Kruse Ralph A, Cambron Jerrilyn A
Chiropractic Care, Ltd and Chiropractic Care Millennium Park, Chicago, IL., USA.
J Chiropr Med. 2011 Dec;10(4):255-60. doi: 10.1016/j.jcm.2011.01.011.
The purpose of this case report is to describe a patient with an L5/S1 posterior surgical fusion who presented to a chiropractic clinic with subsequent low back and leg pain and was treated with Cox decompression manipulation.
A 55-year-old male postal clerk presented to a private chiropractic practice with complaints of pain and spasms in his low back radiating down the right buttock and leg. His pain was a 5 of 10, and Oswestry Disability Index score was 18%. The patient reported a previous surgical fusion at L5/S1 for a grade 2 spondylolytic spondylolisthesis. Radiographs revealed surgical hardware extending through the pedicles of L5 and S1, fusing the posterior arches.
Treatment consisted of ultrasound, electric stimulation, and Cox decompression manipulation (flexion distraction) to the low back. After 13 treatments, the patient had a complete resolution of his symptoms with a pain score of 0 of 10 and an Oswestry score of 2%. A 2-year follow-up revealed continued resolution of the patient's symptoms.
Cox chiropractic decompression manipulation may be an option for patients with back pain subsequent to spinal fusion. More research is needed to verify these results.
本病例报告旨在描述一名接受L5/S1后路手术融合的患者，该患者前往一家整脊诊所就诊，随后出现腰腿痛，并接受了考克斯减压手法治疗。
一名55岁的男性邮政职员前往一家私人整脊诊所就诊，主诉下背部疼痛及痉挛，并向右臀部和腿部放射。他的疼痛程度为10分制中的5分，奥斯维斯特里残疾指数评分为18%。患者报告曾因2级峡部裂性脊椎滑脱接受L5/S1手术融合。X线片显示手术植入物穿过L5和S1的椎弓根，融合了后弓。
治疗包括对下背部进行超声、电刺激和考克斯减压手法（屈曲牵引）。经过13次治疗后，患者症状完全缓解，疼痛评分为0分（10分制），奥斯维斯特里评分为2%。两年随访显示患者症状持续缓解。
考克斯整脊减压手法可能是脊柱融合术后背痛患者的一种选择。需要更多研究来验证这些结果。
