요추 전만 각도 및 요추 추간판 각도와 요추 척추관 협착증의 상관관계에 관한 연구

A Study for Clinical and Radiological Correlation between Lumbar Lordotic Angle, Lumbar Intervertebral Disc Angle and Lumbar Spinal Stenosis

  • 김종수 (부천자생한방병원 한방재활의학과) ;
  • 손슬기 (부천자생한방병원 한방재활의학과) ;
  • 김세준 (부천자생한방병원 한방재활의학과) ;
  • 김신웅 (부천자생한방병원 한방재활의학과) ;
  • 정승현 (부천자생한방병원 한방재활의학과) ;
  • 김태호 (부천자생한방병원 침구의학과) ;
  • 정연재 (대전자생한방병원 한방재활의학과) ;
  • 김효섭 (동서한방병원 침구의학과)
  • Kim, Jong-Su (Department of Rehabilitation Medicine of Korean Medicine, Bu-Chun Jaseng Hospital of Korean Medicine) ;
  • Son, Seul-Ki (Department of Rehabilitation Medicine of Korean Medicine, Bu-Chun Jaseng Hospital of Korean Medicine) ;
  • Kim, Se-Jun (Department of Rehabilitation Medicine of Korean Medicine, Bu-Chun Jaseng Hospital of Korean Medicine) ;
  • Kim, Shin-Woong (Department of Rehabilitation Medicine of Korean Medicine, Bu-Chun Jaseng Hospital of Korean Medicine) ;
  • Jeong, Seong-Hyun (Department of Rehabilitation Medicine of Korean Medicine, Bu-Chun Jaseng Hospital of Korean Medicine) ;
  • Kim, Tae-Ho (Department of Acupuncture & Moxibustion Medicine, Bu-Chun Jaseng Hospital of Korean Medicine) ;
  • Jeong, Yeon-Jae (Department of Rehabilitation Medicine of Korean Medicine, Dae-Jeon Jaseng Hospital of Korean Medicine) ;
  • Kim, Hyo-Sub (Department of Acupuncture & Moxibustion Medicine, Dongseo Hospital of Korean Medicine)
  • 투고 : 2014.09.17
  • 심사 : 2014.10.08
  • 발행 : 2014.10.31

초록

Objectives The purpose of this study is to find out clinical and radiological correlation between lumbar lordotic angle, lumbar intervertebral disc angle and lumbar spinal stenosis. Methods Total 250 patients' who had visited Bu-Chun Jaseng Hospital of Korean Medicine lumbar lordotic angle, intervertebral disc angle of L4/5 and dural sac dimension of L4/5 were measured by X-ray and MRI films. We analysed correlation between lumbar lordotic angle, intervertebral disc angle of L4/5 and lumbar spinal stenosis in terms of clinical and radiological aspect. Results 1. The mean intervertebral disc angle of L4/5 were $10.72{\pm}3.98^{\circ}$, the mean lumbar lordotic angle were $41.97{\pm}11.73^{\circ}$ and the mean dural sac dimension of L4/5 were $133.18{\pm}45.46mm^2$. 2. This study shows that dural sac dimension of L4/5 was inversely reated to intervertebral disc angle of L4/5 by statistically (p<0.05). 3. There was visible difference regarding intervertebral disc angle of L4/5 between patients who had been diagnosed with lumbar spinal stenosis by clinically and patients who had not been diagnosed with lumbar spinal stenosis by clinically; The former's angle was relatively higher than the latter's (p<0.05). Conclusions There was a statistical significance between intervertebral disc angle of L4/5 and lumbar spinal stenosis in single-segment.

키워드

참고문헌

  1. 이환모. 요추 척추관 협착증의 병태생리. 대한척추외과학회지. 2000;7(1):100-5.
  2. 대한정형외과학회. 정형외과학. 6판. 서울:최신의학사. 2006:637-8.
  3. 이진호, 송범용, 이효석. 퇴행성 요추간판 환자의 요추 안정성에 대한 임상적 고찰. 한방재활의학과학회. 2007;17(2):151-67.
  4. 전재윤, 이준석, 이슬지, 남지환, 이민정, 김기원, 임수진, 송주현, 문자영, 염승철, 이성철. 요추 전만 각도와 요추추간판 탈출증의 상관성 분석. 척추신경추나의학회지. 2012;7(2):83-90.
  5. 김동수, 김용민, 최의성, 손현철, 박경진, 박지강, 이은명, 최호산. 정상 한국인의 요추부 각분절의 형태 및 운동범위. 대한정형외과학회지. 2008;43(5):151-67.
  6. 석세일. 척추외과학. 2판. 서울:최신의학사. 2004:256, 260.
  7. Konno S, Hayashino Y, Fukuhara S, Kikuchi S, Kaneda K, Seichi A, Chiba K, Satomi K, Nagata K, Kawai S. Development of a clinical diagnosis support tool to identify patients with lumbar spinal stenosis. Eur Spine J. 2007;16(11):1951-7. https://doi.org/10.1007/s00586-007-0402-2
  8. 이경석, 심재준, 윤석만, 도재원, 윤일규, 배학근. 요추 척추관 협착증에 대한 자기공명영상의 진단가치. Journal of Soonchunhyang Medical Science. 2008;14(2):179-86.
  9. 심대무, 최윤홍, 양정환, 오성균, 김채근, 박정현. 자기공명영상을 이용한 요추부 척추관 면적 계측 방법 및 분석. 대한정형외과학회지. 2008;43(5):588-94.
  10. 배태수, 김신기, 류제청, 문무성. 근골격계 모델을 이용한 요추전만 각도 변화가 요추관절에 미치는 영향 분석. Journal of the Korean Society for Precision Engineering. 2009;26(10):116-21.
  11. 이건목, 이상창, 황유진. 요추추간판탈출증의 동서의학적 협진연구. 대한침구학회지. 2000;17(2):1-10.
  12. 요통편찬위원회. 요통(Low Back Pain). 서울:정담. 2002:648.
  13. 신준식. 한국추나학 임상표준지침서. 서울:대한추나학회출판사. 2001:72.
  14. 최유석, 김대필, 금동호. 제5요추-제1천추간 후관절증후군환자의 방사선학적 소견에 관한 임상적 연구. 한방재활의학과학회지. 2005;15(2):183-91.
  15. 이광일, 김 향, 장주웅, 전흥재, 김현민, 박시영, 김슬기, 이환모, 김학선, 문성환. 퇴행 비후된 척추 후관절이 황색인대의 섬유화 및 골화에 미치는 영향. 대한척추외과학회지. 2007;14(1):25-33.