Abstract:
BACKGROUND:Individual study results have demonstrated unclear relationships between neurocompressive disorders and paraspinal muscle morphology. This systematic review aimed to synthesize current evidence regarding the relationship lumbar neurocompressive disorders may have with lumbar paraspinal muscle morphology. METHODS:Searches were conducted in seven databases from inception through October 2017. Observational studies with control or comparison groups comparing herniations, facet degeneration, or canal stenosis to changes in imaging or biopsy-identified lumbar paraspinal muscle morphology were included. Data extraction and risk of bias assessment were performed by review author pairs independent of one another. Morphological differences between individuals with and without neurocompressive disorders were compared qualitatively, and where possible, standardised mean differences were obtained. RESULTS:Twenty-eight studies were included. Lumbar multifidus fiber diameter was smaller on the side of and below herniation for type I [SMD: -0.40 (95% CI = -0.70, -0.09) and type II fibers [SMD: -0.38 (95% CI = -0.69, -0.06)] compared to the unaffected side. The distribution of type I fibers was greater on the herniation side [SMD: 0.43 (95% CI = 0.03, 0.82)]. Qualitatively, two studies assessing small angular fiber frequency and fiber type groupings demonstrated increases in these parameters below the herniation level. For diagnostic imaging meta-analyses, there were no consistent differences across the various assessment types for any paraspinal muscle groups when patients with herniation served as their own control. However, qualitative synthesis of between-group comparisons reported greater multifidus and erector spinae muscle atrophy or fat infiltration among patients with disc herniation and radiculopathy in four of six studies, and increased fatty infiltration in paraspinal muscles with higher grades of facet joint degeneration in four of five studies. Conflicting outcomes and variations in study methodology precluded a clear conclusion for canal stenosis. CONCLUSIONS:Based on mixed levels of risk of bias data, in patients with chronic radiculopathy, disc herniation and severe facet degeneration were associated with altered paraspinal muscle morphology at or below the pathology level. As the variability of study quality and heterogeneous approaches utilized to assess muscle morphology challenged comparison across studies, we provide recommendations to promote uniform measurement techniques for future studies. TRIAL REGISTRATION:PROSPERO 2015: CRD42015012985.
journal_name
BMC Musculoskelet Disordjournal_title
BMC musculoskeletal disordersauthors
Cooley JR,Walker BF,M Ardakani E,Kjaer P,Jensen TS,Hebert JJdoi
10.1186/s12891-018-2266-5subject
Has Abstractpub_date
2018-09-27 00:00:00pages
351issue
1issn
1471-2474pii
10.1186/s12891-018-2266-5journal_volume
19pub_type
杂志文章,meta分析abstract:BACKGROUND:Total hip joint replacement (THR) is a high volume, effective intervention for hip osteoarthritis (OA). However, indications and determinants of outcome remain unclear. The 'EUROHIP consortium' has undertaken a cohort study to investigate these questions. This paper describes the variations in disease severi...
journal_title:BMC musculoskeletal disorders
pub_type: 杂志文章,多中心研究
doi:10.1186/1471-2474-10-19
更新日期:2009-02-10 00:00:00
abstract:BACKGROUND:This study assessed the incidence and excess mortality of hip fractures among inpatients aged 20-40 years in a nationwide population database in Taiwan. METHODS:Subjects were selected from Taiwan's National Health Insurance Research Database for the period 2001-2008 and were followed up until the end of 201...
journal_title:BMC musculoskeletal disorders
pub_type: 杂志文章
doi:10.1186/s12891-016-1166-9
更新日期:2016-08-05 00:00:00
abstract:BACKGROUND:Recently, the infra-acetabular screw has been proposed for use in treatment of acetabular fractures as a part of a periacetabular fixation frame. Biomechanical studies have shown that an additional infra-acetabular screw placement can enhance the fixation strength of acetabular fracture internal fixation. Cu...
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pub_type: 杂志文章
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更新日期:2020-11-28 00:00:00
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journal_title:BMC musculoskeletal disorders
pub_type: 杂志文章
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journal_title:BMC musculoskeletal disorders
pub_type: 杂志文章
doi:10.1186/s12891-017-1893-6
更新日期:2017-12-16 00:00:00
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pub_type: 临床试验,杂志文章
doi:10.1186/s12891-019-2658-1
更新日期:2019-06-18 00:00:00
abstract:BACKGROUND:Chondroblastomas are rare epiphyseal bone tumors. Very few cases with extra-cortical aggressive soft tissue invasion or metastasis are reported. CASE PRESENTATION:We report a 28 year-old adult male who presented with a large swelling over the left shoulder region. Pre-operative imaging revealed a large tumo...
journal_title:BMC musculoskeletal disorders
pub_type: 杂志文章
doi:10.1186/1471-2474-5-9
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journal_title:BMC musculoskeletal disorders
pub_type: 杂志文章
doi:10.1186/s12891-017-1446-z
更新日期:2017-02-13 00:00:00
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journal_title:BMC musculoskeletal disorders
pub_type: 杂志文章
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更新日期:2016-03-18 00:00:00
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pub_type: 杂志文章
doi:10.1186/1471-2474-11-234
更新日期:2010-10-12 00:00:00
abstract:BACKGROUND:Charcot neuroarthropathy is a systemic disease that generates pathological changes in the musculoskeletal system, causing instability, dislocations, and deformities. Charcot neuroarthropathy of the knee, due to either diabetes mellitus or syringomyelia, is anecdotally reported with the epidemic of the diseas...
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pub_type: 杂志文章
doi:10.1186/s12891-019-2873-9
更新日期:2019-10-30 00:00:00
abstract:BACKGROUND:Patients with persistent pain due to osteoarthritis (OA) complain of multiple symptoms that cannot be explained solely by structural changes. A poor correlation exists between structural and inflammatory changes in OA and pain levels. Central sensitization (CS) has been identified as a factor that induces ch...
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pub_type: 杂志文章
doi:10.1186/s12891-016-1129-1
更新日期:2016-08-02 00:00:00
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journal_title:BMC musculoskeletal disorders
pub_type: 杂志文章
doi:10.1186/1471-2474-8-22
更新日期:2007-02-28 00:00:00
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pub_type: 杂志文章
doi:10.1186/1471-2474-15-260
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pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2474-13-201
更新日期:2012-10-18 00:00:00
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pub_type: 杂志文章
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更新日期:2020-06-05 00:00:00
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pub_type: 杂志文章
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更新日期:2020-07-13 00:00:00
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journal_title:BMC musculoskeletal disorders
pub_type: 杂志文章
doi:10.1186/s12891-020-03637-z
更新日期:2020-09-17 00:00:00
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journal_title:BMC musculoskeletal disorders
pub_type: 杂志文章
doi:10.1186/s12891-019-2755-1
更新日期:2019-08-17 00:00:00
abstract:BACKGROUND:All diabetic neuroosteoarthropathy (Charcot arthropathy) treatment concepts are focused on a long-term infection-free, ulcer-free, and plantigrade sufficiently stable foot in order to avoid amputation. Reconstructive arthrodesis techniques for severe deformities are associated with high postoperative complic...
journal_title:BMC musculoskeletal disorders
pub_type: 杂志文章
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更新日期:2015-11-14 00:00:00
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pub_type: 杂志文章
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更新日期:2017-02-20 00:00:00
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journal_title:BMC musculoskeletal disorders
pub_type: 杂志文章
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更新日期:2019-05-25 00:00:00
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journal_title:BMC musculoskeletal disorders
pub_type: 杂志文章
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更新日期:2020-09-29 00:00:00
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journal_title:BMC musculoskeletal disorders
pub_type: 杂志文章
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更新日期:2020-05-30 00:00:00
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pub_type: 杂志文章
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更新日期:2016-11-10 00:00:00