[논문]Integrative Korean Medicine Treatment for Sacral Fracture: Two Clinical Cases

Yeon Soo Kang; Pil Je Park; So Jeong Kim; Hyun Jin Jang; Min Ju Kim; Hyeon Kyu Choi; Jeong Kyo Jeong; Ju Hyun Jeon; Young Il Kim

doi:10.13045/jar.2023.00171

Integrative Korean Medicine Treatment for Sacral Fracture: Two Clinical Cases 원문보기

Journal of acupuncture research, v.40 no.3, 2023년, pp.281 - 292

Yeon Soo Kang (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) , Pil Je Park (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) , So Jeong Kim (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) , Hyun Jin Jang (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) , Min Ju Kim (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) , Hyeon Kyu Choi (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) , Jeong Kyo Jeong (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) , Ju Hyun Jeon (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) , Young Il Kim (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University)

Abstract ▼ AI-Helper

This study presents the cases of a 67-year-old female with an isolated left sacral fracture and a 69-year-old female with fractures in sacrum 1, 2, and the left pubic bone. Both patients exhibited marked improvement following integrative Korean medicine treatment, encompassing acupuncture, acupotomy, pharmacopuncture, herbal medicine, moxibustion, and cupping therapy. The treatment's efficacy was assessed using the numerical rating scale (NRS) scores, range of motion (ROM) in the lumbar spine, and alterations in gait and walking distance. Case 1 demonstrated an enhanced ROM and achieved independent walking after 29 days of treatment. Case 2 improved in both ROM and NRS score and could walk independently after 49 days of treatment. Significantly, radiological images showed notable changes in both cases following treatments. The study indicates that integrative Korean medicine treatment could provide clinical advantages to individuals suffering from sacral fractures.

주제어

표/그림 (13)

표 Table 1. Duration and composition of herbal medicines in Case 1
표 Table 2. Duration and composition of herbal medicines in Case 2
그림 Fig. 1. Changes in Case 1's NRS score over time. NRS, numerical rating scale.
그림 Fig. 2. Case 1. Changes in gait and walking distance. ABR, absolute bed rest; CT, computed tomography; BR, bed rest.
$Fig. 3. Case 1. The figures show the left sacral fracture. (A) Lumbar spine CT (2023.2.4., day 2) and (B) pelvic bone CT (2023.2.27., day 25). The arrows indicate the fracture site. CT, computed tomography.$ 그림 Fig. 3. Case 1. The figures show the left sacral fracture. (A) Lumbar spine CT (2023.2.4., day 2) and (B) pelvic bone CT (2023.2.27., day 25). The arrows indicate the fracture site. CT, computed tomography.
$Fig. 4. Case 1. The figures show the left sacral fracture. (A) X-ray of the lumbosacral spine (2023.2.4., day 2), (B) X-ray of the lumbosacral spine (2023.3.14.), and (C) X-ray of the sacrococcygeal spine (2023.4.21.). The arrows indicate the fracture site.$ 그림 Fig. 4. Case 1. The figures show the left sacral fracture. (A) X-ray of the lumbosacral spine (2023.2.4., day 2), (B) X-ray of the lumbosacral spine (2023.3.14.), and (C) X-ray of the sacrococcygeal spine (2023.4.21.). The arrows indicate the fracture site.
표 Table 3. Medications administered during Case 1's hospitalization
표 Table 4. Changes in Case 1's range of motion (before and after treatment)
그림 Fig. 5. Case 2. Changes in the NRS score over time. NRS, numerical rating scale.
그림 Fig. 6. Case 2. Changes in gait and walking distance. CT, computed tomography; ABR, absolute bed rest; BR, bed rest.
표 Table 5. Medications administered during Case 2's hospitalization
표 Table 6. Changes in Case 2's range of motion (before and after treatment)
$Fig. 7. Case 2. The figures show sacrum 1 and 2 fractures. (A) Pelvic bone CT (2023.2.7.), (B) X-ray of the lumbar spine (2023.2.10., day 3), and (C) X-ray of the lumbar spine (2023.3.3., day 24). The arrows indicate the fracture site.$ 그림 Fig. 7. Case 2. The figures show sacrum 1 and 2 fractures. (A) Pelvic bone CT (2023.2.7.), (B) X-ray of the lumbar spine (2023.2.10., day 3), and (C) X-ray of the lumbar spine (2023.3.3., day 24). The arrows indicate the fracture site.

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