The Correlation between Cross-sectional Area of Lumbar Paraspinal Muscles and Sponylolisthesis; A Retrospective Study (요추 주변 근육 단면적과 척추전방전위증의 상관성에 대한 후향적 연구)

박혜성; 김제인; Kim Koh-Woon (김고운); Jae-Heung Cho (조재흥); 송미연

The Correlation between Cross-sectional Area of Lumbar Paraspinal Muscles and Sponylolisthesis; A Retrospective Study

Journal of Korean Medicine Rehabilitation
Abbr : JKMR
2016, 26(1), pp.95-102
Publisher : The Korean Academy Of Oriental Rehabilitation Medicine
Research Area : Medicine and Pharmacy > Korean Medicine

박혜성 ¹, 김제인 ¹, Kim Koh-Woon ¹, Jae-Heung Cho ¹, 송미연 ¹

¹경희대학교 한의과대학 한방재활의학과교실

Accredited

ABSTRACT

ObjectivesTo investigate correlation between slip percentage (SP) of spondylolisthesis and cross-sectional area (CSA) of lumbar paraspinal muscles; psoas major (PM), multifidus (MU) and erector spinae (ES).MethodsA retrospective study was carried out in 120 spondylolisthesis patients who had visited the Spine center of Kyung Hee University Hospital at Gangdong and had taken lumbar MRI. CSA of lumbar paraspinal muscles was measured from axial T2-weighted MRI and divided by CSA of vertebral body to avoid weight’s influence. SP was also measured from sagittal MRI.ResultsSP increase has significant correlation with decreased CSA-MU (r=0.37, p＜0.01) and increased CSA-ES (r=0.19, p＜0.05). There was no significant correlation be-tween SP and CSA-PM.ConclusionsMU atrophy and ES hypertrophy have significant correlation with SP of spondylolisthesis. CSA of lumbar paraspinal muscles can be a risk factor of progression of spondylolisthesis and compensation for the instability. (J Korean Med Rehab 2016;26(1):95-102)

KEYWORDS

Paraspinal Muscles, Psoas Muscles, Spondylolisthesis, Muscular Atrophy, Magnetic Resonance Imaging

Citation status

* References for papers published after 2023 are currently being built.

[journal] Tebet MA / 2014 / Current concepts on the sagittal balance and classification of spondylolysis and spondylolisthesis / Rev Bras Ortop 49(1) : 3~12

[journal] You JW / 2001 / Spondylolisthesis – Anatomy, classification, and natural history / J Korean Soc Spine Surg 8(3) : 336~344

[journal] Matsunaga S / 2000 / Nonsurgically managed patients with degenerative spondylolisthesis: a 10-to 18-year follow-up study / J Neurosurg Spine 93(2) : 194~198

[journal] DeVine JG / 2012 / Risk factors for degenerative spondylolisthesis: a systematic review / Evid Based Spine-Care J 3(2) : 25~34

[journal] Enyo Y / 2015 / Radiographic natural course of lumbar degenerative spondylolisthesis and its risk factors related to the progression and onset in a 15-year community-based cohort study: the Miyama study / J Orthop Sci 20(6) : 978~984

[journal] Ergün T / 2011 / Evaluation of the relationship between L5-S1 spondylolysis and isthmic spondylolisthesis and lumbosacral-pelvic morphology by imaging via 2-and 3-dimensional reformatted computed tomography / J Comput Assist Tomogr 35(1) : 9~15

[journal] Lee JD / 2000 / CT study of spondylolisthesis comparison between isthmic and degenerative type / J Korean Acupuncture & Moxibustion Society 17(4) : 79~87

[journal] Tamrakar BB / 2014 / Radiological Evaluation of Lumbar Instability / J Dent Med Sci 13(4) : 83~87

[journal] Cooper RG / 1992 / Radiographic demonstration of paraspinal muscle wasting in patients with chronic low back pain / Rheumatology 31(6) : 389~394

[journal] Takayama K / 2015 / A New Predictive Index For Lumbar Paraspinal Muscle Degeneration Associated With Aging / Spine 13(4) : 83~87

[journal] Ranson CA / 2006 / An investigation into the use of MR imaging to determine the functional cross sectional area of lumbar paraspinal muscles / Eur Spine J 15(6) : 764~773

[journal] Danneels LA / 2001 / Effects of three different training modalities on the cross sectional area of the lumbar multifidus muscle in patients with chronic low back pain / Br J Sports Med 35(3) : 186~191

[journal] Nava-Bringas TI / 2014 / Association of strength, muscle balance, and atrophy with pain and function in patients with degenerative spondylolisthesis / J Back Musculoskelet Rehabil 27(3) : 371~376

[journal] Kalichman L / 2010 / Changes in paraspinal muscles and their association with low back pain and spinal degeneration: CT study / Eur Spine J 19(7) : 1136~1144

[journal] Wang G / 2014 / Quantitative MRI and X-ray analysis of disc degeneration and paraspinal muscle changes in degenerative spondylolisthesis / J Back Musculoskelet Rehabil 28(2) : 277~285

[journal] Kalpakcioglu B / 2009 / Determination of spondylolisthesis in low back pain by clinical evaluation / J Back Musculoskelet Rehabil 22(1) : 27~32

[journal] Timon SJ / 2005 / Not all spondylolisthesis grading instruments are reliable / Clin Orthop 434 : 157~162

[journal] Deng X / 2015 / CT and MRI Determination of Intermuscular Space within Lumbar Paraspinal Muscles at Different Intervertebral Disc Levels / PloS One 10(10) : e0140315~

[journal] Seong IH / 2013 / The association between cross-section of lumbar regional muscle analyzed by MRI and stability, center of pressure assessed by Tetrax / J Korea CHUNA Manual Medicine for Spine & Nerves 8(2) : 39~46

[journal] Nizard RS / 2001 / Radiologic assessment of lumbar intervertebral instability and degenerative spondylolisthesis / Radiol Clin North Am 39(1) : 55~71

[journal] Barker KL / 2004 / Changes in the cross-sectional area of multifidus and psoas in patients with unilateral back pain: the relationship to pain and disability / Spine 29(22) : 515~519

[web] Suri P / 2015 / Do Muscle Characteristics on Lumbar Spine Magnetic Resonance Imaging or Computed Tomography Predict Future Low Back Pain, Physical Function, or Performance? A Systematic Review. PM&R / http://www.sciencedirect.com/science/article/pii/S193414821500221X

[journal] Wan Q / 2015 / MRI assessment of paraspinal muscles in patients with acute and chronic unilateral low back pain / Br J Radiol 88(1053) : 20140546~

[journal] Izzo R / 2013 / Biomechanics of the spine. Part II: Spinal instability / Eur J Radiol 82(1) : 127~138

[journal] Fan S / 2010 / Multifidus muscle changes and clinical effects of one-level posterior lumbar interbody fusion: minimally invasive procedure versus conventional open approach / Eur Spine J / Off Publ Eur Spine Soc Eur Spinal Deform Soc Eur Sect Cerv Spine Res Soc 19(2) : 316~324

[journal] Moseley GL / 2002 / Deep and superficial fibers of the lumbar multifidus muscle are differentially active during voluntary arm movements / Spine 27(2) : 29~36

[journal] Lindboe CF / 1982 / Disuse atrophy of human skeletal muscle / Acta Neuropathol (Berl) 56(4) : 241~244

[journal] Dangaria TR / 1998 / Changes in Cross-Sectional Area of Psoas Major Muscle in Unilateral Sciatica Caused by Disc Herniation / Spine 23(8) : 928~931

[journal] Kalichman L / 2008 / Diagnosis and conservative management of degenerative lumbar spondylolisthesis / Eur Spine J 17(3) : 327~335

[journal] McNeely ML / 2003 / A systematic review of physiotherapy for spondylolysis and spondylolisthesis / Man Ther 8(2) : 80~91

[journal] Kim S / 2014 / Effects of Spinal Stabilization Exercise on the Cross-sectional Areas of the Lumbar Multifidus and Psoas Major Muscles, Pain Intensity, and Lumbar Muscle Strength of Patients with Degenerative Disc Disease / J Phys Ther Sci 26(4) : 579~582

[journal] 이길준 / 2007 / Radiological Changes on Spondylolisthesis Using Cox Technique and Acupuncture Therapy Treatment : Clinical Cases / 한방재활의학과학회지 / 한방재활의학과학회 17(4) : 229~242

[journal] Lee HJ / 2014 / Acupuncture for low back pain due to spondylolisthesis:study protocol for a randomized controlled pilot trial / Trials 15(1) : 105~

[journal] Kim SJ / 2002 / Clinical Analysis of 40 Cases with Spondylolisthesis / J Korean Rehab Med 12(3) : 1~10

[journal] Kim HJ / 2000 / Clinical Study of the Treatment of Spondylolisthesis / J Korean Acupuncture & Moxibustion Society 17(3) : 106~115

[journal] 이길준 / 2009 / The Retrospective Study on the Correlation between the Multifidus Muscle Atrophy on Low Back Pain Patients and the Magnetic Resonance Images / 한방재활의학과학회지 / 한방재활의학과학회 19(4) : 151~164

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