The Impact of Paraspinal Muscle Changes on Back Pain After Single-Segment Posterior Lumbar Laminectomy

Study Design: Retrospective study. Objectives: This study analyzed the impact of paraspinal muscle changes after single-segment posterior lumbar laminectomy. Summary of Literature Review: Posterior laminectomy of the lumbar spine requires significant manipulation of the paraspinal muscles, such as m...

Full description

Saved in:
Bibliographic Details
Published in:Journal of Korean Society of Spine Surgery Vol. 31; no. 4; pp. 125 - 132
Main Authors: Baek, Sung-Nyun, Kim, Young-Jae, Kim, Min-Seok, Choi, Yong-Soo
Format: Journal Article
Language:English
Published: 대한척추외과학회 01.12.2024
Subjects:
정형외과학
ISSN:2093-4378, 2093-4386
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Abstract Study Design: Retrospective study. Objectives: This study analyzed the impact of paraspinal muscle changes after single-segment posterior lumbar laminectomy. Summary of Literature Review: Posterior laminectomy of the lumbar spine requires significant manipulation of the paraspinal muscles, such as muscle detachment and retraction, all of which have been associated with low back pain. Materials & Methods: Thirty-three patients who had preoperative clinical records, lumbar lateral radiographs, and lumbar magnetic resonance imaging (MRI) and were available for final follow-up were enrolled. The lumbar extensor muscle was delineated using a pseudo-coloring technique in the vertebra where laminectomy was performed. Degeneration of the facet joints on MRI was classified according to the Weishaupt grading system. Changes in lumbar extensor muscles and facet joint degeneration, radiological parameters, and clinical outcomes were analyzed. Results: At the final follow-up, the muscle ratio of the lumbar extensors was 56.4±11.2%, which was lower than the preoperative muscle ratio of 70.4±12.0% (p<0.01). Final follow-up MRI showed that the degenerative changes in the facet joints were aggravated at the laminectomy site (p<0.01). At the final follow-up, loss of lumbar extensors and facet joint degeneration were associated with low back pain (lumbar extensors; r=0.80, p<0.01; facet degeneration; r=-0.66, p<0.01, respectively). Conclusions: The loss of the extensor muscles and degenerative changes of the facet joint in the index segment after posterior laminectomy could be associated with low back pain. KCI Citation Count: 0
AbstractList Study Design: Retrospective study. Objectives: This study analyzed the impact of paraspinal muscle changes after single-segment posterior lumbar laminectomy. Summary of Literature Review: Posterior laminectomy of the lumbar spine requires significant manipulation of the paraspinal muscles, such as muscle detachment and retraction, all of which have been associated with low back pain. Materials & Methods: Thirty-three patients who had preoperative clinical records, lumbar lateral radiographs, and lumbar magnetic resonance imaging (MRI) and were available for final follow-up were enrolled. The lumbar extensor muscle was delineated using a pseudo-coloring technique in the vertebra where laminectomy was performed. Degeneration of the facet joints on MRI was classified according to the Weishaupt grading system. Changes in lumbar extensor muscles and facet joint degeneration, radiological parameters, and clinical outcomes were analyzed. Results: At the final follow-up, the muscle ratio of the lumbar extensors was 56.4±11.2%, which was lower than the preoperative muscle ratio of 70.4±12.0% (p<0.01). Final follow-up MRI showed that the degenerative changes in the facet joints were aggravated at the laminectomy site (p<0.01). At the final follow-up, loss of lumbar extensors and facet joint degeneration were associated with low back pain (lumbar extensors; r=0.80, p<0.01; facet degeneration; r=-0.66, p<0.01, respectively). Conclusions: The loss of the extensor muscles and degenerative changes of the facet joint in the index segment after posterior laminectomy could be associated with low back pain. KCI Citation Count: 0
Author Kim, Min-Seok
Kim, Young-Jae
Choi, Yong-Soo
Baek, Sung-Nyun
Author_xml – sequence: 1
  givenname: Sung-Nyun
  orcidid: 0000-0002-6211-4527
  surname: Baek
  fullname: Baek, Sung-Nyun
  organization: Department of Orthopaedic Surgery, Kwangju Christian Hospital, Gwangju, Korea
– sequence: 2
  givenname: Young-Jae
  orcidid: 0000-0002-1732-0698
  surname: Kim
  fullname: Kim, Young-Jae
  organization: Department of Orthopaedic Surgery, Kwangju Christian Hospital, Gwangju, Korea
– sequence: 3
  givenname: Min-Seok
  orcidid: 0009-0003-6503-8130
  surname: Kim
  fullname: Kim, Min-Seok
  organization: Department of Orthopaedic Surgery, Kwangju Christian Hospital, Gwangju, Korea
– sequence: 4
  givenname: Yong-Soo
  orcidid: 0000-0002-0693-3130
  surname: Choi
  fullname: Choi, Yong-Soo
  organization: Department of Orthopaedic Surgery, Kwangju Christian Hospital, Gwangju, Korea
BackLink https://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART003159978$$DAccess content in National Research Foundation of Korea (NRF)
BookMark eNo9kF1LwzAUhoNMcM79Aa9yLbQmTZq2l3P4MZg43LwOxzbpsrbJSLqL_XtbJ56b9_DycDg8t2hinVUI3VMSc5rzx0MTQpyQhMeMxjymSXqFpgkpWMRZLib_e5bfoHkIBzJMwWmSiSnSu73Cq-4IZY-dxhvwEI7GQovfT6FsFV7uwdYqYGfxE5TNQBiLF7pXHm-NrVsVbVXdKdvjjQtDa5zH61P3DUNAZ6wqe9ed79C1hjao-V_O0NfL8275Fq0_XlfLxToqaZGkESUkEwwEpDyhQJQWpMoFAEnHjwXnVKSiErQqC674ABJQjGidZkSAqCo2Qw-Xu9Zr2ZRGOjC_WTvZeLn43K0kJUKIgmUDnFzg0rsQvNLy6E0H_jwgcjQrR7NyNCsZlVwOZtkPmTxtQg
Cites_doi 10.3346/jkms.2006.21.6.1092
10.1097/BRS.0b013e3182022d32
10.1097/BRS.0b013e318162458f
10.1097/01.brs.0000231761.73859.2c
10.1097/00007632-198903000-00010
10.1097/00007632-199104000-00011
10.1016/j.wneu.2018.02.039
10.1097/BSD.0000000000000038
10.1097/00007632-198709000-00004
10.1097/00007632-199304000-00009
10.1007/s00586-009-1191-6
10.1097/01.brs.0000148999.21492.53
10.1097/00007632-200206010-00002
10.1097/00007632-199304000-00008
10.1016/j.wneu.2017.08.109
10.1097/00007632-198609000-00013
10.2106/00004623-197052030-00006
10.2147/JPR.S132862
10.1186/s12891-016-0927-9
ContentType Journal Article
DBID AAYXX
CITATION
ACYCR
DOI 10.4184/jkss.2024.31.4.125
DatabaseName CrossRef
Korean Citation Index
DatabaseTitle CrossRef
DatabaseTitleList
DeliveryMethod fulltext_linktorsrc
EISSN 2093-4386
EndPage 132
ExternalDocumentID oai_kci_go_kr_ARTI_10666937
10_4184_jkss_2024_31_4_125
GroupedDBID 5-W
8JR
8XY
AAYXX
ALMA_UNASSIGNED_HOLDINGS
CITATION
EF.
GROUPED_DOAJ
ACYCR
ID FETCH-LOGICAL-c1925-100763a6a5421a0ef60d86aa0500946441656d61dc94e43a60ae30ff5706a6dd3
ISSN 2093-4378
IngestDate Thu Jul 17 04:40:09 EDT 2025
Sat Nov 29 03:56:30 EST 2025
IsDoiOpenAccess false
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 4
Language English
LinkModel OpenURL
MergedId FETCHMERGED-LOGICAL-c1925-100763a6a5421a0ef60d86aa0500946441656d61dc94e43a60ae30ff5706a6dd3
ORCID 0000-0002-6211-4527
0009-0003-6503-8130
0000-0002-0693-3130
0000-0002-1732-0698
OpenAccessLink https://doi.org/10.4184/jkss.2024.31.4.125
PageCount 8
ParticipantIDs nrf_kci_oai_kci_go_kr_ARTI_10666937
crossref_primary_10_4184_jkss_2024_31_4_125
PublicationCentury 2000
PublicationDate 2024-12-01
PublicationDateYYYYMMDD 2024-12-01
PublicationDate_xml – month: 12
  year: 2024
  text: 2024-12-01
  day: 01
PublicationDecade 2020
PublicationTitle Journal of Korean Society of Spine Surgery
PublicationYear 2024
Publisher 대한척추외과학회
Publisher_xml – name: 대한척추외과학회
References Lee (10.4184/jkss.2024.31.4.125_ref13) 2008; 33
Ramhmdani (10.4184/jkss.2024.31.4.125_ref11) 2018; 113
Adams (10.4184/jkss.2024.31.4.125_ref18) 2006; 31
Farfan (10.4184/jkss.2024.31.4.125_ref19) 1970; 52
Cha (10.4184/jkss.2024.31.4.125_ref9) 2016; 17
Macintosh (10.4184/jkss.2024.31.4.125_ref1) 1987; 12
Mattila (10.4184/jkss.2024.31.4.125_ref10) 1986; 11
Lehto (10.4184/jkss.2024.31.4.125_ref16) 1989; 14
Sihvonen (10.4184/jkss.2024.31.4.125_ref6) 1993; 18
Gordon (10.4184/jkss.2024.31.4.125_ref20) 1991; 16
Rantanen (10.4184/jkss.2024.31.4.125_ref15) 1993; 18
Guan (10.4184/jkss.2024.31.4.125_ref4) 2017; 107
Bresnahan (10.4184/jkss.2024.31.4.125_ref8) 2017; 30
Fritzell (10.4184/jkss.2024.31.4.125_ref3) 2002; 27
Mattila (10.4184/jkss.2024.31.4.125_ref17) 1986; 11
Jeon (10.4184/jkss.2024.31.4.125_ref12) 2006; 21
Kim (10.4184/jkss.2024.31.4.125_ref5) 2010; 35
Wang (10.4184/jkss.2024.31.4.125_ref7) 2017; 10
Fan (10.4184/jkss.2024.31.4.125_ref2) 2010; 19
Kim (10.4184/jkss.2024.31.4.125_ref14) 2005; 30
References_xml – volume: 21
  start-page: 1092
  issue: 6
  year: 2006
  ident: 10.4184/jkss.2024.31.4.125_ref12
  publication-title: J Korean Med Sci
  doi: 10.3346/jkms.2006.21.6.1092
– volume: 35
  start-page: 281
  year: 2010
  ident: 10.4184/jkss.2024.31.4.125_ref5
  publication-title: Spine
  doi: 10.1097/BRS.0b013e3182022d32
– volume: 33
  start-page: 318
  year: 2008
  ident: 10.4184/jkss.2024.31.4.125_ref13
  publication-title: Spine (Phila Pa 1976)
  doi: 10.1097/BRS.0b013e318162458f
– volume: 31
  start-page: 2151
  year: 2006
  ident: 10.4184/jkss.2024.31.4.125_ref18
  publication-title: Spine
  doi: 10.1097/01.brs.0000231761.73859.2c
– volume: 14
  start-page: 302
  year: 1989
  ident: 10.4184/jkss.2024.31.4.125_ref16
  publication-title: Spine
  doi: 10.1097/00007632-198903000-00010
– volume: 16
  start-page: 450
  year: 1991
  ident: 10.4184/jkss.2024.31.4.125_ref20
  publication-title: Spine
  doi: 10.1097/00007632-199104000-00011
– volume: 113
  start-page: e383
  year: 2018
  ident: 10.4184/jkss.2024.31.4.125_ref11
  publication-title: World Neurosurg
  doi: 10.1016/j.wneu.2018.02.039
– volume: 30
  start-page: 162
  year: 2017
  ident: 10.4184/jkss.2024.31.4.125_ref8
  publication-title: Clinical Spine Surgery
  doi: 10.1097/BSD.0000000000000038
– volume: 12
  start-page: 658
  year: 1987
  ident: 10.4184/jkss.2024.31.4.125_ref1
  publication-title: Spine
  doi: 10.1097/00007632-198709000-00004
– volume: 18
  start-page: 575
  year: 1993
  ident: 10.4184/jkss.2024.31.4.125_ref6
  publication-title: Spine
  doi: 10.1097/00007632-199304000-00009
– volume: 11
  start-page: 732
  year: 1986
  ident: 10.4184/jkss.2024.31.4.125_ref17
  publication-title: A histochemical and morphometric analysis of intraoperative biopsies Spine
– volume: 19
  start-page: 316
  year: 2010
  ident: 10.4184/jkss.2024.31.4.125_ref2
  publication-title: Eur Spine J
  doi: 10.1007/s00586-009-1191-6
– volume: 30
  start-page: 123
  year: 2005
  ident: 10.4184/jkss.2024.31.4.125_ref14
  publication-title: Spine
  doi: 10.1097/01.brs.0000148999.21492.53
– volume: 27
  start-page: 1131
  year: 2002
  ident: 10.4184/jkss.2024.31.4.125_ref3
  publication-title: Spine
  doi: 10.1097/00007632-200206010-00002
– volume: 18
  start-page: 568
  year: 1993
  ident: 10.4184/jkss.2024.31.4.125_ref15
  publication-title: Spine
  doi: 10.1097/00007632-199304000-00008
– volume: 107
  start-page: 789
  year: 2017
  ident: 10.4184/jkss.2024.31.4.125_ref4
  publication-title: World Neurosurg
  doi: 10.1016/j.wneu.2017.08.109
– volume: 11
  start-page: 732
  year: 1986
  ident: 10.4184/jkss.2024.31.4.125_ref10
  publication-title: Spine
  doi: 10.1097/00007632-198609000-00013
– volume: 52
  start-page: 468
  year: 1970
  ident: 10.4184/jkss.2024.31.4.125_ref19
  publication-title: J Bone Joint Surg Am
  doi: 10.2106/00004623-197052030-00006
– volume: 10
  start-page: 1019
  year: 2017
  ident: 10.4184/jkss.2024.31.4.125_ref7
  publication-title: Journal of Pain Research
  doi: 10.2147/JPR.S132862
– volume: 17
  start-page: 63
  year: 2016
  ident: 10.4184/jkss.2024.31.4.125_ref9
  publication-title: BMC Musculoskeletal Disorders
  doi: 10.1186/s12891-016-0927-9
SSID ssj0000941276
Score 2.2755535
Snippet Study Design: Retrospective study. Objectives: This study analyzed the impact of paraspinal muscle changes after single-segment posterior lumbar laminectomy....
SourceID nrf
crossref
SourceType Open Website
Index Database
StartPage 125
SubjectTerms 정형외과학
Title The Impact of Paraspinal Muscle Changes on Back Pain After Single-Segment Posterior Lumbar Laminectomy
URI https://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART003159978
Volume 31
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
ispartofPNX 대한척추외과학회지, 2024, 31(4), , pp.125-132
journalDatabaseRights – providerCode: PRVAON
  databaseName: DOAJ Open Access Full Text
  customDbUrl:
  eissn: 2093-4386
  dateEnd: 99991231
  omitProxy: false
  ssIdentifier: ssj0000941276
  issn: 2093-4378
  databaseCode: DOA
  dateStart: 20150101
  isFulltext: true
  titleUrlDefault: https://www.doaj.org/
  providerName: Directory of Open Access Journals
link http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwtV3fa9swEBZNt4e9jI1trPuFYNNeijPLlm3p0UpTVraVQjrom1FsubRp7eAkpX_-TpKdOCmM7mEvjlAuZ_nuw_qk6O4Q-kJpXIpYFF6k49hjQGE9RbXwgmmi80L5OlCu2ERyesovLsTZ3uBrFwtzd5NUFb-_F_P_6mroA2eb0Nl_cPdaKXRAG5wOV3A7XB_t-JN17OOZatRibktf_VotQLSNJ7D_EkiVz0DCbHnYUuETmMdutDfRl_aIgCnkCyOum8Ofq9upgg91C6Q0X3ZhEA9J7Y-6MVv73VlQExEzNzx20ou-BveSsSTSJ5KS8YhwZhuS8IhwthFJiRTmIAaICA6M1zbGZJMssiciSXpM5KhVJ442IiMiIyLsNyIlqbAinLii1N1-R8B2zo7Y4Yys6iMiOgUyIMIqkDERzKoURHI7jtDe3gkL20hBw-Y9G_gi9FjoKgkNdb-P99_t1EVotzSBum3Z3RmIwYrZzECzhckFH7BhSIdsuP5pP933zjS8lfB7ll9ll3U2azJY1pxk1KwygUgO0JMgiQTtbR1cu9OhNHB1FLtncfFhZjTfHo5li4MNqqbsUarzF-h5CxucOgy_RHu6eoVKwC92-MV1iTf4xQ6_uMUvrits8IsNfrHFL97GL17jFzv84h5-X6Pfx-Pz0XevLQbi5bAIMdlyfZgKVawiFlB4h5SxX_BYKT8yj29YPaxMipgWuWCagaCvdOiXZZT4sYqLInyD9qu60m8RDmIFrJkmuiwKFk0TxTkrBZ0GhWK6SPwDdNiZJ5u7nC_ggcwYMzPGzIwxs5BmLANjHqDPYEHrsb947t2jpN6jZxvIf0D7y2alP6Kn-d3yatF8sk7_A4vtl-g
linkProvider Directory of Open Access Journals
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=The+Impact+of+Paraspinal+Muscle+Changes+on+Back+Pain+After+Single-Segment+Posterior+Lumbar+Laminectomy&rft.jtitle=Journal+of+Korean+Society+of+Spine+Surgery&rft.au=%EB%B0%B1%EC%84%B1%EB%85%84&rft.au=%EA%B9%80%EC%98%81%EC%9E%AC&rft.au=%EA%B9%80%EB%AF%BC%EC%84%9D&rft.au=%EC%B5%9C%EC%9A%A9%EC%88%98&rft.date=2024-12-01&rft.pub=%EB%8C%80%ED%95%9C%EC%B2%99%EC%B6%94%EC%99%B8%EA%B3%BC%ED%95%99%ED%9A%8C&rft.issn=2093-4378&rft.eissn=2093-4386&rft.spage=125&rft.epage=132&rft_id=info:doi/10.4184%2Fjkss.2024.31.4.125&rft.externalDBID=n%2Fa&rft.externalDocID=oai_kci_go_kr_ARTI_10666937
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=2093-4378&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=2093-4378&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=2093-4378&client=summon