7 1(2012 6 30)

The Journal of Korea CHUNA Manual Medicine for Spine & Nerves 2012;7(1):27-34

Received : 2012. 05. 29

Reviewed :2012. 06. 19

Accepted : 2012. 06. 27

Finding of Relation Between 4th Lumbar Rotational Malposition and Scoliosis

Gyu-Sub Kim, O.M.D. Jae-Young Kim, O.M.D. Young-Kwang Min, O.M.D. Young-Tae Seo, O.M.D.
Ik-Jae Sung, O.M.D. Seung-Woo Lee, O.M.D. Jae-Dong Jee, O.M.D.
Daegu Kyungpook, Korean Society of Chuna Manual Medicine for Spine & Nerves
Objectives : The purpose of this study is to find out the relation between 4th lumbar rotational malposition and scoliosis.
Methods : We investigated 22 cases of patients who were diagnosed as scoliosis. We used AP & Lateral view X-ray for patients. And
we analysed the relation between 4th lumbar rotational malposition and scoliosis.
Results : P-value was 0.436 between 4th lumbar rotational amount and lordotic angle, and was 0.758 between 4th lumbar rotational
amount and wedge angle(p>0.05). And p-value was 0.022 between 4th lumbar rotational amount and scoliotic apex rotational
amount(p<0.05), but was 0.286 between 4th lumbar rotational amount and Cobbs angle(p>0.05).
Conclusions : The results suggest that 4th lumbar rotational malposition was statistically correlation with scoliotic apex rotational
malposition, was not Cobbs angle, 4th lumbar lordotic & wedge angle.
Key words : Rotational Malposition, Disc Block Subluxation(DBS), Scoliosis

,
.

2
,

Pearcy ,

6
.

3), Barge

1).

2)

: . 138(2 285-5)
Tel : (053)358-1080 Fax : (053)358-1075 E-mail:nabuski@hanmail.net

27

 7 1

4).
, Logan 4mm
5)

.
X-ray

Break ,

Disc Block Subluxation( DBS)

, 3

6). DBS

Cobb
s angle 4).

X-ray

, Cobb
s angle

Lumbar I.V.D. angle 7).

.
X-ray

3.

4 DBS

.

, ,
Lumbar I.V.D. angle
, DBS
4mm

, 4 .

1.

, 4
4mm 3mm , 4~8mm, 9~12mm,

2008 1 2011 12

13mm 4 , ,

, , Cobb
s angle

X-ray 10

3mm , 4mm 2 .

Cobb
s angle ,
22 .

Barge L4 L5
5)
11
1~5
, 6~10
, 11

, 1~5,

2.

6~10
, 11 3 .
4mm 4~8mm,

X-ray 1417
,

9~12mm, 13mm 3 ,

X-ray 717 . ,

Cobb
s angle 10~20
, 21~40
, 41 3

, , , Cobb
s angle

Gonstead Rular( , )
Transparent Angle Rular(, )
2

28

4.

2. 4

SPSS Ver 12.0 for Window

4 7.453.54,

, 4

3mm 4(18.2%), 48mm 9

DBS

(40.9%), 912mm 8(36.4%), 13mm

. 4 ,

1(4.5%) 48mm, 912mm

, , Cobb
s angle

(Table ).

Pearson Chi-Square tests

P-value<0.05
.

3. 4 DBS

DBS , /

15(68.2%),/
3
(13.6%), DBS

1.

, /
4(18.2%)
(Table ).

17(77.3%), 5(22.7%)
, 19.686.56, 12
37 10, 20
(Table ).

Table . General Characteristics in Patients

Characteristics

Class
Male
Female
Range
MeanSD
1220
2130
3137

Gender
Age(yr)

Age Group

Value
17(77.3%)
5(22.7%)
1237
19.686.56
12(54.6%)
9(40.9%)
1(4.5%)

Total
22(100.0%)

22(100.0%)

Table . Analysis for Rotational Amount Contribution in 4th Lumbar

4th Lumbar
Rotational Amount
MeanSD

3mm
4(18.2%)

48mm
9(40.9%)

912mm
8(36.4%)
7.453.54

13mm
1(4.5%)

Total
22(100.0%)

29

 7 1

4. 4

5. 4

4 3mm

4 3mm

15
2(9.1%), 610
2(9.1%)

15
3(13.6%), 610
1(4.5%)

. 4mm 15
11(50.0%), 6

. 4mm 15
11(50.0%), 6

10
4(18.2%), 11 3(13.6%)

10
5(22.7%), 11 2(9.1%)

(Table ).

(Table ).

Table . Analysis between DBS and Malposition Type in 4th Lumbar

4th Lumbar

Class

Malposition Type

DBS(Exist)
DBS(None)

Value
15(68.2%)
3(13.6%)
4(18.2%)

FRSL
NRSL
FRSL

Total
22(100.0%)

Table . Analysis between Rotational Amount and Lordotic Angle in 4th Lumbar
4th Lumbar

Lordotic Angle
Total

15
610
11

Rotational Amount
3mm
2
2

4mm
11
4
3
18(100.0%)

4(100.0%)
Chi-Square Tests
Value
df
a
2
.436
Pearson Chi-Square1.661
a. 5 cells (83.3%) have expected count less than 5. The minimum expected count is 55.
* : p>0.05

Total
13(59.1%)
6(27.3%)
3(13.6%)
22(100.0%)
Asymp. Sig.(2-sided)

Table . Analysis between Rotational Amount and Wedge Angle in 4th Lumbar
Rotational Amount
3mm
4mm
15
3
11
Wedge Angle
610
1
5
11
2
Total
4(100.0%)
18(100.0%)
Chi-Square Tests
Value
df
2
Pearson Chi-Square
.553a
a. 5 cells (83.3%) have expected count less than 5. The minimum expected count is 36.
* : p>0.05
4th Lumbar

30

Total
14(63.6%)
6(27.3%)
2(9.1%)
22(100.0%)
Asymp. Sig.(2-sided)
.758

Angle 1020
3(13.6%), 2140
1

6. 4

(4.5%). 4mm 1020

6
(27.3%), 2140
9(40.9%), 41
3(13.6%)(Table ).

4 3mm
48mm 3(13.6%), 13mm
1(4.5%). 4mm 48mm

2(9.1%), 912mm 2(9.1%), 13mm

14(63.6%)(Table ).

7. 4 Cobb
s angle

, .

8). L5~S1 3
,

4 3mm Cobb
s

Table . Analysis between 4th Lumbar

s Rotational Amount and Scoliotic Apex
s
4th Lumbar

Rotational Amount
4mm
48mm
2
912mm
2
13mm
1
14
Total
4(100.0%)
18(100.0%)
Chi-Square Tests
Value
df
a
2
Pearson Chi-Square
7.659
a. 5 cells (83.3%) have expected count less than 5. The minimum expected count is 36.
* : p<0.05
Scoliosis
Apex Rotational Amount

3mm
3

Total
5(22.7%)
2(9.1%)
15(68.2%)
22(100.0%)
Asymp. Sig.(2-sided)
.022

Table . Analysis between 4th Lumbar

s Rotational Amount and Cobb
s Angle
4th Lumbar
Scoliosis
Cobbs Angle

Total

1020
2140
41

Rotational Amount
3mm
3
1

4mm
6
9
3
18(100.0%)

4(100.0%)
Chi-Square Tests
Value
df
a
2
Pearson Chi-Square
2.506
a. 4 cells (66.7%) have expected count less than 5. The minimum expected count is 55.
* : p>0.05

Total
9(40.9%)
10(45.5%)
3(13.6%)
22(100.0%)
Asymp. Sig.(2-sided)
.286

31

 7 1

4). ,

1).

12),

4 DBS

9). White & Panjabi

L1 L4 6~8
,

, Perdriolle

1)

2
, Kapandji Tanz, Gregersen &

Lucas 16
, 5

, 1

10)

. , L1 L4

2). Barge

mm

17

(77.3%), 5(22.7%),

11)

19.686.56, 12 37

10, 20 .

.
Barge ,

4 3mm 4

(18.2%), 48mm 9(40.9%), 912mm

8(36.4%), 13mm 1(4.5%)

7.453.54, 4

DBS

12mm . 4

4)

1)
2

8)

DBS 4 13) DBS

, / 15

(68.2%),/
3(13.6%)

DBS

, DBS , /

4(18.2%). Barge

Cobb
s angle

70% 4

5).

4 ,

4mm

/
.

Break 5), DBS

4 ,

. DBS

6.273.63, 4mm

15 11

(50.0%) . 15

32

4 ,
5.593.35, 4mm

2008 1 2011 12

15 11

(50.0%) . 15

Cobb
s angle 10 22

X-ray

4 412mm
, 15

1. 4

(p>0.05).

Barge

2. 4

(p<0.05).

,
.

2. 4 Cobb
s
angle (p>0.05).

4 3mm
4 48mm
3(13.6%), 13mm 1(4.5%).

4mm 48mm 2(9.1%), 9

12mm 2(9.1%), 13mm 14

1. Sahrmann SA. , , .

(63.6%),

. :

(p<0.05).

. 2010:88, 91-3.

Cobb
s angle 4 3mm

2. , , , , ,

1020
3(13.6%), 2140
1

. Perdriolle

(4.5%). 4mm 1020

6

(27.3%), 2140
9(40.9%), 41

. 1997;32(2):340-5.

3(13.6%) ,
.
4 DBS

3. Pearcy MJ. Twisting mobility of the

human back in flexed postures. Spine.
1993;18(1):114-9.

, 4

4. Barge FH. . .

. Cobb
s

:. 2007:28-9,33,37-

angle 4

45, 65-7,93,149-50.

.

.

5. Barge FH. . . :
. 2007:15, 38-9,56.
6. . . :
. 2005:67-8.
7. . . :

33

 7 1

. 2011:217.
8. Cynthia CN, Pamela KL. .
. 2. :. 2000:141,169.

deviation and axial rotation in scoliosis. J

Biomech. 1991;24:753-9.

9. Neumann DA. .

12. . Barge

. :. 2004:

X-ray .

328.

, 2011;6(1):53-61.

10. Kapandji IA. , , ,

, . . 1998:110-3.
11. Stokes IA, Gardner-Morse M. Analysis of

34

the interaction between vertebral lateral

13. , , , , ,
. .
, 2011;6(1):141-8.