Table 12.
Level | Mean CSA (cm2) of lumbar muscles | Initial |
3 mo |
6 mo |
|||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Operative (n=35) | Conservative (n=16) | p-valuea) | Operative (n=35) | Conservative (n=16) | p-valuea) | Operative (n=35) | Conservative (n=16) | p-valuea) | |||
L1–L2 | Multifidus | Left | 4.55±0.44 | 4.54±0.47 | 0.972 | 4.08±0.27 | 4.06±0.29 | 0.860 | 4.39±0.48 | 4.31±0.60 | 0.605 |
Right | 4.38±0.48 | 4.21±0.22 | 0.100 | 3.96±0.41 | 3.74±0.31 | 0.055 | 4.15±0.59 | 3.84±0.37 | 0.066 | ||
Erector spinae | Left | 9.72±0.52 | 9.90±0.80 | 0.349 | 9.26±0.63 | 9.27±1.06 | 0.980 | 9.44±0.40 | 9.28±0.64 | 0.285 | |
Right | 9.65±0.55 | 9.78±0.49 | 0.433 | 9.15±0.67 | 9.51±0.33 | 0.013 | 9.51±0.51 | 9.97±1.12 | 0.133 | ||
Ilio-psoas | Left | 6.62±0.41 | 6.71±0.33 | 0.482 | 6.73±1.09 | 6.66±0.43 | 0.717 | 6.55±0.30 | 6.61±0.48 | 0.562 | |
Right | 6.55±0.39 | 6.53±0.33 | 0.855 | 6.14±0.37 | 6.09±0.40 | 0.646 | 6.21±0.52 | 6.16±0.41 | 0.738 | ||
Quadratus lumborum | Left | 4.89±0.27 | 5.00±0.32 | 0.204 | 4.66±0.44 | 4.79±0.49 | 0.333 | 4.65±0.41 | 4.76±0.37 | 0.360 | |
Right | 4.74±0.36 | 4.73±0.33 | 0.888 | 4.46±0.50 | 4.44±0.36 | 0.924 | 4.56±0.36 | 4.51±0.27 | 0.615 | ||
Rectus abdominis | Left | 5.00±0.37 | 4.79±0.34 | 0.056 | 4.66±0.43 | 4.36±0.40 | 0.021 | 4.75±0.44 | 4.54±0.50 | 0.125 | |
Right | 5.34±0.55 | 5.47±0.42 | 0.255 | 5.05±0.24 | 5.11±0.32 | 0.451 | 5.13±0.30 | 5.24±0.38 | 0.251 | ||
Obliques | Left | 22.53±2.78 | 21.06±2.75 | 0.085 | 19.61±2.74 | 19.40±3.48 | 0.815 | 20.74±3.42 | 18.73±0.48 | 0.053 | |
Right | 22.78±3.10 | 18.66±2.99 | 0.638 | 18.66±2.99 | 19.31±2.80 | 0.466 | 21.14±2.56 | 21.23±2.39 | 0.911 | ||
L2–3 | Multifidus | Left | 4.55±0.43 | 4.56±0.45 | 0.972 | 4.09±0.28 | 4.11±0.31 | 0.812 | 4.40±0.48 | 4.32±0.53 | 0.605 |
Right | 4.35±0.49 | 4.23±0.20 | 0.100 | 3.98±0.43 | 3.80±0.22 | 0.125 | 4.15±0.59 | 3.84±0.37 | 0.066 | ||
Erector spinae | Left | 10.14±1.04 | 9.99±1.00 | 0.349 | 9.33±2.37 | 9.26±2.09 | 0.920 | 9.57±0.72 | 9.38±0.76 | 0.387 | |
Right | 10.27±1.01 | 10.34±1.56 | 0.433 | 8.98±1.08 | 8.96±1.62 | 0.945 | 9.87±0.74 | 10.33±1.28 | 0.190 | ||
Ilio-psoas | Left | 6.63±0.41 | 6.73±0.34 | 0.482 | 6.28±0.69 | 6.56±0.34 | 0.121 | 6.56±0.31 | 6.58±0.48 | 0.869 | |
Right | 6.55±0.39 | 6.54±0.33 | 0.855 | 6.13±0.37 | 6.23±0.35 | 0.366 | 6.20±0.51 | 6.22±0.39 | 0.898 | ||
Quadratus lumborum | Left | 4.90±0.28 | 5.00±0.32 | 0.204 | 4.63±0.35 | 4.78±0.48 | 0.199 | 4.65±0.41 | 4.75±0.38 | 0.403 | |
Right | 4.77±0.35 | 4.73±0.33 | 0.888 | 4.48±0.41 | 4.44±0.36 | 0.783 | 4.60±0.31 | 4.51±0.27 | 0.322 | ||
Rectus abdominis | Left | 5.00±0.38 | 4.81±0.36 | 0.056 | 4.64±0.43 | 4.28±0.38 | 0.006 | 4.76±0.45 | 4.52±0.52 | 0.090 | |
Right | 5.34±0.36 | 5.47±0.42 | 0.255 | 5.04±0.26 | 5.11±0.32 | 0.412 | 5.13±0.30 | 5.23±0.38 | 0.319 | ||
Obliques | Left | 22.72±2.90 | 20.88±2.89 | 0.085 | 18.44±3.10 | 17.42±3.60 | 0.306 | 21.03±2.98 | 19.48±3.42 | 0.105 | |
Right | 22.79±3.17 | 23.95±3.25 | 0.638 | 17.70±3.04 | 20.99±3.67 | 0.002 | 21.60±2.18 | 22.60±2.11 | 0.131 | ||
L3–L4 | Multifidus | Left | 4.55±0.44 | 4.57±0.44 | 0.896 | 4.07±0.26 | 4.10±0.31 | 0.759 | 4.34±0.47 | 4.29±0.62 | 0.727 |
Right | 4.38±0.48 | 4.21±0.23 | 0.100 | 3.96±0.41 | 3.74±0.31 | 0.055 | 4.15±0.59 | 3.84±0.37 | 0.066 | ||
Erector spinae | Left | 12.83±3.39 | 11.51±2.32 | 0.112 | 12.55±3.86 | 11.65±2.98 | 0.369 | 12.46±3.50 | 11.28±2.34 | 0.162 | |
Right | 13.15±3.84 | 11.46±2.51 | 0.069 | 12.25±3.35 | 10.66±1.83 | 0.034 | 12.23±3.16 | 10.75±1.78 | 0.038 | ||
Ilio-psoas | Left | 6.64±0.43 | 6.71±0.33 | 0.568 | 6.30±0.77 | 6.59±0.42 | 0.157 | 6.55±0.31 | 6.60±0.50 | 0.693 | |
Right | 6.54±0.39 | 6.53±0.33 | 0.918 | 6.13±0.36 | 6.06±0.40 | 0.527 | 6.21±0.51 | 6.19±0.36 | 0.917 | ||
Quadratus lumborum | Left | 4.89±0.27 | 5.00±0.32 | 0.190 | 4.63±0.44 | 4.78±0.47 | 0.307 | 4.64±0.40 | 4.74±0.37 | 0.400 | |
Right | 4.75±0.36 | 4.73±0.33 | 0.846 | 4.32±0.46 | 4.33±0.33 | 0.969 | 4.56±0.36 | 4.52±0.25 | 0.657 | ||
Rectus abdominis | Left | 5.01±0.38 | 4.79±0.34 | 0.051 | 4.66±0.43 | 4.34±0.41 | 0.016 | 4.76±0.45 | 4.53±0.50 | 0.109 | |
Right | 5.34±0.35 | 5.52±0.32 | 0.095 | 4.99±0.31 | 5.07±0.29 | 0.365 | 5.12±0.29 | 5.24±0.38 | 0.198 | ||
Obliques | Left | 22.28±2.81 | 20.96±2.96 | 0.133 | 18.64±2.81 | 18.46±3.85 | 0.853 | 20.58±3.40 | 18.49±4.40 | 0.070 | |
Right | 22.35±2.97 | 23.97±3.32 | 0.087 | 18.35±2.87 | 20.58±3.71 | 0.023 | 21.56±2.33 | 23.18±1.64 | 0.015 | ||
L4–L5 | Multifidus | Left | 7.43±1.51 | 7.46±1.14 | 0.959 | 6.23±1.27 | 5.83±0.76 | 0.169 | 7.45±1.50 | 7.11±1.23 | 0.430 |
Right | 7.25±1.56 | 6.85±1.00 | 0.353 | 6.48±1.42 | 5.93±0.78 | 0.083 | 7.11±1.54 | 6.77±1.13 | 0.434 | ||
Erector spinae | Left | 9.73±0.52 | 9.93±0.81 | 0.314 | 9.20±0.56 | 9.43±0.53 | 0.180 | 9.43±0.43 | 9.28±0.64 | 0.338 | |
Right | 9.66±0.55 | 9.86±0.46 | 0.221 | 9.23±0.55 | 9.51±0.33 | 0.029 | 9.51±0.51 | 9.48±0.53 | 0.877 | ||
Ilio-psoas | Left | 6.62±0.42 | 6.71±0.33 | 0.453 | 6.41±0.68 | 6.59±0.42 | 0.338 | 6.56±0.33 | 6.63±0.48 | 0.559 | |
Right | 6.54±0.39 | 6.53±0.32 | 0.917 | 6.14±0.36 | 6.05±0.39 | 0.425 | 6.21±0.38 | 6.18±0.40 | 0.755 | ||
Quadratus lumborum | Left | 4.91±0.29 | 5.00±0.33 | 0.330 | 4.63±0.43 | 4.69±0.51 | 0.642 | 4.63±0.41 | 4.75±0.39 | 0.346 | |
Right | 4.76±0.36 | 4.77±0.27 | 0.860 | 4.45±0.50 | 4.49±0.35 | 0.773 | 4.55±0.35 | 4.49±0.27 | 0.554 | ||
Rectus abdominis | Left | 5.03±0.36 | 4.79±0.34 | 0.032 | 4.62±0.45 | 4.36±0.40 | 0.058 | 4.75±0.44 | 4.54±0.50 | 0.139 | |
Right | 5.33±0.37 | 5.47±0.42 | 0.231 | 5.03±0.28 | 5.08±0.33 | 0.632 | 5.14±0.31 | 5.23±0.37 | 0.430 | ||
Obliques | Left | 22.64±2.79 | 21.29±2.86 | 0.116 | 19.69±2.47 | 18.63±2.99 | 0.189 | 20.56±3.47 | 18.63±3.33 | 0.067 | |
Right | 22.71±2.40 | 24.28±2.87 | 0.047 | 19.19±3.55 | 20.28±4.86 | 0.370 | 21.15±2.45 | 21.52±3.26 | 0.660 | ||
L5–S1 | Multifidus | Left | 9.53±0.95 | 9.09±0.90 | 0.124 | 9.11±0.91 | 8.78±0.72 | 0.212 | 9.18±0.97 | 9.04±0.94 | 0.617 |
Right | 9.65±0.95 | 9.24±0.72 | 0.129 | 8.83±1.23 | 9.05±1.37 | 0.562 | 9.15±1.00 | 8.85±1.05 | 0.330 | ||
Erector spinae | Left | 9.73±0.52 | 9.93±0.80 | 0.284 | 9.32±0.54 | 9.56±0.64 | 0.172 | 9.43±0.43 | 9.43±0.44 | 0.984 | |
Right | 9.65±0.54 | 9.78±0.49 | 0.451 | 9.15±0.66 | 9.50±0.33 | 0.014 | 9.51±0.52 | 9.51±0.70 | 0.977 | ||
Ilio-psoas | Left | 16.36±1.30 | 16.39±0.87 | 0.950 | 14.66±1.18 | 15.04±0.96 | 0.300 | 14.62±1.55 | 15.04±1.25 | 0.365 | |
Right | 14.47±1.98 | 15.03±1.78 | 0.369 | 13.14±2.23 | 13.98±1.90 | 0.223 | 13.88±1.80 | 14.59±1.39 | 0.147 | ||
Rectus abdominis | Left | 5.01±0.37 | 4.79±0.34 | 0.047 | 4.64±0.44 | 4.29±0.41 | 0.008 | 4.76±0.45 | 4.54±0.50 | 0.123 | |
Right | 5.34±0.35 | 5.47±0.42 | 0.273 | 4.99±0.31 | 5.03±0.32 | 0.635 | 5.11±0.30 | 5.23±0.38 | 0.237 |
Values are presented as mean±standard deviation.
CSA, cross-sectional area.
By independent Student t -test.