ReviewBMC musculoskeletal disorders2020
Paraspinal muscle changes after single-level posterior lumbar fusion: volumetric analyses and literature review.
Review in BMC musculoskeletal disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.
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Who cites it
39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.
- Association of paraspinal muscle morphology or composition with sagittal spinopelvic alignment: a systematic review and meta-analysis.BMC musculoskeletal disorders · 2025Pooled it
- Impact of iatrogenic alterations on adjacent segment degeneration after lumbar fusion surgery: a systematic review.Journal of orthopaedic surgery and research · 2025Pooled it
- Early functional training is not superior to routine rehabilitation in improving walking distance and multifidus atrophy after lumbar fusion: a randomized controlled trial with 6-month follow-up.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 · 2025Trial
- A clinical nomogram for predicting the residual low back pain after percutaneous endoscopic surgery for lumbar disc herniation.International orthopaedics · 2023Trial
- Temporal Observations of Multifidus Muscle Injury and Degeneration Following Posterior Thoracolumbar Spine Surgery: A Clinical Histological Study over a Three-Year Time Period.Spine surgery and related research · 2026Article
- Level-dependent changes in cervical multifidus composition following anterior cervical discectomy and fusion: bridging quantitative MRI and clinical perspectives.Archives of orthopaedic and trauma surgery · 2026Observational
- Dynamic versus rigid lumbar fixation: A multimodal comparison of paraspinal muscle morphology, electromyography, and functional outcomes.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
- Impact of Paraspinal Muscle Characteristics on the Risk of Symptomatic Epidural Hematoma Following Transforaminal Lumbar Interbody Fusion.Global spine journal · 2026Article
- Comparison between large interbody cage versus two smaller interbody cages in unilateral biportal endoscopic transforaminal interbody fusion.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
- Multimodal ultrasonography for the prospective evaluation of soft-tissue changes after anterior cervical discectomy and fusion.Journal of orthopaedic surgery and research · 2026Observational
- Mid-term effects of posterior versus oblique lumbar interbody fusion on spinopelvic alignment and clinical outcomes in lumbar spinal stenosis: a retrospective comparative cohort study.Journal of orthopaedic surgery and research · 2026Article
- Risk factors for surgical site infection following posterior lumbar interbody fusion in patients with degenerative lumbar spine disease: a retrospective study.BMC surgery · 2026Article
- Risk of total hip arthroplasty following lumbar fusion surgery in a nationwide cohort study.Scientific reports · 2026Article
- Impact of robot-assisted cortical bone trajectory (CBT) screw placement on enhanced recovery after surgery (ERAS) in midline lumbar interbody fusion (MIDLIF): a retrospective study.Journal of robotic surgery · 2026Article
- Association between paraspinal muscle quality and surgery for adjacent segment disease.North American Spine Society journal · 2025Article
- Anesthetic management in the lateral position in a patient with Parkinson's disease who developed severe long-seated forward flexion with the face buried between the knees: a case report.JA clinical reports · 2025Article
- The Paraspinal Sarcopenia at the Upper Instrumented Vertebra Is a Predictor of Discoligamentous but Not Bony Proximal Junctional Kyphosis.Journal of clinical medicine · 2025Article
- Restoration of physiologic loading after engineered disc implantation mitigates immobilization-induced facet joint and paraspinal muscle degeneration.Acta biomaterialia · 2025Article
- Long-Term Refined Paraspinal Muscle Exercises Combined with ERAS Protocol Enhance Postoperative Recovery Following Lumbar Fusion Surgery.Journal of pain research · 2025Article
- Standalone Anterior Lumbar Interbody Fusion Without Supplementary Posterior Fixation Is Effective for Treatment of Symptomatic Grade 1 Isthmic Spondylolisthesis.International journal of spine surgery · 2024Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPosterior lumbar fusion is a widely accepted surgical technique; however, it has been related to the possibility of paraspinal muscle atrophy after surgery. We investigated 1-year postoperative changes in paraspinal muscle volume using a simple formula applicable to magnetic resonance imaging (MRI) or computed tomography (CT) images.
methodsPatients with degenerative lumbar spinal stenosis who underwent posterior interbody fusion (PLIF) at the L4/5 level in the period from May 2010 to June 2017 were enrolled in this study. Radiologic parameters were measured using MRI or CT images which were taken before surgery and at 1 year after surgery. The volume of the paraspinal muscles was calculated using a simple formula which was derived from the formula for calculating the volume of truncated elliptic cones.
resultsA total of 40 patients were included; 24 were analyzed using MRI and 16 were analyzed using CT. The mean age of the patients was 59.6 ± 12.1 years and 32 (80.5%) were female. When comparing the preoperative and 1-year-postoperative images, multifidus muscle (MF) reduction was consistently observed in the MRI and CT groups, right and left (p = 0.003, p < 0.001, p = 0.005 and p < 0.001, respectively). In the erector spinae (ES) group, decrease in muscle volume was observed in the right-sided muscles of the CT group (p < 0.001), but no significant change was observed in the MRI group. The psoas muscle showed no significant change after 1 year. Conversely, regression analysis showed a negative correlation between MF muscle volume loss and age in the MRI group (right and left, p = 0.002 and p = 0.015, respectively), that is, the younger the age, the greater loss of muscle mass.
conclusionAfter the posterior lumbar fusion, the volume of the MF muscles was markedly decreased, and the degree of decrease was apparent in the MRI. The volume of the ES muscles, which are located relatively laterally, also tended to decrease at 1 year after surgery.
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