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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Main Authors: Tae Hyun Lim, Deukhee Lee, Olga Kim, Song Joo Lee
Format: Article
Language:English
Published: MDPI AG 2021-02-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/11/4/1782
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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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