• Title/Summary/Keyword: 척추부

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Analysis of Compression Behavior on Intervertebral Disc L4-5 in Pedicle Screw System Instrumented Lumbar Spine under Follower Load (척추경 나사못을 이용한 척추 유합술에서 고정범위에 따른 인접 추간판의 압축 거동 분석)

  • Ahn, Myun-Whan;Ahn, Jong-Chul;Lee, Su-Ho;Chung, Il-Sub;Lee, Choon-Yeol;Lee, Jang-Woo
    • Journal of Yeungnam Medical Science
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    • v.20 no.2
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    • pp.160-168
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    • 2003
  • Background: Confirm the stability of intervertebral disc sustaining each fused lumbar spine cases, comparing vertical compression, A-P shear force and rotational moment on intervertebral disc of instrumented lumbar spine with simple vertical compression load and follower load using finite element analysis. Materials and Methods: We analyze the stability of intervertebral disc L4-5 supporting fused lumbar spine segments. After performing finite element modelling about L1-L5 lumbar vertebral column and L1-L4 each fusion level pedicle screw system for fused lumbar spine fine element model. Intervertebral discs with complex structure and mechanical properties was modeled using spring element that compensate stiffness and tube-to-tube contact element was employed to give follower load. Performing geometrical non-linear analysis. Results: The differences of intervertebral disc L4-5 behavior under the follower compression load in comparision with vertical compression load are as follows. Conclusion: As a result of finite element interpretation of instrumented lumbar spine, the stability of L4-5 sustaining fused lumbar segment, the long level fused lumbar spine observed hing stability under follower load. This research method can be the basis tool of effects prediction for instrumentation, a invention of a more precious finite element interpretation model which consider the role of muscle around the spine is loaded.

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Species Diversity and Community Characteristics of Benthic Macroinvertebrates from Irrigation Ponds in the Western CCZ area, Korea (서부 민간인출입통제구역 일대 둠벙의 저서성대형무척추동물 종 다양성 및 군집 특성)

  • Chung, Hyun-Yong;Yeom, Cheol-Min;Kim, Jae Hyun;Park, Shinyeong;Lee, Yae-Won;Pyo, Gina;Kim, Seung Ho
    • Korean Journal of Ecology and Environment
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    • v.53 no.2
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    • pp.173-184
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    • 2020
  • Irrigation ponds, 'dumbeong', which are artificially constructed water resources for traditional farming, serve as a biological shelter connecting seasonally created rice paddy fields to local freshwater ecosystems. This 2018 study surveyed 143 irrigation ponds in the western Civilian Control Zone (CCZ) area from August to September, revealing species diversity and community characteristics of benthic macroinvertebrates. A total of 13,454 individuals of macroinvertebrates were captured and classified into 3 phyla, 5 classes, 17 orders, 59 families, 192 species. Among Insecta, the most frequently recorded order was Odonata, 55 spp.(33.7%), followed by Coleoptera, 52 spp. (31.9%), Hemiptera, 34 spp. (20.8%), Diptera, 17 spp. (9.8%), Ephemeroptera, 3 spp. (2.4%), Trichoptera, 1 spp. (0.6%) and Lepidoptera, 1 spp. (0.6%). Taxon of non-Insecta consisted of Mollusca, 14 spp. (48.2%), Annelida, 11 spp. (37.9%) and Arthropoda, 4 spp. (3.4%). The analysis of Diversity Index (H'), Species Richness Index (RI), Dominance Index (DI) and Evenness Index (J') revealed the general stability of communities in the study sites. A total of 28 rare species were found in 98 study sites, including three endangered species designated by the Ministry of Environment. These results showed that the species diversity and rarity of macroinvertebrates in the study area were greater than those of previous research on lentic wetlands (lake, etc.) and national conserved wetlands(Upo-swamp, etc.) in Korea. A conservation planning of aquatic ecosystems in the western CCZ area, therefore, should focus on conservation of irrigation ponds.

The Complications of the Graf Stabilization for Lumbar Disc Herniation with Posterior Instability (후방불안정성을 동반한 요추 추간판 탈출증에서 Graf 고정술후 발생한 합병증 분석)

  • Park, Joo-Tae;Shin, Young-Shik;Yang, Jeong-Ho;Min, Kang-Woo
    • Journal of Yeungnam Medical Science
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    • v.15 no.1
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    • pp.164-172
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    • 1998
  • The Graf stabilization has been introduced in treating lumbar spinal disorder associated with posterior instability. This study reviewed some problems of the Graf instrumentation as a soft stabilizer. The purpose of this study is to analyse the problems of the soft stabilization in spinal instability. We reviewed 145 cases which were operative treatment using the Graf instrument for lumbar spinal disorder associated with posterior instability at our department from May, 1991 to Dec, 1995. The mean follow up periods was 29 months ranging from 24 months to 6 years 8 months. Of the 145 cases, 22 cases were showed the problem. The diagnostic method were simple x-ray, flexion-extension lateral stress view and CT scan. Results were as follows: Adjacent segmental instability was 10 cases(6.9%), disc space narrowing was 8 cases(5.5%), screw loosening was 3 cases(2.1%) and breakage of the Graf band was 1 case(0.6%). The problems of the soft stabilization were adjacent segmental instability, disc space narrowing, screw loosening, and breakage of the Graf band. But the rate of adjacent segmental instability and disc space narrowing was lower than other lumbar spinal instrumentation.

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Studies on the Fishery Biology of Pomfrets, Pampus spp. in the Korean Waters 1. Morphology of the Two Species of the Genus Pampus (한국근해 병어류의 자원생물학적 연구 1. 병어류의 형태에 관한 연구)

  • KIM Yong Uk;HAN Kyeong Ho
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.22 no.5
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    • pp.241-265
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    • 1989
  • The purpose of present study is to describe the taxonomy and early life history of Korean pomfrets, genus Pampus. Egg diameter varied from $0.83\~1.27mm\;and\;1.05\~1.41mm$ in P. argenteus and P. echinogaster respectively. Larvae of P. echinogaster of 16.5 mm in total length has full number of fin rays and enter the juvenile period. The egg is matured at 185.0 mm in total length in P. argenteus and at 95.5 mm in total length in P. echinogaster. P. echinogaster is ossified from jaw bone at $8.5\~10.0mm$ in to1 length and followed by ossification of vertebrae and visceral skeleton. P. argenteus and P. echinogaster are distinguished by the morphology of jaw, fin and isthmus. In P. argenteus, wavy ridges extends over the upper part of pectoral fin and gill membrane is broadly united to isthmus, while in P. echinogaster the ridges are limited to the base of pectoral fin and gill membrane reaching isthmus. These Pampus spp. are easily distinguished based on internal features, such as number of vertebrae, gill raker, pyloric caeca, epipleural bone, esophageal sat and length of intestine.

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Absent or Faint Renal Uptake in Bone Scan: Etiology and Significance in Metastatic Bone Disease (골 신티그라피에서 신장 영상 비출현의 원인 질환 및 전이성 골질환에서의 의의)

  • Kim, Sang-Eun;Kim, Deog-Yoon;Lee, Dong-Soo;Chung, June-Key;Lee, Myung-Chul;Koh, Chang-Soon;Koong, Sung-Soo
    • The Korean Journal of Nuclear Medicine
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    • v.24 no.2
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    • pp.299-306
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    • 1990
  • 골 신티그라피에서 신장이 희미하게 보이거나 전혀 안보이게 되는(이하 신장 영상 비출현이라 함) 원인 질환을 파악하고, 또 골 신티그라피에서 골전이가 발견된 여러 악성종양에서 신장 영상 비출현의 빈도 및 신장 영상 비출현의 소견을 보이는 여러 악성종양의 골전이 범위를 관찰하기 위하여, 서울대학교 병원에서 최근 6년간 시행한 골 신티그람 중 신장 영상 비출현의 소견을 보이는 889개를 재검토하였다. 신장영상 비출현의 원인 질환으로는 신부전이 대부분을 차지하였으나(816/889 : 91.8%), 신장 질환이 없는 경우에서는 광범위한 골전이가 가장 많았으며 (53/889 : 6.0%), 그 원발부위는 전립선암 (19/53 : 35.8%), 위암(14/53 : 26.4%), 유방암(5/53 : 9.4%), 폐암(4/53 : 7.5%) 신세포암(2/53 : 3.8%), 방광암(1/53 : 1.9%), 원발부위 미상(8/53 : 15.1%)으로 전립선암과 위암이 가장 많았다. 특히 강직성 척추염 4예, 류마토이드 관절염 3예, 성인형의 골화석증 1예에서 신장 영상 비출현의 소견을 보여 이채로왔으며, 이 밖에 원발성 부갑상선 기능항진증 및 그레이브스병이 각 1예씩 있었으며 원인을 알 수 없는 경우가 10예 있었다. 전립선암 140예중 골 신티그라피에서 골전이가 발견된 예는 108예(77.1%), 이중 신장 영상 비출현의 소견을 보이는 예는 19예(19/108, 17 6%)이었으며, 위암에서는 각각 328예, 162예(49.4%), 14예 (8.6%), 유방암에서는 각각 1754예, 730예 (41.6%), 5예(0.7%), 폐암에서는 각각 1105예, 596예(53.9%), 4예(0.7%), 방광암에서는 각각 247예, 110예(44.5%), 1예(0.9%)로 전립선암에서 신장 영상 비출현의 빈도가 가장 높았으며, 특히 위암에서 골전이 및 신장 영상 비출현의 빈도가 높아 주목되었다. 골전이 및 신장 영상 비출현의 소견을 보이는 악성종양 환자의 골 신티그람 53개중 44개 (83.0%)에서 척추 및 늑골에 미만성, 또는 다발성 침습이 관찰되었다. 또 골전이 부위를 두개골, 척추, 견대부, 늑골, 골반, 사지의 근위부 장골의 6개 부위로 나누어 분석할 경우 49개(92.5%)에서 3부위 이상에 전이가 발견되었고, 35개(66.0%)에서 4부위 이상에 전이가 발견되었으며, 5부위 이상, 6개 부위에 모두 전이가 발견된 것은 각각 20개 (37 7%), 11개(20.8%)이었다. 이상의 성적으로 보아 악성종양 환자의 골 신피그라피에서 신장 영상의 비출현은 종양의 광범위한 골전이를 간접적으로 시사하는 소견으로 생각된다. 여러 악성종양중 전립선암에서 신장 영상 비출현의 빈도가 가장 높았으며, 특히 위암에서 골전이 및 신장 영상 비출현의 빈도가 높음은 주목할 만한 것이라 하겠다.

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Microsurgical Anatomy in Transoral Odontoidectomy (경구강 치상돌기제거술의 수술해부학)

  • Park, Kwan;Lee, Sang Koo;Cho, Tae Goo;Nam, Do-Hyun;Lee, Jung-Il;Kim, Jong-Soo;Hong, Seung-Chyul;Shin, Hyung-Jin;Eoh, Whan;Kim, Jong-Hyun
    • Journal of Korean Neurosurgical Society
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    • v.29 no.3
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    • pp.309-316
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    • 2000
  • Objective :The transoral approach allows direct view of the ventral craniovertebral junction and provides useful management of the various lesions of this area. We present a step by step guide to the performance of the transoral excision of the odontoid process in the cadaveric model. Methods : Ten cadaver heads were used in fixed or unfixed state. We describe the relevant surgical anatomy in the cadaveric dissection and surgical technique of transoral transpharyngeal odontoidectomy. Results : The surgical procedure of transoral odontoidectomy was categorized by six steps;soft palate, posterior pharyngeal wall, muscular structures, osseous structures, odontoid process and ligaments, cruciate ligament and dura. Conclusion : With anatomical knowledge of these regions neurosurgeons can deal with wide variety of lesions in the ventral craniovertebral junction.

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Current Concepts of Degenerative Disc Disease -A Significance of Endplate- (퇴행성 추간판 질환의 최신 지견 -종판의 중요성-)

  • Soh, Jaewan;Jang, Hae-Dong;Shin, Byung-Joon
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.4
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    • pp.283-293
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    • 2021
  • Degenerative disc disease has traditionally been thought of as low back pain caused by changes in the nucleus pulposus and annulus fibrous, in recent studies, however, changes in the upper and lower endplates cause degeneration of the disc, resulting in mechanical pressure, inflammatory reactions and low back pain. Recently, the bone marrow of the vertebral body-endplate-nucleus pulposus and annulus fibrous were considered as a single unit, and the relationship was explained. Once the endplate is damaged, it eventually aggravates the degeneration of the bone marrow, nucleus pulposus, and annulus fibrosus. In this process, the compression force of the annulus fibrosus increases, and an inflammatory reaction occurs due to inflammatory mediators. Hence, the sinuvertebral nerves and the basivertebral nerves are stimulated to cause back pain. If these changes become chronic, degenerative changes such as Modic changes occur in the bone marrow in the vertebrae. Finally, in the case of degenerative intervertebral disc disease, the bone marrow of the vertebral body-endplate-nucleus pulposus and annulus fibrous need to be considered as a single unit. Therefore, when treating patients with chronic low back pain, it is necessary to consider the changes in the nucleus pulposus and annulus fibrosus and a lesion of the endplate.

Analysis of Community Stability and Characteristics of Macroinvertebrates in Paddy Fields by Cultivation Method (논 재배방식에 따른 저서성대형무척추동물 군집특성 및 군집안정성 분석)

  • Shin, I-Chan;Kim, Myung-Hyun;Eo, Jinu
    • Ecology and Resilient Infrastructure
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    • v.9 no.1
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    • pp.15-23
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    • 2022
  • This study was conducted to investigate in relation to characteristic of macroinvertebrates in conventional and organic paddy fields. The investigation was conducted five times a year for Suwon, Ansung, Boeun, Gunsan, Gimje, Hamyang, divide into conventional paddy fields and organic paddy fields from 2009 to 2011. The macroinvertebrates collected from the surveyed between conventional and organic paddy fields belonged to 84 species, 47 families, 16 orders, and 6 classes in 3 phyla. In the habitat orientied groups, climbers, swimmers and sprawlers were considerably occupied in conventional and organic paddy fields. In relation to the functional feeding groups, predators such as Odonata, Coleoptera, and Hemiptera were only the highest in paddy field ecosystem, regardless of cultivation method. As a result of community stability analysis, orgainc paddy fields has been identified much as species high resistance and resilience to environmental change in paddy field ecosystem. Species belonging to the I groups is considered to be important in organic paddy field such as Sternolophus rufipes, Hydrochara affinis, Helochares nipponicus, which has high mobility. In conclusion, it was found that the introduction of coleoptera as a food source was higher than that of conventional paddy fields in organic paddy field where primary consumers were abundant such as Chironomidae spp. and Dixidae sp..

Occupancy Probability Estimation of Endangered Species Clithon retropictus (멸종위기종인 기수갈고둥의 잠재적 서식지 예측을 위한 점유 확률 추정)

  • Park, Woong-Bae;Lim, Sung-Ho;Won, Doo-Hee;Lee, Kyung-Lak;Hong, Cheol;Do, Yuno
    • Korean Journal of Ecology and Environment
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    • v.55 no.1
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    • pp.76-83
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    • 2022
  • We attempted to estimate potential habitats of Clithon retropictus and to determine the community structure of benthic macroinvertebrates by presence of C. retropictus. 2016 to 2018 database of "Survey and Assessment of Estuary Ecosystem Health" by the Ministry of Environment were used to identify the distribution site of C. retropictus. The occupancy model was applied to estimate the potential habitat of C. retropictus. Four diversity indices were used to confirm the community structure of benthic macroinvertebrates. C. retropictus was found in the southern coast area and part of the east coast, and this pattern was consistent with previous studies. Additionally, the occupancy model predicted that a potential habitat of C. retropictus could appear in the west coast area. The community structure of benthic macroinvertebrates was relatively high at the site with C. retropictus than the site without C. retropictus. Therefore, the occupancy model can be considered when conserving C. retropictus inhabiting a limited area. Additionally, C. retropictus can be used to the indicator species that can represent the brackish water environment.

Cardiovascular Effects of Free Movement of Abdominal Muscle in Prone Positioning during General Anesthesia (전신마취동안에 복와위시 자유로운 복근 움직임이 심혈관계에 미치는 영향)

  • Kim, Ji-Yoon;Lee, Dong-Won;Seo, Il-Sook;Kim, Sae-Yeon
    • Journal of Yeungnam Medical Science
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    • v.24 no.2
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    • pp.206-215
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    • 2007
  • Background : The prone position is often used for operations involving the spine and provides excellent surgical access. The complications associated with the prone position include ocular and auricular injuries, and musculoskeletal injuries. In particular, the prone position during general anesthesia causes hemodynamic changes. To evaluate the cardiovascular effects of the prone position in surgical patients during general anesthesia, we investigated the effects on hemodynamic change of the prone position with the Jackson spinal surgery table. Materials and Methods : Thirty patients undergoing spine surgery in the prone position were randomly selected. After induction of general anesthesia, intra-arterial and central venous pressures (CVP) were monitored and cardiac output was measured by $NICO^{(R)}$. We measured stroke volume, cardiac index, cardiac output, mean arterial pressure, heart rate, CVP and systemic vascular resistance (SVR) before changing the position. The same measurements were performed after changing to the prone position with the patient on the Jackson spinal surgery table. Results : In the prone position, there was a significant reduction in stroke volume, cardiac index and cardiac output. The heart rate, mean arterial pressure and CVP were also decreased in the prone position but not significantly. However, the SVR was increased significantly. Conclusion : The degree of a reduced cardiac index was less on the Jackson spinal surgery table than other conditions of the prone position. The reduced epidural pressure caused by free abdominal movement may decrease intraoperative blood loss. Therefore, the Jackson spinal surgery table provides a convenient and stable method for maintaining patients in the prone position during spinal surgery.

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