• Title/Summary/Keyword: 척추기형

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Surgical Therapy of Airway Compression with Severe Kyphoscoliosis (심한 척추기형을 동반한 기도협착의 수술적 교정 1례)

  • 조현민;이누가;이두연
    • Journal of Chest Surgery
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    • v.35 no.11
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    • pp.839-841
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    • 2002
  • Generally, patients who have airway compression with severe kyphoscoliosis can be improved through surgery for the thoracolumbar deformity. However, abnormal thoracic configuration due to severe kyphoscoliosis can cause respiratory distress secondary to severe compression of central airway in uncorrectable case. We tried to elevate the chest wall and obtained relatively good result in case of airway compression with abnormal thoracic configuration which was difficult to correct.

A Case of Jarcho-Levin Syndrome with Fusion of Both Kidneys in a Newborn Infant (신장융합 기형을 동반한 Jarcho-Levin Syndrome 신생아 1례)

  • Kim, Jung-Yun;Hwang, Seung-Jae;Lee, Se-Min;Oh, Jae-Won;Yum, Myung-Kul;Kim, Chang-Ryul
    • Neonatal Medicine
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    • v.15 no.1
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    • pp.84-88
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    • 2008
  • The Jarcho-Levin syndrome is a rare genetic disorder characterized by a short neck, short trunk, and a constricted thorax, and is due to multiple vertebral and rib defects. The small size of the thorax frequently leads to respiratory insufficiency and death in neonates or infants. This syndrome also combines with various kinds of anomalies, especially renal anomalies. We report an infant with Jarcho-Levin syndrome combined with fusion of both kidneys who was referred from a local obstetric clinic for cyanosis and respiratory difficulty.

지혜 깊어지는 건강 - 우리 아이를 위한 1분 건강 - 척추측만증 겨울방학, 아이의 척추를 점검하라

  • Kim, Ju-Hyeon
    • 건강소식
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    • v.35 no.12
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    • pp.28-29
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    • 2011
  • 각종 인터넷 포털 사이트를 검색하면 척추측만증에 대한 설명이 나오는데 대체로 척추측만증은 척추가 옆으로 심하게 굽은 증상. 통증은 없고 서서히 진행되는데 심하면 내장 압박을 비롯하여 여러 가지 장애를 일으키는 병으로 소개되고 있다. 하지만 척추측만증은 단순히 척추가 옆으로만 굽은 것을 말하는 것이 아니라 뒤에서 봤을 때 옆으로 만곡된 것 이외에도 척추 뼈 자체의 회전 변형을 동반한 3차원적인 척추기형을 말한다.

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The Incidence of Abnormalities in Bullfrogs, Rana catesbeiana, and Their Heavy Metal Accumulations in the Yeongsan River System (영산강 수계에서 채집된 황소개구리의 기형 양상 및 체내 중금속 축적)

  • 이두표;고선근
    • Korean Journal of Environment and Ecology
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    • v.15 no.2
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    • pp.153-158
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    • 2001
  • 영산강 수계의 습지생태계 모니터링의 일환으로 4개 지역을 선정하여 황소개구리 205개체를 채집하여 이들의 외부기형 출현율 및 양상을 조사하고 그들의 체내 조직에 축적된 중금속 농도를 분석하였다. 황소개구리의 기형 출현율은 6.8%로 다른 척추동물에서의 자연발생률 3%보다 높았으며, 기형은 모두 앞 또는 뒷발갉에서 나타났다. 유형별로 보면 결손(Ectrodactyly)이 64.3%로 가장 많았고 다음으로 확장(Dilation)이 28.6%, 절단(Truncation) 7.1%의 순이었다. 정상과 기형 개체간에 중금속의 농도를 조직별로 비교해 본 결과 기형개체의 신장에서 Mn은 4배, Zn 은 1.5배, Cu은 7배, Pb는 8배, Cd는 7배 정도 높았다. 또한 기형 개체에서는 이들 원소의 조직분포 패턴도 변화한 것으로 나타났다. 이러한 결과들로부터 황소개구리는 습지생태계의 모니터링 시료로서 유용하게 이용될 수 있음을 알 수 있었다.

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원전주변지역의 기형우발생에 관한 병인학적 연구 1. 역학적 조사

  • 이차수;김성호;박청규;정원일;박상준;임태선;김세라;박진형;권무수
    • Proceedings of the Korean Society of Veterinary Pathology Conference
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    • 2000.09a
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    • pp.31-31
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    • 2000
  • 최근 원전주변지역을 중심으로 한 기형가축이 발생함에 따라 이의 원인을 규명하기 위하여 우선 역학적 조사와 혈청학적 검사 및 기형송아지 , 유산·사산 태아 등의 수집가 검물을 중심으로 하여 병리학적 검사를 실시하였다. 원전주변 기형우 발생농가의 역학적 조사와 모우의 임상적 소견에서는 하동의 이상을 관찰할 수 없었다 . 수집된 가검물 (울진원전주변지역 : 3두, 월성원전주변지역 : 3두, 고리원전주변지역 : 3두, 기타지역 2두) 총 11개 농가 11두에 대한 병리학적 검사와 모우 및 자우의 혈청학적 검사에서 9두가 Akabane 병으로 진단되었고, 나머지 2 두는 곰팡이감염증 1두 그리고 간경화 l 두로 판정되었다. Akabane virus에 감염된 9두는 기형송아지, 유·사산태아로서 사지기형, 척추만곡 및 중추신경계이상(대뇌결손, 뇌수두증)등이 관찰되었다. (중략)

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Sprengel's deformity associated with a de novo balanced translocation involving chromosome 3 and 17 (선천성 고위 견갑골을 동반한 3번과 17번 염색체의 균형전좌 1례)

  • Jung, On;Lee, Jung-Hyun;Chun, Chung-Sik
    • Clinical and Experimental Pediatrics
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    • v.50 no.3
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    • pp.311-315
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    • 2007
  • This is the first case of a de novo balanced translocation 46, XY, t(3;17)(p12.2;q25) associated with multiple musculoskeletal abnormalities, including Sprengel's deformity (congenital undescended scapula to be reported). This translocation has not been described previously with this congenital anomaly in Korea.

A Study on the Evaluation of Teratogenecity of Chemical by Korean Brown Frog Embryo, Rana dybowskii (산개구리 배아를 활용한 화학물질의 기형성 평가에 관한 연구)

  • Ko Sun-Kun
    • Korean Journal of Environment and Ecology
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    • v.18 no.3
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    • pp.333-339
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    • 2004
  • The Frog Embryo Teratogenesis Assay-Xenopus(FETAX) protocol was recently adopted as a valuable tool fur evaluating chemical toxicity and the effect of environmental contaminants in frogs. In this study, the teratogenecity of NiCl$_2$, Carbofuran, Diazinon were determined in the Korean frog, Rana dybowskii using the FETAX protocol. The mortality rate and the percentage of malformed larvae were investigated by probit analysis, The teratogenic concentrations(EC$_{50}$) of NiCl$_2$, Carbofuran and Diazinon were 0.4 and 1.6 and 1.9 mg/1. The embryolethal concentrations(LC$_{50}$) of NiCl$_2$, Carbofuran and Diazinon were 17.6 and 41.5 and 20.2mg/1. The teratogenic indices (TI=LC$_{50}$/EC$_{50}$) were 43.8 for NiCl$_2$, 26.0 for Carbofuran and 10.6 for Diazinon. NiCl$_2$, Carbofuran and Diazinon were shown to be potent teratogens for Rana dybowskii embryo, causing concentration related increase of edema, tail and abdomen. The study results reveal that NiCl$_2$, Carbofuran and Diazinon suppress the development of embryos at relatively low concentrations. Therefore, the Rana dybowskii embryo teratogenesis assay system was proven to be a useful tool to evaluate the toxicity of environmental pollutants.lutants.

Sixth Cranial Nerve (Abducens Nerve) Palsy after Preoperative Halo-Pelvic Traction for Severe Scoliosis with Chiari I Malformation (키아리 1형 기형을 동반한 고도 척추 측만증에서 수술 전 Halo-Pelvic 견인 후 발생한 6번 뇌신경(외전신경) 마비)

  • Hwang, Jae-Kwang;Lee, Choon Sung;Choi, Shin Woo;Kim, Chung-Hwan
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.6
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    • pp.534-539
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    • 2020
  • The management of severe scoliosis remains a challenge to spine surgeons. The rapid intraoperative correction of severe scoliosis may increase the risk of perioperative complications, such as neurological compromise and implant failure. To minimize these risks, various preoperative traction methods have been employed to achieve partial correction before performing definitive corrective surgery. On the other hand, some studies have shown that one of the complications associated with halo traction could lead to cranial nerve palsy, with the sixth nerve (abducens nerve) being most commonly affected. To reduce the complications, gradual increases in the traction weight and detailed neurological examinations are needed, particularly for patients who have previously undergone brain or cervical surgery. The authors report a case of sixth cranial nerve palsy by preoperative halo-pelvic traction in patients with severe scoliosis who underwent previous decompression surgery for a Chiari I malformation with a review of the relevant literature.

The Surgical Correction for Pectus Carinatum - One Case Report - (새가슴 수술치험 1례 보고)

  • 목형균;신호승;홍기우
    • Journal of Chest Surgery
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    • v.32 no.5
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    • pp.489-493
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    • 1999
  • The pectus carinatum or anterior protrusion of the sternum is a less common than pectus excavatum. It occurs more frequently in boys than girls and associated musculoskeletal abnormalities, spinal scoliosis is most common. Ravitch first reported correction of chondromanubrial prominence in 1952, resecting the multiple deformed costal cartilages and performing a double osteotomy on sternum. We have experienced one case of pectus carinatum and obtained satisfactory postoperative results. The deformity was corrected by the subchondral resection of multiple deformed costal cartilage, bilaterally, with single osteotomy on sternum and fracture of the posterior cortex to correct anterior angulation. Postoperative course was uneventful. We report this case with brief review of the literature.

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Development of a Special Program for Automatic Generation of Scoliotic Spine FE Model with a Normal Spine Model (정상 척추체 모델을 이용한 척추측만증 모델 자동 생성 프로그램 개발)

  • Ryu Han-Kyu;Kim Young-Eun
    • Journal of the Korean Society for Precision Engineering
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    • v.23 no.3 s.180
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    • pp.187-194
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    • 2006
  • Unexpected postoperative changes, such as growth in rib hump and shoulder unbalance, have been occasionally reported after corrective surgery for scoliosis. However there has been neither experimental data fer explanation of these changes, nor the suggestion of optimal correction method. Therefore, the numerical study was designed to investigate the post-operative changes of vertebral rotation and rib cage deformation after the corrective surgery of scoliosis. A mathematical finite element model of normal spine including rib cage, sternum, both clavicles, and pelvis was developed with anatomical details. In this study, we also developed a special program which could convert a normal spine model to a desired scoliotic spine model automatically. A personalized skeletal deformity of scoliosis model was reconstructed with X-ray images of a scoliosis patient from the normal spine structures and rib cage model. The geometric mapping was performed by translating and rotating the spinal column with an amount analyzed from the digitized 12 built-in coordinate axes in each vertebral image. By utilizing this program, problems generated in mapping procedure such as facet joint overlapping, vertebral body deformity could be automatically resolved.