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논문 기본 정보

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연세대학교 의과대학 Yonsei Medical Journal Yonsei Medical Journal 제55권 제3호
발행연도
2014.1
수록면
779 - 784 (6page)

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Purpose: To examine the effects of conservative and surgical treatments for nocturnalleg cramps in patients with lumbar spinal stenosis (LSS). Nocturnal leg cramps is frequently observed in patients with peripheral neuropathy. However, there have been few reports on the relationship between nocturnal leg cramps and LSS, and it remains unknown whether conservative or surgical intervention has an impact on leg cramps in patients with LSS. Materials and Methods: The subjects were 130 LSS patients with low back and leg pain. Conservative treatment such as exercise, medication, and epidural block was used in 66 patients and surgical treatmentsuch as decompression or decompression and fusion was performed in 64 patients. Pain scores and frequency of nocturnal leg cramps were evaluated based on self-reported questionnaires completed before and 3 months after treatment. Results: The severity of low back and leg pain was higher and the incidence of nocturnal leg cramps was significantly higher before treatment in the surgically treated group compared with the conservatively treated group. Pain scores improvedin both groups after the intervention. The incidence of nocturnal leg cramps was significantly improved by surgical treatment (p=0.027), but not by conservative treatment (p=0.122). Conclusion: The findings of this prospective study indicate that the prevalence of nocturnal leg cramps is associated with LSS and severity of symptoms. Pain symptoms were improved by conservative or surgicaltreatment, but only surgery improved nocturnal leg cramps in patients with LSS. Thus, these results indicate that the prevalence of nocturnal leg cramps is associatedwith spinal nerve compression by LSS.
#Nocturnal leg cramps #pain #lumbar spinal stenosis #surgery #decompression #fusion #conservative treatment #severity #prospective study #outcome #comparison

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참고문헌 (1)

참고문헌 신청
Konno S / 1995 / A model for acute, chronic, and delayed graded compression of the dog cauda equina. Presentation of the gross, microscopic, and vascular anatomy of the dog cauda equina and accuracy in pressure transmission of the compression model / Spine (Phila Pa 1976) 20 : 2758 ~ 2764 | 2. [학술지(정기간행물)] - Sekiguchi M / 2004 / Experimental spinal stenosis: relationship between degree of cauda equina compression, neuropathology, and pain / Spine (Phila Pa 1976) 29 : 1105 ~ 1111 | 3. [학술지(정기간행물)] - Oboler SK / 1991 / Leg symptoms in outpatient veterans / West J Med 155 : 256 ~ 259 | 4. [학술지(정기간행물)] - Monderer RS / 2010 / Nocturnal leg cramps / Curr Neurol Neurosci Rep 10 : 53 ~ 59 | 5. [학술지(정기간행물)] - Matsumoto M / 2009 / Nocturnal leg cramps: a common complaint in patients with lumbar spinal canal stenosis / Spine (Phila Pa 1976) 34 : E189 ~ E194 | 6. [학술지(정기간행물)] - Seiji Ohtori / 2013 / Conservative and Surgical Treatment Improves Pain and Ankle-Brachial Index in Patients with Lumbar Spinal Stenosis / Yonsei Medical Journal 54 (4) : 999 ~ 1005 | 7. [학술지(정기간행물)] - Rish BL / 1985 / Nerve root compression and night cramps / JAMA 254 : 361 ~ | 8. [학술지(정기간행물)] - Haskell SG / 1997 / Clinical epidemiology of nocturnal leg cramps in male veterans / Am J Med Sci 313 : 210 ~ 214 | 9. [학술지(정기간행물)] - Demircan MN / 2002 / Cramp finding: can it be used as a new diagnostic and prognostic factor in lumbar disc surgery? / Eur Spine J 11 : 47 ~ 51 | 10. [학술지(정기간행물)] - Man-Son-Hing M / 1995 / Meta-analysis of efficacy of quinine for treatment of nocturnal leg cramps in elderly people / BMJ 310 : 13 ~ 17 | 11. [학술지(정기간행물)] - Coppin RJ / 2005 / Managing nocturnal leg cramps--calf-stretching exercises and cessation of quinine treatment: a factorial randomised controlled trial / Br J Gen Pract 55 : 186 ~ 191 google schola

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