Association of paraspinal and psoas muscle morphology with recurrent lumbar disc herniation: a retrospective case-control study
European Spine Journal, cilt.35, sa.4, ss.1882-1890, 2026 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 35 Sayı: 4
- Basım Tarihi: 2026
- Doi Numarası: 10.1007/s00586-025-09424-5
- Dergi Adı: European Spine Journal
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL, EMBASE, MEDLINE, Academic Search Ultimate (EBSCO), Biomedical Reference Collection: Corporate Edition (EBSCO), Health Research Premium Collection (ProQuest), Pharma Collection (ProQuest)
- Sayfa Sayıları: ss.1882-1890
- Anahtar Kelimeler: Intervertebral disc displacement, Recurrence, Magnetic resonance imaging, Psoas muscles, Multifidus muscle, Erector spinae muscle
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
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.