European Spine Journal
October 2001 Volume 10, Number 5
Kramer M, Katzmaier P, Eisele R, Ebert V, Kinzl L, Hartwig E

Study Outcomes & Clinical Relevance: The dorsal approach for surgeries to repair vertebral fractures causes damage patterns in the muscles that are caused by the surgery. This approach may disrupt normal function of the multifidi, which can contribute to chronic pain and dysfunction. This supports the rationale for concerted spinal strengthening in such post-operative patients.