Structural features of paravertebral muscles in normal condition and degenerative diseases of the lumbar spine (literature review)
Keywords:paravertebral muscles, morphology, histochemistry, spinal fusion
Based on the analysis of scientific literature authors summarized information about the structural organization of the paravertebral muscles in normal condition and degenerative diseases of the lumbar spine. It is proved that in the paravertebral muscles originating from the dorsal myotomes (m. multifidus, m. erector spinae) unlike other skeletal muscles type I fibers dominate corresponding to function of maintenance of physiological posture they perform. Wherein the percentage of type I fibers in women is much higher than men stipulating their higher adaptive capacities and less fatigue. Moreover, unlike skeletal muscles of the extremities in m. multifidus type II fibers are much thinner than type I fibers. In patients with chronic back pain of various etiologies in paravertebral muscles during histological examination myogenic and neurogenic changes revealed manifesting by sarkopenia or just local disturbances. However, results regarding the distribution of fiber types I and II obtained are ambiguous which requires further study. Results of in-depth histochemical studies which will correspond to different subtypes of muscle fiber types I and II, the state in which of actin and myosin make it possible to expand the understanding of the structural and functional disorders of the muscles in patients with chronic back pain. Recently, much attention is paid to systemic changes in muscle tissue (sarkopenia) that accompany most diseases of musculoskeletal system. A detailed study of the structural and functional organization of the paravertebral muscles opens new perspectives for prevention of spine disorders in early and distant postoperative periods.
Binkley N. A perspective on male osteoporosis / N. Binkley // Best Practice & Research Clinical Rheumatology. — 2009. — Vol. 23. — P. 755–768, doi: 10.1016/j.berh.2009.10.001.
Buehring B. Effect of including historical height and radius BMD measurement on sarco-osteoporosis prevalence / B. Buehring, D. Krueger, N. Binkley // J. Cachexia Sarcopenia Muscle Received. — 2013. — Vol. 4 (1). — P. 47–54, doi: 10.1007/s13539-012-0080-8.
Chronic low back pain-associated paraspinal muscle dysfunction is not the result of a constitutionally determined «adverse» fiber-type composition / K. Crossman, M. Mahon, P. J. Watson [et al.] // Spine. — 2004. — Vol. 29, № 6. — Р. 628–634.
Body composition, endurance, strength, cross-sectional area, and density of MM Erector Spinae in men with and without low back pain / G. Hultman, M. Nordin, H. Saraste [et al.] // J. Spinal Dis. — 1993. — Vol. 6. — Р. 114–123.
Rissanen A. Back muscles and intensive rehabilitation on patients with chronic low back pain. Effects on back muscle structure and function and patient disability: diss. / A. Rissanen. — Jyvaskyla: University of Jyvaskyla, 2004. — 90 p.
Fibre type composition of the human psoas major muscle with regard to the level of its origin / J. Arbanas, G. S. Klasan, M. Nikolic [et al.] // J. Anat. — 2009. — Vol. 215. — P. 636–641, doi: 10.1111/j.1469-7580.2009.01155.x.
Regional myosin heavy chain distribution in selected paraspinal muscles / G. J. Regev, C. W. Kim, B. E. Thacker [et al.] / Spine. — 2010. — Vol. 35 (13). — P. 1265–1270, doi: 10.1097/BRS.0b013e3181bfcd9.
Dubowitz V. Muscle biopsy. A practical approach / V. Dubowitz. — London: Bailliere Tindal, 1985. — 600 p.
Demoulin C. Spinal muscle evaluation in healthy individuals and low-beck-pain patients a literature review / C. Demoulin, J. M. Clielaard, M. Vanderthommen // Joint Bone Spine. — 2007. — Vol. 74 (1). — P. 9–13.
The effect of different physical activity levels on muscle fiber size and type distribution of lumbar multifidus. A biopsy study on low back pain patient groups and healthy control subjects / N. Mazis, D. J. Papachristou, P. Tyllanakis [et al.] // Eur. J. Phys. Rehabil. Med. — 2009. — Vol. 45 (4). — P. 459–467.
Lumbar muscles: Structure and function / H. Kalimo, J. Rantanen, T. Viljanen [et al.] // Ann. Med. — 1989. — Vol. 21. — P. 353–359.
Dofferhof A. S. M. The stabilising function of the mm. iliocostales and the mm. multifidi during walking / A. S. M. Dofferhof, P. Vink / J. Anat. — 1985. — Vol. 140. — P. 329–336.
Data on fibre size in thirty-six human muscles / J. Polger, M. A. Johnson, D. Weightman [et al.] // J. Neurol. Sci. — 1973. — Vol. 19. — P. 307–318.
The histochemical composition of human vertebral muscle / K. M. Bagnall, D. M. Ford, K. D. McFadden [et al.] // Spine. — 1984. — Vol. 9 (5). — P. 470–473.
Sirca A. The fiber type comparison of thoracic and lumbar paravertebral muscles in man / A. Sirca, V. Kostevc // J. Anat. — 1985. — Vol. 141. — P. 131–137.
Histochemistry and morphology of the multifidus muscle in lumbar disc herniation / W. P. Zhao, Y. Kawaguchi, H. Matsui [et al.] // Spine. — 2000. — Vol. 25 (17). — Р. 2191–2199.
Muscle fibre size and type distribution in thoracic and lumbar regions of erector spinae in healthy subjects without low back pain: normal values and sex differences / A. F. Mannion, G. A. Dumas, R. G. Cooper [et al.] // J. Anat. — 1997. — Vol. 190. — P. 505–513.
Kawaguchi Y. Back muscle injury after posterior lumbar spine surgery. Part 2: histologic and histochemical analysis in humans // Y. Kawaguchi, H. Matsui, H. Tsuij // Spine. — 1994. — Vol. 19 (22). — P. 2598–2602.
Kawaguchi Y. Back muscle injury after posterior lumbar spine surgery. A histologic and enzymatic analysis // Y. Kawaguchi, H. Matsui, H. Tsuij // Spine. — 1996. — Vol. 21 (8). — P. 941–944.
How to Cite
Copyright (c) 2014 Volodymyr Radchenko, Ninel Diedukh, Natalya Ashukina, Artem Skidanov
This work is licensed under a Creative Commons Attribution 4.0 International License.
The authors retain the right of authorship of their manuscript and pass the journal the right of the first publication of this article, which automatically become available from the date of publication under the terms of Creative Commons Attribution License, which allows others to freely distribute the published manuscript with mandatory linking to authors of the original research and the first publication of this one in this journal.
Authors have the right to enter into a separate supplemental agreement on the additional non-exclusive distribution of manuscript in the form in which it was published by the journal (i.e. to put work in electronic storage of an institution or publish as a part of the book) while maintaining the reference to the first publication of the manuscript in this journal.
The editorial policy of the journal allows authors and encourages manuscript accommodation online (i.e. in storage of an institution or on the personal websites) as before submission of the manuscript to the editorial office, and during its editorial processing because it contributes to productive scientific discussion and positively affects the efficiency and dynamics of the published manuscript citation (see The Effect of Open Access).