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Psoas Major Muscle Volume Does Not Affect the Postoperative Thigh Symptoms in XLIF Surgery

Background: Extreme lateral interbody fusion (XLIF) is a minimally invasive surgery that accesses the lumbar spine through the psoas muscle. This study aimed to evaluate the correlation between the psoas major muscle volume and anterior thigh symptoms after XLIF. Methods: Eighty-one patients (mean a...

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Autores principales: Yingsakmongkol, Wicharn, Wathanavasin, Waranyoo, Jitpakdee, Khanathip, Singhatanadgige, Weerasak, Limthongkul, Worawat, Kotheeranurak, Vit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7999586/
https://www.ncbi.nlm.nih.gov/pubmed/33799645
http://dx.doi.org/10.3390/brainsci11030357
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author Yingsakmongkol, Wicharn
Wathanavasin, Waranyoo
Jitpakdee, Khanathip
Singhatanadgige, Weerasak
Limthongkul, Worawat
Kotheeranurak, Vit
author_facet Yingsakmongkol, Wicharn
Wathanavasin, Waranyoo
Jitpakdee, Khanathip
Singhatanadgige, Weerasak
Limthongkul, Worawat
Kotheeranurak, Vit
author_sort Yingsakmongkol, Wicharn
collection PubMed
description Background: Extreme lateral interbody fusion (XLIF) is a minimally invasive surgery that accesses the lumbar spine through the psoas muscle. This study aimed to evaluate the correlation between the psoas major muscle volume and anterior thigh symptoms after XLIF. Methods: Eighty-one patients (mean age 63 years) with degenerative spine diseases underwent XLIF (total = 94 levels). Thirty-eight patients were female (46.9%), and 24 patients (29.6%) had a history of lumbar surgery. Supplemental pedicle screws were used in 48 patients, and lateral plates were used in 28 patients. Neuromonitoring devices were used in all cases. The patients were classified into two groups (presence of thigh symptoms and no thigh symptoms after the surgery). The psoas major volumes were measured and calculated by CT (computed tomography) scan and compared between the two patient groups. Results: In the first 24 h after surgery, 32 patients (39.5%) had thigh symptoms (20 reported pain, 9 reported numbness, and 18 reported weakness). At one year postoperatively, only 3 of 32 patients (9.4%) had persistent symptoms. Conclusions: As a final observation, no statistically significant difference in the mean psoas major volume was found between the group of patients with new postoperative anterior thigh symptoms and those with no thigh symptoms. Preoperative psoas major muscle volume seems not to correlate with postoperative anterior thigh symptoms after XLIF.
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spelling pubmed-79995862021-03-28 Psoas Major Muscle Volume Does Not Affect the Postoperative Thigh Symptoms in XLIF Surgery Yingsakmongkol, Wicharn Wathanavasin, Waranyoo Jitpakdee, Khanathip Singhatanadgige, Weerasak Limthongkul, Worawat Kotheeranurak, Vit Brain Sci Article Background: Extreme lateral interbody fusion (XLIF) is a minimally invasive surgery that accesses the lumbar spine through the psoas muscle. This study aimed to evaluate the correlation between the psoas major muscle volume and anterior thigh symptoms after XLIF. Methods: Eighty-one patients (mean age 63 years) with degenerative spine diseases underwent XLIF (total = 94 levels). Thirty-eight patients were female (46.9%), and 24 patients (29.6%) had a history of lumbar surgery. Supplemental pedicle screws were used in 48 patients, and lateral plates were used in 28 patients. Neuromonitoring devices were used in all cases. The patients were classified into two groups (presence of thigh symptoms and no thigh symptoms after the surgery). The psoas major volumes were measured and calculated by CT (computed tomography) scan and compared between the two patient groups. Results: In the first 24 h after surgery, 32 patients (39.5%) had thigh symptoms (20 reported pain, 9 reported numbness, and 18 reported weakness). At one year postoperatively, only 3 of 32 patients (9.4%) had persistent symptoms. Conclusions: As a final observation, no statistically significant difference in the mean psoas major volume was found between the group of patients with new postoperative anterior thigh symptoms and those with no thigh symptoms. Preoperative psoas major muscle volume seems not to correlate with postoperative anterior thigh symptoms after XLIF. MDPI 2021-03-11 /pmc/articles/PMC7999586/ /pubmed/33799645 http://dx.doi.org/10.3390/brainsci11030357 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ).
spellingShingle Article
Yingsakmongkol, Wicharn
Wathanavasin, Waranyoo
Jitpakdee, Khanathip
Singhatanadgige, Weerasak
Limthongkul, Worawat
Kotheeranurak, Vit
Psoas Major Muscle Volume Does Not Affect the Postoperative Thigh Symptoms in XLIF Surgery
title Psoas Major Muscle Volume Does Not Affect the Postoperative Thigh Symptoms in XLIF Surgery
title_full Psoas Major Muscle Volume Does Not Affect the Postoperative Thigh Symptoms in XLIF Surgery
title_fullStr Psoas Major Muscle Volume Does Not Affect the Postoperative Thigh Symptoms in XLIF Surgery
title_full_unstemmed Psoas Major Muscle Volume Does Not Affect the Postoperative Thigh Symptoms in XLIF Surgery
title_short Psoas Major Muscle Volume Does Not Affect the Postoperative Thigh Symptoms in XLIF Surgery
title_sort psoas major muscle volume does not affect the postoperative thigh symptoms in xlif surgery
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7999586/
https://www.ncbi.nlm.nih.gov/pubmed/33799645
http://dx.doi.org/10.3390/brainsci11030357
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