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J Acupunct Res > Volume 32(3); 2015 > Article
Lee, Lee, Lim, Lee, and Kim: Integrated Medicine Therapy for a Patient with Tuberculous Spondylitis: a Case Report
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The purpose of this study is to report the clinical effects of Integrated Medicine Therapy on Tuberculous Spondylitis.


The patient was diagnosed with Tuberculous Spondylitis by MRI. Despite taking antituberculous drugs for one month the back pain remained. As a result the patient was hospitalized shortly thereafter in our hospital, and was treated with acupuncture, pharmacopuncture, and herbal medication during the admission period. The clinical effects of these treatments are measured by the verbal rating scale(VRS), the range of motion(ROM) and the Korean oswestry disability index(KODI).


VRS is changed from 10 to 3.5, limited lumbar ROM recovered, KODI changed from 85.71 to 28.57.


These results suggest that integrated medicine therapy may be effective for tuberculous spondylitis.

Fig. 1
MRI image of lumbar spine
Left image is T1, right image is T2. MRI findings in tuberculous spondylitis may be consist of low signal intensity on T1 weighted images and high signal images on T2 images.
Fig. 2
The change of verbal rating scale
Table 1
The Change of Verbal Rating Scale and Range of Motion
Admission day 0 week 2 week 4 week 8 week 12 week 16 week
Verbal rating scale 10 7.5 5 4.5 3.5 3.5
Range of motion Flexion Refuse test due to pain 80(−) 80(−)
Extension 10(+) 10(+)
Lateral bendiong(right / left) 30(+) 30(+) 30(+) 30(+)
Rotation(right / left) 40(+) 40(+) 40(+) 40(+)
Table 2
The Change of Korean Version of the Oswestry Disability Index
Korean version of the oswestry disability index Admission (2015. 1. 26) Discharge (2015. 5. 15)
Pain 4 2
Personal care(washing, dressing, etc) 5 3
Lifting 5 4
Walking 5 2
Sitting 5 1
Standing 5 3
Sleeping 1 0
Social life No answer No answer
Treveling No answer No answer
Sex life No answer No answer
Total 85.71 28.57


1. Lee CK, Baek GH, Lee MC et al. Orthopaedics. 7th ed. The Korean Orthopaedic Association. Seoul: Choi shin. 2013:356–7, 369.

2. Kim CK, Song HD, Cho DI, Yoo NS. A case of upper thoracic spinal tuberculosis(T2-8) with T5,6 compression fracture in pulmonary tuberculosis patient. Tuberculosis and Resporatory Diseases. 2007;63(4):372–7.
3. Chang DJ, Yoon DM, Kang YS, Yoon KB. Chronic back pain proven to be spinal tuberculosis. Korean J Pain. 2008;21(1):74–9.
4. Korean Acupuncture & Moxibustion Society Textbook Compilation Committee. The acupunture and moxibustion medicine. Seoul: Jipmoondang. 2012:525.

5. Won JH, Hwang CY, Lee GY et al. Jung Gyo Dongeuibogam. Seoul: Hanmi Medical. 2001:663, 1239.

6. Jeon CH, Kim DJ, Kim DJ, Lee HM, Park HJ. Cross-cultural adaptation of the Korean version of the oswestry disability index(ODI). J of Korean Spine Surg. 2005;12(2):146–52.
7. Lee HK, Ahn JW, Choi JS. Treatment of spinal tuberculosis associated with neurological symptom. J of the Korean Orthopaedic Association. 1980;15(2):236–41.
8. Kim BK, Han CS, Hwang YG. Effect of buttress grft in anterior fusion for spinal tuberculosis. J of the Korean Orthopaedic Association. 1984;19(3):509–16.
9. Hahn MS, Lee HK, Lee DY, et al. Tuberculosis of the spine part i: clinical study on anterior fusion for spinal tuberculosis. J of the Korean Orthopaedic Association. 1984;19(1):69–74.
10. De Backer AI, Mortele KJ, Vanschoubroeck IJ, et al. Tuberculosis of the spine: CT and MRI imaging features. American J of Roentgenology. 1995;164(3):659–64.
11. Rah JH, Oh HY, Ahn JI, Kang KS. A clinical study of tuberculous spondylitis. J of the Korean Orthopaedic Association. 1981;16(2):300–10.
12. Dunn Robert, van der Horst Alexander, Lippross Sebastian. Tuberculosis of the spine: prospective neurological and patient reported outcome study. Clinical Neurology and Neurosurgery. 2015;133:96–101.
crossref pmid
13. Kim KS, Ko SH, Youm KS, Choi CH, Yang JH. Anterior spinal instrumentation in treatment of spinal tuberculosis. J of the Korean Orthopaedic Association. 1998;33(6):1560–8.
14. Park YS, Park KC. Results of surgical treatment of spinal tuberculosis: a comparison between anterior fusion and combined fusion. J of the Korean Orthopaedic Association. 2001;36(5):467–72.
15. Park SW, Kim JH, Seo SH, Hwang WD. A case treated tubercular peritonitis getting after childbirth. Korean J Oriental Physiology & Pathology. 2002;16(6):1297–301.
16. Lee DH, Son YJ, Lim JH. The clinical report on the pulmonary tuberculosis, tuberculosis meningitis. Korean J Orient Int Med. 2004;25(2):352–60.

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