Lumbar multifidus muscle changes in unilateral lumbar disc herniation using magnetic resonance imaging
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 micr...
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| Veröffentlicht in: | Skeletal radiology 2016-01, Vol.45 (1), p.73-77 |
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| creator | Altinkaya, Naime Cekinmez, Melih |
| description | 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
|
| doi_str_mv | 10.1007/s00256-015-2252-z |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_1744659320</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A731035086</galeid><sourcerecordid>A731035086</sourcerecordid><originalsourceid>FETCH-LOGICAL-c564t-e43c360fc26efbd8e253a8e3cb9d008a5fe28e923b8502ebe5a62e7fc5841e5e3</originalsourceid><addsrcrecordid>eNp1kUtv1TAQhS0EopfCD2CDIrFhkzJ--y6rqjykK7GBteU441tXjlPsZEF_Pb5KeQrkhUcz3zka-xDyksIFBdBvKwCTqgcqe8Yk6-8fkR0VnPWMKvqY7IAr0TMuzBl5VustANVaqqfkjCneKm12JBzWaXClm9a0xBDHtbay-oSdv3H5iLWLuVtzTG7B4lKXNnyM1Xc3WHJ0S5wbUWM-dpM7Zlyi7wrWObvssYut10bPyZPgUsUXD_c5-fLu-vPVh_7w6f3Hq8tD76USS4-Ce64geKYwDKNBJrkzyP2wHwGMkwGZwT3jg5HAcEDpFEMdvDSCokR-Tt5svndl_rpiXezUNsWUXMZ5rZZqIZTccwYNff0XejuvJbftTtRegRFa_6KOLqGNOcxLcf5kai81p8AlGNWoi39Q7Yw4RT9nDLH1_xDQTeDLXGvBYO9K-6ryzVKwp2ztlq1t2dpTtva-aV49LLwOE44_FT_CbADbgNpGLbvy24v-6_odS0KvZg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1749608477</pqid></control><display><type>article</type><title>Lumbar multifidus muscle changes in unilateral lumbar disc herniation using magnetic resonance imaging</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Altinkaya, Naime ; Cekinmez, Melih</creator><creatorcontrib>Altinkaya, Naime ; Cekinmez, Melih</creatorcontrib><description>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.</description><identifier>ISSN: 0364-2348</identifier><identifier>EISSN: 1432-2161</identifier><identifier>DOI: 10.1007/s00256-015-2252-z</identifier><identifier>PMID: 26377578</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Female ; Hernia ; Humans ; Imaging ; Intervertebral Disc Displacement - pathology ; Lumbar Vertebrae - pathology ; Magnetic resonance imaging ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Nuclear Medicine ; Orthopedics ; Paraspinal Muscles - abnormalities ; Paraspinal Muscles - pathology ; Pathology ; Radiology ; Reproducibility of Results ; Scientific Article ; Sensitivity and Specificity ; Young Adult</subject><ispartof>Skeletal radiology, 2016-01, Vol.45 (1), p.73-77</ispartof><rights>ISS 2015</rights><rights>COPYRIGHT 2016 Springer</rights><rights>ISS 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c564t-e43c360fc26efbd8e253a8e3cb9d008a5fe28e923b8502ebe5a62e7fc5841e5e3</citedby><cites>FETCH-LOGICAL-c564t-e43c360fc26efbd8e253a8e3cb9d008a5fe28e923b8502ebe5a62e7fc5841e5e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00256-015-2252-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00256-015-2252-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26377578$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Altinkaya, Naime</creatorcontrib><creatorcontrib>Cekinmez, Melih</creatorcontrib><title>Lumbar multifidus muscle changes in unilateral lumbar disc herniation using magnetic resonance imaging</title><title>Skeletal radiology</title><addtitle>Skeletal Radiol</addtitle><addtitle>Skeletal Radiol</addtitle><description>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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Female</subject><subject>Hernia</subject><subject>Humans</subject><subject>Imaging</subject><subject>Intervertebral Disc Displacement - pathology</subject><subject>Lumbar Vertebrae - pathology</subject><subject>Magnetic resonance imaging</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nuclear Medicine</subject><subject>Orthopedics</subject><subject>Paraspinal Muscles - abnormalities</subject><subject>Paraspinal Muscles - pathology</subject><subject>Pathology</subject><subject>Radiology</subject><subject>Reproducibility of Results</subject><subject>Scientific Article</subject><subject>Sensitivity and Specificity</subject><subject>Young Adult</subject><issn>0364-2348</issn><issn>1432-2161</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kUtv1TAQhS0EopfCD2CDIrFhkzJ--y6rqjykK7GBteU441tXjlPsZEF_Pb5KeQrkhUcz3zka-xDyksIFBdBvKwCTqgcqe8Yk6-8fkR0VnPWMKvqY7IAr0TMuzBl5VustANVaqqfkjCneKm12JBzWaXClm9a0xBDHtbay-oSdv3H5iLWLuVtzTG7B4lKXNnyM1Xc3WHJ0S5wbUWM-dpM7Zlyi7wrWObvssYut10bPyZPgUsUXD_c5-fLu-vPVh_7w6f3Hq8tD76USS4-Ce64geKYwDKNBJrkzyP2wHwGMkwGZwT3jg5HAcEDpFEMdvDSCokR-Tt5svndl_rpiXezUNsWUXMZ5rZZqIZTccwYNff0XejuvJbftTtRegRFa_6KOLqGNOcxLcf5kai81p8AlGNWoi39Q7Yw4RT9nDLH1_xDQTeDLXGvBYO9K-6ryzVKwp2ztlq1t2dpTtva-aV49LLwOE44_FT_CbADbgNpGLbvy24v-6_odS0KvZg</recordid><startdate>20160101</startdate><enddate>20160101</enddate><creator>Altinkaya, Naime</creator><creator>Cekinmez, Melih</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20160101</creationdate><title>Lumbar multifidus muscle changes in unilateral lumbar disc herniation using magnetic resonance imaging</title><author>Altinkaya, Naime ; Cekinmez, Melih</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c564t-e43c360fc26efbd8e253a8e3cb9d008a5fe28e923b8502ebe5a62e7fc5841e5e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Female</topic><topic>Hernia</topic><topic>Humans</topic><topic>Imaging</topic><topic>Intervertebral Disc Displacement - pathology</topic><topic>Lumbar Vertebrae - pathology</topic><topic>Magnetic resonance imaging</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Nuclear Medicine</topic><topic>Orthopedics</topic><topic>Paraspinal Muscles - abnormalities</topic><topic>Paraspinal Muscles - pathology</topic><topic>Pathology</topic><topic>Radiology</topic><topic>Reproducibility of Results</topic><topic>Scientific Article</topic><topic>Sensitivity and Specificity</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Altinkaya, Naime</creatorcontrib><creatorcontrib>Cekinmez, Melih</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Skeletal radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Altinkaya, Naime</au><au>Cekinmez, Melih</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lumbar multifidus muscle changes in unilateral lumbar disc herniation using magnetic resonance imaging</atitle><jtitle>Skeletal radiology</jtitle><stitle>Skeletal Radiol</stitle><addtitle>Skeletal Radiol</addtitle><date>2016-01-01</date><risdate>2016</risdate><volume>45</volume><issue>1</issue><spage>73</spage><epage>77</epage><pages>73-77</pages><issn>0364-2348</issn><eissn>1432-2161</eissn><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.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>26377578</pmid><doi>10.1007/s00256-015-2252-z</doi><tpages>5</tpages></addata></record> |
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| ispartof | Skeletal radiology, 2016-01, Vol.45 (1), p.73-77 |
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| language | eng |
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| source | MEDLINE; SpringerLink Journals |
| subjects | Adolescent Adult Aged Aged, 80 and over Female Hernia Humans Imaging Intervertebral Disc Displacement - pathology Lumbar Vertebrae - pathology Magnetic resonance imaging Male Medicine Medicine & Public Health Middle Aged Nuclear Medicine Orthopedics Paraspinal Muscles - abnormalities Paraspinal Muscles - pathology Pathology Radiology Reproducibility of Results Scientific Article Sensitivity and Specificity Young Adult |
| title | Lumbar multifidus muscle changes in unilateral lumbar disc herniation using magnetic resonance imaging |
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