ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2016
Role of muscle damage on loading at the level adjacent to a lumbar spine fusion: a biomechanical analysis.
Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Advances in Musculoskeletal Modeling of the Thoraco-Lumbar Spine: A Comprehensive Systematic Review.Annals of biomedical engineering · 2025Pooled it
- Asymmetry of muscle changes is most pronounced at the apex of degenerative lumbar scoliosis: a retrospective cross-sectional analysis of older adults.Spine deformity · 2026Article
- Abdominal wall tension after spinal deformity correction compromises postoperative biomechanics and may contribute to proximal junctional kyphosis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- Paravertebral muscle quality and adjacent facet joint degeneration as significant predictors of ASDis revision after lumbar fusion.Journal of orthopaedic surgery and research · 2026Article
- Subject-Specific Musculoskeletal Modeling: The Future of Predicting and Preventing Proximal Junctional Failure in Adult Spinal Deformity.JOR spine · 2025Article
- Biomechanical Evaluation of the Effect of MIS and COS Surgical Techniques on Patients with Spondylolisthesis using a Musculoskeletal Model.Journal of biomedical physics & engineering · 2025Article
- Association between sagittal alignment and loads at the adjacent segment in the fused spine: a combined clinical and musculoskeletal modeling study of 205 patients with adult spinal deformity.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2023Article
- Artificial lamina after laminectomy: Progress, applications, and future perspectives.Frontiers in surgery · 2023Review
- Adjacent segments biomechanics following lumbar fusion surgery: a musculoskeletal finite element model study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2022Article
- Identification of preoperative radiological risk factors for reoperation following percutaneous endoscopic lumbar decompression to treat degenerative lumbar spinal stenosis.Frontiers in surgery · 2022Article
- Biomechanical Properties of Paraspinal Muscles Influence Spinal Loading-A Musculoskeletal Simulation Study.Frontiers in bioengineering and biotechnology · 2022Article
- Biomechanical effects of lumbar fusion surgery on adjacent segments using musculoskeletal models of the intact, degenerated and fused spine.Scientific reports · 2021Article
- Investigation of Alterations in the Lumbar Disc Biomechanics at the Adjacent Segments After Spinal Fusion Using a Combined In Vivo and In Silico Approach.Annals of biomedical engineering · 2021Article
- Biomechanical Evaluation of the Effect of Minimally Invasive Spine Surgery Compared with Traditional Approaches in Lifting Tasks.Frontiers in bioengineering and biotechnology · 2021Article
- The effect of posture on lumbar muscle morphometry from upright MRI.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2020Article
- Association of thigh and paraspinal muscle composition in young adults using chemical shift encoding-based water-fat MRI.Quantitative imaging in medicine and surgery · 2020Article
- The effect of muscle ageing and sarcopenia on spinal segmental loads.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2018Article
- The influence of spinal fusion length on proximal junction biomechanics: a parametric computational study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2018Article
- Biomechanical investigation of lumbar hybrid stabilization in two-level posterior instrumentation.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2018Article
- Observational
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeIt is well established that posterior spinal surgery results in damage to the paraspinal musculature. The effects of such iatrogenic changes on spinal loading have not been previously investigated, particularly at levels adjacent to a spinal fusion. Therefore, the objective of this study was to investigate the effect of simulated muscle damage on post-operative spinal loading at the adjacent levels to a spinal fusion during upright postures using a mathematical model.
methodsA musculoskeletal model of the spine using ArtiSynth with 210 muscle fascicles was used to predict spinal loading in an upright posture. The loading at L1-L2 and L5-S1 were estimated before and after simulated paraspinal muscle damage (i.e., removal of muscle attachments at L2-L5) along the lumbar spine, both with a spinal fusion at L2-L5 and without a spinal fusion.
resultsThe axial compressive forces at the adjacent levels increased after simulated muscle damage, with the largest changes being at the rostral level (78 % increase in presence of spinal fusion; 73 % increase without spinal fusion) compared to the caudal level (41 % in presence of fusion and 32 % without fusion). Shear forces increased in a similar manner at both the rostral and caudal levels. These changes in loading were due to a redistribution of muscle activity from the local lumbar to the global spinal musculature.
conclusionsThe results suggest that the paraspinal muscles of the lumbar spine play an important role in adjacent segment loading of a spinal fusion, independent of the presence of rigid spinal instrumentation.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.