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March 2, 2026Journal of Neurosurgery Spine0 citations

Muscle reorientation as a novel cause of motor weakness after spinal realignment surgery: a hypothesis based on psoas muscle overstretching

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MHMoon-Soo HanJHJong-Hwan HongJJJ. Chang Jung

Key Points

  • To explore how spinal realignment surgery may lead to transient hip flexion weakness due to psoas muscle reorientation.
  • Evaluated muscle function post spinal realignment surgery
  • Analyzed mechanical changes in psoas muscle alignment after surgery
  • Investigated correlation between muscle reorientation and hip flexion weakness.
  • Postoperative hip flexion weakness observed in patients
  • Weakness occurs without direct nerve or muscle damage
  • Spinal alignment changes are linked to muscle rearrangement.

Abstract

This study demonstrates that postoperative hip flexion weakness can occur after SRS, even without direct nerve or muscle injury. The findings suggest that spinal alignment changes alone might mechanically rearrange the psoas muscle, contributing to transient hip flexion weakness.

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Cite This Study

Han et al. (2026) studied this question.

synapsesocial.com/papers/69a528ecf1e85e5c73bf05cfhttps://doi.org/10.3171/2025.10.spine25877
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