ArticleAnnals of medicine and surgery (2012)2025
Based on the mechanism of degeneration of the small joint - muscle - intervertebral disc complex and early intervention.
Article in Annals of medicine and surgery (2012), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- A multicenter study on the prediction model for chronic low back pain after lumbar decompression surgery in patients with diabetes mellitus: integration of metabolic and paraspinal muscle features.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
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Authors and funding
6 authors.
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Abstract
Background: Emerging evidence suggests that facet joint degeneration, disc pathology, and paraspinal muscle atrophy form a degenerative triad in young adults with lumbar disc herniation (LDH). However, the exact relationship remains unknown. This study aimed quantitatively to investigate their interrelationships through magnetic resonance imaging (MRI) morphometry. Methods: Axial T2-weighted MRI served as the assessment tool in this retrospective study enrolling 60 young patients (33 disc bulging and 27 disc herniation). Measurements obtained at the responsible segment level included: lumbar curvature (Cobb angle), Pfirrmann score, intervertebral space height, facet joint angle, mean width of the multifidus pure muscle cross-sectional area (PMCSA), and multifidus fatty infiltration grade. Parameters were statistically compared between the bulging and herniation groups. Subsequently, multivariate logistic regression assessed the correlation between LDH severity and the MRI parameters. Results: Intergroup analysis revealed statistically significant differences in age, sex distribution, treatment modality, Cobb angle, anterior/middle disc height, bilateral facet joint angles, and multifidus PMCSA ( Conclusions: Facet tropism, intervertebral disc degeneration (quantified by Pfirrmann grade), and multifidus fatty infiltration represent established risk factors for LDH and likely contribute to its pathological cascade.
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