요추간판 탈출증에서 간헐적 견인치료와 척추 감압치료의 효과 = Effect of Spinal Decompression Therapy Compared with Intermittent Mechanical Traction in Lumbosacral Disc Herniation

다국어 초록 (Multilingual Abstract)

Objective: To compare the effects of intermittent mechanical traction with spinal decompression therapy (SDT), using the newly introduced device DRX 3000Ⓡ, in patients suffering from low back pain associated with lumbosacral disc herniation documented on MRI.Method: Thirty-five patients with low back pain with or without lower extremity radiating pain were prospectively enrolled in this study. They were all diagnosed with lumbosacral disc herniation according to physical examinations and MRI. Patients over age 60 years or those with previous spinal surgery, spondylolisthesis, severe osteoporosis, rheumatic diseases, hypertension, and other serious medical problems were excluded. Patients were randomly assigned to intermittent mechanical traction group (15 patients) or SDT group (20 patients) and compared visual analog pain scale (VAS) pre- and post-treatment. Results: There was a significant improvement in VAS in SDT group compared to intermittent mechanical traction group. The mean reduction in VAS for intermittent mechanical traction group equaled 1.93±0.83 (from 6.4±1.28 to 4.5±1.22) while the mean reduction in VAS in SDT group equaled 4.35±2.21 (from 6.9±1.86 to 2.6±1.43) (p=0.0006). Conclusion: Spinal decompression therapy can be used as an effective treatment for discogenic low back pain without serious complications.

참고문헌 (Reference)

1 Weber H, "Traction therapy in sciatica due to disc prolapse" 23 : 167-176, 1973

2 Clarke J, "Traction for low back pain with or without sciatica: an updated systematic review within the framework of the Cochrane collaboration" 31 : 1591-1599, 2006

3 Walker BF, "The prevalence of low back pain: a systemic review of the literature from 1966 to 1998" 13 : 205-217, 2000

4 Harte AA, "The efficacy of traction for back pain: a systemic review of randomized controlled trials" 84 : 1542-1553, 2003

5 Macario A, "Systemic literature review of spinal decompression via motorized traction for chronic dicogenic low back pain" 6 : 171-178, 2006

6 Gionis TA, "Spinal decompression" 5 : 36-39, 2003

7 Peng B, "Possible pathogenesis of painful intervertebral disc degeneration" 31 : 560-566, 2006

8 Koes BW, "Methodological quality of randomized clinical trials on treatment efficacy in low back pain" 20 : 228-235, 1995

9 Andersson GB, "Intervertebral disc pressures during traction" 9 : 88-91, 1983

10 Guechev G, "Fast dynamics of voluntary muscle strength and motor evoked potentials after traction therapy in patients with lumbosacral root lesion" 36 : 195-197, 1996

11 Gupta RC, "Epidurography in reduction of lumbar disc prolapse by traction" 59 : 322-327, 1978

12 Ramos G, "Effects of vertebral axial decompression on intradiscal pressure" 81 : 350-353, 1994

13 Carragee EJ, "Discographic, MRI and psychosocial determinants of low back pain disability and remission: a prospective study in subjects with benign persistent back pain" 5 : 24-35, 2005

14 Deyo RA, "Descriptive epidemiology of low-back pain and its related medical care in the United States" 12 : 264-268, 1987

15 Cyriax J, "Conservative treatment of lumbar disc lesions" 50 : 300-303, 1964

16 Narayan P, "A preliminary audit of the management of acute low back pain in the Kettering District" 34 : 693-694, 1995

17 Pal B, "A controlled trial of continuous lumbar traction in the treatment of back pain and sciatica" 25 : 181-183, 1986