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Journal of the Korean Academy of Rehabilitation Medicine 2000;24(1):137-145.
Clinico-radiologic Findings of the Whole Spine in Patients with Chronic Low Back Pain.
Kim, Kweon Young
Department of Rehabilitation Medicine, Chosun University College of Medicine.
만성 요통 환자에서 전체 척추의 임상적-방사선학적 소견
김권영
조선대학교 의과대학 재활의학교실
Abstract

Objective
The purpose of this study was to evaluate the whole spine of the patients with chronic low back pain.


Method
The cervico-thoraco-lumbar spine were evaluated in 128 patients with chronic low back pain. We analyzed radiologic and clinical findings of the cervico-lumbar spine and electrodiagnostic findings.


Results
Most of all cases showed abnormal findings in plain radiography and electrodiagnostic study. The radiologic findings were as follow: cervical X-ray with straightening of cervical lordotic curve in 85 cases; thoracic X-ray with scoliosis in 55 cases; lumbar X-ray with disc space narrowing in 85 cases. The electrodiagnostic study revealed lumbosacral radiculopathy in 87 cases. There were significant positive relationship between increased lumbosacral angle and straightening of cervical lordotic curve, and between lumbar scoliosis and thoracic scoliosis.


Conclusion
Cervico-thoracic spinal abnormalities were shown in most of the patients with chronic low back pain. Therefore, The evaluation of whole spine would be needed comprehensive rehabilitation approach for the patients with chronic low back pain.

Key Words: Chronic low back pain, Cervico-thoraco-lumbar spine, Radiographic findings, Electrodiagnostic study


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