Journal of Korean Medicine Rehabilitation (한방재활의학과학회지)

The society of Korean Medicine Rehabilitation (한방재활의학과학회)
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Correlation between Lumbar Malposition and Disc Herniation in Lumbar Disc Herniation Patients: Focused on L4-L5, L5-S1

요추 추간판 탈출 환자에서 나타나는 요추부 변위와 추간판 탈출의 상관관계: L4-L5, L5-S1 요추 간 추간판 탈출을 중심으로

  • Yeon-Hoo Yi (Department of Korean Medicine Rehabilitation, Gwangju Jaseng Hospital of Korean Medicine) ;
  • Da-woon Song (Department of Korean Medicine Rehabilitation, Gwangju Jaseng Hospital of Korean Medicine) ;
  • Jae-Min Jeong (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Dongshin University) ;
  • Tae-ha Kwon (Department of Korean Oriental Internal Medicine, Gwangju Jaseng Hospital of Korean Medicine) ;
  • Sae-young Bong (Department of Korean Medicine Rehabilitation, Gwangju Jaseng Hospital of Korean Medicine) ;
  • Yoo-jin Lee (Department of Korean Medicine Rehabilitation, Gwangju Jaseng Hospital of Korean Medicine) ;
  • Jin-Bong Choi (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Dongshin University)
  • 이연후 (광주자생한방병원 한방재활의학과) ;
  • 송다운 (광주자생한방병원 한방재활의학과) ;
  • 정재민 (동신대학교 한의과대학 한방재활의학교실) ;
  • 권태하 (광주자생한방병원 한방내과) ;
  • 봉세영 (광주자생한방병원 한방재활의학과) ;
  • 이유진 (광주자생한방병원 한방재활의학과) ;
  • 최진봉 (동신대학교 한의과대학 한방재활의학교실)
  • Received : 2023.09.22
  • Accepted : 2023.10.19
  • Published : 2023.10.31
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Abstract

Objectives This study was conducted to find out the correlation between lumbar malposition and lumbar disc herniation. Methods Among the patients who visited Gwangju Jaseng Hospital of Korean Medicine from January 2019 to January 2021, taking 92 patients under age 60 who had the records of X-rays and magnetic resonance imaging (MRI) images as the research subjects, Cobb's angle was measured in anterior-posterior (AP) view and lateral (LAT) view, the number of displacements was scored by listing categories defined by The Korean Society of Chuna Manual Medicine for Spine and Nerves. The degree of lumbar intervertebral disc herniation was expressed as a percentage according to the method of Kato, etc., and the correlation between each factor was analyzed. Results AP curvature and MRI herniation index showed significant positive correlation in L4-L5 level but there was no significant difference in L5-S1 level. LAT curvature and MRI herniation index had no correlation in L4-L5 level, but there was a significant negative correlation in L5-S1 level. Malposition score and MRI herniation index had a significant positive correlation in L5-S1 level, whereas there was no correlation in L4-L5. Conclusions As a result of the study, AP curvature and MRI herniation index showed a significant positive tendency in L4-L5 lumbar spine, and LAT curvature and MRI herniation index showed a significant negative tendency in L5-S1 lumbar spine. Malposition score and MRI herniation index were found to have a significant positive tendency in L5-S1 lumbar spine.

Keywords

References

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