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KMID : 0895820220320010133
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Journal of Oriental Rehabilitation Medicine
2022 Volume.32 No. 1 p.133 ~ p.144
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Two Case of Symptomatic Schmorl's Node: A Case Report and Literature Review
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Kang Shin-Woo
Choi Seong-Hwan
Park Hyun-Sun
Park Seo-Hyun
Geum Dong-Ho
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Abstract
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The objective was to propose effectiveness of conservative treatments including Korean medical treatments for symptomatic Schmorl's nodes (SNs). We conducted retrospective study that analyzed the medical records of two patients with the symptomatic SNs. They were treated by conservative treatments including Korean medical treatments for 3 weeks. We evaluated numeric rating scale (NRS), Oswestry disability index (ODI) and EuroQol-5 dimension (EQ-5D) index. After treatment, NRS, ODI were decreased and EQ-5D index was increased. We performed literature search to analyze the mechanisms of its treatment and evaluate clinical trials. There were three major mechanisms: (1) Improving constructive stability of vertebrae, (2) alleviating pain, and (3) controlling autoimmunity. When comparing operative treatment (OT) trials and conservative treatment (CT) trials, we couldn't find conclusive basis that support which one is more effective. As OT trials reported some severe adverse events, CT trials reported mild adverse events. The conservative treatments that we used encompasses those mechanisms and is relatively safe. To obtain exact evidence of effectiveness, further studies are needed.
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KEYWORD
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Symptomatic schmorl's node, Conservative treatment
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