Relationship Between Low Back Pain and the Size and Density of the Erector Spinae Muscle and Multifidus Muscle Using CT Imaging in a Selected Community-Based Population (선택된 일반인에게서 컴퓨터 단층 촬영을 이용하여 측정된 척추기립근, 다열근의 단면적 및 근밀도와 요통과의 관련성)

Seung Bum Chae (채승범); 권재범; Sangbong Ko (고상봉)

Relationship Between Low Back Pain and the Size and Density of the Erector Spinae Muscle and Multifidus Muscle Using CT Imaging in a Selected Community-Based Population

Journal of Korean Society of Spine Surgery
Abbr : J Kor Spine Sur
2017, 24(3), pp.162~168
Publisher : Korean Society Of Spine Surgery
Research Area : Medicine and Pharmacy > Orthopedic Surgery

Seung Bum Chae ¹, 권재범 ¹, Sangbong Ko ¹

¹대구가톨릭대학교

Accredited

ABSTRACT

Study Design: Case-control study (retrospective comparative study). Objectives: The purpose of this study was to define the relationship between low back pain (LBP) and the cross-sectional area (CSA) and density of the erector spinae muscle (ESM) and isolated multifidus muscle (IMM) on computed tomography (CT) scans of patients with a chief complaint other than LBP. Summary of Literature Review: Most previous studies have focused on radiographic data from patients with a chief complaint of LBP, rather than on radiographic data from patients with a chief complaint other than LBP. Material and Methods: This retrospective study included 475 patients who underwent CT scans between January 1, 2010 and December 31, 2010. The CSA and density of the ESM, IMM, and the psoas muscle (PM) were obtained. All measurements were calculated as the ratio of each muscle. The relationships between the CSA of each muscle and both types of LBP were analyzed. Results: The ESM-to-PM ratio in terms of density was 1.227±0.797 in the LBP group and 0.645±0.732 in the non-LBP group (p=0.174). The IMM-to-PM ratio in terms of density was 0.664±0.515 in the LBP group and 0.806±0.518 in the non-LBP group (p=0.007). Conclusions: The IMM was more relevant to LBP than the ESM of the back, and density was more relevant to LBP than the CSA of regular muscles. The IMM was more useful than the ESM for analyzing LBP.

KEYWORDS

Low Back Pain, Multifidus Muscle, Cross-sectional area, Density

Citation status

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

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