Quantification of the Elastic Moduli of Lumbar Erector Spinae and Multifidus Muscles Using Shear-Wave Ultrasound Elastography
Although spinal surgeries with minimal incisions and a minimal amount of X-ray exposure (MIMA) mostly occur in a prone posture on a Wilson table, the prone posture’s effects on spinal muscles have not been investigated. Thus, this study used ultrasound shear-wave elastography (SWE) to compare the ma...
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MDPI AG
2021-02-01
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author | Tae Hyun Lim Deukhee Lee Olga Kim Song Joo Lee |
author_facet | Tae Hyun Lim Deukhee Lee Olga Kim Song Joo Lee |
author_sort | Tae Hyun Lim |
collection | DOAJ |
description | Although spinal surgeries with minimal incisions and a minimal amount of X-ray exposure (MIMA) mostly occur in a prone posture on a Wilson table, the prone posture’s effects on spinal muscles have not been investigated. Thus, this study used ultrasound shear-wave elastography (SWE) to compare the material properties of the erector spinae and multifidus muscles when subjects lay on the Wilson table used for spinal surgery and the flat table as a control condition. Thirteen male subjects participated in the study. Using ultrasound SWE, the shear elastic moduli (SEM) of the erector spinae and multifidus muscles were investigated. Significant increases were found in the SEM of erector spinae muscle 1, erector spinae muscle 2, and multifidus muscles on the Wilson table (W) compared to in the flat table (F; W:22.19 ± 7.15 kPa, F:10.40 ± 3.20 kPa, <i>p</i> < 0.001; W:12.10 ± 3.31 kPa, F: 7.17 ± 1.71 kPa, <i>p</i> < 0.001; W: 18.39 ± 4.80 kPa, F: 11.43 ± 2.81 kPa, <i>p</i> < 0.001, respectively). Our results indicate that muscle material properties measured by SWE can be changed due to table posture, which should be considered in biomechanical modeling by guiding surgical planning to develop minimal-incision surgical procedures. |
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spelling | doaj.art-a14afaf1355743b39abd44caf1c7ac2f2023-12-11T17:23:30ZengMDPI AGApplied Sciences2076-34172021-02-01114178210.3390/app11041782Quantification of the Elastic Moduli of Lumbar Erector Spinae and Multifidus Muscles Using Shear-Wave Ultrasound ElastographyTae Hyun Lim0Deukhee Lee1Olga Kim2Song Joo Lee3Center for Bionics, Biomedical Research Institute, Korea Institute of Science and Technology, Seoul 02792, KoreaCenter for Healthcare Robotics, AI and Robot Institute, Korea Institute of Science and Technology, Seoul 02792, KoreaCenter for Bionics, Biomedical Research Institute, Korea Institute of Science and Technology, Seoul 02792, KoreaCenter for Bionics, Biomedical Research Institute, Korea Institute of Science and Technology, Seoul 02792, KoreaAlthough spinal surgeries with minimal incisions and a minimal amount of X-ray exposure (MIMA) mostly occur in a prone posture on a Wilson table, the prone posture’s effects on spinal muscles have not been investigated. Thus, this study used ultrasound shear-wave elastography (SWE) to compare the material properties of the erector spinae and multifidus muscles when subjects lay on the Wilson table used for spinal surgery and the flat table as a control condition. Thirteen male subjects participated in the study. Using ultrasound SWE, the shear elastic moduli (SEM) of the erector spinae and multifidus muscles were investigated. Significant increases were found in the SEM of erector spinae muscle 1, erector spinae muscle 2, and multifidus muscles on the Wilson table (W) compared to in the flat table (F; W:22.19 ± 7.15 kPa, F:10.40 ± 3.20 kPa, <i>p</i> < 0.001; W:12.10 ± 3.31 kPa, F: 7.17 ± 1.71 kPa, <i>p</i> < 0.001; W: 18.39 ± 4.80 kPa, F: 11.43 ± 2.81 kPa, <i>p</i> < 0.001, respectively). Our results indicate that muscle material properties measured by SWE can be changed due to table posture, which should be considered in biomechanical modeling by guiding surgical planning to develop minimal-incision surgical procedures.https://www.mdpi.com/2076-3417/11/4/1782erector spinaemultifidusshear-wave elastography (SWE)Wilson table |
spellingShingle | Tae Hyun Lim Deukhee Lee Olga Kim Song Joo Lee Quantification of the Elastic Moduli of Lumbar Erector Spinae and Multifidus Muscles Using Shear-Wave Ultrasound Elastography Applied Sciences erector spinae multifidus shear-wave elastography (SWE) Wilson table |
title | Quantification of the Elastic Moduli of Lumbar Erector Spinae and Multifidus Muscles Using Shear-Wave Ultrasound Elastography |
title_full | Quantification of the Elastic Moduli of Lumbar Erector Spinae and Multifidus Muscles Using Shear-Wave Ultrasound Elastography |
title_fullStr | Quantification of the Elastic Moduli of Lumbar Erector Spinae and Multifidus Muscles Using Shear-Wave Ultrasound Elastography |
title_full_unstemmed | Quantification of the Elastic Moduli of Lumbar Erector Spinae and Multifidus Muscles Using Shear-Wave Ultrasound Elastography |
title_short | Quantification of the Elastic Moduli of Lumbar Erector Spinae and Multifidus Muscles Using Shear-Wave Ultrasound Elastography |
title_sort | quantification of the elastic moduli of lumbar erector spinae and multifidus muscles using shear wave ultrasound elastography |
topic | erector spinae multifidus shear-wave elastography (SWE) Wilson table |
url | https://www.mdpi.com/2076-3417/11/4/1782 |
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