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Effects of Korean Medicine Treatment for a Patient with Lumbar Radiculopathy Diagnosed with Bertolotti's Syndrome: A Case Report

베르톨로티 증후군으로 확인된 요추 신경병증 환자에 대한 한의학적 치료 효과: 증례보고

  • Han, Jeonghun (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Park, Byunghak (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Son, Jaemin (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Lee, Namwoo (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Kang, Dohyeon (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Min, Taewoon (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Ahn, Jaeseo (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Lee, Hansol (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Lee, Hyunjun (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Ji, Hyungwook (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Cho, Sohyun (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Lee, Seongmin (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine) ;
  • Kim, Hankyul (Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine)
  • 한정훈 (자생한방병원 한방재활의학과) ;
  • 박병학 (자생한방병원 한방재활의학과) ;
  • 손재민 (자생한방병원 한방재활의학과) ;
  • 이남우 (자생한방병원 한방재활의학과) ;
  • 강도현 (자생한방병원 한방재활의학과) ;
  • 민태운 (자생한방병원 한방재활의학과) ;
  • 안재서 (자생한방병원 한방재활의학과) ;
  • 이한솔 (자생한방병원 한방재활의학과) ;
  • 이현준 (자생한방병원 한방재활의학과) ;
  • 지형욱 (자생한방병원 한방재활의학과) ;
  • 조소현 (자생한방병원 한방재활의학과) ;
  • 이성민 (자생한방병원 한방재활의학과) ;
  • 김한결 (자생한방병원 한방재활의학과)
  • Received : 2021.09.09
  • Accepted : 2021.09.30
  • Published : 2021.10.31

Abstract

Bertolotti's syndrome is a rare spinal disease and it is known to cause low back pain due to a lumbosacral transitional vertebra. There has been rare study of Bertolotti's syndrome. This study reports the effects of Korean medicine treatment on the patient who was diagnosed on Bertolotti's syndrome. The patient was treated with Korean medicine treatment including acupuncture, pharmacopuncture, herbal medicine, and Chuna manual therapy during 40 days. Numerical rating scale (NRS), Euroqol five dimension (EQ-5D) index, Oswestry disability index (ODI), lumbar range of motion were used for assessment. After treatment, low back pain NRS decreased from 3 to 2, and low limb pain NRS decreased from 5 to 2. EQ-5D index, ODI and lumbar range of motion also were improved. This study shows Korean medicine treatment can be an effective care for Bertolotti's syndrome.

Keywords

References

  1. Jain A, Agarwal A, Jain S, Shamshery C. Bertolotti syndrome: a diagnostic and management dilemma for pain physicians. The Korean Journal of Pain. 2013;26(4):368. https://doi.org/10.3344/kjp.2013.26.4.368
  2. Aihara T, Takahashi K, Ogasawara A, Itadera E, Ono Y, Moriya H. Intervertebral disc degeneration associated with lumbosacral transitional vertebrae: a clinical and anatomical study. The Journal of Bone and Joint Surgery British Volume. 2005;87(5):687-91. https://doi.org/10.1302/0301-620X.87B5.15727
  3. Santavirta S, Tallroth K, Ylinen P, Suoranta H. Surgical treatment of Bertolotti's syndrome. Archives of Orthopaedic and Trauma Surgery. 1993;112(2):82-7. https://doi.org/10.1007/BF00420261
  4. Khairnar KB, Rajale MB. Sacralization of lumbar vertebra. Indian Journal of Basic & Applied Medical Research. 2013;6(2):510-4.
  5. Castellvi AE, Goldstein LA, Chan D. Lumbosacral transitional vertebrae and their relationship with lumbar extradural defects. Spine. 1984;9(5):493-5. https://doi.org/10.1097/00007632-198407000-00014
  6. Ravikanth R, Majumdar P. Bertolotti's syndrome in low-backache population: Classification and imaging findings. Tzu-Chi Medical Journal. 2019;31(2):90. https://doi.org/10.4103/tcmj.tcmj_209_17
  7. Lee BY, Jang G, Lee GJ, Song YK, Lim HH. A case report on the scoliosis and Bertolotti syndrome treated by flexion-distraction technique. The Journal of Korea CHUNA Manual Medicine for Spine and Nerves. 2007;2(1):1-9.
  8. Oh MJ. Effect of bee venom pharmacopuncture complex therapy on lumbar spinal stenosis with lumbosacral transitional vertebrae. Journal of Sports Korean Medicine & Clinical Pharmacopuncture. 2012;12(1):47-55.
  9. Kim MH, Bae YH, Kim HS, Kim HS, Kim JY, Kim SY, Lee SG. The clinical report of the chronic HIVD patient with sacralization treated with quadratus lumborum MST (motion style treatment) & korean medicine treatment. The Journal of Korea CHUNA Manual Medicine for Spine and Nerves. 2014;9(2):11-9.
  10. Jun BC, Kim ES, Kim DS, Kim TH, Kim JY. Effectiveness of ShinBaro pharmacopuncture on lumbar spinal herniated intervertebral disc: a randomized controlled trial. The Journal of Korea CHUNA Manual Medicine for Spine and Nerves. 2011;6(2):109-19.
  11. Lee SY, Kwon HK, Lee SM. Retracted Article: SHINBARO, a new herbal medicine with multifunctional mechanism for joint disease: First therapeutic application for the treatment of osteoarthritis. Archives of Pharmacal Research. 2011;34(11):1773-7. https://doi.org/10.1007/s12272-011-1121-0
  12. Shim SY, Park HJ, Lee JM, Lee HS. An overview of pain measurements. Korean Journal of Acupunct. 2007; 24(2):77-97.
  13. Herdman M, Gudex C, Lloyd A, Janssen MF, Kind P, Parkin D, Bonsel G, Badia X. Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L). Quality of Life Research. 2011;20(10):1727-36. https://doi.org/10.1007/s11136-011-9903-x
  14. Jensen MP, Karoly P, Braver S. The measurement of clinical pain intensity: a comparison of six methods. Pain. 1986;27(1):117-26. https://doi.org/10.1016/0304-3959(86)90228-9
  15. Manmohan S, Dzulkarnain A, Azlin ZN, Fazir M. Bertolotti's syndrome: a commonly missed cause of back pain in young patients. Malaysian Family Physician: The Official Journal of the Academy of Family Physicians of Malaysia. 2015;10(2):55.
  16. Marks RC, Thulbourne T. Infiltration of anomalous lumbosacral articulations: steroid and anesthetic injections in 10 back-pain patients. Acta Orthopaedica Scandinavica. 1991;62(2):139-41. https://doi.org/10.3109/17453679108999242
  17. Louie CE, Hong J, Bauer DF. Surgical management of Bertolotti's syndrome in two adolescents and literature review. Surgical Neurology International. 2019;10:135. https://doi.org/10.25259/sni-305-2019
  18. McGrath K, Schmidt E, Rabah N, Abubakr M, Steinmetz M. Clinical assessment and management of Bertolotti syndrome: a review of the literature. The Spine Journal. 2021;21(8):1286-96. https://doi.org/10.1016/j.spinee.2021.02.023
  19. Quinlan J, Duke D, Eustace S. Bertolotti's syndrome: a cause of back pain in young people. The Journal of Bone and Joint Surgery British Volume. 2006;88(9):1183-6. https://doi.org/10.1302/0301-620X.88B9.17211
  20. Golubovsky JL, Momin A, Thompson NR, Steinmetz MP. Understanding quality of life and treatment history of patients with Bertolotti syndrome compared with lumbosacral radiculopathy. Journal of Neurosurgery: Spine. 2019;31(2):222-8. https://doi.org/10.3171/2019.2.spine1953