• Title/Summary/Keyword: 척추부

Search Result 229, Processing Time 0.027 seconds

The Manufacture of Digital X-ray Devices and Implementation of Image Processing Algorithm (디지털 X-ray 장치 제작 및 영상 처리 알고리즘 구현)

  • Kim, So-young;Park, Seung-woo;Lee, Dong-hoon
    • Journal of the Institute of Convergence Signal Processing
    • /
    • v.21 no.4
    • /
    • pp.195-201
    • /
    • 2020
  • This study studied scoliosis, one of the most common modern diseases caused by lifestyle patterns of office workers sitting in front of computers all day and modern people who use smart phones frequently. Scoliosis is a typical complication that takes more than 80% of the nation's total population at least once. X-ray are used to test for these complications. X-ray, a non-destructive testing method that allows scoliosis to be easily performed and filmed in various areas such as the chest, abdomen and bone without contrast agents or other instruments. We uses NI DAQ to miniaturize digital X-ray imaging devices and image intensifier in self-shielding housing with Vision Assistant for drawing lines to the top and the bottom of the spine to acquire angles, i.e. curvature in real-time. In this way, the research was conducted to see scoliosis patients and their condition easily and to help rapid treatment for solving the problem of posture correction in modern people.

Intramedullary Spinal Lesions Involving the Conus Medullaris: MR Imaging Features for Differential Diagnosis (척수 원추부에 발생한 척수내 병변: 자기공명영상을 이용한 감별 진단)

  • Eun, Na Lae;Ahn, Sung Jun;Chung, Tae-Sub;Cho, Yong-Eun;Kim, Keun Su;Kuh, Sung-Uk;Suh, Sang Hyun
    • Investigative Magnetic Resonance Imaging
    • /
    • v.18 no.2
    • /
    • pp.144-150
    • /
    • 2014
  • Purpose : Intramedullary spinal lesions in the conus medullaris (CM), including tumors and vascular lesion, are rarely reported. We reported various MR features of intramedullary spinal cord lesions involving the CM including ependymoma, hemangioblastomas, dermoid cyst, ventriculus terminalis and spinal AVF and tried to discuss them for differential diagnosis. Materials and Methods: Six patients (male: female = 4:2, mean age = 44.3 year old) were enrolled from the clinical database of our institute from 2004 to 2010 and their radiological images and clinical symptoms were reviewed retrospectively. All patients had taken initial and postoperative MRI with contrast enhancement using gadopentate dimeglumine (Gd-DTPA). These images were analyzed by tumor size, location, signal intensity relative to the spinal cord, vascular flow voids, syrinx or cyst, edema and enhancement pattern. Results: Contrast enhancement was seen in all intramedullary masses. An eccentric enhancing nodule was noted in two hemangioblastomas and unusual peripheral rim enhancement with septation was seen in ventriculus terminalis. Patchy enhancement of the CM was observed in spinal arteriovenous fistula (AVF). Extensive cord edema adjacent to the intramedullary lesions was seen in four cases and syrinx was noted in three cases. Vascular signal voids were found in two hemangioblastomas and one spinal AVF. Conclusion: In evaluation of intramedullary spinal lesions in the CM, it is necessary to consider these unusual MR findings and discriminate various pathologies with prudence and caution.

Leaf Litter Breakdown of Emergent Macrophytes by Aquatic Invertebrates in the Lower Nakdong River (낙동강 하류에서 수서무척추동물에 의한 정수식물의 낙엽분해)

  • Kim, Gu-Yeon;Joo, Gea-Jae;Kim, Hyun-Woo;Shin, Geon-Seong;Yoon, Hae-Soon
    • Korean Journal of Ecology and Environment
    • /
    • v.35 no.3 s.99
    • /
    • pp.172-180
    • /
    • 2002
  • Leaf litter breakdown rates of the Phragmites australis, Zizania latifolia and Typha angustifolia were determined at the lower Nakdong River from Nov. 1998 to Sept. 1999. The relationship between leaf litter breakdown of three and abundance of aquatic invertebrates was investigated. Aquatic invertebrates collected in the litterbags were 11 family, 11 species (mean density: $222\;ind./m^2$ , n = 792), and Chironomidae was dominant. Mean density of Chironomidae in the litterbags were different according to the aquatic plant species: Z. latifolia ($180\;ind./m^2$, n = 264) T. angustifolia ($187\;ind./m^2$, n = 264) P. australis ($95\;ind./m^2$, n = 264). The breakdown of Z. latifolia was the shortest, and that of T. angustifolia was shorter than P. australis. Overall, the breakdown rate at floating layer was faster than that of submerged layer in all of three species and differences of the breakdown rate between open bags and closed three species and differences of the breakdown rate between open bags and closed bags were not found.

The Case Report of Conservative Treatment on the Herniation of Intervertebral Disc Patient After the Fusion Surgery of a Lumbar Segment (요추부 한 분절 유합술 이후 발생한 추간판 탈출증환자에 대한 보존적 치료 치험 1례)

  • Kang, Myung-Jin;Kong, Duck-Hyun;Kim, Wu-Young;Cho, Tae-Young;Nam, Hang-Woo
    • The Journal of Churna Manual Medicine for Spine and Nerves
    • /
    • v.5 no.2
    • /
    • pp.127-134
    • /
    • 2010
  • Objectives: The purpose of this study is the evaluation of conservative medical treatment on the herniation of intervertebral disc(HIVD) patient after the fusion surgery of a lumbar segment. Methods: We used acupuncture, herbal medication, and manipulation for this patient. And we measured of VNRS score and SLR test result to evaluate effect of conservative medical treatment. Results & Conclusions: Patient's low back and left leg pain VNRS is decreased, and the SLR test result is improved.

  • PDF

Preservation of the Posterior Ligaments for Preventing Postoperative Spinal Instability in Posterior Decompression of Lumbar Spinal Stenosis: Comparative Study between Port-Hole Decompression and Subtotal Laminectomy (요추부 척추관 협착증의 후방 감압술에서 후방 인대의 보존 여부와 술 후 척추 불안정성과의 연관성: 포트홀(Port-Hole) 감압술과 후궁 아전절제술 간 비교 연구)

  • Jung, Yu-Hun;Na, Hwa-Yeop;Choe, Saehun;Kim, Jin;Lee, Joon-Ha
    • Journal of the Korean Orthopaedic Association
    • /
    • v.55 no.1
    • /
    • pp.71-77
    • /
    • 2020
  • Purpose: To determine if sparing the interspinous and supraspinous ligaments during posterior decompression for lumbar spinal stenosis is significant in preventing postoperative spinal instability. Materials and Methods: A total of 83 patients who underwent posterior decompression for lumbar spinal stenosis between March 2014 and March 2017 with a minimum one-year follow-up period, were studied retrospectively. The subjects were divided into two groups according to the type of surgery. Fifty-six patients who underwent posterior decompression by the port-hole technique were grouped as A, while 27 patients who underwent posterior decompression by a subtotal laminectomy grouped as B. To evaluate the clinical results, the Oswestry disability index (ODI), visual analogue scale (VAS) for both back pain (VAS-B) and radiating pain (VAS-R), and the walking distance of neurogenic intermittent claudication (NIC) were checked pre- and postoperatively, while simple radiographs of the lateral and flexion-extension view in the standing position were taken preoperatively and then every six months after to measure anteroposterior slippage (slip percentage), the difference in anteroposterior slippage between flexion and extension (dynamic slip percentage), angular displacement, and the difference in angular displacement between flexion and extension (dynamic angular displacement) to evaluate the radiological results. Results: The ODI (from 28.1 to 12.8 in group A, from 27.3 to 12.3 in group B), VAS-B (from 7.0 to 2.6 in group A, from 7.7 to 3.2 in group B), VAS-R (from 8.5 to 2.8 in group A, from 8.7 to 2.9 in group B), and walking distance of NIC (from 118.4 m to 1,496.2 m in group A, from 127.6 m to 1,481.6 m in group B) were improved in both groups. On the other hand, while the other radiologic results showed no differences, the dynamic angular displacement between both groups showed a significant difference postoperatively (group A from 6.2° to 6.7°, group B from 6.5° to 8.4°, p-value=0.019). Conclusion: Removal of the posterior ligaments, including the interspinous and supraspinous ligaments, during posterior decompression of lumbar spinal stenosis can cause a postoperative increase in dynamic angular displacement, which can be prevented by the port-hole technique, which spares these posterior ligaments.

Preliminary Result of Revision Fusion Surgery for Thoracolumbar Spine Using Revision Rod (Revision Rod를 이용한 흉요추 유합 재수술 예비 결과)

  • Youn, Yung-Hun;Cho, Kyu-Jung;Park, Ye-Su;Park, Jae-Woo;Park, Jin-Sung;Kwon, Won-Hwan
    • Journal of the Korean Orthopaedic Association
    • /
    • v.55 no.6
    • /
    • pp.520-526
    • /
    • 2020
  • Purpose: The need for revision fusion surgery after spinal fusion has increased. A revision rod that connects to the previous rod was newly developed for revision surgery. The purpose of this study was to analyze the clinical and radiological results after spinal fusion revision surgery using revision rods. Materials and Methods: Twenty-one patients who underwent revision fusion surgery after spinal fusion in two university hospitals with minimum 1 year follow-up were reviewed. This study assessed 16 cases of adjacent-segment disease, four cases of thoracolumbar fracture, and one case of ossification of ligament flavum. The Oswestry Disability Index (ODI) and numerical rating scale (NRS) were evaluated as clinical outcomes, and the union rate, lordosis or kyphosis of the revision level, lumbar lordosis, T5-12 kyphosis, and proximal junctional kyphosis angle were evaluated as the radiological outcomes. Results: The average ODI was 54.6±12.5 before surgery and improved to 29.8±16.5 at the final follow-up. The NRS for back pain and leg pain was 5.0±1.7 and 6.4±2.0 before surgery, which changed to 2.9±1.6 and 2.9±2.2 at the final follow-up. Lumbar lordosis was 18.1°±11.9° before surgery and 21.1°±10.3° at the final follow-up. Proximal junctional kyphosis was 10.8°±10.1° before surgery, and 9.2°±10.5° at the final follow-up. These angles were not changed significantly after surgery. Bony union was successful in all cases except for one case who underwent posterolateral fusion. Conclusion: Revision surgery using a newly developed revision rod on the thoracolumbar spine achieved good clinical outcomes with successful bony union. No problems with the newly developed revision rod were encountered.

Surgical Treatment of Osteoporotic Vertebral Compression Fractures at Thoraco-Lumbar Levels: Only Pedicle Screw Constructs with Polymethylmethacrylate Augmentation (흉요추부 골다공증성 척추 압박 골절의 수술적 치료: 골시멘트 보강술을 이용한 척추경 나사 고정)

  • Jun, Deuk Soo;Baik, Jong-Min;Park, Ji Hyeon
    • Journal of the Korean Orthopaedic Association
    • /
    • v.54 no.4
    • /
    • pp.327-335
    • /
    • 2019
  • Purpose: To investigate the radiological efficacy of polymethylmethacrylate (PMMA) augmentation of pedicle screw operation in osteoporotic vertebral compression fractures (OVCF) patients. Materials and Methods: Twenty OVCF patients, who underwent only posterior fusion using pedicle screws with PMMA augmentation, were included in the study. The mean follow-up period was 15.6 months. The demographic data, bone mineral density (BMD), fusion segments, number of pedicle screws, and amount of PMMA were reviewed as medical records. To analyze the radiological outcomes, the radiologic parameters were measured as the time serial follow-up (preoperation, immediately postoperation, postoperation 6 weeks, 3, 6 months, and 1 year follow-up). Results: A total of 20 patients were examined (16 females [80.0%]; mean age, 69.1±8.9 years). The average BMD was -2.5±0.9 g/cm2. The average cement volume per vertebral body was 6.3 ml. The mean preoperative Cobb angle of focal kyphosis was 32.7°±7.0° and was improved significantly to 8.7°±6.9° postoperatively (p<0.001), with maintenance of the correction at the serial follow-up, postoperatively. The Cobb angle of instrumented kyphosis, wedge angle, and sagittal index showed similar patterns. In addition, the anterior part of fractured vertebral body height averaged 11.0±5.0 mm and was improved to 18.5±5.7 mm postoperatively (p=0.006), with maintenance of the improvement at the 3-month, 6-month, and 1-year follow-up. Conclusion: The reinforcement of pedicle screws using PMMA augmentation may be a feasible surgical technique for OVCF. Moreover, it appears to be appropriate for improving the focal thoracolumbar/lumbar kyphosis and is maintained well after surgery.

Effects of Taping Therapy by Methods on Back Pain and Muscle Flexibility of Bus Drivers's (테이핑 적용방법에 따른 버스 운전기사의 요통과 근 유연성에 미치는 효과)

  • Park, Min-Chull;Kim, Eun-Young;Ha, Mi-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.11 no.11
    • /
    • pp.4367-4373
    • /
    • 2010
  • The purpose of this study was to compared the effectiveness of erector spine taping and lumbar taping maintained in bus driver's back pain. The research subjects were some bus drivers working in Changwon, Masan, and Busan terminal. And we concluded this research; By selecting a group of 15 people taping erector spine, a group of lumbar taping, and a control group of 15 people randomly. Because we measured them before treatment and two weeks after treatment by the time, we could get the results which were as follows. The experiment group applied of taping therapy would be reduced in back pain when compared to the control group. The experiment group applied of taping therapy would be improved in muscle flexibility when compared to the control group. After treatment, the experiment group compared to control group showed decrease pain and an increase of flexibility. In conclusion, we could know that taping reduces back pain of bus drivers and gives a positive impact to muscle flexibility improvement, we finded out a distinct difference between the erector spine taping and the lumbar taping. Thus, the taping treatment can be applied easily to the bus driver and used as a way of therapeutic approach.

성인병 뉴스 제301호

  • The Korea Association of Chronic Disease
    • The Korean Chronic Disease News
    • /
    • no.301
    • /
    • pp.1-22
    • /
    • 2006
  • 서울 성북구 보건소 황원숙 소장/보건복지부 장관에 유시민 의원/허리근육 많을수록“척추건강하다”/‘삶의 질 향상, 인간 중심 살기 좋은 성북’구현/인간성장호르몬 미FDA에 허가 신청/녹십자, 미국과 공동 함암제 임상시험/노인층의 건강증진을 위한 대책 방안/운동.흡연.절주.식이 등 4가지 조절하면 조기사망이나 질병의 60%는 예방 가능/

  • PDF