Intercrestal line 높이와 요추 추간판 탈출증의 상관관계에 대한 영상학적 연구

추원정,김민영,서민수,이차로,최희승,최영일,남항우,Choo, Won-Jung,Kim, Min-Yeong,Seo, Min-Soo,Lee, Cha-Ro,Choi, Hee-Seung,Choi, Young-Il,Nam, Hang-Woo 척추신경추나의학회 2011 척추신경추나의학회지 Vol.6 No.2

Objectives : The purpose of this study is to find out the relation between the height of intercrestal line, and HIVD(Herniated Intervertebral Disc)of Lumbar spine. Methods : We investigated 445 cases (208 male, 237 female) of patients who were diagnosed as HIVD of L-spine at either L4/5 or L5/S1 level. We analysed the relation between the height of intercrestal line and the level of HIVD. Results : 1. Among 445 cases, the level of intercrestal line with HIVD of L-spine at the specific location was different between male and female. In male, the intercrestal line is more likely to be located at L4 level, while in female more likely to be located at L5 level. 2. Among 445 cases, L5/S1 HIVD patients(272, 61.1%) were more than L4/5 HIVD patients(173, 38.9%). At L4 body area, L4/5 HIVD patients were more than L5/S1 HIVD patients, however, at L4/5 intervertebral area and L5 body area, L5/S1 HIVD patients were more than L4/5 HIVD patients. (p<0.01) 3. When the line is located at higher level, HIVD of L-spine tends to be occurred at L4/5 level. Contrastly, when the line is located at lower level, HIVD of L-spine tends to be occurred at L5/S1 level. (p<0.01) Conclusions : High intercrestal line leads to L4/5 HIVD, while low intercrestal line leads to L5/S1 HIVD. Possibly, it is caused by different length and thickness of the iliolumbar ligament.

한방병원에 입원한 경추 추간판 탈출증 환자의 치료 및 경제성 평가 연구

이현재 ( Hyun Jae Lee ),장선정 ( Sun Jeong Jahng ),허동석 ( Dong Seok Heo ) 한방재활의학과학회 2013 한방재활의학과학회지 Vol.23 No.3

ObjectivesHerniated Intervertebral Disc of C-spine is one of the most common diseases that causes posterior neck pain. This study was designed to analyze the general distribution and hospital cost by day and case of Korean medical treatment for Cervical Herniated Intervertebral Disc (HIVD). MethodsThe 132 impatients for treatment of HIVD were analyzed according to the distribution of sex, age, the duration of HIVD, the contributory factors, the Clinical grade at admission, the clinical findings at admission, the duration of hospitalization, the clinical grade at admission and the hospital cost per day and case. Results1) The total hospital cost per case averaged 1,985,600 Won, which was consisted of room charge 584,044 Won (29.41%), performance fee 511,463 Won (25.76%), herbal medication 381,517 Won (19.21%), Korean medical physiotherapy 296,310 Won (14.92%), food expenses 199,997 Won (10.07%) in order. 2) The total hospital cost per day averaged 137,285 Won, which was consisted of room charge 39,036 Won (28.43%), performance fee 33,594 Won (24.47%), herbal medication 30,642 Won (22.32%), food expenses 12,870 Won (9.37%), and the average duration of hospitalization was 15.1 days. 3) There was statistically significant difference in the consultation fee, room charge, and herbal medication on the part of sex. 4) There was statistically significant difference not only in the performance and consultation on the part of duration of hospitalization but also the in the duration of average duration of hospitalization. 5) There was statistically significant difference in the Korean medical physiotherapy and herbal medication on the part of clinical findings. 6) There was statistically significant difference in the Korean medical physiotherapy and herbal medication on the part of duration of HIVD. 7) There was statistically significant difference in the Korean medical physiotherapy and herbal medication on the part of clinical outcome. 8) There was not only statistically significant difference in the performance, but also in the herbal medication on the part of clinical grade at admission. ConclusionsThis study provides plenty of information to design out the specific terms of Korean medical expenses of Cervical HIVD inpatients hospitalized at Korean medicine hospital. (J Korean Med Rehab 2013;23(3):159-175) ObjectivesHerniated Intervertebral Disc of C-spine is one of the most common diseases that causes posterior neck pain. This study was designed to analyze the general distribution and hospital cost by day and case of Korean medical treatment for Cervical Herniated Intervertebral Disc (HIVD). MethodsThe 132 impatients for treatment of HIVD were analyzed according to the distribution of sex, age, the duration of HIVD, the contributory factors, the Clinical grade at admission, the clinical findings at admission, the duration of hospitalization, the clinical grade at admission and the hospital cost per day and case. Results1) The total hospital cost per case averaged 1,985,600 Won, which was consisted of room charge 584,044 Won (29.41%), performance fee 511,463 Won (25.76%), herbal medication 381,517 Won (19.21%), Korean medical physiotherapy 296,310 Won (14.92%), food expenses 199,997 Won (10.07%) in order. 2) The total hospital cost per day averaged 137,285 Won, which was consisted of room charge 39,036 Won (28.43%), performance fee 33,594 Won (24.47%), herbal medication 30,642 Won (22.32%), food expenses 12,870 Won (9.37%), and the average duration of hospitalization was 15.1 days. 3) There was statistically significant difference in the consultation fee, room charge, and herbal medication on the part of sex. 4) There was statistically significant difference not only in the performance and consultation on the part of duration of hospitalization but also the in the duration of average duration of hospitalization. 5) There was statistically significant difference in the Korean medical physiotherapy and herbal medication on the part of clinical findings. 6) There was statistically significant difference in the Korean medical phys

벨트를 이용한 도수견인이 허리뼈 척추사이원반 탈출증 환자의 허리뼈 척추사이 공간에 미치는 효과

정성관,이호준,이승병 대한정형도수물리치료학회 2022 대한정형도수물리치료학회지 Vol.28 No.3

Background: Manual traction with a belt is a physiotherapy treatment method that reduces disk pressure and widens the disk space. In clinical settings, it is applied to numerous patients with herniated intervertebral disk (HIVD). This study aimed to identify the effects of manual traction with a belt on the intervertebral space in patients with lumbar HIVDs. Methods: The intervention was performed on 17 patients with lumbar HIVDs who were divided into two groups: one with eight patients having HIVD at L4~L5 and another group with nine patients having HIVD at L5~S1. The participants received manual traction with a belt twice a week for 12 weeks, and radiographic imaging was used to visualize the intervertebral space and compare it before and after treatment. Results: Manual traction with a belt increased the lumbar intervertebral space at L4~L5 and L5~S1 in patients with L4~L5 HIVD. A significant difference was observed in the L4–L5 distance (p<.01); however, no significant difference was observed in the L5~S1 distance (p>.05). The intervertebral space significantly increased at both L4~L5 and L5~S1 in patients with L5~S1 HIVD (p<.05). Conclusion: Thus, manual traction with a belt increased the intervertebral space in patients with L4~L5 and L5~S1 HIVDs. These results are expected to guide studies on manual traction with belts in clinical settings in the future. Further studies using the present research as an objective study method are anticipated.

고관절 내회전 각도와 단분절 요추 추간판 탈출증 발생 부위의 상관성 분석

김진수,최희승,정윤규,추원정,남항우,Kim, Jin-Soo,Choi, Hee-Seung,Jung, Yoon-Gyoo,Choo, Won-Jung,Nam, Hang-Woo 척추신경추나의학회 2013 척추신경추나의학회지 Vol.8 No.1

Objectives : The purpose of this study is to find out the relationship between hip internal rotation angle and the level of herniation of lumbar intervertebral disc(HIVD) in single-segment. Methods : We investigated 314 patients (158 male, 156 female) who were diagnosed as herniation of lumbar intervertebral disc(HIVD) in single-segment. We measured 314 patients' hip internal rotation angle and analysed the relationship between the hip internal rotation angle and the level of herniation of lumbar intervertebral disc(HIVD). Results : 1. Among 314 cases, the hip internal rotation angle was different between male and female. Hip internal rotation angle of male was mainly limited and that of female was mainly excessive. 2. Among 314 cases, the normal group, defined as patients who have specific range of hip internal rotation angle(male : $35^{\circ}{\pm}10^{\circ}$, female : $45^{\circ}{\pm}10^{\circ}$), tends to be occurred HIVD at L4/5 level. The limited group, defined as patients who have less angle than normal group, the excessive group, defined as patients who have more angle than normal group, and the complex group, defined as patients who have more angle of one leg and less angle of the other leg than normal group, tend to be occurred HIVD at L5/S1 level(p<0.05). Conclusions : In single-segment lumbar HIVD patients, The normal hip internal rotation angle mainly leads to L4/5 HIVD, while the limited and excessive hip internal rotation angle mainly lead to L5/S1 HIVD.

腰椎間板 脫出形態別 蜈蚣藥鍼의 效果에 관한 臨床的 硏究

김성남,김성철,최회강,소기숙,임정아,문형철,이종덕,최성용,김홍훈,이옥자 대한침구의학회 2004 대한침구의학회지 Vol.21 No.5

1. Objective This study was designed to find out the effect of scolopendrid aquacupuncture classified by the type of HIVD (Herniation of Inter-Vertebral Disc) in lumbar spine. 2. Methods The 50 patients who had a diagnosis of HIVD by lumbar-CT or lumbar-MRI and admitted to Gwangju oriental medical hospital in wonkwang university from June 2003 to March 2004 were observed. The symptom of inpatients is low back pain with or without sciatica. We treated 50 patients by scolopendrid aquacupuncture besides the general consevative treatment of oriental medicine. 3. Results and Conclusion The scolopendrid aquacupuncture treatment led to improvement in the pain and symptom of HIVD as determined by all efficacy measures. After scolopendrid aquacupuncture treatment, there was improvement in VAS, oswestry disability index, ROM and SLRT. The improvement index of scolopendrid aquacupuncture treatment classified by the type of HIVD showed that the effects of scolopendrid aquacupuncture had correlation with the type of HIVD. The more the herniation of intervertebral disc decreased, the more the effect of scolopendrid aquacupuncture increased. This results suggest that scolopendrid aquacupuncture is good method for treatment of HIVD but we have to consider the clinical correlation with the degree of herniation.

요추 추간판 탈출증에서 시행한 선택적 신경근 차단술의 장기 결과

심대무,김태균,채수욱,김상수,김영진,정을오 대한척추외과학회 2003 대한척추외과학회지 Vol.10 No.1

로지스틱 회귀 분석을 이용한 고관절 내회전 각도와 단분절 요추 추간판 탈출증 발생 부위의 상관성 분석

김신웅 ( Shin Woong Kim ),남항우 ( Hang Woo Nam ),김세준 ( Se Jun Kim ),손슬기 ( Seol Ki Son ),김종수 ( Jong Su Kim ),정재현 ( Jai Hyeon Chung ),윤영웅 ( Young Ung Yun ),최영준 ( Young Jun Choi ),문병헌 ( Byung Heon Moon ),유수빈 한방재활의학과학회 2014 한방재활의학과학회지 Vol.24 No.4

ObjectivesThe purpose of this study is to find out the relationship between the hip in-ternal rotation angle and the site of herniation of single level lumbar intervertebral disc.MethodsThis study was carried out to 418 patients with lumbar disc herniation diag-nosed by M.R.I, who visited Bu-Chun Jaseng Hospital of Korean Medicine with low back pain. Researchers measured their hip internal rotation angle and analyzed the relationship between the hip internal rotation angle and the site of herniation of single level lumbar inter-vertebral disc.Results1. Excessive right internal rotation of hip joint increases risk of L5/S1 HIVD. 2. Limited left internal rotation of hip joint decreases risk of L4/L5 HIVD. 3. In cases of L4/L5 HIVD level, there was evidence that the prevalence of HNP in men was 1.85 times as higher than that in women. 4. In cases of L5/S1 HIVD level, there was the evidence that the preva-lence of HNP in men was 0.64 times as lower than that in women.ConclusionsIn single-segment lumbar HIVD patients, limited left internal rotation of hip joint decreases risk of HIVD of L4/5 and excessive right internal rotation of hip joint mainly leads to L5/S1 HIVD. (J Korean Med Rehab 2014;24(4):117-127)

요추 추간판 탈출증 환자의 침도요법의 효과에 대한 임상적 고찰

윤주영,김도호,김현욱,김성수,박세운,김언국,이건휘,이건목 대한침구의학회 2010 대한침구의학회지 Vol.14 No.1

Objectives : The study on Acupotomy therapy has recently become a popular academic field as proven to be an great alternative to the limitation of Western medical treatment. However, there has been little study examining acupotomy therapy on treating HIVD. Thus, this study aims to investigate the sense of improvement and satisfaction from the HIVD patients treated with acupotomy therapy. Methods : A total of 63 subjects that consists of HIVD patients were participated in this study. The experimental group(33subjects) was treated with acupotomy therapy and acupuncture, and the control group (30subjects) was treated with acupuncture. All the subjects were asked to answer VAS(visual analogue scale) and ODI(Oswestry disability index) before and after the treatment. Results : The results of the VAS and ODI of comparison analysis between two groups, show that the improvement of HIVD in acupotomy and acupuncture treatment group is more effective than that in acupuncture treatment group

요추 추간판 탈출증으로 한방병원에 입원한 환자의 진료비 분석

장선정 ( Sun Jeong Jahng ),허동석 ( Dong Seok Heo ) 한방재활의학과학회 2012 한방재활의학과학회지 Vol.22 No.2

Objectives :Low back pain is the most common pain in our life, and herniated intervertebral disc(HIVD) of L-spine is one of the most common diseases that causes low back pain. This study was designed to analyze the general distribution and hospital cost by day and case of oriental medical treatment for lumbar HIVD. Methods :The 273 inpatients for treatment of HIVD were analyzed according to the distribution of sex, age, the duration of hospitalization, the contributory factors, the clinical findings on admission, the duration of HIVD and the hospital cost per case and day which were evaluated respectively. Results :1. The total hospital cost per case averaged 1,463,077 won, which was divided into room charge 513,824 won(35.12%), performance fee 371,229 won(25.37%), herbal medication 269,364 won(18.41%), food expenses 182,536 won(12.48%), korean medical physiotherapy 116,307 won(7.95%) in order. 2. The total hospital cost per day averaged 105,322 won, which was divided into room charge 37,106 won(35.23%), performance fee 26,524 won(25.18%), herbal medication 19,871 won(18.87%), food expenses 12,591 won(11.95%), korean medical physiotherapy 7,995 won(7.59%) in order. 3. There was statistically significant difference in the average duration of hospitalization and consultation fee on the sex and duration of hospitalization. 4. There was statistically significant difference in expenses by consultation and herbal medication on the contributory factors. 5. There was statistically significant difference in the average duration of hospitalization on the clinical findings on admission. Conclusions :This study provides a variety of information about the medical expenses of lumbar HIVD inpatients at oriental medicine hospital. Understanding the patterns of medical expenses may be an first important step in designing efficient pain therapy for patients and an effort to improve oriental medical expenses.

요추간판(腰椎間板) 탈출형태별(脫出形態別) 오공약침(蜈蚣藥鍼)의 효과(效果)에 관한 임상적(臨床的) 연구(硏究)

김성남,김성철,최회강,소기숙,임정아,문형철,이종덕,최성용,김홍훈,이옥자,Kim, Sung-nam,Kim, Sung-chul,Choi, Hoi-kang,So, Ki-suk,Lim, Jeong-a,Moon, Hyung-cheol,Lee, Jong-deok,Choi, Sung-yong,Kim, Hong-hoon,Lee, Ok-ja 대한침구의학회 2004 대한침구의학회지 Vol.21 No.5

Objective : This study was designed to find out the effect of scolopendrid aquacupuncture classified by the type of HIVD(Herniation of Inter-Vertebral Disc) in lumbar spine. Methods : The 50 patients who had a diagnosis of HIVD by lumbar-CT or lumbar-MRI and admitted to Gwangju oriental medical hospital in wonkwang university from June 2003 to March 2004 were observed. The symptom of inpatients is low back pain with or without sciatica. We treated 50 patients by scolopendrid aquacupuncture besides the general consevative treatment of oriental medicine. Results and Conclusion : The scolopendrid aquacupuncture treatment led to improvement in the pain and symptom of HIVD as determined by all efficacy measures. After scolopendrid aquacupuncture treatment, there was improvement in VAS, oswestry disability index, ROM and SLRT. The improvement index of scolopendrid aquacupuncture treatment classified by the type of HIVD showed that the effects of scolopendrid aquacupuncture had correlation with the type of HIVD. The more the herniation of intervertebral disc decreased, the more the effect of scolopendrid aquacupuncture increased. This results suggest that scolopendrid aquacupuncture is good method for treatment of HIVD but we have to consider the clinical correlation with the degree of herniation.