Table 2

MRI-Documented Changes in Multifidus Muscle Following Primary 1-Level MIS Lumbar Decompression.

Ipsilateral
Multifidus Total Cross Sectional Area (mm2)Multifidus Lean Cross Sectional Area (mm2)
LevelPreoperativePostoperative% ChangepvaluePreoperativePostoperative% Changepvalue
Supra Disc794.0±233.0811.6±259.0+2.0%0.38582.0±203.0569.3±232.7− 3.1%0.52
Supra Pedicle953.4±290.0957.4±341.5− 1.3%0.91688.1±283.2660.5±270.0− 2.9%0.37
Index1047.4±246.21000.3±238.7− 4.9%<0.01726.2±234.4680.4±221.6− 6.2%<0.05
Infra Pedicle1148.3±288.91088.6±278.0− 5.3%0.08738.0±234.1641.7±213.2− 13.0%<0.01
Infra Disc 1135.5±245.81117.3±269.1− 1.6%0.66743.0±230.8600.3±209.5− 18.6%<0.01
Contralateral
Multifidus Total Cross Sectional Area (mm2)Multifidus Lean Cross Sectional Area (mm2)
LevelPreoperativePostoperative% ChangepvaluePreoperativePostoperative% Changepvalue
Supra Disc787.9±224.5778.3±212.7− 0.5%0.65582.2±207.3574.3±205.7− 1.4%0.57
Supra Pedicle961.3±315.0936.5±323.5− 0.8%0.52714.4±283.2673.8±267.0− 4.4%0.17
Index1029.9±239.61021.5±213.9+ 0.4%0.71707.1±206.1671.6±193.3− 4.2%0.052
Infra Pedicle1121.7±264.41138.7±282.3+ 1.7%0.52721.7±216.1706.2±204.5− 0.1%0.55
Infra Disc 1117.4±215.41131.9±243.3+ 1.1%0.59734.6±206.3698.5±212.3− 4.4%0.15
Ipsilateral
Multifidus Psoas T1 Signal Intensity RatioLean CSA to Total CSA Ratio
LevelPreoperativePostoperative% ChangepvaluePreoperativePostoperative% Changepvalue
Supra Disc1.81±0.631.98±0.72+ 26.0%0.430.73±0.100.69±0.11− 5.2%<0.05
Supra Pedicle1.91±0.692.06±0.80+ 21.7%0.530.71±0.140.69±0.10− 1.5%0.33
Index2.23±0.912.27±0.89+ 21.8%0.900.69±0.110.67±0.12− 1.2%0.47
Infra Pedicle2.35±0.932.68±1.20+ 35.0%0.320.65±0.120.59±0.11− 8.4%<0.01
Infra Disc 2.76±1.243.42±1.82+ 51.7%0.250.66±0.140.55±0.16− 17.2%<0.001
Contralateral
Multifidus Psoas T1 Signal Intensity RatioLean CSA to Total CSA Ratio
LevelPreoperativePostoperative% ChangepvaluePreoperativePostoperative% Changepvalue
Supra Disc1.83±0.651.98±0.69+ 22.6%0.490.73±0.120.73±0.11− 0.3%0.59
Supra Pedicle1.90±0.691.94±0.64+ 15.2%0.810.75±0.190.72±0.100%0.41
Index2.20±0.932.41±0.80+ 33.9%0.470.69±0.110.65±0.10− 3.8%0.09
Infra Pedicle2.48±1.042.65±1.03+ 27.9%0.610.64±0.110.63±0.12− 1.9%0.37
Infra Disc 2.80±1.313.24±1.75+ 45.7%0.440.66±0.130.62±0.14− 5.3%<0.05
  • Patients whose operative levels included S1 were excluded from measurement at the inferior disc level. MIS: Minimally Invasive; MRI: Magnetic Resonance Imaging; Supra: Superior; Infra: Inferior; CSA: Cross Sectional Area.