|
KMID : 0361419830070020073
|
|
Journal of Korean Academy of Rehabilitation Medicine
1983 Volume.7 No. 2 p.73 ~ p.82
|
|
|
Comparative Study of Electromyographic Findings in Herniated Nucleus Pulposus to Myelographic and Operative Findings
|
|
안용팔/Ahn, Yong Pal
강세윤/박경희/강우천/Kang, Sae Yoon/Park, Kyoung Hee/Kang, Woo Cheon
|
|
|
Abstract
|
|
|
Confirmation of clinical impression is needed before operation for herniated nucleus pulposus and electromyography, myelography, diskography, radiculography and epidural venography etc. are used for this purpose.
We analysed the result of operation, electromyography and myelography, and the operative finding was compared to electromyographic and myelographic finding in 29 operative cases, 20 males and 9 females.
The results were as follows:
1) In cases of positive operative findings, the accuracy of electromyography was 82.7% & 89.6% respectively and there was no statistical significance in difference.
2) The accuracy of level localization in electromyography and myelography was 66.7% 83.5% in L§-L5 and 33.3% & 77.7% in L5-Sl respectively and the 33.3% was increased to 88.8% when including the cases of L5 radiculopathy.
3) In 6 cases, inconsistency was noted among operative, electromyographic and myelographic results and all of these cases had no motor weakness and no decrement of DTR. In 2 cases of negative electromyographic and positive operative findings, the durations of symptoms was only 3 days.
4) H-reflex was not a specific finding for Sl radiculopathy.
5) Ruptured disc revealed more abnormalities in electromyographic and myelographic findings compared to non-ruptured disc, but no statistical significance.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|
|