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Correlation between intervertebral disc degeneration, paraspinal muscle atrophy, and lumbar facet joints degeneration in patients with lumbar disc herniation.
BMC Musculoskelet Disord. 2017 04 20; 18(1):167.BM

Abstract

BACKGROUND

To assess the correlation between lumbar disc degeneration (LDD), multifidus muscle atrophy (LMA), and facet joints degeneration in patients with L4-L5 lumbar disc herniation (LDH).

METHODS

Sixty patients with L4-L5 LDH diagnosed by a 1.5 T MRI scanner were enrolled in the study group and another 60 patients with non-specific back pain were enrolled in the control group. LDD, LMA, and facet joints degeneration were examined and analyzed independently by two independent orthopedic surgeons using T2-weighted images. Wilcoxon test was used for analyzing the difference of LDD and facet joints degeneration between L3-L4 and L5-S1 and difference of LMA between the herniated and control groups. Correlation analysis of the three degeneration grades at the same level was determined by Spearman rank correlation test.

RESULTS

In the herniated group, most LMA at L3-L4 level was grade 1 (42, 70.0%); grade 2 (33, 55.0%) at L4-L5 level; and grade 3 (27, 45.0%) at L5-S1 level. LMA and LDD grading were significantly different between L3-L4 and L5-S1 levels (P < 0.05). In the herniation group, the Spearman value for LDD and LMA grading were 0.352 (P < 0.01) at L3-L4 and 0.036 (P > 0.05) at the L5-S1 level. The differences in LMA between the herniated and control groups at the three levels were significant (P < 0.05).

CONCLUSIONS

Disc degeneration and multifidus muscles atrophy were positively correlated at the L3-L4 disc level. A lumbar extension muscle strengthening program could be helpful in preventing muscle atrophy and lumbar spinal degeneration.

Authors+Show Affiliations

Department of Orthopedics, China-Japan Union Hospital of Jilin University, 126 XianTai Street, Changchun, 130000, China.Department of Orthopedics, China-Japan Union Hospital of Jilin University, 126 XianTai Street, Changchun, 130000, China. 844795606@qq.com.Department of Orthopedics, China-Japan Union Hospital of Jilin University, 126 XianTai Street, Changchun, 130000, China.Department of Orthopedics, China-Japan Union Hospital of Jilin University, 126 XianTai Street, Changchun, 130000, China.Department of Orthopedics, China-Japan Union Hospital of Jilin University, 126 XianTai Street, Changchun, 130000, China.Department of Orthopedics, China-Japan Union Hospital of Jilin University, 126 XianTai Street, Changchun, 130000, China.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28427393

Citation

Sun, Dong, et al. "Correlation Between Intervertebral Disc Degeneration, Paraspinal Muscle Atrophy, and Lumbar Facet Joints Degeneration in Patients With Lumbar Disc Herniation." BMC Musculoskeletal Disorders, vol. 18, no. 1, 2017, p. 167.
Sun D, Liu P, Cheng J, et al. Correlation between intervertebral disc degeneration, paraspinal muscle atrophy, and lumbar facet joints degeneration in patients with lumbar disc herniation. BMC Musculoskelet Disord. 2017;18(1):167.
Sun, D., Liu, P., Cheng, J., Ma, Z., Liu, J., & Qin, T. (2017). Correlation between intervertebral disc degeneration, paraspinal muscle atrophy, and lumbar facet joints degeneration in patients with lumbar disc herniation. BMC Musculoskeletal Disorders, 18(1), 167. https://doi.org/10.1186/s12891-017-1522-4
Sun D, et al. Correlation Between Intervertebral Disc Degeneration, Paraspinal Muscle Atrophy, and Lumbar Facet Joints Degeneration in Patients With Lumbar Disc Herniation. BMC Musculoskelet Disord. 2017 04 20;18(1):167. PubMed PMID: 28427393.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Correlation between intervertebral disc degeneration, paraspinal muscle atrophy, and lumbar facet joints degeneration in patients with lumbar disc herniation. AU - Sun,Dong, AU - Liu,Peng, AU - Cheng,Jie, AU - Ma,Zikun, AU - Liu,Jingpei, AU - Qin,Tingzheng, Y1 - 2017/04/20/ PY - 2016/05/09/received PY - 2017/04/07/accepted PY - 2017/4/22/entrez PY - 2017/4/22/pubmed PY - 2018/2/24/medline KW - Disc degeneration KW - Facet joints degeneration KW - Lumbar disc herniation KW - Lumbar extension muscle strengthening program KW - Multifidus muscle atrophy SP - 167 EP - 167 JF - BMC musculoskeletal disorders JO - BMC Musculoskelet Disord VL - 18 IS - 1 N2 - BACKGROUND: To assess the correlation between lumbar disc degeneration (LDD), multifidus muscle atrophy (LMA), and facet joints degeneration in patients with L4-L5 lumbar disc herniation (LDH). METHODS: Sixty patients with L4-L5 LDH diagnosed by a 1.5 T MRI scanner were enrolled in the study group and another 60 patients with non-specific back pain were enrolled in the control group. LDD, LMA, and facet joints degeneration were examined and analyzed independently by two independent orthopedic surgeons using T2-weighted images. Wilcoxon test was used for analyzing the difference of LDD and facet joints degeneration between L3-L4 and L5-S1 and difference of LMA between the herniated and control groups. Correlation analysis of the three degeneration grades at the same level was determined by Spearman rank correlation test. RESULTS: In the herniated group, most LMA at L3-L4 level was grade 1 (42, 70.0%); grade 2 (33, 55.0%) at L4-L5 level; and grade 3 (27, 45.0%) at L5-S1 level. LMA and LDD grading were significantly different between L3-L4 and L5-S1 levels (P < 0.05). In the herniation group, the Spearman value for LDD and LMA grading were 0.352 (P < 0.01) at L3-L4 and 0.036 (P > 0.05) at the L5-S1 level. The differences in LMA between the herniated and control groups at the three levels were significant (P < 0.05). CONCLUSIONS: Disc degeneration and multifidus muscles atrophy were positively correlated at the L3-L4 disc level. A lumbar extension muscle strengthening program could be helpful in preventing muscle atrophy and lumbar spinal degeneration. SN - 1471-2474 UR - https://www.unboundmedicine.com/medline/citation/28427393/Correlation_between_intervertebral_disc_degeneration_paraspinal_muscle_atrophy_and_lumbar_facet_joints_degeneration_in_patients_with_lumbar_disc_herniation_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/28427393/ DB - PRIME DP - Unbound Medicine ER -