Assessing the Correlation Between the Lumbar Disc Herniation Degree and Multifidus Muscle Fatty Degeneration in Chronic Low Back Pain

Chronic low back pain (LBP) is a common condition primarily associated with lumbar disc herniation. Fatty degeneration of the multifidus muscle is also observed in the majority (>80%) of patients with LBP. This retrospective study included 140 patients (72 females and 68 males) with chronic LBP....

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-10, Vol.16 (10), p.e71237
Main Author: Balevi Batur, Elif
Format: Article
Language:English
Subjects:
Age
Atrophy
Back pain
Degenerative disc disease
Females
Males
Physical Medicine & Rehabilitation
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Summary:Chronic low back pain (LBP) is a common condition primarily associated with lumbar disc herniation. Fatty degeneration of the multifidus muscle is also observed in the majority (>80%) of patients with LBP. This retrospective study included 140 patients (72 females and 68 males) with chronic LBP. 3T lumbar magnetic resonance imaging (MRI) T1- and T2-weighted fast spin-echo sequences were used for radiological evaluation. Disc herniations were graded according to the degree of bulging, protrusion, extrusion, and sequestration. Multifidus fatty infiltration was semiquantitatively graded from grade 1 (normal) to grade 4 (severe). Multifidus fatty degeneration was more common in females compared to males at the L4-L5 and L5-S1 levels (p-values
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.71237