DOI QR코드

DOI QR Code

Combined Korean Medicine Treatment of a Rare Case of Burst Fracture in an Elderly Patient with Kissing Spine

  • Park, Eun-Young (Department of Acupuncture and Moxibustion, Jaseng Hospital of Korean Medicine) ;
  • Choi, Jong-Ho (Department of Acupuncture and Moxibustion, Jaseng Hospital of Korean Medicine) ;
  • Jo, Hoo-In (Department of Acupuncture and Moxibustion, Jaseng Hospital of Korean Medicine) ;
  • Lee, Soo-Kyung (Department of Acupuncture and Moxibustion, Jaseng Hospital of Korean Medicine) ;
  • Lee, June-Haeng (Department of Acupuncture and Moxibustion, Jaseng Hospital of Korean Medicine) ;
  • Kang, Sun-Woo (Department of Acupuncture and Moxibustion, Jaseng Hospital of Korean Medicine) ;
  • Won, Yoon-Jae (Department of Acupuncture and Moxibustion, Jaseng Hospital of Korean Medicine) ;
  • Choi, Sung-Ryul (Department of Oriental Neuropsychiatry, Jaseng Hospital of Korean Medicine) ;
  • Cho, Yu-Jin (Department of Oriental Obstetrics and Gynecology, Jaseng Hospital of Korean Medicine)
  • 투고 : 2020.09.23
  • 심사 : 2020.12.16
  • 발행 : 2021.05.31

초록

A burst fracture refers to the fracture of the anterior and middle vertebral columns which are moving into the spinal canal causing neurological impairments, generally requiring surgical treatment. We herein report a rare case of burst fracture with kissing spine in a 90-year-old man who had severe lower back pain that worsened during back extension. Considering the surgical treatment risk, he was hospitalized at a Korean medicine hospital for 85 days and underwent combined Korean medicine treatments including pharmacopuncture, herbal medicine, chuna, deep-fascia meridian therapy, walking practice, and abdominal breathing. Based on patient-reported scales, his pain was alleviated, and his physical function improved. Furthermore, his range of motion and walking time increased. This case report suggests that combined Korean medicine treatments could be an effective alternative for patients with burst fracture who have surgery risks.

키워드

참고문헌

  1. Bae JM, Kim DH, Kim JK, Yang GY, Kim KH. Korean medicine for thoracolumbar compression fracture in Korean literature: A systematic review. Acupunct 2015;32:147-156.
  2. Denis F. The three-column spine and its significance in the classification of acute thoracolumbar spinal injuries. Spine 1983;8:817-831. https://doi.org/10.1097/00007632-198311000-00003
  3. Atlas SW, Regenbogen V, Rogers LF, Kim KS. The radiographic characterization of burst fractures of the spine. Am J Roentgenol 1986;147:575-852. https://doi.org/10.2214/ajr.147.3.575
  4. Park IK, Lee J-K, Seo JG. Three-column fracture in the thoracolumbar junction caused by low-energy trauma in a patient with Baastrup disease: A case report. J Korean Soc Spine Surg 2019;26:166-171. https://doi.org/10.4184/jkss.2019.26.4.166
  5. Koda M, Mannoji C, Murakami M, Kinoshita T, Hirayama J, Miyashita T et al. Baastrup's disease is associated with recurrent of sciatica after posterior lumbar spinal decompressions utilizing floating spinous process procedures. Asian Spine J 2016;10:1085-1090. https://doi.org/10.4184/asj.2016.10.6.1085
  6. Hu X, Ma W, Chen J, Wang Y, Jiang W. Posterior short segment fixation including the fractured vertebra combined with kyphoplasty for unstable thoracolumbar osteoporotic burst fracture. BMC Musculoskelet Disord 2020;21:1-6. https://doi.org/10.1186/s12891-019-3017-y
  7. Lee J-H, Chung H-J, Lee I-H, Lee J-W, Kim E-J, Kim M-J. Study on single-dose intramuscular toxicity of Shinbaro pharmacopuncture in Sprague-Dawley (SD) rats and beagle dogs. Journal of Korean Medicine Rehabilitation 2015;25:1-9.
  8. Shim SY, Park HJ, Lee JM, Lee HS. An overview of pain measurements. Korean J Acupunct 2007;24:77-97.
  9. Lee SH, Park JH. The Study of Factors Affecting Functional Disability of the Low Back Pain Patients Using Oswestry Disability Index (ODI) Assessment Tool. J Korean Acad Orthop Man Therap 2007;13:18-25.
  10. Bandy W, Sanders B. Therapeutic Exercises for Physical Therapy Assistants: Intervention Techniques, 2nd ed. Philadelphia (PA): Lippincott, Williams & Wilkins; 2008. p. 48-51.
  11. Prather H, Harris-Hayes M, Hunt DM, Steger-May K, Mathew V, Clohisy JC. Reliability and agreement of hip range of motion and provocative physical examination tests in asymptomatic volunteers. PM R 2010;2:888-895. https://doi.org/10.1016/j.pmrj.2010.05.005
  12. Park YS, KIM YS, Kang CN, Choi CH, Choi JL. Comparative Analysis of Unstable Burst Fracture According to the Methodology of Surgical Treatment. J Korean Spine Surg 2004;11:278-284. https://doi.org/10.4184/jkss.2004.11.4.278
  13. Bae KJ, Jeong JW, Jung MY, Jim SJ. Reviewing Research on the Treatment and Study of Fracture in Korean Journals Objective - Focus on Domestic Thesis. J Korean Med 2015;25:27-36.
  14. Kang AH, Han DK, Seo HJ, Sung JY, Oh JH, Lee YR et al. A Case of KoreanWestern Medical Treatment of a Diabetic Patient Admitted with Lumbar Burst Fracture. J Int Korean Med 2018;39:107-115. https://doi.org/10.22246/jikm.2018.39.2.107
  15. Kwon GS, Park JA, Noh JH, Kim CH. Case study of Oriental Medicine Treatment with Mae-sun therapy of the spinal cord injury due to lumbar burst fracture. J Pharmacopunct 2010;13129-144.
  16. Kim WK, Chung H-J, Pyee Y, Choi TJ, Park HJ, Hong J-Y et al. Effects of intra-articular SHINBARO treatment on monosodium iodoacetate-induced osteoarthritis in rats. Chin Med 2016;17:1-10.
  17. Kim S-H, Lee C-H, Lee J-S, Cho K-H, Kim S-O, Cho S-H et al. Antiinflammatory activities of a herbal preparation GCSB-5 on acute and chronic inflammation. Korean Journal of Pharmacognosy 2005;36(4):311-317.
  18. Son H-H. The effects of stabilization exercise with abdominal breath on balance and Oswestry disability index for low back pain patients. J Korean Soc Phys Med 2015;10:107-113. https://doi.org/10.13066/kspm.2015.10.1.107