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A Retrospective Clinical Survey of Vertebral Compression Fractures

  • Oh, Ji Hye (Department of Acupuncture & Moxibustion, Deagu Haany University) ;
  • Lee, Yun Kyu (Department of Acupuncture & Moxibustion, Deagu Haany University) ;
  • Kim, Jae Soo (Department of Acupuncture & Moxibustion, Deagu Haany University) ;
  • Lee, Hyun Jong (Department of Acupuncture & Moxibustion, Deagu Haany University) ;
  • Lim, Sung Chul (Department of Acupuncture & Moxibustion, Deagu Haany University)
  • 투고 : 2018.10.12
  • 심사 : 2018.10.29
  • 발행 : 2018.11.30

초록

Background: The purpose of this study was to review whether Korean medicine treatment was effective to maintain the spinal stability and to relieve spinal symptom by reviewing medical records of 18 vertebral compression fracture patients. Methods: The subjects were 18 thoracolumbar compression fracture patients who were taken more than two lateral view x-rays of fractured vertebra from Jan, 2010 to June, 2018. They were divided into two groups: the time admitted into Department of Acupuncture & Moxibustion Medicine, Pohang Korean Medical Hospital of Daegu Hanny University from onset (Research 1) and whether or not they have a past history of osteoporosis (Research 2). Then, they were follow-up observed and compared by compression ratio and numerical rating scale (NRS) and so on. Results: The amount of weekly compression rate increase of 18 patients was 1.76% per week. According to the result of Research 1, the patients group (14 patients) who were admitted into the hospital within 1-2 weeks from getting injury was 1.88% per week whereas the patients group(4 patients) who were admitted into the hospital within 3-4 weeks from getting injury was 1.22% per week. By Research 2 result, the patients group (7 patients) who had been diagnosed as an osteoporosis patient was 2.19% per week, and those (11 patients) who had not was 1.49% per week. There was a statistical significance in the change of the amount of compression rate increase in the case of Research 1, but there was not in the case of Research 2. NRS was decreased without significant difference regardless of the time admitted into the hospital and whether or not the patients had the past history of osteoporosis. Conclusion: Considering that there were more amount of compression rate increase at 1-4 weeks from onset, it is necessary to offer treatment more actively on early time from onset. Further research is needed into the increase of compression rate by the patients' having a past history of osteoporosis or not. Given that NRS decreased without significant difference, it is assumed that Korean medicine treatment has a meaningful effect on relieving subjective symptom of patients who are diagnosed as vertebral compression fractures.

키워드

참고문헌

  1. Korean Acupuncture & Moxibustion Society Textbook Compilation Committee. Acupuncture Medicine, 4th ed. Seoul (Korea): Hanmi Medicine Publish Company; 2016. p. 150, 501. [in Korean].
  2. The Korean Orthopaedic Association. Orthopaedics, 7th ed. Seoul (Korea): Choisin Medical Books; 2013. p. 1385-1392. [in Korean].
  3. Park YS, Cho WJ, Cho JL. Comparison of the result of vertebroplasty and conservative treatment in osteoporotic vertebral compression fracture. J Korean Fract Soc 2006;19:367. [in Korean].
  4. Truumees E. Osteoporosis. Spine 2001;26:930-932. https://doi.org/10.1097/00007632-200104150-00016
  5. Park HG, Kim MH, Yoo MJ, Lee SC, Park JY, Hwang WY et al. Complications after vertebroplasty of treatment for compression fracture with osteoporosis. J Korean Fract Soc 2003;16:534-540. [in Korean]. https://doi.org/10.12671/jksf.2003.16.4.534
  6. John D, Michelle S, Thomas J, Richard M. Percutaneous vertebroplasty for pain relief and spinal stabilization. Spine 2000;25:2968-2969.
  7. So WB, Jae-Byoung-Won-Hu-Ron. Seoul (Korea): Daesung publishing company: 1992. [in Chinese].
  8. Bae JM, Kim DH, Kim JK, Lee BR, Yang GY, Kim KH. Korean medicine for thoracolumbar compression fracture in Korean literature: a systemic review. Acupunct 2015;32:147-156. [in Korean].
  9. Yang KR, Song HS. Effects of bee venom acupuncture complex therapy of thoracolumbar compression fracture. J Korean Acupunct Moxib Soc 2008;25:29-39. [in Korean].
  10. Denis F. Spinal instability as defined by the 3-column spine concept in acute spinal trauma. Clin Orthop Relat Res 1984;189:65-76.
  11. Joh BJ, Koh PS, Yi WI, Baek YH, Nam TH, Park DS. Clinical study on 16 conservatively treated acute compression fracture patients with focus on compression ratio. J Korean Acupunct Moxib Soc 2009;26:1-9.
  12. Song WS, Hwang JY, Shin YI, Lee BR. The clinical study on hua-tuo-jiaji-xue acupuncture treatment of patient with thoracolumbar compression fracture. J Korean Acupunct Moxib Soc 2001;18:55-67. [in Korean].
  13. Hwang MS. Study on the treatment mechanism of Back-shu points for organ dysfunction. Acupunct 2016;33:95-101. [in Korean].
  14. Jung KH, Cha JH, Hwang HS, Jeon JC, Lee TH, Lee EY et al. Effects of oriental medicine treatment on inpatient with thoracolumbar compression fracture. J Korean Acupunct Moxib Soc 2009;26:83. [in Korean].
  15. Koh YD, Park JS. Progression of compression and related factors in conservative management of osteoporotic vertebral compression fracture. J Korean Fract Soc 2015;28:132-138. [in Korean]. https://doi.org/10.12671/jkfs.2015.28.2.132
  16. Ha IH, Park WS, Woo I, Kim HN, Kho DH, Yoon YS. Correlation between horizontal visual analogue scale, vertical analogue scale and numerical rating scale for pain measurement. J Korean Med Rehabil 2006;16:125-133. [in Korean].
  17. Azar FM, Canale T, Beaty JH. Campbell's Operative Orthopedics, 10th ed. Tennessee (TN): Mosby Co; 2003. 1646 p.
  18. Krompinger WJ, Fredrickson BE, Mino DE and Yuna HA. Conservative treatment of fracture of the thoracic and lumbar spine. Orthop Clin North Am 1986;17:161-170.
  19. Suk SI. Orthopaedics, 5th ed. Seoul (Korea): New Medicine Co; 1999. 674 p. [in Korean].
  20. Belitz HD, Grosch W, Schieberle P. Food chemistry, 3rd revised ed. Translator: Burghagen MM. Berlin (Germany): Springer; 2004. 1070 p.
  21. Riffenburgh RH. Statistics in medicine, 2nd ed. Amsterdam (Netherlands): Elsevier Academic Press; 2006. p. 447-486.
  22. Statistics on occupational injuries and illnesses, 2008. Gwacheon (Korea): Ministry of Employment and Labor; 2009. 1093 p. [in Korean].

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