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Research ArticleArticles

Relationship between psoas muscle dimensions and post operative thigh pain. A possible preoperative evaluation factor

Josip Buric
International Journal of Spine Surgery January 2015, 9 27; DOI: https://doi.org/10.14444/2027
Josip Buric
Villa Torri Hospital, Bologna, Italy
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    Table 1

    Patient demographic information.

    Patients (n = 29)
    Age (years) – mean ± SD 59.1 ± 11.7
    Female – n (%)20 (69.0)
    Previous lumbar surgery – n (%)6 (20.7)
    Diagnosis
    Degenerative disc disease23 (79.3)
    Listhesis8 (27.6)
    Stenosis6 (20.7)
    De novo scoliosis3 (10.3)
    Preoperative symptoms – n (%)
    Low back pain26 (89.7)
    Radiculopathy25 (86.2)
    Other1 8 (27.6)
    • Abbreviations: n, number of patients; SD, standard deviation.

    • ↵1 ”Other” preoperative symptoms include: neurogenic claudication, palsy, and/or motor deficit.

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    Table 2

    Patient-level symptom description, cage-size and resolution.

    Patient NumberSE DescriptionLevels treated (IONM registered)Cage size / levelSE LocationResolution
    2PainL2-3.L3-4 (L4-5) 10 x 22 x 50 LAnterior thigh3 months
    3Pain and quad palsyL3-4 (L4-5) 10 x 22 x 55 LContralateral thighImproved
    4PainL3-4 (L4-5) 8 x 18 x 55 LAnterior thigh3 months
    7PainL4-5 10 x 22 x 50 LAnterior thigh1 month
    10PainL2-3, L3-4 (L4-5) 10 x 22 x 55 LAnterior thigh1 month
    14Pain and tingling L3-4, L4-5 10 X 18 X 55 L 8 x 18 x 55Anterior thigh1 month
    17Pain and burning L4-5 10 x 18 x 45 LAnterior thighImproved
    25ParesthesiaL3-4 (L4-5) 10 x 22 x 55 LAnterior thigh1 month
    26Pain and paresthesia (L2-3), L3-4, L4-58 x 22 x 50 LInguinal areaImproved
    27Pain and hyposthesia (L4-5) 8 X 22 X 55 LImproved
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    Table 3

    Levels-treated comparison of intraoperative variables between patients with and without postoperative sensory changes (SE).

    No SE (n = 27)SE (n = 20)p-value
    Retraction time (min) – mean ± SD 31.5 ± 2.227.4 ± 2.50.217
    Alert-level EMG response – n (%)13 (41.9)7 (43.8)0.905
    Psoas dimensions – mean ± SD
    Anteroposterior38.1 ± 2.037.3 ± 2.40.814
    Lateral31.9 ± 1.825.6 ± 2.1 0.025*
    Ratio AP:Lateral1.3 ± 0.11.7 ± 0.2 0.026*
    • Abbreviations: n, number of patients; SD, standard deviation.

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International Journal of Spine Surgery
Vol. 9
1 Jan 2015
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Relationship between psoas muscle dimensions and post operative thigh pain. A possible preoperative evaluation factor
Josip Buric
International Journal of Spine Surgery Jan 2015, 9 27; DOI: 10.14444/2027

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Relationship between psoas muscle dimensions and post operative thigh pain. A possible preoperative evaluation factor
Josip Buric
International Journal of Spine Surgery Jan 2015, 9 27; DOI: 10.14444/2027
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Keywords

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