A Clinical Analysis of Intervertebral Disc Change on Magnetic Resonance Imaging(MRI) Scan of the Patients Who were Diagnosed as Spondylolisthesis

척추전방전위증 환자에서의 자기공명영상 상 추간판 변형 형태 고찰

  • Kim, Seok (Dept. of Oriental Rehabilitation Medicine, Ja-Seng Oriental Medicine Hospital) ;
  • Bahn, Hyo-Jung (Dept. of Oriental Rehabilitation Medicine, Ja-Seng Oriental Medicine Hospital) ;
  • Yoon, Hyun-Seok (Dept. of Oriental Rehabilitation Medicine, Ja-Seng Oriental Medicine Hospital) ;
  • Kim, Sun-Min (Dept. of Oriental Rehabilitation Medicine, Ja-Seng Oriental Medicine Hospital) ;
  • Jun, Byung-Chul (Dept. of Oriental Rehabilitation Medicine, Ja-Seng Oriental Medicine Hospital)
  • 김석 (자생한방병원 한방재활의학과) ;
  • 반효정 (자생한방병원 한방재활의학과) ;
  • 윤현석 (자생한방병원 한방재활의학과) ;
  • 김선민 (자생한방병원 한방재활의학과) ;
  • 전병철 (자생한방병원 한방재활의학과)
  • Received : 2011.09.09
  • Accepted : 2011.10.10
  • Published : 2011.10.30


Objectives: The purpose of this study is to find cut the characteristics of intervertebral disc changes arid relative factors of the patients with spondylolisthesis. Methods: We investigated 95 cases of patients who visited one Korean traditional medicine hospital and were diagnosed as spondylolisthesis on lumbar spine X-ray and lumbar spine magnetic resonance imaging(MRI). We selected these cases retrospectively and randomly. We analysed the relativity between number of changed discs and type of change disc and age, level of spondylolisthesis and type of spondylolisthesis. Results: 1. The number of changed discs increased with older and degenerative spondylolisthesis type(p<0.05) and was not related to the level of spondylolisthesis. 2. Bulging disc is the dominant type of disc change(74.12%). The type of changed disc was shown to be similar in lytic and degenerative spondylolisthesis. It was not relative to the level of spondylolisthesis(p>0.05). 3. The direction of nerve compression was diffuse type in about halfly of the patients(47.06%) and the symptoms of patent and dermatome did not matched in 54 cases. Conclusions: The patients who visited a Korean medicine hospital and were diagnosed as spondyolithesis have different characteristics from the established studies. Their discs changed dominantly to diffuse bulging type and the symptoms of patient were not related with the direction and level of the changed discs were spondylolisthesis existed.


  1. Stephen T. Esses. 정석희, 김기택 역. Textbook of Spinal Disorders. 서울:군자출판사. 2002:205-15.
  2. 유재원, 문영래. 척추전방전위증. 대한척추외과학회지. 2001;8(3):336-8.
  3. 대한척추신경외과학회. 척추학. 서울:군자출판사. 2008:802-4.
  4. 이 한, 정호석, 김상주, 김은석, 한경완, 우재혁, 이준석, 이슬지, 이선구, 차윤엽. 척추전방 전위증을 동반한 요추간판 탈출증 환자 32례에 대한 한의학적 임상고찰. 동의생리병리학회지. 2010;24(6):1087-93.
  5. 김한겸, 홍순성, 염선규, 진은석, 정해찬. 척추 전방전위증과 Tuffier's line 높이와의 상관관계. 척추신경추나의학회지. 2008;3(2):37-42.
  6. MacMahon PJ, Taylor DH, Duke D, Brennan DD, Eustace SJ. Disc displacement patterns in lumbar anterior spondylolisthesis: contribution to foraminal stenosis. Eur J Radiol. 2009;70(1):149-54. https://doi.org/10.1016/j.ejrad.2007.12.003
  7. Keun Su Kim, Dong kyu Chin, Jeong Yoon Park. Herniated nucleus pulposus in isthmic spondylolisthesis: higher incidence of foraminal and extraforaminal types. Acta Neurochir(Wien). 2009;151(11):1445-50. https://doi.org/10.1007/s00701-009-0411-5
  8. Delphine Perie, Daniel Curnier. Effect of pathology type and severity on the distribution of MRI signal intensities within the degenerated nucleus pulposus: application to idiopathic scoliosis and spondylolisthesis. BMC Musculoskeletal Disorders. 2010;11:189-95. https://doi.org/10.1186/1471-2474-11-189
  9. Kjaer P, Leboeuf-Yde C, Korsholm L et al. Magentic resonance imageing and low back pain in adults: a diagnositic imageing study of 40-year-old men and women. Spine. 2005;30(10):1173-80. https://doi.org/10.1097/01.brs.0000162396.97739.76
  10. 한방재활의학과학회. 한방재활의학. 2판. 서울:군자출판사. 2006:59-62.
  11. 한상숙, 이상철. SPSS 간호보건 통계분석. 서울:현문사. 2004:356-81.
  12. 김수장, 윤제필, 김성용. 한방병원에 내원한 척추전방전위증 환자 40례의 임상분석. 한방재활의학과학회지. 2002;12(3):1-10.
  13. 이환모, 박문수. 요추부 추간판 탈출증의 분류 및 영상진단. 대한척추외과학회지. 2001;8(3):31-20.
  14. 이종덕, 변재영. 척추 전방전위증의 전산화 단층촬영 소견: 협부형과 퇴행형의 비교. 대한침구학회지. 2007;17(4):79-86.
  15. 이재철, 신병준. 척추전방전위증의 분류와 치료방침. 대한척추외과학회지. 2010;17(1):38-48.
  16. 석세일. 척추외과학. 서울:최신의학사. 1997:246-65.
  17. 이종서, 정성수, 이상국, 지민선, 정연권, 김상은. 하부 요추와 요천추부의 형태가 추간판의 퇴행성 변화에 미치는 영향. 대한정형외과학회지. 1998;33(7):1640-7.
  18. Kim KW, Chung JW, Park JB, Song SW, Ha KY, An HS. The course of the nerve root in the neural foramen and its relationship with foraminal entrapment or impingement in adult patients with lumbar isthmic spondylolisthesis and radicular pain. J Spinal Disord Tech. 2004;17(3):220-5. https://doi.org/10.1097/00024720-200406000-00009
  19. Kuo-yuan Huang, Ruey-Mo Lin, Yung-Ling Lee, Jenq-Daw Li. Factors affecting disability and physical function in degenerative lumbar spondylolisthesis of L4-5: evaluation with axially loaded MRI. Eur Spine J. 2009;18:1851-7. https://doi.org/10.1007/s00586-009-1059-9
  20. Alicioglu B, Sut N. Synovial cysts of the lumbar facet joints: a retrospective magnetic resonance imaging study investigating their relation with degenerative spondylolisthesis. Prague Medical Report. 2009;110(4):301-9.