Browse > Article
http://dx.doi.org/10.13045/acupunct.2015069

Korean Medicine for Thoracolumbar Compression Fracture in Korean Literature : a Systematic Review  

Bae, Ji Min (Department of Acupuncture & Moxibustion, Pusan National University Korean Medicine Hospital)
Kim, Dae Hun (Department of Acupuncture & Moxibustion, Pusan National University Korean Medicine Hospital)
Kim, Jae Kyu (Department of Clinical Medicine, School of Korean Medicine, Pusan National University)
Lee, Byung Ryul (Department of Clinical Medicine, School of Korean Medicine, Pusan National University)
Yang, Gi Young (Department of Clinical Medicine, School of Korean Medicine, Pusan National University)
Kim, Kun Hyung (Department of Clinical Medicine, School of Korean Medicine, Pusan National University)
Publication Information
Journal of Acupuncture Research / v.32, no.4, 2015 , pp. 147-156 More about this Journal
Abstract
Objectives : This study aims to evaluate the effectiveness and safety of Korean medicine for a thoracolumbar compression fracture. Methods : We searched six Korean databases (DBPIA, Korean Studies Information Service System, Oriental Medicine Advanced Searching Integrated System, National Digital Science Library, Research Information Sharing Service, KoreaMed) (up to June 2015) and the Journal of Korean Acupuncture and Moxibustion Society. Unpublished studies were also searched. Clinical research, other than case reports involving less than 10 patients, were eligible. The effectiveness and safety of Korean Medicine was analyzed. The 'Risk of Bias' was assessed using the 'Risk of Bias' assessment tool for non-randomized studies as well as the Cochrane Collaboration's 'Risk of Bias' tool. Results : We found 12 before-after studies (374 patients). There was no randomized trial. All studies combined at least three different types of Korean medicine treatments. The period of treatment varied between less a week and 154 days. All the included studies reported improvements in pain, functional disability related to lower back pain, global assessment, and benefits in the compression ratio of a fractured vertebrae and skin temperature measured by digital infrared thermal imaging in comparison with the baseline. However, all studies had a high risk of bias and three studies reported mild adverse events. Conclusions : There is no randomized trial for the role of Korean medicine for patients with a thoracolumbar compression fracture. The effectiveness and safety of Korean medicine for this population remains unclear. Findings in this review are seriously biased due to observational design and a high risk of bias included in the studies. Future high-quality randomized trials are warranted.
Keywords
Spinal fracture; Compression fracture; Korean medicine; Vertebral fracture; Systematic review; Acupuncture;
Citations & Related Records
Times Cited By KSCI : 6  (Citation Analysis)
연도 인용수 순위
1 Abudou M, Chen X, Kong X, Wu T. Surgical versus non-surgical treatment for thoracolumbar burst fractures without neurological deficit. Cochrane Database Syst Rev. 2013 ; 6 : CD005079.
2 JI SY. Bibliographic study on method of treating the diseases inside the body applied to fracture. The Journal of Korean Medicine Ophthalmology, Otolaryngology & Dermatology. 1995 ; 8(1) : 113-29.
3 Higgins JPT GS. Cochrane handbook for systematic reviews of interventions. version 5.0.2. : The Cochrane Collaboration. 2009 : 187-241.
4 Kim SY, Park JE, Lee YJ et al. Testing a tool for assessing the risk of bias for nonrandomized studies showed moderate reliability and promising validity. J Clin Epidemiol. 2013 ; 66(4) : 408-14.   DOI
5 Higgins J GS. Analysing and presenting results. Cochrane handbook for systematic reviews of interventions 4.2.6. Chichester, UK : John Wiley & Sons Inc. 2008 : 79-165.
6 Lee GM, Moon SJ, Lee BC. Clinical evaluation of Oriental Medicine treatment of Stable Compression Fracture by D.I.T.I. The Acupuncture. 1997 ; 1(1) : 28-37.
7 Jin ES, Koh DH, Kim HN. The Clinical Study of 35 Admission Patients to Oriental Medical Hospital due to Thoraco-Lumbar Compression Fracture. Korean Society of Chuna manual Medicine for Spine and Nerves. 2008 ; 3(2) : 19-27.
8 Lee GM, Seong NG, Chae WS. Clinical Study of Stable Thoracolumbar Vertebral Fractures. The Acupuncture. 1993 ; 10(1) : 339-52.
9 Joh BJ, Koh PS, Yi WI, Baek YH, Nam TH, Park DS. Clinical study on 16 conservatively treated acute compression fracture patients with focus on compression ratio. The Acupuncture. 2009 ; 26(4) : 1-9.
10 Lee JG, Lee BR. The clinical study on 32 cases of patient with Thoracolumbar Compression Fracture. The Acupuncture. 1998 ; 15(2) :427-36
11 Oh H, Kim ID, Byun JY, Ahn SG. The Clinical Study on 40 cases of Patient with Thoracolumbar Fracture. The Acupuncture. 2001 ; 18(2) : 227-36.
12 Lim JE, Kim KH, Hwang HS. Theclinical study on 44cases of patient with Thoracolumbar Compression Fracture. The Acupuncture. 2000; 17(2) : 41-51.
13 Lee SN, Hong SY, Byun IJ. The Clinical Study on Bee Venom Acupuncture Treatment of Patient with Thoracolumbar Compression Fracture. The Acupuncture. 2002 ; 19(6) : 35-48.
14 Song WS, Hwang JY, Shin YI, Lee BR. The Clinical Study on Hua-Tua-Jia-Ji-Xue Acupuncture Treatmentof Patient with Thora columbar Compression Fracture. The Acupuncture. 2001 ; 18(4) : 55-67.
15 Yang GR, Sohn HS. Effect of Bee Venom Acupuncture complex Therapy of Thoracolumbar Compressiono Fracture. The Acupuncture. 2008 ; 25(3) : 29-39.
16 Jung KH, Cha JH, Hwang HS. Effect of Oriental Medicine Treatment on Inpatient with Thoracolumbar Compression Fracture. The Acupuncture. 2009 ; 26(1) : 81-90.
17 Han JS, Heo DS, Keum DH. Prognostic Factors of Stable Thoracolumbar Spine Fracture. JORM. 2001 ; 11(4) : 49-58.
18 Kim SY, Choi MY, Shin SS et al. Handbook for Clinical Practice Guideline Developer : Version 1.0. NECA. 2015 : 383-8.
19 Holdsworth F. Fractures, dislocations, and fracture-dislocations of the spine. J Bone Joint Surg Am. 1970 ; 52(8) : 1534-51.   DOI
20 Hrobjartsson A, Thomsen AS, Emanuelsson F et al. Observer bias in randomised clinical trials with binary outcomes: systematic review of trials with both blinded and non-blinded outcome assessors. Bmj. 2012 ; 344 : e1119.   DOI
21 White A. A cumulative review of the range and incidence of significant adverse events associated with acupuncture. Acupunct Med. 2004 ; 22(3) : 122-33.   DOI
22 Park JY, Kim SY, Chae YB et al. Systematic Review of Adverse Events Related to Acupuncture and Moxivbustion in Korea. J Korean Oriental Med. 2010 ; 31(2) : 78-90.
23 Chang V, Holly LT. Bracing for thoracolumbar fractures. Neurosurg Focus. 2014 ; 37(1) : E3.
24 Savage JW, Schroeder GD, Anderson PA. Vertebroplasty and Kyphoplasty for the Treatment of Osteoporotic Vertebral Compression Fractures. Journal of the American Academy of Orthopaedic Surgeons. 2014 ; 22(10) : 653-4.   DOI
25 Koester MC, Spindler KP. Pharmacologic agents in fracture healing. Clin Sports Med. 2006 ; 25(1) : 63-73, viii.   DOI
26 Lee HJ, Seo JC, Park SH et al. Acupuncture in patients with a vertebral compression fracture: a protocol for a randomized, controlled, pilot clinical trial.J Pharmacopuncture. 2015; 18(1) : 79=85.   DOI
27 Han JS, Terenius L. Neurochemical basis of acupuncture analgesia. Annu Rev Pharmacol Toxicol. 1982 ; 22 : 193-220.   DOI
28 Mak JC. Acupuncture in osteoporosis : more evidence is needed. Acupunct Med. 2015 ; 33(6) : 440-1.   DOI
29 He J, Yang L, Qing Y, He C. Effects of electroacupuncture on bone mineral density, oestradiol level and osteoprotegerin ligand expression in ovariectomised rabbits. Acupunct Med. 2014 ; 32(1) : 37-42.   DOI
30 MacPherson H, White A, Cummings M, Jobst K, Rose K, Niemtzow R. Standards for reporting interventions in controlled trials of acupuncture : the STRICTA recommendations. Complement Ther Med. 2001 ; 9(4) : 246-9.   DOI
31 McGuire R. AAOS Clinical Practice Guideline : the Treatment of Symptomatic Osteoporotic Spinal Compression Fractures. J Am Acad Orthop Surg. 2011 ; 19(3) : 183-4.   DOI
32 Schulz KF, Altman DG, Moher D. CONSORT 2010 Statement : updated guidelines for reporting parallel group randomised trials. BMC Med. 2010 ; 8 : 18.   DOI
33 Society KSN. The Textbook of Spine. ver 2.0. 2013 : 523-48.
34 Denis F. The three columnspine and its significance in the classification of acute thoracolumbar spinal injuries. Spine (Phila Pa 1976). 1983 ; 8(8) : 817-31.   DOI
35 Melton LJ 3rd, Thamer M, Ray NF et al. Fractures attributable to osteoporosis : report from the National Osteoporosis Foundation. J Bone Miner Res. 1997 ; 12(1) : 16-23.   DOI
36 Genant HK, Cooper C, Poor G et al. Interim report and recommendations of the World Health Organization Task-Force for Osteoporosis. Osteoporos Int. 1999 ; 10(4) : 259-64.   DOI
37 Oudshoorn C, Hartholt KA, Zillikens MC et al. Emergency department visits due to vertebral fractures in the Netherlands, 1986-2008 : steep increase in the oldest old, strong association with falls. Injury. 2012 ; 43(4) : 458-61.   DOI
38 Cooper C, Atkinson EJ, O' Fallon WM, Melton LJ 3rd. Incidence of clinically diagnosed vertebral fractures : a population - based study in Rochester, Minnesota,1985-1989. J Bone Miner Res. 1992 ; 7(2) : 221-7.   DOI
39 Johnell O, Kanis JA. An estimate of the worldwide prevalence and disability associated with osteoporotic fractures. Osteoporos Int. 2006 ; 17(12) : 1726-33.   DOI
40 David S, Kuhn C, Ekkernkamp A. [Fracture of the proximal humerus in children and adolescents. The most overtreated fracture]. Chirurg. 2006 ; 77(9) : 827-34.   DOI
41 Silverman SL. The clinical consequences of vertebral compressionfracture. Bone. 1992; 13 Suppl 2 : S27-31.   DOI
42 Hasserius R, Karlsson MK, Nilsson BE, Redlund-Johnell I, Johnell O, European Vertebral Osteoporosis S. Prevalent vertebral deformities predict increased mortality and increased fracture rate in both men and women : a 10-year population-based study of 598 individuals from the Swedish cohort in the European Vertebral Osteoporosis Study. Osteoporos Int. 2003 ; 14(1) : 61-8.   DOI
43 Hasserius R, Karlsson MK, Jonsson B, Red lund-Johnell I, Johnell O. Long-term morbidity and mortality after a clinically diagnosed vertebral fracture in the elderly--a 12- and 22-year follow-up of 257 patients. Calcif Tissue Int. 2005 ; 76(4) : 235-42.   DOI
44 Agulnek AN, O'Leary KJ, Edwards BJ. Acute vertebral fracture. J Hosp Med. 2009 ; 4(7) : E20-4.
45 Lee JY, Vaccaro AR, Lim MR et al. Thoracolumbar injury classification and severity score : a new paradigm for the treatment of thoracolumbar spine trauma. J Orthop Sci. 2005 ; 10(6) : 671-5.   DOI
46 Association TKO. Orthopeadics. 6th ed. Seoul : Choishin Medical. 2006 : 957-88.
47 Savage JW, Schroeder GD, Anderson PA. Vertebroplasty and Kyphoplasty for the Treatment of Osteoporotic Vertebral Compression Fractures. J Am Acad Orthop Surg. 2014 ; 22(10) : 653-64.   DOI
48 Deramond H, Depriester C, Galibert P, Le Gars D. Percutaneous vertebroplasty with polymethylmethacrylate. Technique, indications, and results. Radiol Clin North Am. 1998 ; 36(3) : 533-46.   DOI
49 Buchbinder R, Golmohammadi K, Johnston RV et al. Percutaneous vertebroplasty for osteoporotic vertebral compression fracture. Cochrane Database Syst Rev. 2015 ; 4 : CD006349.