Age and sex-based distribution of lumbar multifidus muscle atrophy and coexistence of disc hernia: an MRI study of 2028 patients

We aimed to investigate the prevalence of lumbar multifidus muscle (LMM) atrophy in patients having mechanical low back pain with and without disc hernia. METHODS In total, 2028 lumbar magnetic resonance imaging scans of low back pain patients (age range, 18-88 years) were re-evaluated retrospectively. LMM atrophy was visually assessed in axial sections of L4-L5 and L5-S1 levels. RESULTS LMM atrophy prevalence at both levels was significantly higher in subjects >=40 years compared with younger adults (P < 0.001). LMM atrophy was significantly more frequent in women than in men (P < 0.001). Among patients with low back pain without hernia, LMM atrophy was significantly more frequent than normal muscle (n=559 vs. n=392; P < 0.001). Frequency of LMM atrophy in low back pain patients without disc hernia was 13%. Hernia was more frequent in patients with LMM atrophy compared with patients without atrophy (P < 0.001). CONCLUSION LMM atrophy is more common in women; its prevalence and severity are observed to increase with advancing age, and disc hernia is found more frequently in individuals with LMM atrophy.

Kaynakça

1. Rubin DI. Epidemiology and risk factors for spine pain. Neurol Clin 2007; 25:353-371. [CrossRef]

2. Freeman MD, Woodham MA, Woodham AW. The role of the lumbar multifidus in chronic low back pain: a review. PM&R 2010; 2:142- 146. [CrossRef]

3. Kjaer P, Bendix T, Sorensen JS, Korsholm L, Leboeuf-Yde C. Are MRI-defined fat infiltrations in the multifidus muscles associated with low back pain? BMC Med 2007; 5:2. [CrossRef]

4. Dannells LA, Vanderstraeten GG, Cambier DC, Witvrouw EE, De Cuyper HJ. CT imaging of trunk muscles in chronic low pain patients and healthy control subjects. Eur Spine J 2000; 9:266-272. [CrossRef]

5. Woodham M, Woodham A, Skeate JG, Freeman M. Long-term lumbar multifidus muscle atrophy changes documented with magnetic resonance imaging: a case series. J Radiol Case Rep 2014; 8:27-34.

6. Beneck GJ, Kulig K. Multifidus atrophy is localized and bilateral in active persons with chronic unilateral low back pain. Arch Phys Med Rehabil 2012; 300-306. [CrossRef]

7. Parkkola R, Rytokoski U, Kormano M. Magnetic resonance imaging of the discs and trunk muscles in patients with chronic low back pain and healthy control subjects. Spine 1993; 18:830- 836. [CrossRef]

8. Kader DF, Wardlaw D, Smith FW. Correlation between the MRI changes in the lumbar multifidus muscles and leg pain. Clin Radiol 2000; 55:145-149. [CrossRef]

9. Karataş M. Lomber omurganın fiziksel özellikleri ve fonksiyonel biyomekaniği. In: Beyazova M, Gökçe Kutsal Y. eds. Fiziksel tıp ve rehabilitasyon. Ankara: Güneş Kitabevi, 2000; 459-480.

10. Özcan Yıldız E. Bel ağrısı. In: Beyazova M, Gökçe Kutsal Y. eds. Fiziksel tıp ve rehabilitasyon. Ankara: Güneş Kitabevi, 2000; 1465-1483.

11. Moseley GL, Hodges PW, Gandevia SC. Deep and superficial fibers of the lumbar multifidus muscle are differentially active during voluntary arm movements. Spine 2002; 27:29-36. [CrossRef]

12. Wu WW, Hu ZJ, Fan SW, et al. Influencing of chronic low back pain on multifidus muscle atrophy. Zhongguo Gu Shang 2014; 27:207-212.

13. Battié MC, Niemelainen R, Gibbons LE, Dhillon S. Is level and side specific multifidus asymmetry a marker for lumbar disc pathology? Spine J 2012; 12:932-939. [CrossRef]

14. Grimby G, Saltin B. The ageing muscle. Clin Physiol 1983; 3:209-218.[CrossRef]

Kaynak Göster

1479 1067

Arşiv
Sayıdaki Diğer Makaleler

Magnetic resonance imaging of benign prostatic hyperplasia

Serkan GÜNEYLİ, Emily WARD, Stephen THOMAS, Ambereen Nehal YOUSUF, Igor TRİLİSKY, Yahui PENG, Tatjana ANTİC, Aytekin OTO

Initial clinical use of a novel mechanical thrombectomy device, XCOILTM, in hemodialysis graft and fistula declot procedures

Wayne L. MONSKY, Richard E LATCHAW

Age and sex-based distribution of lumbar multifidus muscle atrophy and coexistence of disc hernia: an MRI study of 2028 patients

Elif Evrim EKİN, Hülya YILDIZ KURTUL, Harun MUTLU

Bright and dark vessels on stroke imaging: different sides of the same coin?

ATAY VURAL, RAHŞAN GÖÇMEN, Kader Karlı OĞUZ, Mehmet Akif TOPCUOĞLU, ETHEM MURAT ARSAVA

Effectiveness of single-session ultrasound-guided percutaneous ethanol sclerotherapy in simple breast cysts

Ali ÖZGEN

Adult living donor liver imaging

Larry CAİ, Benjamin M YEH, Antonio C WESTPHALEN, John P ROBERTS, John P ROBERTS

Percutaneous transthoracic localization of pulmonary nodules under C-arm cone-beam CT virtual navigation guidance

Tae Ho KİM1, Chang Min PARK, Sang-Min LEE, H. Page MCADAMS, Young Tae KİM, Jin Mo GOO

Biparametric MRI: a further improvement to PIRADS 2.0?

Michele SCİALPİ, Giuseppe FALCONE, Pietro SCİALPİ, Alfredo DANDREA

CT evaluation of medial clavicular epiphysis as a method of bone age determination in adolescents and young adults

FURKAN UFUK, Kadir AĞLADIOĞLU, Nevzat KARABULUT

Contrast-ing opinions: biparametric versus multiparametric prostate MRI

Tristan BARRETT