Association of paraspinal and psoas muscle morphology with recurrent lumbar disc herniation: a retrospective case-control study.

IF 2.7 3区医学 Q2 CLINICAL NEUROLOGY

European Spine Journal Pub Date : 2025-10-06 DOI:10.1007/s00586-025-09424-5

Abdurrahim Tekin, Engin Can, Enis Furkan Edehan, Necati Uğur Hazar, Lokman Ayhan, Evren Sönmez, Suna Dilbaz, Akın Öztürk, Nuri Serdar Baş, Serdar Çevik

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引用次数: 0

Abstract

Purpose: This study aimed to investigate the association between the morphology of paraspinal and psoas muscles and recurrent lumbar disc herniation (rLDH) using quantitative preoperative MRI analysis..

Methods: A retrospective analysis was conducted on 43 patients with rLDH and 43 matched controls who had undergone surgery for lumbar disc herniation (LDH). Quantitative measurements of the multifidus (MF), erector spinae (ES), and psoas (PS) muscles were performed, including functional cross-sectional area (FCSA), fat infiltration (FI), and relative FCSA (rFCSA). .

Results: The FCSA values of MF and ES muscles were significantly lower in the rLDH group compared to controls, while the PS muscle exhibited higher FCSA values. Multivariate analysis revealed that increased MF FCSA had a protective effect against rLDH (OR = 0.665, p < 0.001), whereas increased PS FCSA was a significant risk factor (OR = 1.15, p < 0.001).

Conclusion: Degeneration of the multifidus muscle and hypertrophy of the psoas were significantly associated with recurrence of LDH, whereas erector spinae degeneration did not show a significant independent effect in multivariate analysis. These findings emphasize the importance of maintaining paraspinal muscle health to prevent rLDH. Further prospective studies are needed to confirm these results and explore targeted interventions for muscle function improvement.

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棘旁肌和腰肌形态与复发性腰椎间盘突出症的关系：一项回顾性病例对照研究。

目的：本研究旨在通过定量术前MRI分析，探讨棘旁肌和腰肌形态与复发性腰椎间盘突出症（rLDH）之间的关系。方法：回顾性分析行腰椎间盘突出症（LDH）手术治疗的43例rLDH患者和43例对照组患者的资料。定量测量多裂肌（MF）、竖脊肌（ES）和腰肌（PS），包括功能横截面积（FCSA）、脂肪浸润（FI）和相对FCSA （rFCSA）。。结果：rLDH组MF肌和ES肌的FCSA值明显低于对照组，而PS肌的FCSA值明显高于对照组。多因素分析显示，增加MF - FCSA对rLDH有保护作用（OR = 0.665, p）。结论：多裂肌退变和腰肌肥大与LDH复发有显著相关，而竖脊肌退变在多因素分析中无显著的独立影响。这些发现强调了保持棘旁肌健康对预防rLDH的重要性。需要进一步的前瞻性研究来证实这些结果，并探索有针对性的肌肉功能改善干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Spine Journal 医学-临床神经学

CiteScore

4.80

自引率

10.70%

发文量

373

审稿时长

2-4 weeks

期刊介绍： "European Spine Journal" is a publication founded in response to the increasing trend toward specialization in spinal surgery and spinal pathology in general. The Journal is devoted to all spine related disciplines, including functional and surgical anatomy of the spine, biomechanics and pathophysiology, diagnostic procedures, and neurology, surgery and outcomes. The aim of "European Spine Journal" is to support the further development of highly innovative spine treatments including but not restricted to surgery and to provide an integrated and balanced view of diagnostic, research and treatment procedures as well as outcomes that will enhance effective collaboration among specialists worldwide. The “European Spine Journal” also participates in education by means of videos, interactive meetings and the endorsement of educative efforts. Official publication of EUROSPINE, The Spine Society of Europe