Clinical Study of the Treatment of Spondylolisthesis with Lumbar Herniated Intervertebral Disc

요추 추간판 탈출증을 동반한 척추전방전위증의 한방치료에 관한 임상적 고찰

  • Kim, Tae-Ho (Dept. of Acupuncture & Moxibustion Medicine, Bu-Chun Jaseng Hospital of Korean Medicine) ;
  • Yoon, Tae-Kyung (Dept. of Acupuncture & Moxibustion Medicine, Bu-Chun Jaseng Hospital of Korean Medicine) ;
  • Yun, Young-Ung (Dept. of Rehabilitation Medicine of Korean Medicine, Bu-Chun Jaseng Hospital of Korean Medicine) ;
  • Jeong, Seon-Yeong (Dept. of Neuropsychiatry of Korean Medicine, Bu-Chun Jaseng Hospital of Korean Medicine) ;
  • Lee, Cha-Ro (Dept. of Internal Medicine of Korean Medicine, Bu-Chun Jaseng Hospital of Korean)
  • 김태호 (부천자생한방병원 침구의학과) ;
  • 윤태경 (부천자생한방병원 침구의학과) ;
  • 윤영웅 (부천자생한방병원 한방재활의학과) ;
  • 정선영 (부천자생한방병원 대한한방신경정신과) ;
  • 이차로 (부천자생한방병원 한방내과)
  • Received : 2014.05.14
  • Accepted : 2014.05.28
  • Published : 2014.06.30

Abstract

Objectives : The purpose of this study was to evaluate the effect of Korean medicicine treatment in patients with Spondylolisthesis and Lumbar Herniated Intervertebral Disc(HIVD). Methods : This clinical study was carried out on 62 patients who were diagnosed as spondylolisthesis and lumbar herniated intervertebral disc(HIVD) on L-spine X-ray and L-spine magnetic resonance imaging(MRI), who had been admitted from Feb. 2013 to Apr. 2014. All of 62 patients were treated with acupuncture, chuna treatment and herbal medicine during the whole admission period. Numerical rating scale(NRS) was used to evaluated the effectiveness of the oriental medical treatment. Results : 1. Distribution showed female predominance in general. 2. Degenerative type is the most common in this study. 3. In the duration of symptoms, the largest group was" Subacute"(32.26%). 4. Almost of patients had radiation pain, but in SLR test and valsalva test, more patients had no significant sign. 5. Spondylolytic type involved the 5th lumbar vertebra in 80% and degenerative type involved the 4th lumbar vertebra in 53.84%. 6. Most of case were grade 1(93.54%) in degree of slipping. 7. By the oriental medical treatment, NRS reduction in spondylolytic spondylolisthesis, was better than degenerative spondylolisthesis. Conclusions : The result of treatment by Korean medical is satisfactory for the tretment of spondylolisthesis.

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