• The Korean Journal of Pain
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• 제24권4호
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• pp.235-238
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• 2011

Vertebral compression fractures result in vertebral height loss and alter sagittal spinal alignment, which in turn can lead to increased morbidity and mortality. Acute osteoporotic vertebral compression fractures are known to increase mobility and instability of the spine. There are limited published data correlating the degree of dynamic mobility and the efficacy of kyphoplasty on vertebral compression fractures. Here we report a 73-year-old female with a severe acute osteoporotic L2 compression fracture who obtained total vertebral height restoration following kyphoplasty, with resolution of back pain.

• 한방재활의학과학회지
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• 제27권3호
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• pp.1-12
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• 2017

Objectives The purpose of this research is to investigate recent clinical treatment of Traditional Chinese Medicine for Compression Fracture. Methods We searched recent clinical studies about Oriental Medicine treatment in traditional chinese medical journals for Compression Fracture through China National Knowledge Infrastructure (CNKI). Clinical articles published from 2012 to 2016 were analyzed. This study examined the authors, published years, types of study, number of sample, criteria for evaluation, periods, purposes of study and classified articles by techniques of treatment. Results 23 papers were selected from 98 studies. Most of articles were classified as RCT. The techniques of treatment were herb medicine, herb medicine apply therapy, herb medicine fumigation therapy, Dao yin exercise. Conclusions Various and valuable studies about treatment of Compression fracture performed in chinese medicine. And more studies using various treatment needed for Korean Medicine development.

• 한방재활의학과학회지
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• 제27권4호
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• pp.147-154
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• 2017

The purpose of this study is to report the effectiveness of Fire needling therapy in patients with a vertebral compression fracture. Three patients with a acute vertebral compression fracture were treated using Fire needling therapy. To evaluate the effectiveness of Fire needling therapy, we checked Numerical rating scale on a daily and Oswestry disability index on admission and discharge. Numerical rating scale decreased as the number of Fire needling therapy increased. Oswestry disability index on discharge improved compared to admission. The limitation of this study is the insufficient number of cases and outcome measurements. Further studies are needed to prove effect and safety.

• Journal of Trauma and Injury
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• 제18권2호
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• pp.107-111
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• 2005

Backgrounds: To evaluate the effectiveness of conservative treatment in osteoporotic thoraco-lumbar compression fractures and to identify the factors influencing the progression of compression. Materials and Methods: From January 2003 to October 2004, Patients who were admitted to our hospital for osteoporotic thoraco-lumbar compression fractures were reviewed retrospectively with follow-up more than 12 months (ave. 14.6 months). With simple x-ray lateral view, we evaluate wedge compression ratio (WCR) and kyphotic angle (KA) at initial and final follow-up. We separate the patients into two groups baesed on the amount of progression of vertebral compression and evaluate a relation with BMD, vertebral fracture level, initial WCR, initial KA. All datas were statistically analyzed. Results: An average of T-score was -3.5 and the changes of KA between initial and final follow-up were average $3.5^{\circ}$. Compression of anterior column were progressed to 8.5%. The changes between initial and final WCR in Group I (N=24) was 17.8%, and Group II (N=18) was 3.3%. T-score in group I was -3.4 and group II was -3.8 (p=0.228). vertebral fracture level were 10 T12, 12 L1, 2 L2 in group I; 6 T12, 6 L1, 6 L2 in group II (p=0.156). Initail WCR was 0.74 in group I, 0.63 in group II, and there was statistical difference between two groups(p=0002). Initial kyphotic angle was $13.9^{\circ}$in group I, $16.2^{\circ}$in group II repectively (p=0.392). Conclusion: The conservative treatment with short-term bed rest and early embulation is effective and valuable method to patients who have osteoporotic thoraco-lumbar compression fractures. There was no statistical difference between two groups according to BMD, vertebral fracture level, KA. But in comparison with initail WCR between two groups, there was statistical difference. That means, in the case of small initial compression of anterior column, the progression of compression was bigger than else. In these patients, more strict use of appropriate brace and careful follow-up should be needed.

• Journal of Acupuncture Research
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• 제26권1호
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• pp.81-90
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• 2009

Objectives : This Study was to investigate the tendency of inpatient with Thoracolumbar Compression Fracture. Also we investigated effectiveness of Pharmacopuncture and Warming Acupuncture on Thoracolumbar Compression Fracture. Methods : We investigated 48 cases of patients with thoracolumbar compression fracture. We distributed inpatint with age, sex, number of injured vertebra, level of injured vertebra, admission duration, grade of clinical symptom, result of treatment and applied treatments. And we calculated statistically signification with this data. Results : 1. Female is prominent in distribution of sex, the average age bracket is 70's, and the largest group was accidental fall in the distribution of causes. 2. In regard to level of injury, T12 was found to be most prominent, followed in turn by L2, L1, T12. In regard to grade of clinical symptoms, Grade III was most Prominent, followed in turn by Grade IV, Grade II. In regard to grade of result of treatment, Good was most prominent. 3. There was not statistically significantly correlation about admission duration and result of treatment with number of injured vertebra, grade of clinical symptom, applied treatments. Conclusions : Most inpatients with thoracolumbar compression fracture was cured by oriental medicine treatment.

• Journal of Korean Neurosurgical Society
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• 제41권1호
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• pp.7-10
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• 2007

Objective : The aim of this study was to determine the efficacy of percutaneous radiofrequency neurotomy[RFN] of ramus communicans nerve in patients suffering from severe low back pain due to osteoporotic compression fracture. Methods : Twenty two patients with lumbar osteoporotic compression fracture who had intractable back pain for less than two weeks and were performed with RFN at L1-L4 from May 2004 to December 2005 were retrospectively analyzed. Clinical outcome using visual analogue scale[VAS] pain scores and modified MacNab's grade was tabulated. Complications related to the procedure were assessed. Results : Twenty-two female patients [age from 63 to 81 years old] were included in this study. The mean VAS score prior to RFN was 7.8, it improved to 2.6 within postoperative time of 48 hours, and the mean VAS score after 3 months was 2.8, which was significantly decreased. Eighteen of 22 patients were graded as excellent and good according to modified MacNab's criteria at final follow up. All patients recovered uneventfully, and the neurologic examination revealed no deficits. Two patients showing poor results worsened in symptom. Percutaneous was performed eventually resulting in symptom improvement. There were no significant complications related to the procedure such as sensory dysesthesia, numbness or permanent motor weakness. Conclusion : RFN is safe and effective in treating the painful osteoporotic compression fracture. in patients with intractable back pain due to lumbar osteoporotic compression fracture, RFN of gray ramus communicans nerve should be considered as a treatment option prior to vertebroplasty.

• Journal of Acupuncture Research
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• 제18권2호
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• pp.227-236
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• 2001

Objectives : This study was performed to evaluate the clinical results of the thoracolumbar fracture patients treated with oriental medical methods. Methods : We reviewed 40 patients of thoracolumbar fracture, who were hospitalized at WonKwang University KwangJu Oriental Medical Hospital and treated by oriental medical methods. We classified thoracolumbar fracture according to three column theory and then analyzed the cause of injury, sex-age distribution, treatment, and etc.. Results : 1. The distribution showed female predominance(72.5%) in sex and 70age-bracket predominance in age. 2. In the distribution of causes, the largest group was "lifting heavy objects"(40%) and the next was "slip down"(37.5%). 3. In the duration of symptoms, the largest group was the group of "acutest" (40%). 4. The distribution of injured level was L1 body the most(20%). 5. In classification of fracture, "compression fracture" was the most(57.5%) and the next was "burst fracture", "unstable fracture" in order. 7. Therapeutic effects above "fair" were 37 cases(92.5%). 8. The higher grade of clinical symptoms is, the lower therapeutic effect is. 9. In the distribution of treatment results according to classification of fracture, both the compression fracture and the burst fracture were almost same high and the unstable fracture is relatively lower than them. Conclusions : The result to treating thoracolumbar fracture by oriental medical methods is satisfactory.

• 대한정형외과학회지
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• 제54권1호
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• pp.24-29
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• 2019

목적: 골다공증성 척추 압박 골절에 대한 경피적 척추 성형술 후 조기에 발생하였던 새로운 연속 골절의 특성과 위험인자에 대하여 알아보고자 하였다. 대상 및 방법: 2013년 1월부터 2015년 12월까지 골다공증성 척추 압박 골절로 경피적 척추 성형술을 시행받은 환자 중 인접 추체에 새로운 골절이 발생한 44예를 대상으로 하였으며 골절 발생 시기에 따라 2군으로 나누었다. 3개월 내에 골절이 발생한 경우가 22예(A군)였고 3개월 이후에 발생한 경우가 22예(B군)였다. 두 군 간의 나이, 성별, 골밀도, 체질량 지수, 기존 척추 골절의 존재, 초기 골절 위치, 추간판 내 시멘트 누출, 시멘트 주입량, 추체의 높이 회복 정도, 후만각 교정 정도의 차이에 대하여 후향적으로 비교 분석하였다. 결과: 두 군 간의 나이, 성별, 골밀도, 체질량 지수, 기존 척추 골절의 존재, 초기 골절 위치, 추간판 내 시멘트 누출, 후만각 교정 정도에는 유의한 차이는 없었다. 시멘트 주입량이 많은 경우와 추체 높이 회복 정도가 큰 경우에서 3개월 내에 골절이 발생한 빈도가 유의하게 높았다. 결론: 경피적 척추 성형술 시 시멘트 양과 추체 높이 회복 정도는 3개월 이내에 발생하는 조기 인접 척추 골절의 위험인자로 판단되며 추시 과정에서 주의가 필요할 것으로 판단된다.

• 대한치과의사협회지
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• 제32권1호통권296호
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• pp.69-74
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• 1994

Fifty-one patients with fracture of mandible were treated by rigid internal fixation using AO Eccentric Dynamic Compression Plate. All teeth in the fracture line were left in all patients. None of patients were placed into maxillomancibular fixation. Two patients postoperatively developed infection (3.9%). The use of the AO EDCP for the fracture of mandible was found to be useful to prevent the infection, even permitting maintenance of the teeth in the line of fracture.

• 대한방사선기술학회지:방사선기술과학
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• 제28권3호
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• pp.219-226
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• 2005

목적 자기공명영상에 의해 진단된 척추 압박골절에 대하여 성별 및 나이별 발생빈도, 발생부위, 발생원인 등 임상적 특성을 분석하여 임상에서 참고 자료로 활용 할 수 있도록 하였다. 대상 및 방법 S 대학병원에서 2002년 1월부터 2004년12월 까지 자기공명영상 검사를 시행하여 척추 압박골절로 진단된 183명을 대상으로 하였다. 결과 1. 대상자 183명의 일반적 특성은 남자 70명(38.0%), 여자 113명(62.0%) 이었다. 2. 183명 중 단일 압박골절은 111명(60.7%)으로 남자는 38명(34.0%), 여자는 73명(66.0%)명 이었으며 60대 여성이 가장 많았다. 3. 다발성 압박골절은 183명 중 72명(39.3%) 이었고, 발생빈도 수는 182건으로 이는 한 명의 유소견자가 하나 이상의 level에 압박골절을 가지고 있는 경우를 분류한 것이며 남자가 70건(38.0%), 여자가 112건(62.0%)이었고, 60대와 70대 여자에서 많은 빈도를 보였다. 4. 압박골절의 발생부위는 $T11{\sim}L2$에 전체의 $70%{\sim}75%$가 발생하였다. 5. 전체 183명에 대한 압박골절의 원인별 발생 빈도는 남자의 경우 외상에 의한 골절이 41.4%로 가장 많았고, 여자는 골다공증에 의한 것이 70.0%로 가장 많았으며 남자와 여자를 합한 경우에는 골다공증에 의한 척추 압박골절이 56.8%로 가장 많았다. 결론 자기공명영상으로 진단된 척추 압박골절의 임상적 소견에서 단일 압박골절을 가지고 있는 경우가 다발성 압박골절 보다 약간 많았으며 단일성이나 다발성 모두 호발부위는 흉요추 이행 부위($T11{\sim}L2$)였다. 또한 원인별 발생 빈도는 골다공증에 의한 척추 압박골절이 가장 많은 것을 확인 하였다.