Korean Medicine for Thoracolumbar Compression Fracture in Korean Literature : a Systematic Review ※

Self Cite

The aim of this study was to assess the feasibility of conducting a clinical study of using acupuncture for chronic pain in patients with osteoporotic thoracolumbar vertebral compression fractures (VCFs) in the outpatient setting. Methods: A prospective case-series attempting to recruit 20 participants was performed from February 11, 2016, to December 31, 2016. We provided Manual and electrical acupuncture was provided one 1 to three 3 times a week, for 6 weeks, up to 18 sessions. The primary clinical outcome was the average pain intensity as measured by the visual analog scale (VAS) at 6 weeks. Secondary outcomes included back-specific dysfunction (Oswestry disability index), quality of life (quality of life questionnaire-26), patient-reported improvement, use of other healthcare resources, and adverse events at 6 weeks. Use of healthcare resources and adverse events were additionally followed-up at 12 weeks by telephone. Results: Of 33 patients screened, a total of 7 were enrolled in the study. Manual and electrical acupuncture was provided 1 to 3 times a week, for 6 weeks, up to 18 sessions. We observed reduced pain intensity at 6 weeks in all participants. The change in the quality of life and back-specific dysfunction was inconsistent among participants. Mild, temporary adverse events were observed in three patients. Conclusion: In our clinical setting, it was not feasible to recruit sufficient participants and to assess the efficacy of acupuncture for chronic pain after osteoporotic thoracolumbar VCFs under a year. Strategies to improve recruitment and to identify barriers to participation are required for future clinical trials.

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A Feasibility Study of Acupuncture for Chronic Pain in Patients with Osteoporotic Thoracolumbar Compression Fracture: A Prospective Case Series

Bae¹,

Choi²,

Kim³

et al. 2018

Self Cite

“…Other than a typical form of compression fracture that involves damage of the anterior vertebral column [1,2], a burst fracture is a fracture of the posterolateral part of the vertebral body caused by the damage of anterior and middle vertebral columns moving into the spinal canal, causing neurological impairments [3].…”

Section: Introductionmentioning

confidence: 99%

“…Compression fractures are treated surgically or nonsurgically (such as acupuncture and herbal medicines) [1]. In an unstable burst fracture, surgical treatment can be detrimental to the patient however, treatments with Korean medicine for this condition are rarely studied [6].…”

Section: Introductionmentioning

confidence: 99%

Combined Korean Medicine Treatment of a Rare Case of Burst Fracture in an Elderly Patient with Kissing Spine

Park

Choi

et al. 2021

A burst fracture refers to the fracture of the anterior and middle vertebral columns which are moving into the spinal canal causing neurological impairments, generally requiring surgical treatment. We herein report a rare case of burst fracture with kissing spine in a 90-year-old man who had severe lower back pain that worsened during back extension. Considering the surgical treatment risk, he was hospitalized at a Korean medicine hospital for 85 days and underwent combined Korean medicine treatments including pharmacopuncture, herbal medicine, chuna, deep-fascia meridian therapy, walking practice, and abdominal breathing. Based on patient-reported scales, his pain was alleviated, and his physical function improved. Furthermore, his range of motion and walking time increased. This case report suggests that combined Korean medicine treatments could be an effective alternative for patients with burst fracture who have surgery risks.

“…Korean medicine treatment like pharmacopuncture, fire needling therapy, and electro-acupuncture are used to treat vertebral compression fracture [8]. Yang and Song [9] reported the therapeutic effects of bee venom acupuncture complex therapy for thoracolumbar compression fracture but did not assess compression rate related to vertebral kyphosis.…”

Section: Introductionmentioning

confidence: 99%

A Retrospective Clinical Survey of Vertebral Compression Fractures

Lee

et al. 2018

Background: The purpose of this study was to review whether Korean medicine treatment was effective to maintain the spinal stability and to relieve spinal symptom by reviewing medical records of 18 vertebral compression fracture patients. Methods: The subjects were 18 thoracolumbar compression fracture patients who were taken more than two lateral view x-rays of fractured vertebra from Jan, 2010 to June, 2018. They were divided into two groups: the time admitted into