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요통 환자의 요추 불안정에 따른 자기공명영상 소견의 임상적 의의

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Author(s)
박기영김영현이성문
Keimyung Author(s)
Park, Gi YoungLee, Sung Mun
Department
Dept. of Rehabilitation Medicine (재활의학)
Dept. of Radiology (영상의학)
Journal Title
대한재활의학회지
Issued Date
2006
Volume
30
Issue
1
Keyword
Lumbar spineLumbar spine instabilityDynamic radiographMagnetic resonance image
Abstract
Objective: The purpose of this study was to examine the
clinical significance of magnetic resonance(MR) image
findings according to the lumbar spine instability of patients
with lower back pain.
Method: Total 35 patients with lower back pain underwent
lateral flexion and extension radiographs of the lumbar
spine as well as MR image. The L3-4, L4-L5, and L5-S1
levels were examined. Horizontal and angular displacements
in dynamic radiograph of lumbar spine were used to assess
the instability of lumbar spine. MR images were used to
evaluate the abnormalities of intervertebral disc, change of
adjacent bone marrow, annular tear, disc herniation, and
presence of osteophyte.
Results: Of the 105 segments, 64 (61.0%) were unstable.
Among the 64 unstable segments, 28 were at the L5-S1 level
and 21 were at the L4-5 level, respectively. These unstable
segments showed higher degree of disc degeneration and
more traction osteophyte than the stable segments. No correlation
was found between segmental lumbar instability and
other findings of MR image.
Conclusion: For the assessment of lumbar spine instability,
dynamic radiographs should be considered in patients with
higher degree of disc degeneration or presence of traction
osteophyte seen in MR image.
Alternative Title
Clinical Significance of Magnetic Resonance Image Findings according to the Lumbar Spine Instability
of Patients with Lower Back Pain
Keimyung Author(s)(Kor)
박기영
이성문
Publisher
School of Medicine
Citation
박기영 et al. (2006). 요통 환자의 요추 불안정에 따른 자기공명영상 소견의 임상적 의의. 대한재활의학회지, 30(1), 40–44.
Type
Article
ISSN
1225-584X
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/39471
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Radiology (영상의학)
1. School of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학)
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