Journal of Acupuncture Research

Korean Acupuncture & Moxibustion Medicine Society (대한침구의학회)
권호 표지

The disc morphological changes on CT scan examinations after 5-7years, of acute HIVD patients who underwent oriental medical treatment

조기(早期) 한방치료(韓方治療)를 시행한 요추수핵탈출증(腰椎髓核脫出症) 환자(患者)의 C-T 상(上) 5-7년 후의 추간판(椎間板)의 변화(變化)

  • Mun, Hyung-Cheal (Department of Acupuncture & Moxibustion, College of Oriental Medicine, Won-kwang University) ;
  • Hwang, Woo-Jun (Professional Graduate School of Oriental Medicine, Won-Kwang University) ;
  • Lee, Geon-Mok (Professional Graduate School of Oriental Medicine, Won-Kwang University) ;
  • Cho, Nam-Geun (Department of Acupuncture & Moxibustion, College of Oriental Medicine, Won-kwang University) ;
  • Gang, Sung-Do (Department of Acupuncture & Moxibustion, College of Oriental Medicine, Won-kwang University) ;
  • Cho, Jae-Woon (Department of Acupuncture & Moxibustion, College of Oriental Medicine, Won-kwang University) ;
  • Chang, Byoung-Sun (Department of Acupuncture & Moxibustion, College of Oriental Medicine, Won-kwang University) ;
  • Jin, Kyong-Son (Department of Acupuncture & Moxibustion, College of Oriental Medicine, Won-kwang University)
  • 문형철 (원광대학교 한의과대학 침구학교실) ;
  • 황우준 (원광대학교 한의학전문대학원) ;
  • 이건목 (원광대학교 한의학전문대학원) ;
  • 조남근 (원광대학교 한의과대학 침구학교실) ;
  • 강성도 (원광대학교 한의과대학 침구학교실) ;
  • 조재운 (원광대학교 한의과대학 침구학교실) ;
  • 장병선 (원광대학교 한의과대학 침구학교실) ;
  • 진경선 (원광대학교 한의과대학 침구학교실)
  • Received : 2001.07.09
  • Accepted : 2001.07.21
  • Published : 2001.08.20
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Abstract

Study design : A retrospective study of lumbar disc herniations using results of follow-up computed tomographic scan examinations. Objective : Lumbar disc herniations is one of the cause low back pain and lower extremity pain. To clarify the lumbar disc herniations morphological changes over time(mean 5.3 years) in order to establish a strategy for treatment. Methods : Sixteen patients with lumbar disc herniations who underwent follow-up computed tomographic scan examinations were studied. The changes over time in herniated disc size(herniation ratio) were evaluated using this scan technique. The initial computed tomographic scan allowed classification of the herniations according to herniation ratio: small, medium and large. Results : Comparison with follow-up computed tomographic scans showed that of the 16 patients, in 14 patients(88%), the herniation ratio(HR) was decreased and among them, 8 patients had complet resolution of herniated disc. In 2 patients with small herniations, the HR of one case was increased, the other was decreased. In 8 patients with medium herniations, the HR of one case had no change, the others was decreased. In 6 patients with large herniation, the HR of all patients was decreased. Interestingly, 4 of the 16 patients showed calcification change of herniated disc. Conclusion : There is no doubt that herniated disc size is decreased over time. The largest herniations were those which had the greatest tendency to decrease in size. But in some cases, the HR was increased, or calcification change was showed.

Keywords

References

  1. 통증의학 오홍근
  2. Spine. A New Clinical Model for the Treatment of Low-Back Pain. Gordon Waddell
  3. Lancet. v.354 no.9178 Epidemiological features of chronic low-bark pain. Andersson, G.B.
  4. The New England Journal of medicine. v.344 no.5 Primary care: low-back Pain. Deyo, Richard A;Weinstein, James N.
  5. The journal of bone and joint surgery(Br). v.81 no.B(4) Management of Herniation of the Lumbar Disc. Postacchini, F.
  6. 척추외과학 김남현;이환모
  7. Spine. v.22 no.21 The inf-lammatory PropertiesofContained and N-oncontained Lumbar Disc Herniation. Nygaard, Oystein P.;Mellgren, Svein I;Osterud, Bjarne
  8. Spine. v.22 no.10 Chemonucleolysis with human strom-elysin-1. Haro, Hirotaka;Murakame, Shunichi;Komori, Hiromichi;Okawa, Atsushi;Shinomiya, Kenichi
  9. Spine. v.21 no.2 Histologic evidence of absorption of sequestration-type herniated disc. Ito, Tkui;Yamada, Mitxunori;Ikuta, Fusahiro;Fukuda, Takeaki;Hoshi, Shini-chi;Kawaji, Youirhi;Uchiyama, Seiji;Homma, Takao;Takahasin, Hideaki E.
  10. Spine. v.21 no.2 Immunohistologic study of the ruptured intervertebral disc of the lumbar spine. Doita, Minoru MD;Kanatani, Takako;Harada, Toshihiko;Mizuno, Kosaku
  11. Spine. v.17 Computed tomographic follow-up study of forty-eight cases of no-noperatively treated lumbar inter-vertebral disc herniation. Jean-Yves Maigne;Bruno Rime;Bruno Delignet.
  12. Am J neuroradiolog. v.5 CT demonstration of disk regression after conservative therapy. Guinto Fc Jr;Hashim H;Stumer M.
  13. AJNR. v.145 Spontaneuos Regression of Herniated Nucleus Pulposus. J. George Teplick;Marvin E. Haskin.
  14. Radiology. v.185 no.1 Lumbar disk herniation: MR imaging assessment of natural history in Pati-ents rreated without surgery. Bozzao A;Gallucci M;Masciocchi C;Aprile I;Barile A;Passariello R.
  15. Spine. v.25 no.4 Effect of the Transligamentous Extension of Lumbar Disc Herniations of Their Regression and th Clinical Outcome of sciatica. Ahn, Sang Ho.;Ahn, Myun Whan;Byun, Woo Mok
  16. Spine. v.21 no.2 The Natural History of Herniated Nurleus Pulposus With Radiculopathy Komori, Hiromichi;Shinomiya, Kenichi;Nacai, Osamu;Yamaura, Isakoichi;Tacheda, Syuichi;Furuya, Kohtaro
  17. Spine. v.17 no.8 Lumbar Disc herniation: Com-puted tomography scan changes after conservative treatment of nerve root compression. Delauche-Cavallier MC;Budet C;Laredo JD(et at.)
  18. Spine. v.15 The natural history of lumbar intervertebral disc extrusions treated nonoperatively. Saal, J.A.;Saal, J.S.;Richard, J.H.
  19. Spine. v.21 no.14 Upregulated Expression Of Che-mokines in Herniated Nucleus Pulposus Resorption. Haro, Hirotaka;Shinomiya, Kenichi;Komori, Hiromichi;Okawa, Atsushi;Saito, Ichiro DDS:Miyaska, Nobuyuki;Furuya, Kohtaro.
  20. Acta Radiologica. v.33 no.5 CT changes after conservative treatment for lumbar disk herniation. Dullerud, R.;Nakstad, P.H.
  21. Journal of Spinal Disorders. v.9 no.2 Pat-homechanism of spontaneous regr-ession of the herniated lumbar disc: histologic and immunohistochemical study. Ikeda T;Nakamura T;Kikuchi T;Umeda S;Senda H;Takagi K.
  22. Spine. v.15 Computed Tomo-graphic(CT) Demonstration of Calci-fication of the Ligamenta Flava of the Lumbosacral Spine Associated with Protrusion of the lntervertebral Disc. Elieser Avrahami;Irena Wig1er;Dorit Stern:Dan Caspi;Michael Yaron
  23. Journal of Spinal Disorders. v.9 no.3 Serial magnetic resonance imaging follow-up study of lumbar disc herniation conservatively treated for average 30 months: relation between reduction of herniation and degeneration of disc. Yukauwa Y;Kato F;Matsubara Y;Kajino G;Nakamura S;Nitta H.
  24. Neuroradiology. v.37 no.5 Serial changes on MRI in lumbar disc herniations treated conservatively. Matsubara Y;Kato F;Mimatsu K;Kajino G;Nakamura S;Nitta H
  25. 대한한의학회지 v.18 no.2 한방 요법에 의한 요추수핵탈출증 치료 전후의 CT소견 비교. 김형균;이종덕
  26. Spine. v.17 no.10 The natural history of sciatica ass-ociated with disc pathology. A pr-ospective study with clinical and independent radiolosic follow-up. Bush, K.;Cowan, N.;Katz, D.E.;Gishen, P.
  27. 한방내과학회지 v.21 no.1 한${\cdot}$양약의 병행투여가 요추간판탈출증의 보존적치료에 미치는 영향. 김중길;송봉근;정인석
  28. Spine. v.8 The intensity of work recovery in low back pain. Andersson, G.B.J.;Svensson, H-O;Oden, A.
  29. Spine. v.17 no.10 The natural history of sciatica associated with disc pathology. Keith Bush;Nigel Cowan;David E. Katz;Philip Gishen
  30. Spine. v.22 no.15 Calcification of Lumbar Ligameutum Flavum and Facet Joints Capsule. Santiago, Fernando Ruiz;Alcazar Romero, Pedro P.;Machado, Elena Lopez;Gracia Espona, Miguel A.
  31. Radiology. v.134 Computed tomography of the lumbar facet jotnts. Carrera, G.E.;Haughton, V.M.;Syvertsen, A.;Williams, A.L.
  32. Radiology. v.150 Ossification of the cephalic attachment of the ligamentum flavum. An anatomical and CT study. Williams, D.M.;Gabrielsen, T.O.;Latack, J.T.;Martel, W.;Knake, J.E.
  33. Spine. v.16 Magnetic resonance imaging and histoiogic study of hypertrophic cervical posterior longitudinal ligament: a case report. Yamazaki A;Homma T;Ishikawa S(et al)
  34. Spine. v.26 no.1 Hypertrophy of the Posterior Longitudinal Ligament Is a Prodromal Condition to Ossification: A Cerviral Myelopathy Case Report. Kondo, Soichi;Onari, Katsuhiro;Watanabe,Kenichi;Hasegawa,Takakazu;Toguchi, Atsushi;Mihara, Hisanori
  35. Spine. v.19 no.2 Computed tomographic follow-up study of 21 cases of none-peratively treated cervical intervertebral soft disc herniation. Jean-Yves Maigne;Laurent Deligne
  36. Spine. v.23 no.9 Regression of Cervical Herniation Observed on Ma-gnetic Resonance Images. Mochida, Kiyoshi;Komori, Hiromichi;Okawa, Atsushi;Muneta, Takeshi;Haro, Hirotaka;Shinomiya, Kenichi.
  37. Spine. v.22 no.5 The Natural History of Asymptomatic Thoracic Disc Herniat-ions. Wood, Kirkham B.Blair, John M.;Aeppe, Dorothee M.;Schendel, Michael J.;Garvey, Timothy A.;Guildry, Cooper R.;Heithoff, Kenneth B.
  38. Spine. v.15 no.11 A dorsally free fragment of lumbar disc herniation and its interesting histologic findings: A case report. Hirabayashi S;Kumano K;Tsuiki T;Eguchi M;Ikeda S.
  39. Journal of Spinal Disorder. v.9 no.4 Histologic changes in the disc after cerviral spine trauma: evidence of disc absorption. Carreon, L.V.;Ito I;Yamada M;Uch-iyama S;Takahashi H;Ikuta F.