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Journal of the Korean Academy of Rehabilitation Medicine 2004;28(6):596-600.
Comparison of the Spinal Level Assumption by Palpation of the Iliac Crest and Posterior Superior Iliac Spine.
Lee, Gin A , Lee, Joing In , Ko, Young Jin , Kang, Sae Yoon , Sung, Nam Suk , Im, Sun , Yoon, Yeon Joong , Kim, Jong Hyun
1Department of Rehabilitation Medine, College of Medicine, The Catholic University of Korea, Korea. ijoakim@empal.com
2St. Mary's Rehabiltation Clinic, Korea.
장골릉 및 후상장골극을 이용한 척추 높이 추정 비교
이진아, 이종인, 고영진, 강세윤, 성남석, 임선, 윤연중1, 김종현
가톨릭대학교 의과대학 재활의학교실, 1성모 재활의학과의원
To compare the clinical usefulness of the posterior superior iliac spine (PSIS) with that of iliac crest (IC) for identifying the lumbar vertebral level.
Lumbar spine level was identified by the line connecting bilateral upper margin of iliac crests in the antero-posterior lumbar X-rays of 120 patients. Assumed IC level and assumed PSIS level were compared by 3 examiners' palpation in 60 patients. A marker was taped on assumed IC level and assumed PSIS level by 4 examiners and the postero-anterior lumbar X-rays was taken in randomly distributed 50 patients.
IC intersection line was ranged from the L4 spinous process to the L5-S1 interspinous process in all patients. Inter- examiner agreement of palpation was significantly greater in PSIS than IC level (p<0.05). The marker indicating assumed IC level was higher than true IC level in all patients and was higher than L3-4 interspinous process in 8%.
We may use PSIS level for assumption of the lumbar vertebral level to compensate for the limitation of iliac crest palpation, but at the same time keep in the mind the variarity of the PSIS level. (J Korean Acad Rehab Med 2004; 28: 596-600)
Key Words: Iliac crest, Posterior superior iliac spine, Spinal level
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