• 제목/요약/키워드: 척추 협착증

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ERRATUM: 퇴행성 요추 척추관 협착증의 한의표준임상진료지침 핵심질문 설정에 대한 환자 인식 설문 조사: 단면 설문 연구 (ERRATUM: Patient's Perception for Developing Research Questions of a Clinical Practice Guideline of Korean Medicine for Degenerative Lumbar Spinal Stenosis: A Descriptive Cross-Sectional Survey)

요추 후관절 주사: 임상적 유용성과 안전성에 대한 고찰 (Lumbar Facet Joint Injection: A Review of Efficacy and Safety)

  • 도윤아;이영준;지충근;이준우
    • 대한영상의학회지
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    • 제85권1호
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    • pp.54-76
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    • 2024
  • 후관절병증은 퇴행성 추간판 질환 또는 척추관 협착증과 같은 척추 퇴행성 질환과 잘 동반되는 진행성 퇴행성 질환이다. 요추의 후관절병증은 근위부 하지의 통증을 유발할 수 있지만 그 증상과 영상 소견이 비특이적이기 때문에 추간판 탈출증이나 신경근 압박에 의한 통증과 감별이 어렵다. 또한 치료적 요추 후관절 내 스테로이드 주사는 현재까지 그 근거가 낮다고 분류되어 있으나, 다른 여러 연구들에서는 후관절 내 스테로이드 주사의 치료적 효과를 보고하고 있다. 실제 진료 현장에서는 치료적 후관절 내 스테로이드 주사 시술이 증가하고 있는 추세로, 본 종설에서는 후관절 내 주사에 대한 저자들의 경험을 바탕으로 요추 후관절 내 주사의 임상적 유용성 및 시술의 안전성에 대해서 소개하고자 한다.

버가못 에센셜 오일 향흡입이 요추관협착증 환자의 수술 후 만성통증에 미치는 효과 (Effect of Bergamot Essential Oil-Inhalation on Chronic Pain after Surgery for Lumbar Spinal Stenosis)

  • 설근희;정명희
    • Journal of Korean Biological Nursing Science
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    • 제13권2호
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    • pp.156-163
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    • 2011
  • Purpose: The purpose of this study was to examine the effects of a bergamot essential oil-inhalation on chronic pain after surgery for lumbar spinal stenosis. Methods: Fifty-two subjects were randomly assigned to the experimental (bergamot essential oil-inhalation) and control (almond oil-inhalation) group. All patients understood the purpose of this study and a written informed consent for the study was obtained. Results: Bergamot essential oil-inhalation was conducted during twenty minutes. Visual analog scale, blood pressure, heart rate, and respiratory rate were measured before and after treatment in the two groups. The visual analog scale score, heart rate, and respiratory rate in bergamot essential oil-inhalation group were significantly lower than those in almond oil-inhalation group. However, there was no significant difference in systolic and diastolic blood pressure between the two groups. Conclusion: Therefore, bergamot essential oil-inhalation is effective in alleviating pain, heart rate, and respiratory rate. These results suggest that bergamot essential oil-inhalation can be a useful method for the relief of chronic pain during the treatment after spinal surgery.

요추 척추관 협착증 환자 118례에 대한 임상적 고찰 (The Clinical Study on Spinal Stenosis of Lumbar Spine)

  • 조재희;이효은;문자영;임명장;강인;이한;정호석;김지형
    • 척추신경추나의학회지
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    • 제3권2호
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    • pp.77-85
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    • 2008
  • Object : These studies are designed to make a survey of the effectiveness of the non surgical oriental medicine treatment with Chuna on spinal stenosis of lumbar spine. Methods : The clinical study was done on 118 cases of patients with spinal stenosis of lumbar spine diagnosed by M.R.I, symptoms and physical test who was in the admission in Ja-Seng Oriental Medcine Hospital from October 2006 to October 2008. after treatment we checked VNRS score to estimate the efficacy of treatment. Results : 1. As a Objectivity treatment record, they test excellent 17%, good 69%, fair 8%, poor 6%. 2. The mean NRS score decreased about 3.26 after the treatment. Conclusions : Non surgical oriental medicine treatment with Chuna has on useful effect on spinal stenosis of lumbar spine.

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추나요법을 적용한 후종인대골화증을 동반한 경추척추관협착증 환자의 경과관찰 1례 (A Case Report on Cervical Spinal Stenosis with Ossification of posterior Longitudinal Ligament Applied Chuna Treatment)

  • 이진복;이휘용;조이현;정시영
    • 척추신경추나의학회지
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    • 제4권1호
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    • pp.85-94
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    • 2009
  • Objects : This study was to report a clinical effect of Korean Treatment for a patient diagnosed by Computed Tomography as Cervical Spinal Stenosis with Ossification of posterior Longitudinal Ligament. Methods : In order to alleviate left shoulder pain and neck stiffness, the patient was treated by acupuncture therapy, herbal medicine, distilled herbal injection, cervical traction technique of Chuna treatment and conservative managements. To evaluate the effect of the treatment, Recovery rate of Hirabayashi, VAS(Visual Anlaogue Scale), NDI and ROM(Range of Motion) were used. Lhermitte's sign, Valsalva test, Distraction test, Compression test and Spurling test were carried out. Results : VAS, NDI and ROM were improved and Recovery rate was 100%. Conclusions : Korean Treatment can be effectively used for a patient with Cervical Spinal Stenosis with OPLL. Further clinical studies are needed to verify the findings.

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요추 척추관협착증에 대한 추나요법의 효과 : 체계적 문헌 고찰 (Chuna Manual Therapy for Lumbar Spinal stenosis : A Systematic Review)

  • 임경태;신병철;허인;황만석
    • 척추신경추나의학회지
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    • 제13권2호
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    • pp.1-10
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    • 2018
  • Objectives : To evaluate the evidence supporting the effectiveness and safety of Chuna manual therapy(CMT) for lumbar spinal stenosis Methods : We searched 10 electronic databases(Pubmed, EMBASE, Cochrane Library, CAJ, RISS, KISS, KISTI, KMBASE, DBpia, NDSL) and related 2 journals up to October 2018. We included randomized controlled trials(RCTs) of testing CMT for lumbar spinal stenosis patients. The methodological quality of RCTs related assessed by the Cochrane risk of bias tool 1.0. Results : Three RCTs were eligible in our inclusion criteria. The meta-analysis of 3 studies showed positive results for the using CMT for lumbar spinal stenosis. Conclusions : The review found favorable evidence of CMT for treating lumbar spinal stenosis with meta-analysis. However, our systematic review has limited evidence to support CMT for lumbar spinal stenosis because of low quality of original articles and further well-designed RCTs should be encouraged.

두피 피부 무형성증을 동반한 양막대증후군 1례 (A Case of Amniotic Band Syndrome Associated with Aplasia Cutis of the Scalp)

  • 이경연;김자형;오기원;정진영;박상규;김준성
    • Neonatal Medicine
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    • 제16권1호
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    • pp.85-88
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    • 2009
  • 저자들은 우측 다리와 겨드랑이의 협착고리, 우측 발의 만곡족, 척추 측만증, 좌측 엄지 손가락의 다지증, 우측 엄지 손가락 결여증과 더불어, 두피에 피부 무형성증이 동반된 양막대증후근 1례를 경험하였기에 문헌 괓ㄹ과 함께 보고하는 바이다.

요추관 협착증과 골밀도와의 상관성에 관한 임상례 보고 (Correlation between lumbar spinal stenosis and bone mineral density : a clinical survey of 9 cases)

  • 송주현;강인;임명장;김하늘;이제균;장형석
    • 척추신경추나의학회지
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    • 제1권1호
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    • pp.105-111
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    • 2006
  • Objective : The aim of this study was to evaluate association between lumbar spinal stenosis, one of degenerative diseases, and bone mineral density. Methods : We monitored 9 lumbar spinal stenosis patients in women above 50 years, visiting outpatient clinic of the Jaseng Oriental Medicine Hospital between January 5 2006 and March 31, 2006. They were diagnosed by radiologist ist after taking Magnetic Resonance Imaging(MRI). The cases were Investigated the bone mineral density using Dual Energy X-ray Absorptiomerty(DEXA). and then Picture Archiving Communication System(PACS) were used to assess correlation between lumbar spinal stenosis and bone mineral density. Results : 1. In comparison of the spinal canal area and lumbar spine 2 level bone mineral density, the data showed a significant result 2. The data, between spinal canal area and lumbar spine 1-2 level bone mineral density, indicated a significant result. 3. Also, the result of comparison between spinal canal area and the lowest value of bone mineral density showed significance. Conclusions : It showed that there is a statistically significant correlation between lumbar spinal stenosis and bone mineral density.

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감수말 공하법을 병행한 한방치료로 호전된 요추 척추관 협착증 환자의 증례보고 (A Case Report of Lumbar Spinal Stenosis Improved with Diarrhea-Inducing Treatment by Gamsui-mal and Korean Medicine Treatment)

  • 남수현;김동후;최현민;강준혁;현민경
    • 한방재활의학과학회지
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    • 제27권1호
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    • pp.67-75
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    • 2017
  • The purpose of this study is to report the effectiveness of diarrhea-inducing treatment by Gamsui-mal for lumbar spinal stenosis. During hospitalization four patients with lumbar spinal stenosis were treated with diarrhea-inducing treatment by Gamsui-mal and acupuncture, herbal medicine, moxibustion, cupping treatment, Bee-venom pharmacopuncture. Before treatment, we explained in detail about diarrhea-inducing treatment by Gamsui-mal and patients agreed with treatment. The symptoms appeared in patients of diarrhea, abdominal pain, and vomiting in the treatment process. We evaluated the degree of improvement by visual analogue scale (VAS), oswestry disability index (ODI). After treatment, we found that pain was reduced and patient's symptoms were improved by visual analogue scale (VAS), oswestry disability index (ODI) score. The results show that diarrhea-inducing treatment by Gamsui-mal was rapidly improving symptoms. Further studies are needed to clarify the effect of diarrhea-inducing treatment by Gamsui-mal.

척추관 협착증 환자에서 전 경막외강 세정요법 (Anterior Epidural Irrigation in a Lumbar Spinal Stenosis Patient)

  • 이준석;권홍태;박찬홍
    • The Korean Journal of Pain
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    • 제19권1호
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    • pp.63-67
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    • 2006
  • Background: Pain due to spinal stenosis is one of the major causes of low back pain, and it sometimes does not respond to conservative treatment. We postulated that anterior epidural irrigation could be a good choice for treating lumbar spinal stenosis patients. However, the effects and theoretical basis of anterior epidural irrigation have not been investigated for spinal stenosis. So, this study was designed to identify the clinical efficacy of anterior epidural irrigation for treating lumbar spinal stenosis. Methods: 71 patients with lumbar spinal stenosis underwent anterior epidural irrigation. Anterior epidural irrigation was performed with normal saline and a mixture of local anesthetic with steroid through a catheter under fluoroscopic guidance. The findings were evaluated with using visual analogue scales for low back pain and leg symptoms. Results: Relief from low back pain and leg pain was observed for up to 12 months after anterior epidural irrigation. None of the patients showed any deterioration of their motor or sensory deficits during follow up. Conclusions: Anterior epidural irrigation is effective for the relief of back and leg pain in spinal stenosis patients.