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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doaj-4770214688884f6a9f22457fdb54ba0e2021-03-12T00:02:33ZengMDPI AGBrain Sciences2076-34252021-03-011135735710.3390/brainsci11030357Psoas Major Muscle Volume Does Not Affect the Postoperative Thigh Symptoms in XLIF SurgeryWicharn Yingsakmongkol0Waranyoo Wathanavasin1Khanathip Jitpakdee2Weerasak Singhatanadgige3Worawat Limthongkul4Vit Kotheeranurak5Department of Orthopaedics, Faculty of Medicine, Chulalongkorn University (Thai Red Cross Society), Bangkok 10330, ThailandDepartment of Orthopaedics, Somdej Phra Phutthaloetla Hospital, Mae Klong, Samut Songkram 75000, ThailandDepartment of Orthopedics, Queen Savang Vadhana Memorial Hospital (Thai Red Cross Society), Sriracha, Chonburi 20110, ThailandDepartment of Orthopaedics, Faculty of Medicine, Chulalongkorn University (Thai Red Cross Society), Bangkok 10330, ThailandDepartment of Orthopaedics, Faculty of Medicine, Chulalongkorn University (Thai Red Cross Society), Bangkok 10330, ThailandDepartment of Orthopedics, Queen Savang Vadhana Memorial Hospital (Thai Red Cross Society), Sriracha, Chonburi 20110, ThailandBackground: 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.https://www.mdpi.com/2076-3425/11/3/357extreme lateral interbody fusionlateral lumbar interbody fusion (LLIF)neurosurgical procedurespostoperative thigh symptomspsoas major muscle volumespine |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Wicharn Yingsakmongkol Waranyoo Wathanavasin Khanathip Jitpakdee Weerasak Singhatanadgige Worawat Limthongkul Vit Kotheeranurak |
spellingShingle |
Wicharn Yingsakmongkol Waranyoo Wathanavasin Khanathip Jitpakdee Weerasak Singhatanadgige Worawat Limthongkul Vit Kotheeranurak Psoas Major Muscle Volume Does Not Affect the Postoperative Thigh Symptoms in XLIF Surgery Brain Sciences extreme lateral interbody fusion lateral lumbar interbody fusion (LLIF) neurosurgical procedures postoperative thigh symptoms psoas major muscle volume spine |
author_facet |
Wicharn Yingsakmongkol Waranyoo Wathanavasin Khanathip Jitpakdee Weerasak Singhatanadgige Worawat Limthongkul Vit Kotheeranurak |
author_sort |
Wicharn Yingsakmongkol |
title |
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_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_sort |
psoas major muscle volume does not affect the postoperative thigh symptoms in xlif surgery |
publisher |
MDPI AG |
series |
Brain Sciences |
issn |
2076-3425 |
publishDate |
2021-03-01 |
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. |
topic |
extreme lateral interbody fusion lateral lumbar interbody fusion (LLIF) neurosurgical procedures postoperative thigh symptoms psoas major muscle volume spine |
url |
https://www.mdpi.com/2076-3425/11/3/357 |
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