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Lumbar multifidus muscle changes in unilateral lumbar disc herniation using magnetic resonance imaging.
Skeletal Radiol. 2016 Jan; 45(1):73-7.SR

Abstract

OBJECTIVE

To assess multifidus muscle asymmetry using the cross-sectional area (CSA) and perpendicular distance of the multifidus muscle to the lamina (MLD) measurements in patients with nerve compression due to lumbosacral disc hernia.

MATERIALS AND METHODS

In total, 122 patients who underwent microdiscectomy for unilateral radiculopathy caused by disc herniation, diagnosed by magnetic resonance imaging (MRI), were evaluated retrospectively. Posterolateral or foraminal disc herniation at only one disc level, the L3-4, L4-L5, or L5-S1 region, was confirmed using MRI. Subjects were divided by symptom duration: 1-30 days, (group A), 31-90 days (group B), and > 90 days (group C). There were 48 cases in group A, 26 in group B, and 48 in group C.

RESULTS

In groups A, B, and C, the median MLD differed significantly between the diseased and normal sides (P < 0.05). The MLD increased on the diseased side with symptom duration by lumbar disc herniation. The diseased side MLD was 5.1, 6.7, and 7.6 mm in groups A, B, and C, respectively (P < 0.05). The cut-off values for the MLD measurements were 5.3 mm (sensitivity = 62.3%, specificity = 55.5%; P < 0.05). In groups A, B, and C, the median CSA of the multifidus muscle was not significantly different between the diseased and the normal side (P > 0.05).

CONCLUSIONS

The MLD measurement correlated significantly with multifidus asymmetry in patients with lumbar disc herniation.

Authors+Show Affiliations

Department of Radiology, Baskent University Medical School, Adana, Turkey. naimeto@yahoo.com.Department of Neurosurgery, Baskent University Medical School Adana, Adana, Turkey. melihcekinmez@yahoo.com.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

26377578

Citation

Altinkaya, Naime, and Melih Cekinmez. "Lumbar Multifidus Muscle Changes in Unilateral Lumbar Disc Herniation Using Magnetic Resonance Imaging." Skeletal Radiology, vol. 45, no. 1, 2016, pp. 73-7.
Altinkaya N, Cekinmez M. Lumbar multifidus muscle changes in unilateral lumbar disc herniation using magnetic resonance imaging. Skeletal Radiol. 2016;45(1):73-7.
Altinkaya, N., & Cekinmez, M. (2016). Lumbar multifidus muscle changes in unilateral lumbar disc herniation using magnetic resonance imaging. Skeletal Radiology, 45(1), 73-7. https://doi.org/10.1007/s00256-015-2252-z
Altinkaya N, Cekinmez M. Lumbar Multifidus Muscle Changes in Unilateral Lumbar Disc Herniation Using Magnetic Resonance Imaging. Skeletal Radiol. 2016;45(1):73-7. PubMed PMID: 26377578.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Lumbar multifidus muscle changes in unilateral lumbar disc herniation using magnetic resonance imaging. AU - Altinkaya,Naime, AU - Cekinmez,Melih, Y1 - 2015/09/16/ PY - 2015/06/04/received PY - 2015/09/07/accepted PY - 2015/08/15/revised PY - 2015/9/18/entrez PY - 2015/9/18/pubmed PY - 2016/9/15/medline KW - Lumbar disc herniation KW - MRI KW - Multifidus SP - 73 EP - 7 JF - Skeletal radiology JO - Skeletal Radiol. VL - 45 IS - 1 N2 - OBJECTIVE: To assess multifidus muscle asymmetry using the cross-sectional area (CSA) and perpendicular distance of the multifidus muscle to the lamina (MLD) measurements in patients with nerve compression due to lumbosacral disc hernia. MATERIALS AND METHODS: In total, 122 patients who underwent microdiscectomy for unilateral radiculopathy caused by disc herniation, diagnosed by magnetic resonance imaging (MRI), were evaluated retrospectively. Posterolateral or foraminal disc herniation at only one disc level, the L3-4, L4-L5, or L5-S1 region, was confirmed using MRI. Subjects were divided by symptom duration: 1-30 days, (group A), 31-90 days (group B), and > 90 days (group C). There were 48 cases in group A, 26 in group B, and 48 in group C. RESULTS: In groups A, B, and C, the median MLD differed significantly between the diseased and normal sides (P < 0.05). The MLD increased on the diseased side with symptom duration by lumbar disc herniation. The diseased side MLD was 5.1, 6.7, and 7.6 mm in groups A, B, and C, respectively (P < 0.05). The cut-off values for the MLD measurements were 5.3 mm (sensitivity = 62.3%, specificity = 55.5%; P < 0.05). In groups A, B, and C, the median CSA of the multifidus muscle was not significantly different between the diseased and the normal side (P > 0.05). CONCLUSIONS: The MLD measurement correlated significantly with multifidus asymmetry in patients with lumbar disc herniation. SN - 1432-2161 UR - https://www.unboundmedicine.com/medline/citation/26377578/Lumbar_multifidus_muscle_changes_in_unilateral_lumbar_disc_herniation_using_magnetic_resonance_imaging_ L2 - https://dx.doi.org/10.1007/s00256-015-2252-z DB - PRIME DP - Unbound Medicine ER -