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Radiological Findings and Treatment Period of Acute Low Back Pain Patients Diagnosed as Having Lumbar Sprain and Strain - with Focus on X-ray and CT Findings -  

Koh, Pil-Seong (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Kyung Hee University)
Yi, Won-Il (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Kyung Hee University)
Joh, Byung-Jin (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Kyung Hee University)
Kwon, Sin-Ae (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Kyung Hee University)
Lee, Jung-Woo (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Kyung Hee University)
Kim, Min-Jung (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Kyung Hee University)
Seo, Byung-Kwan (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Kyung Hee University)
Woo, Hyun-Soo (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Kyung Hee University)
Baek, Yong-Hyun (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Kyung Hee University)
Kim, Jae-Kyu (Dept. of Acupuncture & Moxibustion, Hospital of Pusan National University)
Park, Dong-Suk (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Kyung Hee University)
Publication Information
Journal of Acupuncture Research / v.27, no.4, 2010 , pp. 19-28 More about this Journal
Abstract
Objectives : To demonstrate the need for differential diagnosis between discogenic pain and lumbar sprain and strain in acute low-back pain patients. Methods : Outpatients who made their first visits during May 1, 2009 to Oct. 30, 2009(n=53) were examined by history taking, physical examination, X-rays, and CT imaging. Disorders found on lumbosacral spine X-ray cuts and those on lumbosacral spine CT images were separately recorded. The relationship between treatment period, disc space narrowing and disc degeneration on X-rays, and HIVD on CT images was examined. Results : 1. Correlation between disc space narrowing on X-rays and HIVD found on CT images was analyzed. 21(72.41%) out of 29 patients having disc space narrowing on X-rays and HIVD on CT at the same level required treatment for over 8 weeks. 2. 2(50%) out of 4 Lawrence classification grade I patients, 8(66.67%) out of 12 grade II patients, and 14(70%) out of 20 grade III patients needed treatment for over 8 weeks. Conclusions : Disc space narrowing on X-ray and HIVD on CT at the same level, or disc space narrowing and disc degeneration on X-ray image alone indicate a tendency for treatment periods over 8 weeks, which is longer than the conventional treatment period for lumbar strain and sprain.
Keywords
Lumbar sprain and train; Discogenic low back pain; Disc space narrowing; Disc degeneration; HIVD;
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Times Cited By KSCI : 1  (Citation Analysis)
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1 Shvartzman L, Weingarten E, Sherry H, Levin S, Persaud A. Cost-effectness analysis of extended conservative therapy versus surgical intervention in the management of herniated lumbar intervertebral disc. Spine. 1992 ; 17(2) : 176-82.   DOI   ScienceOn
2 JS. Lawrence. Disc degeneration its frequency and relationship to symptoms. Ann Rheum Dis. 1969 ; 28 : 121-38.   DOI   ScienceOn
3 서진석. 척추질환의 CT 및 MRI 진단법. 대한통증학회지. 1996 ; 9(2) : 305-10.
4 이은경, 최은희, 이지은, 전주현, 이성환, 이재민, 김연미, 곽병민, 양기영, 김영일. 요추 추간판 탈출증 환자 137례에 대한 한의학적 임상고찰. 대한침구학회지. 2008 ; 25(3) : 127-38.   과학기술학회마을
5 Ostgaard HC, Andersson GB, Karlsson K. Prevalence of back pain in pregnancy. Spine(Phila Pa 1976) 1991 ; 16 : 549-52.   DOI   ScienceOn
6 손인철, 김경식, 이호섭. 좌섬요통의 침구치료에 관한 문헌적 고찰. 대한침구학회지. 1992 ; 9(1) :125.
7 정현우, 나창수, 윤여충, 정우열. 요통에 대한 동서의학적 병리 및 임상치료(I). 대한동의병리학회지. 1996 ; 10(2) : 28-40.
8 정형근, 송재성. 2007년 국민건강보험 통계연보. 국민건강보험공단. 2008 건강보험 DB. 2007년 진료인원통계. URL : http://www.nhic.or.kr
9 H Hyodo, Tetsuro Sato, Hirotoshi Sasaki, Yasuhisa Tanaka. Discogenic pain in acute nonspecific low- back pain. Eur Spine J. 2005 ; 14 : 573-7.   DOI   ScienceOn
10 김기택. 요통환자의 진단과 치료. 대한가정의학회지. 1997 ; 18(2) : 106-24.
11 대한정형외과학회. 정형외과학. 서울 : 최신의학사. 1993 ; 10, 376.
12 전재관, 한상원. 요통에 대한 임상적 고찰. 대한침구학회지. 1996 ; 13(1) : 181-90.
13 석세일. 척추외과학. 서울 : 최신의학사. 1997 ;209-11.
14 Schwarzer AC, Aprill CN, Derby R, Fortin J, Kine G, Bogduk N. The prevalence and clinical features of internal disc disruption in patients with chronic low back pain. Spine. 1995 ; 20 : 1878-83.   DOI   ScienceOn
15 Coppes MH, Marani E, Thomeer RT, Groen GJ. Innervation of "painful" lumbar discs. Spine. 1997 ; 22 : 2342-49.   DOI   ScienceOn
16 이승덕, 김갑성. 한방병원 요통환자의 요추부 X-선 소견에 관한 고찰. 1999 ; 16(1) : 57-86.
17 김은영, 김영욱, 이경민, 김주연, 김효은, 강영화, 서정철, 임성철, 한상원. 좌섬요통환자에서 X-ray상 narrowing과 CT상 HIVD와의 연관성 분석. 2002 ; 19(6) : 125-33.
18 이용철, 김양수, 김건상. 요통환자의 요추 전산화 단층활영 소견. 대한방사선의학회지. 1986 ; 22(2) : 199-205.