상위 요추 추간판 탈출증 : 자기 공명 영상과 임상증상과의 연관성 = High level disc herniation : correlation of MRI findings with clinical findings

다국어 초록 (Multilingual Abstract)

We reviewed one thousand forty hundred forty three patients with back pain and/or leg pain. All patients were treated at the Department of the Orthopaedic Surgery, Chungnam National University Hospital from May 1994 to May 1997.
1. There were 50 patients (2.86%) with disc pathologies involving T12-L1, L1-2, and/or L2- 3 levels.
2. 16 patients (0.91%) had isolated disc herniations and/or protrusions limited only to these high lumbar segments.
3. High disc pathologies is often associated with pre-existing abnormalities such as Schmorl's node, rim apophyseal fracture, previous fracture, limbus vertebrae, spondylolithesis.
4. Clinical symptoms in high disc herniations were atypical such as unusual back, leg pain and radiating pain of thigh. Other physical examinations such as straight leg raising test were mostly normal.
5. We operated 5 cases of isolated high level disc herniations by posterior approach. There were improvements of pre-operative back and/or leg pain at post-operative 6-month follow-up.
6. On conclusion, high disc herniations is a low incidence and associated with other pathologic conditions, and atypical symptoms and sign. So, It is difficult to diagnosis of isolated high level disc herniations & we recommended MRI as a diagnostic tool, for it can provide multiplanar images and other pathologies in different levels, and differentiate herniation from degeneration.
Suspicion of high-level disc herniation is necessary in unusual presentations of back and leg pain incompatible with signs.
Conservative treatment of high level disc herniation is mostly satisfactory and operation is rarely indicated.

목차 (Table of Contents)

• 목차
• I. 서론 = 1
• II. 대상 및 방법 = 2
• III. 결과 = 3
• IV. 고찰 = 7
• V. 결론 = 10
• 참고문헌 = 11
• 초록 = 12