The Journal of Korean Medicine (대한한의학회지)

The Society of Korean Medicine (대한한의학회)
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Non-operative Korean Medicine Treatment for Four Patients with Failed Back Surgery Syndrome after Spinal Fusion Surgery : A Retrospective Case Series

  • Seo, Young Hoon (Department of Rehabilitation, Mokhuri Neck & Back Hospital) ;
  • Lee, Jeong Ryo (Department of Rehabilitation, Mokhuri Neck & Back Hospital) ;
  • Lee, Sang Min (Department of Rehabilitation, Mokhuri Neck & Back Hospital) ;
  • Kim, Min Chul (Department of Rehabilitation, Mokhuri Neck & Back Hospital) ;
  • Kim, Yu Jong (Department of Rehabilitation, Mokhuri Neck & Back Hospital) ;
  • Hong, Je Rak (Department of Rehabilitation, Mokhuri Neck & Back Hospital) ;
  • Kim, She Young (Department of Acupuncture & Moxibustion Medicine, Mokhuri Neck & Back Hospital) ;
  • Seo, Young Woo (Department of Acupuncture & Moxibustion Medicine, Mokhuri Neck & Back Hospital) ;
  • Kim, Ji Su (Department of Acupuncture & Moxibustion Medicine, Mokhuri Neck & Back Hospital) ;
  • Park, Han Sol (Department of Science in Korean Medicine, Graduate School, Kyung Hee University) ;
  • Lee, Min ho (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Kim, Tae Hun (Department of Korean Medicine Clinical Trial Center, Kyung Hee University) ;
  • Kim, Kiok (Department of Spine Center, Mokhuri Neck & Back Hospital)
  • Received : 2016.01.13
  • Accepted : 2016.06.17
  • Published : 2016.06.30
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Abstract

Objectives: The purpose of this study was to report Four cases of Failed Back Surgery Syndrome (FBSS) patients after spinal fusion surgery who showed significant improvement in pain and function with Complex Korean medical treatment. Methods: This study was a retrospective observational study. We reviewed medical records of Four patients with lumbar pain or radiating leg pain, who have received spinal fusion surgery in the past. All Four patients took complex treatments of Mokhuri Neck and Back hospital which involes Acupuncture, Pharmaco-acupuncture, Gangchuk herbal medicine, Chuna and Physical therapy during about four-week of admission treatment. Visual Analogue Scale (VAS), Oswestry disability index (ODI), Pain Free Walking Distance (PFWD) scores were assessed before and after treatments. Results: The average of hospitalization period was 28.5 days. Mean VAS scores decreased from 6.5 to 2.3, Oswestry Disability Index (ODI) scores decreased from 56.25 to 38.25 and Pain Free Walking Distance (PFWD) also improved from 10m to 166.6m. Conclusion: This study implies that a combination of Korean medical treatments might be effective in relieving pain, and improving the functional status of FBSS patients. Further studies are needed to fully understand the mechanisms underlying the effects.

Keywords

References

  1. Slipman CW, Shin CH, Patel RK, Isaac Z, Huston CW, Lipetz JS, et al. Etiologies of failed back surgery syndrome. Pain Medicine. 2002;3(3):200-214. https://doi.org/10.1046/j.1526-4637.2002.02033.x
  2. North RB, Campbell JN, James CS, Conover-Walker MK, Wang H, Piantadosi S, et al. Failed back surgery syndrome: 5-year follow-up in 102 patients undergoing repeated operation. Neurosurgery. 1991;28(5):685-90. https://doi.org/10.1227/00006123-199105000-00008
  3. Waddell G, Kummel EG, Lotto WN, Graham JD, Hall H, McCulloch JA. Failed Lumbar Disc Surgery and Repeated Surgery following Industrial Injuries, J. Bond and Joint Surg. 1979;61(2):201-207. https://doi.org/10.2106/00004623-197961020-00007
  4. Cauchoix J, Ficat C, Girard B. Repeat surgery after disc excision. Spine. 1978;3(3):256-259. https://doi.org/10.1097/00007632-197809000-00011
  5. Javid MJ, Hadar EJ. Long-term follow-up review of patients who underwent laminectomy for lumbar stenosis: a prospective study. J Neurosurg. 1998;89(1):1-7. https://doi.org/10.3171/jns.1998.89.1.0001
  6. Pheasant HC, Dyck P. Failed lumbar disc surgery : cause, assessement, treatment. Clinical Orthopaedics & Related Research. 1982;164(4): 93-109.
  7. Cho E, Kang JH, Choi JY, Yoon KS, Lee H. The Clinical Study on Effects of Bee Venom Pharmacopuncture Therapy in Patients with FBSS(Failed Back Surgery Syndrome). The Journal of Korean Acupuncture & Moxibustion Society. 2011;28(5):77-86.
  8. Kim SP, Kim JH, Ryu HS, Chun HS, Shin JC. The Clinical Report on 1 Case of Failed Back Surgery Syndrome Who were Diagnosed as the Cauda Equina Syndrome using Hominis Placenta Pharmacopuncture. The Journal of Korean Acupuncture & Moxibustion Society. 2011;28(5);135-142.
  9. Ju MS, Jeong HU, Kim HG, Park GH, Youn YS, Kim YO, et al. Anti-nociceptive and anti-inflammatory effects of geranii herba. Kor J Herbology. 2010;25(3):97-101.
  10. Kim KO, Jeong YJ, Youn YS, Choi JC, Kim JH, Chung W, et al. Nonoperative Korean Medicine Combination Therapy for Lumbar Spinal Stenosis: A Retrospective Case-Series Study. Evidence-Based Complementary and Alternative Medicine 2015;501:263898.
  11. Roland M, Fairbank J. The Roland-Morris Disability Questionnaire and the Oswestry Disability Questionnaire. 2000;25(24):3115-3124. https://doi.org/10.1097/00007632-200012150-00006
  12. Ceccherelli F, Rigoni MT, Gagliardi G, Ruzzante L. Comparison of superficial and deep acupuncture in the treatment of lumbar myofascial pain: a double-blind randomized controlled study. The Clinical journal of pain. 2002;18(3):149-153. https://doi.org/10.1097/00002508-200205000-00003
  13. Brinkhaus B, Witt CM, Jena S, Linde K, Streng A, Wagenpfeil S, et al. Acupuncture in patients with chronic low back pain: a randomized controlled trial. Archives of internal medicine. 2006;166(4):450-457.
  14. Furlan AD, Van Tulder MW, Cherkin DC, Tsukayama H, Lao L, Koes BW, et al. Acupuncture and dry-needling for low back pain. Cochrane Database Syst Rev 1. 2005;1
  15. Zhao ZQ. Neural mechanism underlying acupuncture analgesia. Progress in neurobiology. 2008;85(4):355-375 https://doi.org/10.1016/j.pneurobio.2008.05.004
  16. Kim KH, Kim SS. Study on analgesic, antiinflammatory and antipyretic effects of Aquaacupuncture and administration per orally of Whangryounhaedogtang (黃連解毒湯) and Onsungouhyoulbang (溫性瘀血方). The Journal of Korean Oriental Medicine. 1994;15(1):9-25.
  17. Winnie AP, Hartman JT, Meyers JR HL, Ramamurthy S, Barangan V. lntradural arid Extradural Corticosteroids for Sciatica. Anesthesia & Analgesia, 1972;51(6):990-1003.
  18. Pountain, GD, Keegan AL, Jayson MIV. Impaired fibrinolytic activity in defined chronic back pain syndromes. Spine. 1987;12(2):83-86. https://doi.org/10.1097/00007632-198703000-00002
  19. Heithoff KB, Burton CV. CT evaluation of the failed back surgery syndrome. The Orthopedic clinics of North America. 1985;16(3):417-444.
  20. Choi HS, Uhm BK, Kim CY, Han SW, Jung YG, Shin DJ. The Latest Trends of Chuna Treatment on Low Back Pain in PubMed. J Oriental Rehab Med. 2012;22(4):99-113.

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