 84:709-713 |
| ISSN: | 1748-880X 0007-1285 |
| DOI: | 10.1259/bjr/58136533 |
| Popis: | OBJECTIVES: The aim of this study was to assess the cross-sectional area (CSA) of both paraspinal and psoas muscles in patients with unilateral back pain using MRI and to correlate it with outcome measures. METHODS: 40 patients, all with informed consent, with a minimum of 3 months of unilateral back pain with or without sciatica and one-level disc disease on MRI of the lumbosacral spine were included. Patients were evaluated with self-report measures regarding pain (visual analogue score) and disability (Oswestry disability index). The CSA of multifidus, erector spinae, quadratus lumborum and psoas was measured at the disc level of pathology and the two adjacent disc levels, bilaterally. Comparison of CSAs of muscles between the affected vs symptomless side was carried out with Student's t-test and correlations were conducted with Spearman's test. RESULTS: The maximum relative muscle atrophy (% decrease in CSA on symptomatic side) independent of the level was 13.1% for multifidus, 21.8% for erector spinae, 24.8% for quadratus lumborum and 17.1% for psoas. There was significant difference (p |
| Databáze: | OpenAIRE |
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