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Correlation Between the Severity of Multifidus Fatty Degeneration and the Size of Ossification of Posterior Longitudinal Ligament at Each Spinal Level

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dc.contributor.author김경현-
dc.contributor.author김성준-
dc.contributor.author박윤길-
dc.contributor.author박진영-
dc.contributor.author조용은-
dc.contributor.author신상훈-
dc.date.accessioned2024-01-03T01:27:24Z-
dc.date.available2024-01-03T01:27:24Z-
dc.date.issued2023-09-
dc.identifier.issn2586-6583-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/197559-
dc.description.abstractObjective: This study aimed to investigate the correlation between ossification of the posterior longitudinal ligament (OPLL) size and multifidus fatty degeneration (MFD), hypothesizing that larger OPLL sizes are associated with worse MFD. Methods: One hundred four patients with cervical OPLL who underwent surgery were screened. OPLL occupying diameter and area ratios, the severity of MFD using the Goutallier classification, and range of motion (ROM) of cervical flexion-extension (ΔCobb) were measured. Correlation analyses between OPLL size, MFD severity, and ΔCobb were conducted. MFD severity was compared for each OPLL type using one-way analysis of variance. Results: The final clinical data from 100 patients were analyzed. The average Goutallier grade of C2-7 significantly correlated with the average OPLL diameter and area occupying ratios, and OPLL involved vertebral level (r = 0.58, p < 0.01; r = 0.40, p < 0.01; r = 0.47, p < 0.01, respectively). The OPLL size at each cervical level significantly correlated with MFD of the same or 1-3 adjacent levels. ΔCobb angle was negatively correlated with the average Goutallier grade (r = -0.31, p < 0.01) and average OPLL occupying diameter and area ratios (r = -0.31, p < 0.01; r = -0.35, p < 0.01, respectively). Patients with continuous OPLL exhibited worse MFD than those with segmental OPLL (p < 0.01). Conclusion: OPLL size is clinically correlated with MFD and cervical ROM. OPLL at one spinal level affects MFD at the same and 1-3 adjacent spinal levels. The worsening severity of MFD is associated with the longitudinal continuity of OPLL.-
dc.description.statementOfResponsibilityopen-
dc.formatapplication/pdf-
dc.languageEnglish-
dc.publisherKorean Spinal Neurosurgery Society-
dc.relation.isPartOfNEUROSPINE-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titleCorrelation Between the Severity of Multifidus Fatty Degeneration and the Size of Ossification of Posterior Longitudinal Ligament at Each Spinal Level-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Neurosurgery (신경외과학교실)-
dc.contributor.googleauthorJinyoung Park-
dc.contributor.googleauthorYong Eun Cho-
dc.contributor.googleauthorKyung Hyun Kim-
dc.contributor.googleauthorSanghoon Shin-
dc.contributor.googleauthorSungjun Kim-
dc.contributor.googleauthorChae Hwan Lim-
dc.contributor.googleauthorSeok Young Chung-
dc.contributor.googleauthorYoon Ghil Park-
dc.identifier.doi10.14245/ns.2346506.253-
dc.contributor.localIdA00308-
dc.contributor.localIdA00585-
dc.contributor.localIdA01596-
dc.contributor.localIdA04941-
dc.relation.journalcodeJ03945-
dc.identifier.eissn2586-6591-
dc.identifier.pmid37798986-
dc.subject.keywordCervical spine-
dc.subject.keywordMultifidus-
dc.subject.keywordOssification of posterior longitudinal ligament-
dc.subject.keywordParaspinal muscles-
dc.subject.keywordRange of motion-
dc.subject.keywordSpinal canal-
dc.contributor.alternativeNameKim, Kyung Hyun-
dc.contributor.affiliatedAuthor김경현-
dc.contributor.affiliatedAuthor김성준-
dc.contributor.affiliatedAuthor박윤길-
dc.contributor.affiliatedAuthor박진영-
dc.citation.volume20-
dc.citation.number3-
dc.citation.startPage921-
dc.citation.endPage930-
dc.identifier.bibliographicCitationNEUROSPINE, Vol.20(3) : 921-930, 2023-09-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers

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