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KMID : 0615720100270040019
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Jouranl of Korean Acupuncture and Moxibustion society
2010 Volume.27 No. 4 p.19 ~ p.28
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Radiological Findings and Treatment Period of Acute Low Back Pain Patients Diagnosed as Having Lumbar Sprain and Strain -with Focus on X-ray and CT Findings-
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Goh Pil-Sung
Baek Yong-Hyeon
Park Dong-Suk
Seo Byung-Kwan
Woo Hyun-Su
Lee Won-Il
Cho Byung-Jin
Kwon Sin-Ae
Lee Jung-Woo
Kim Jae-Kyu
Kim Min-Jeong
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Abstract
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Objectives : To demonstrate the need for differential diagnosis between discogenic pain and lumbar sprain and strain in acute low-back pain patients.
Methods : Outpatients who made their first visits during May 1, 2009 to Oct. 30, 2009(n=53) were examined by history taking, physical examination, X-rays, and CT imaging. Disorders found on lumbosacral spine X-ray cuts and those on lumbosacral spine CT images were separately recorded. The relationship between treatment period, disc space narrowing and disc degeneration on X-rays, and HIVD on CT images was examined.
Results : 1. Correlation between disc space narrowing on X-rays and HIVD found on CT images was analyzed. 21(72.41%) out of 29 patients having disc space narrowing on X-rays and HIVD on CT at the same level required treatment for over 8 weeks. 2. 2(50%) out of 4 Lawrence classification grade I patients, 8(66.67%) out of 12 grade II patients, and 14(70%) out of 20 grade III patients needed treatment for over 8 weeks.
Conclusions : Disc space narrowing on X-ray and HIVD on CT at the same level, or disc space narrowing and disc degeneration on X-ray image alone indicate a tendency for treatment periods over 8 weeks, which is longer than the conventional treatment period for lumbar strain and sprain.
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KEYWORD
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Lumbar sprain and train, Discogenic Low back pain, Disc space narrowing, Disc degeneration, HIVD
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