Objectives : The purpose of this study is to observe the clinical characteristics of 6 patients who were not improved after admitted conservative treatment in this 311 patients.
Methods : We retrospectivety reviewed 311 patients of Herniated Lumbar Intervertebral Disc which undenvent admitted conservative treatment from November 1997 to June 2000. 311 patients were diagnosed by computed tomography or magnetic resonance imaging in addition to physical examination. Other complications were not detected in 311 patients with Hemiated Lumbar Intervertebral Disc. In case that the scoliosis appeared to caused by severe pain, we included this scoliosis patient with the object of survey.
Results : 1. In 6 patients who were not improved, 4 patients were large herniation and 2 patients were medium herniation.
2. In all of 6 patients, the angle of straight leg raising test was low and was not imporved unril discharge.
3. X-ray findings showed straightening in all of 6 patients, disc space narrowing in 3 of 6 patients.
4. X-ray findings showed scoliosis in 3 of 4 patients who were severe pain.
5. The onset was relarively long from 30 days to 7 years.
6. The age was relatively young from 10´s to 30´s.
7. The adimission date was ralatively long from 32 days to 105 days.
Conclusions : In 6 patients, there were observed much volume of disc herniation, low angle of straight leg raising test, young people in an age group, straightening of x-ray finding
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