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Journal of the Korean Academy of Family Medicine 1991;12(3):17-22.
Published online March 1, 1991.
Clinical analysis of low back pain.
Myo Kyung Choi, Sung Hun Ha, Choo Yon Cho, Joo Ja Kim, Taik Sung Nam
요통 환자에 대한 임상분석
남택승, 조주연, 김주자, 최묘경, 하성훈
순천향대학교 의과대학 가정의학과
Abstract
Low back pain is generally defined as a symptom complex rather than a specific desease entity, especially when musculoskeletal lesions of the low back, neurogenic, vasculogenic and discogenic lesions are present. Sixty to eighty of all human being have experienced low back pain once or more times during in their lifetime.
Today, low back pain plays an important part for the loss of working capability from social, industrial field and individual daily life.
For the purposes of evaluation and proper treatment for low back pain, our department has conducted clinical analysis per 408 outpatients from August 1989 to January 1990.
The results summarized as follows;
1. Among patients with lumbago 231 cases(56.6%) were male and 177 cases(43.4%) were female.
2. Age distribution of the cases was high in 20-39 years old group.
3. The lumbar sprain was 206 cases(50.5%) of the patients suffering from lumbago and it was the most common causative origin.
4. According to clinical manifestation in patients with tenderness of low back 235 cases (57.6%), limitation of motion of lumbar spine 155 cases(38.0%), paravertebral muscle spasm 141 cases(34.6%) and positive findings of straight leg raising test 121 cases(30.1%).
5. Main X-ray findings of patients revealed decrease of the lumbar lordotic curve 143 cases(35.0%), narrowing of the intervertebral disc space 129 cases(29.9%) and no specific findings 61 cases(14.9%).
6. The frequency of spinal anomaly among the patients with lumbago revealed spina bifida 9 cases(2.2%), sacralization 5 cases(1.2%) and lumbarization 7 cases(1.7%).
7. In the treatment of low back pain 359 cases(88%) of the patients underwent conservative treatments.


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