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Complex Acupuncture Treatment for Cervical Ossification of Posterior Longitudinal Ligament: Case Report of Two Patients

  • Jae Hyung Kim (Department of Acupuncture and Moxibustion, College of Korean Medicine, Daegu Haany University) ;
  • Ga Young Choi (Department of Acupuncture and Moxibustion, College of Korean Medicine, Daegu Haany University) ;
  • Sang Ha Woo (Department of Acupuncture and Moxibustion, College of Korean Medicine, Daegu Haany University) ;
  • Jung Hee Lee (Department of Acupuncture and Moxibustion, College of Korean Medicine, Daegu Haany University) ;
  • Hyun Jong Lee (Department of Acupuncture and Moxibustion, College of Korean Medicine, Daegu Haany University) ;
  • Jae Soo Kim (Department of Acupuncture and Moxibustion, College of Korean Medicine, Daegu Haany University)
  • 투고 : 2023.05.16
  • 심사 : 2023.07.20
  • 발행 : 2023.08.31

초록

Ossification of the posterior longitudinal ligament (OPLL) is a disease that narrows the spinal canal, causing neurological symptoms. To date, there have been several reports on traditional Korean medicine treatments for OPLL; however, there is no study on complex acupuncture treatment. Herein, we report 2 cases of cervical OPLL involving cervical pain, upper limb radiating pain, and hypoesthesia. The patients were diagnosed using C-spine computed tomography and did not receive any treatment at any other hospital. The patients were treated with acupuncture treatments, including electroacupuncture, pharmacopuncture, and acupotomy, at Daegu Korean Medicine Hospital at Daegu Haany University. The results were assessed using the visual analog scale, neck disability index, and Japanese Orthopedic Association scores, and the results indicated an improvement in the symptoms. Thus, this study demonstrated that complex acupuncture treatment may be helpful for treating cervical OPLL and improving the quality of life.

키워드

참고문헌

  1. Ahn MY, Lim HH. Domestic research trend of the ossicification of the posterior longitudinal ligament in Korean medicine. J Korean Med Rehabil 2016;26:59-65. doi: 10.18325/jkmr.2016.26.3.59 
  2. Lee SM, Yoon KH, Lim JS, Cho YE, Park JM, Nam DW, et al. A case report of cervical myelopathy caused by ossification of posterior longitudinal ligament: focusing on warm needling therapy. J Acupunct Res 2014;31:75-82. doi: 10.13045/acupunct.2014045 
  3. Kim S, Seo W, Choi S, Moon I, Park J. Clinical studies on ossification of posterior longitudinal ligament (OPLL). J Korean Acupunct Moxibustion Soc 2002;19:264-279. 
  4. Lee J, Lee H, Cho Y, Jeong S. A case report on cervical spinal stenosis with ossification of posterior longitudinal ligament applied Chuna treatment. J Korea Chuna Man Med Spine Nerves 2009;4:85-94. 
  5. Park S, Kim S, Yang S, Lee G. The clinical effects of acupotomy for ossification of the posterior longitudinal ligament. J Korean Acupunct Moxibustion Soc 2011;28:127-135. 
  6. Pham MH, Attenello FJ, Lucas J, He S, Stapleton CJ, Hsieh PC. Conservative management of ossification of the posterior longitudinal ligament. A review. Neurosurg Focus 2011;30:E2. doi: 10.3171/2011.1.FOCUS10273 
  7. Park S, Lee DH, Ahn J, Cho JH, Lee SK, Kim KJ, et al. How does ossification of posterior longitudinal ligament progress in conservatively managed patients? Spine (Phila Pa 1976) 2020;45:234-243. doi: 10.1097/BRS.0000000000003240 
  8. Namgoong J, Lee YH, Ju AR, Chai J, Choi D, Choi HJ, et al. Long-term follow-up of patients with neck pain associated with ossification of the posterior longitudinal ligament treated with integrative complementary and alternative medicine: a retrospective analysis and questionnaire survey. J Pain Res 2022;15:1527-1541. doi: 10.2147/JPR.S356280 
  9. Park J, Jeong MI, Jeong WJ, Hong HW, Koo J, Choi S, et al. Korean medicine treatment for managing complex regional pain syndrome: case report. J Acupunct Res 2022;39:234-238. doi: 10.13045/jar.2022.00122 
  10. Choi GY, Han JH, Woo SH, Lee JH, Lee YK, Choi SH, et al. Conservative Korean medicine integrated treatment for medial collateral ligament tear of the knee joint with bone contusion: two clinical cases. J Physiol Pathol Korean Med 2022;36:247-251. doi: 10.15188/kjopp.2022.12.36.6.247 
  11. Kim SY, Kim E, Kwon O, Han CH, Kim YI. Effectiveness and safety of acupotomy for lumbar disc herniation: a randomized, assessor-blinded, controlled pilot study. Evid Based Complement Alternat Med 2018;2018:5871657. doi: 10.1155/2018/5871657