The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
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A Case Report of a Postoperative State Patient with Cervical Spinal Cord Injury due to Ossification of Posterior Longitudinal Ligament Treated by Korean Medicine

후종인대골화증으로 발생한 경추 척수손상 환자에 대한 수술 후 한방치료 증례보고 1례

  • Jeong-rim Bak (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Hyo-won Jin (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Ji-hyun Hwang (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Jung-ho Jo (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Jungtae Leem (Research Center of Traditional Korean Medicine, Wonkwang University) ;
  • Jong-min Yun (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Byung-soon Moon (Dept. of Internal Medicine, College of Oriental Medicine, Wonkwang University)
  • 박정림 (원광대학교 한의과대학 내과학교실) ;
  • 진효원 (원광대학교 한의과대학 내과학교실) ;
  • 황지현 (원광대학교 한의과대학 내과학교실) ;
  • 조정호 (원광대학교 한의과대학 내과학교실) ;
  • 임정태 (원광대학교 한국전통의학연구소) ;
  • 윤종민 (원광대학교 한의과대학 내과학교실) ;
  • 문병순 (원광대학교 한의과대학 내과학교실)
  • Received : 2023.09.14
  • Accepted : 2023.10.31
  • Published : 2023.10.30
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Abstract

Objectives: The purpose of this study is to report the effectiveness of Korean medicine treatment on postoperative state patients with cervical spinal cord injury due to ossification of the posterior longitudinal ligament. Methods: A 55-year-old Korean male patient diagnosed with cervical spinal cord injury due to ossification of the posterior longitudinal ligament was treated in an inpatient setting with Korean medicine treatment consisting of herbal medicine, acupuncture, and others from May 22 to August 21. The outcome was evaluated with the American Spinal Injury Association Impairment Scale (AIS), Spinal Cord Independence Measure-III (SCIM-III), modified Japanese Orthopaedic Association scale (mJOA), Numeric Rating Scale (NRS) before and after, or during the treatment period. Results: After 92 days of treatment, the patient's scores on all scales improved. Conclusion: The results suggest that Korean medicine treatment may be effective for postoperative patients with cervical spinal cord injury due to ossification of the posterior longitudinal ligament. Further studies should be conducted on a larger number of patients.

Keywords

Acknowledgement

This work was supported by a National Research Foundation of Korea grant funded by the Korea government (No NRF-2022R1C1C2008738). This research was also supported by the Bio & Medical Technology Development Program of the National Research Foundation (NRF) funded by the Korean government (MSIT) (No. RS-2023-00261934). This research was also supported by a grant of the Korea Health Technology Project through the Korea Health Industry Development Institute, funded by the Ministry of Health and Welfare, Republic of Korea (grant no. HF23C0063).

References

  1. Shin J, Kim YW, Lee SG, Park EC, Yoon SY. Cohort study of cervical ossification of posterior longitudinal ligament in a Korean populations: Demographics of prevalence, surgical treatment, and disability. Clinical Neurology and Neurosurgery 2018;166:4-9. doi:10.1016/j.clineuro.2018.01.014 
  2. Ahn MY, Lim HH. Domestic Research Trend of the Ossicification of the Posterior Longitudinal Ligament in Korean Medicine. Journal of Korean Medicine Rehabilitation 2016;26(3):59-65. doi:10.18325/jkmr.2016.26.3.59 
  3. Kwon SY, Shin JJ, Lee JH, Cho WH. Prognostic factors for surgical outcome in spinal cord injury associated with ossification of the posterior longitudinal ligament (OPLL). J Orthop Surg Res 2015;10(1):94. doi:10.1186/s13018-015-0235-3 
  4. Kim JA, Kim SM. Scales for Spinal Cord Disorders. J Korean Neurol Assoc. 2021;39(2 Suppl):50-9. doi:10.17340/jkna.2021.2.20 
  5. Itzkovich M, Shefler H, Front L, Gur-Pollack R, Elkayam K, Bluvshtein V, et al. SCIM III (Spinal Cord Independence Measure version III): reliability of assessment by interview and comparison with assessment by observation. Spinal Cord 2018;56(1):46-51. doi:10.1038/sc.2017.97 
  6. Chang H. Ossification of Posterior Longitudinal Ligament. Journal of Korean Spine Surg 2006;13(3):153-62.  https://doi.org/10.4184/jkss.2006.13.3.153
  7. Li S, Zhang P, Gao X, Miao D, Gao Y, Shen Y. Potential risk factors for poor outcome after anterior surgery for patients with cervical ossification of the posterior longitudinal ligament. TCRM 2018;14:341-47. doi:10.2147/TCRM.S152416 
  8. Park S, Lee DH, Ahn J, Cho J, Lee SK, Kim KJ. Progression of Cervical Ossification of Posterior Longitudinal Ligament: A Review. J of Advanced Spine Surgery 2019;9(2):37-43. 
  9. Lee YR, Shin HK, Oh MS. Study of Ossification of posterior longitudinal ligament(OPLL). Monographs of the Institute of Oriental Medicine, Daejeon University 2007;16(1):147-56. 
  10. Jo MJ, Kim DH, Kim SU, Park CU, Kim YK, Jang HY, et al. Review of Clinical Research about Acupuncture for Spastic Hmiplegia after Stroke - Research on China Academic Journal. J Physiol & Pathol Korean Med 2021;35(1):28-35.  https://doi.org/10.15188/kjopp.2021.02.35.1.28
  11. Shin HY, Kim JS, Lee KM. Clinical Observation of Improvement Made by Bee Venom Therapy at Cervical Hyeopcheokhyeol on Case of Upper Limb Disability Caused by Cervical Disc Herniations. Korean Journal of Oriental Medicine 2010;16(2):119-24. 
  12. Kim TH, Park WH, Cha YY. A Retrospective Study on the Effects of ShinBaro Pharmacopuncture and Jungsongouhyul Pharmacopuncture on Whiplash Injury by Traffic Accident. Journal of Korean Medicine Rehabilitation 2013;23(4):1-7.