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Investigation of the Relationship Between Multifidus Muscle and Lumbar Disc Herniation Through Magnetic Resonance Imaging
Gökberk Demirel1, Hasan Kerem Alptekin1, Tuba Selçuk2, Jülide Öncü Alptekin31Department of Physiotherapy and Rehabilitation, Bahçeşehir University Faculty of Health Science, İstanbul, Türkiye2Department of Radiology, Haseki Training and Research Hospital, İstanbul, Türkiye
3Department of Physical Medicine and Rehabilitation, Şişli Hamidiye Etfal Training and Research Hospital, İstanbul,Türkiye
INTRODUCTION: The aim of the research is to analyze the relationship between multifidus muscle (MM) atrophy and disc herniation in the lumbar region through magnetic resonance imaging.
METHODS: A total of 254 patients aged between 18 and 62 were evaluated for MM atrophy and herniated discs. Research is conducted retrospectively. T2-weighted axial slices were used for bilateral evaluation of the cross-sectional area and fatty infiltration of the lumbar MM. Analyses were made on L4/L5 and L5/S1 level intervertebral discs and lumbar MMs at these levels. On the T2-weighted axial sequences, visual assessment was used for fatty infiltration and manual measurement techniques for muscle area.
RESULTS: Research demonstrated that 157 of 254 patients involved have L4/L5 level disc herniation, and 89 of 157 patients (35.1%) also have MM atrophy. 28 patients do not have disc herniation but have muscle atrophy. I addition, at the L5/S1 level, 174 of 254 patients have disc herniation, while 114 of them also have muscle atrophy. On the other hand, 56 of 254 patients (11.1%) without disc herniation have MM atrophy.
DISCUSSION AND CONCLUSION: In the light of the data mentioned above, the relationship between MM atrophy and disc herniation is determined.
Manuscript Language: English