Analysis of CT imaging changes of psoas major muscles in patients with lumbar disc herniation mainly based on low back pain and lower limb pain

Cui, Mingchao; Zhang, Qianru; Chen, Xipeng; Wu, Han

doi:10.3389/fsurg.2022.1022903

Cited by 5 publications

(5 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Juraj et al [ 10 ] found in their study on PM in intervertebral disc degeneration that patients with intervertebral disc degeneration and Modic changes had a smaller PM than normal people, and it was inferred that the reduction of activity caused by pain led to a decrease in PM CSA. In this regard, the research of Parkkola et al [ 22 ] and Cui et al [ 23 ] also reached the same conclusion. However, previous studies have not linked the degree of lumbar disc herniation with CSA of PM.…”

Section: Discussionsupporting

confidence: 66%

Paravertebral Muscle Morphology in L4-L5 Disc Herniation: Insights from the Michigan State University Classification

Du,

Zhang,

Cao

et al. 2023

Med Sci Monit

View full text Add to dashboard Cite

Background Lumbar disc herniation (LDH) at L4–L5 impacts paravertebral muscle morphology. Intervertebral disc degeneration is linked to paravertebral muscle changes, affecting LDH treatment outcomes. This study explored L4–L5 LDH paravertebral muscle alterations, specifically in the erector spinae, multifidus, and psoas major, using Michigan State University’s classification to guide LDH treatment. Material/Methods The study enrolled 160 patients, including 39 normal patients and 121 L4–L5 LDH patients. Patients with LDH were grouped according to MSU classification and compared to the normal group according to demographics and imaging changes. Results In patients with L4–L5 herniation in Zone B, the FI of the ES muscle at L3–L4 level, L4–L5 level, and L5–S1 level was higher than that of normal people ( P =0.018, P =0.043, P =0.010, respectively), and there was no difference between FI of MF and normal people. The Zone B patients also had a smaller CSA of the ES muscle at L4–L5 level than that in the normal group ( P =0.049). Patients in the Zone C group were older than those in the normal group ( P =0.014). The CSA of the PM of patients with Grade 3 herniation differed from that of the normal group at the L4–L5 and L5–S1 level. They were higher than in normal people at L4–L5 level ( P =0.011) and lower at L5–S1 level ( P =0.028). Conclusions In patients with L4–L5 herniation in Zone B, the FI of ES at L3–S1 level was higher than in normal people, and the CSA at L4–L5 level was smaller than in normal people. In patients with Grade3 herniation, PM CSA was larger at L4–L5 level and smaller at L5–S1 level than in normal people.

show abstract

Section: Discussionsupporting

confidence: 66%

Paravertebral Muscle Morphology in L4-L5 Disc Herniation: Insights from the Michigan State University Classification

Du,

Zhang,

Cao

et al. 2023

Med Sci Monit

View full text Add to dashboard Cite

show abstract

“…Juraj et al [10 ]found in their study on PM in intervertebral disc degeneration that patients with intervertebral disc degeneration and modic changes had a smaller PM than normal people, and it was inferred that the reduction of activity caused by pain led to a decrease in PM CSA. In this regard, the research of Parkkola [22], Cui [23] et al also reached the same conclusion. However, previous studies have not linked the degree of lumbar disc herniation with CSA of PM.…”

Section: Discussionsupporting

confidence: 58%

Paravertebral muscle changes in patients with single-stage L4-5 disc herniation based on Michigan State University (MSU) classification

Zhang²,

Cao

et al. 2023

Preprint

View full text Add to dashboard Cite

Objective The purpose of this study is to explore the morphological differences of Paravertebral muscle in patients with only L4-5 lumbar disc herniation (LDH) under different Michigan State University (MSU) classification, so as to better reveal the relationship between LDH and paravertebral muscle, so as to further reveal the causative causes and guide the treatment of LDH.Methods The study included 160 patients including 39 normal patients and 121 patients with single level L4-5 LDH. Patients with LDH were grouped according to MSU classification and compared to the normal group according to the demographic and Imaging change.Results In patients with L4-5 herniation in Zone B, the FI of ES muscle at L3-4 level, L4-5 level and L5-S1 level was higher than that of normal people (P = 0.018, P = 0.043, P = 0.010), and there was no difference between FI of MF and normal people. The Zone B patients also have a smaller CSA of ES muscle at L45 level than that in the normal group (P = 0.049). Patients in Zone C group were older than those in normal group (P = 0.014). While the CSA of the PM of patients with Grade 3 herniation is different from that of the normal group at the L4-5, L5-S1 level. They were higher than normal people at L4-5 level (P = 0.011) and lower at L5-S1 level (P = 0.028).Conclusion In patients with L4-5 herniation in Zone B, the FI of ES at L3-S1 level was higher than normal, and the CSA at L4-5 level was smaller than normal. In patients with Grade3 herniation, PM CSA is large at L4-5 level and small at L5-S1 level than normal people.

show abstract

Section: Annular Fissuresmentioning

confidence: 99%

“…In cases of radiculopathy, nerves going to the muscles may be affected. In many instances, patients with lumbar disc herniation will have low back pain as their presenting symptom with some pain or loss of sensation in the lower limbs [ 18 ]. A retrospective analysis of lumbar CT scans of patients with herniated lumbar discs (n=120) and controls (n=60) was analyzed, grouping the disc herniation patients into those who reported lower limb pain (n=60) and those with low back pain (n=60).…”

Section: Reviewmentioning

confidence: 99%

See 1 more Smart Citation

The Invasive Management of Pain: Diagnosis and New Treatment Options

Mayoral Rojals,

Amescua Garcia,

Denegri

et al. 2023

Cureus

View full text Add to dashboard Cite

Both the diagnosis and treatment of pain are evolving, especially in interventional approaches. Diagnosis of low back pain combines old and new methodologies, in particular, it involves an expanded role for ultrasound. While low back pain is a common complaint, there are many etiologies to the condition which must be explored before a final diagnosis can be made and treatment planned. Tumors and infections are rarely involved in low back pain but should be ruled out in the initial phase itself since failing to address them early can have devastating consequences. Some invasive treatments seem promising in the management of low back pain.Treating musculoskeletal pain with regenerative medicine, such as platelet-rich plasma, holds great promise. Autologous blood products are safe and may help stimulate the body's own responses for regeneration. The so-called "orthobiologics" play a role in sports medicine and the treatment of musculoskeletal pain. Neuromodulation, especially spinal cord stimulation, is undergoing a renaissance with new waveforms, devices, and a greater albeit incomplete understanding of its mechanisms of action. Spinal cord stimulation is not a first-line therapy and not all patients or all back problems respond to this treatment. Nevertheless, the therapy can be safe, effective, and cost-effective with appropriate patient selection. Radiofrequency ablation of nerves in the form of neurotomy can be effective in reducing the pain of osteoarthritis. These procedures, including the newer cooled radiofrequency neurotomy, can restore function, reduce pain, and may potentially have an opioid-sparing effect. Technical expertise in nerve and anatomy is needed for the use of this technique. This review article aims to provide updated information on some invasive intervention techniques in pain management.

show abstract

Analysis of CT imaging changes of psoas major muscles in patients with lumbar disc herniation mainly based on low back pain and lower limb pain

Cited by 5 publications

References 20 publications

Paravertebral Muscle Morphology in L4-L5 Disc Herniation: Insights from the Michigan State University Classification

Paravertebral Muscle Morphology in L4-L5 Disc Herniation: Insights from the Michigan State University Classification

Paravertebral muscle changes in patients with single-stage L4-5 disc herniation based on Michigan State University (MSU) classification

The Invasive Management of Pain: Diagnosis and New Treatment Options

Contact Info

Product

Resources

About