• Title/Summary/Keyword: 척추신경

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Clinical Study on a Case of Herniation(Herniated) of Nucleus Pulposus with Sacro-Occipital Technique (Sacro-Occipital Technique를 통한 추간판 탈출증 환자 치험 1례에 대한 임상적 고찰)

  • Park, Min-Jie;Sung, Su-Min;Hwang, Min-Seop;Yun, Chong-Hwa;Park, Min-Jung;Kim, Jung-Uk
    • The Journal of Korea CHUNA Manual Medicine
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    • v.6 no.1
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    • pp.189-196
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    • 2005
  • Objectives : This report intended to estimate effect taken by using Sacro-Occipital Technique on the patient with Herniation of Nucleus Pulposus(Central type). Method : From 11 May, 2005 to 30 June, 2005. The patient recived Sacro-Occipital Technique and Acupuncture therapy. Result : After being hospitalized for 50 days. the patient's Motor Grade, ODI, VAS, ROM were improved each from IV to IV+. from 26 to 20, from 10 to 2, and ROM with flexion/entension, rotation were improved each from 70'/0' to 90'/12', from 30'/40' to 45'/55'. Conclusion : We considered Sacro-Occipital Technique has an useful effect on Herniation of Nucleus Pulposus

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Cauda Equina Syndrome and Common Peroneal Nerve Palsy after Spinal Anesthesia -A case report- (척추마취후 발생한 마미증후군과 총비골신경마비 -증례 보고-)

  • Yoon, Kyung-Bong;Lee, Young-Bok;Kim, Soon-Yul;Lee, Jung-Won
    • The Korean Journal of Pain
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    • v.8 no.2
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    • pp.390-393
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    • 1995
  • Although spinal anesthesia has long been considered a safe technique, it is not without risk or side effect. Cauda equina syndrome is a rare but serious complication of spinal anesthesia. We have experience a case of cauda equina syndrome after spinal anesthesia. A twenty year old healthy male patient complained of pain, numbness, tingling sensation and motor weakness on his right lower extremity 8 hours after subarachnoid blockade. On the following day, the patient was noted to have a right L1 to S2 radiculopathy. Magnetic Resonance Imaging results were unremarkable. The patient sprained his ankle while trying to move down from the bed, so short leg splint was applied. Then he had additional right common peroneal nerve injury from the splint. His neurologic symptoms improved gradually thereafter, and three months postoperatively his electromyogram revealed improving stage from right common peroneal nerve palsy.

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A Osteological Study of Rhodeus uyekii (각시붕어(Rhodeus uyekii)의 골격학적 연구(硏究))

  • Kim, In-Ja
    • Korean Journal of Ichthyology
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    • v.9 no.1
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    • pp.130-140
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    • 1997
  • The osteological features of Rhodeus uyekii were examined. In this study, the detailed descriptions of cranium, vertebra and fin skeleton of Rhodeus uyekii are presented. R. uyekii had the following characteristics ; there was no fontanell in the cranium ; there was no process of supraethmoid ; the free interneural spine was large and flat ; the dorsal process of the supraoccipital was high and triangular ; the fourth infraorbital was reduced ; in the urohyal, the hypohyal attachment is bifurcated, the horizontal and vertical plate has a elongated rhombus shape with posterior edge pointed ; there was no coracoid foramen in the shoulder girdle ; there was no uroneural in the first preural centrum.

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Development of user activity type and recognition technology using LSTM (LSTM을 이용한 사용자 활동유형 및 인식기술 개발)

  • Kim, Young-kyun;Kim, Won-jong;Lee, Seok-won
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2018.10a
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    • pp.360-363
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    • 2018
  • Human activity is influenced by various factors, from individual physical features such as vertebral flexion and pelvic distortion to feelings such as joy, anger, and sadness. However, the nature of these behaviors changes over time, and behavioral characteristics do not change much in the short term. The activity data of a person has a time series characteristic that changes with time and a certain regularity for each action. In this study, we applied LSTM, a kind of cyclic neural network to deal with time - series characteristics, to the technique of recognizing activity type and improved recognition rate of activity type by measuring time and parameter optimization of components of LSTM model.

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Two Cases of Disc Internal Disruption Syndrome (추간판 내부 파열 증후군(Internal disc disruption) 2례)

  • Lee, Jong-Hyeung;Ahn, Myun-Whan;Ahn, Jong-Chul
    • Journal of Yeungnam Medical Science
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    • v.8 no.1
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    • pp.238-245
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    • 1991
  • The disc internal disruption syndrome is not well known to us, but the following hypothesis is widely accepted in clinical practice. The disc internal disruption syndrome may develop intractable back pain with aggrevated of pain, loss of spinal motion with any physical exercise, leg pain, loss of energy, marked weight loss, and profound depression. The patient with this syndrome will be found to have normal plain roentgenograms, myelograms, CT scans, results of blood examination and neurologic findings. For these reasons, this syndrome was frequently diagnosed by abnormal discographic findings. We had experience with two cases of disc internal disruption syndrome with clinical, roentgenographic and discographic evaluations. Thus We present these cases with a brief review of the concerned literature.

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An Evaluational Investigation of the Physical Properties for the Commercially Available Cervical Braces (수종 시판 경추보조기의 물성에 관한 평가조사)

  • Park, Jong-Chul;Kim, Kyung-Tae;Suh, Hwal
    • Journal of Biomedical Engineering Research
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    • v.18 no.3
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    • pp.205-210
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    • 1997
  • This is to investigate the physical properties of the commercially available Soft, Thomas, Minerva, and Philadelphia cervical braces which are widely used in orthopedics, neurosurgery, and rehabilitation medicine clinics as assisting devices for physical stabilization of cervical vertebrates, to use as a basic data for designing new type brace. Tensile strengths were observed by universal mechanical measuring device and Thomas brace required the highest stress to break by tensile stress. Durabilities against continuous frictional forces were also determined, and Minerva brace demonstrated the longest frictional time until being perforated. According to these results, poly ethlene is recommendable as a frame and preparation of pores in the material is favorable to provide ventilation to skin.

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Spinal Nerve Root Compression by Acute Inflammatory Granuloma after Spine Surgery -A case report- (척추수술 후 급성 염증성 육아조직 형성으로 인한 신경근 압박 -증례 보고-)

  • Kim, Dong Hee;Hwang, Dong Sup
    • The Korean Journal of Pain
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    • v.18 no.1
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    • pp.69-73
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    • 2005
  • This report describes a case of spinal nerve root compression due to an acute inflammatory granuloma after lumbar surgery. A 39 year-old man with a history of increasing back pain with a 3-week duration was diagnosed with a herniated intervertebral disc (HIVD). The diagnosis of a HIVD was confirmed by magnetic resonance imaging (MRI) with indications for surgery. A discectomy and a partial laminectomy was performed and the symptoms were alleviated immediately after surgery for a five-day period. However, a slowly progressing pain was subsequently noted along a different dermatome. There was no pain relief despite the patient being given pharmacological treatments, combined with an epidural steroid injection. The follow up MRI images showed severe compression of the nerve roots by a epidural lesion. Another procedure was performed 17 days after the initial operation. The lesion responsible for the compression of the nerve roots was found to be an acute inflammatory granuloma. The pain was relieved after the second procedure and there were no other symptoms or neurological problems. This case is remarkable in that a granuloma formed relatively quickly and grew to such a size that it was able to severely compress the surrounding nerve roots.

Percutaneous Vertebroplasty in Treatment of Osteoporotic Vertebral Body Fractures : Early Result (골다공증성 추체골절에 대한 경피적 척추성형술 : 초기성적)

  • You, Young Sang;Shin, Jae Hack;Kim, Il-Man
    • Journal of Korean Neurosurgical Society
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    • v.30 no.2
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    • pp.163-167
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    • 2001
  • Objective : Percutaneous vertebroplasty has recently been introduced as an interesting therapeutic alternative for the treatment of thoracolumbar vertebral body fractures in elderly persons with osteoporosis. The authors present the early results of this method. Method and Material : From July 1999 to April 2000, percutaneous transpedicular technique was used in 20 patients (2 men and 18 women) whose mean age was 67.5 years old(range 59-79) with painful vertebral compression(22) and burst(2) fractures. The interval between fracture and vertebroplasty ranged 1 day to 4 months. The procedure involved percutaneous puncture of the injured vertebra via transpedicular approach under fluoroscopic guidance, followed by injection of polymethylmetacrylate(PMMA) into the vertebral body through a disposable 11-guage Jamshidi needle. Result : The most common cause of fracture was slip down and the most frequent injured level was the twelfth thoracic spine. The procedure was technically successful bilaterally in 18 patients(9 thoracic and 15 lumbar spines) with an average injection amount of 7.7ml PMMA in each level. Seventeen(94.4%) patients reported significant pain relief immediately after treatment. Two leaks of PMMA were detected with postoperative CT in spinal epidural space and extravertebral soft tissue without clinical symptoms. Conclusion : Although this study represents the early results, percutaneous vertebroplasty seems to be valuable tool in the treatment of painful osteoporotic vertebral body fractures in elderly, providing acute pain relief and early mobilization.

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Taiwan Neurosurgical Spine Society: The New Shining Star

  • Kuo, Yi-Hsuan;Wu, Jau-Ching;Huang, Wen-Cheng;Huang, Ming-Chao;Lee, E-Jian;Cheng, Henrich
    • Neurospine
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    • v.15 no.4
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    • pp.285-295
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    • 2018
  • As spine surgery flourished in Taiwan and neurosurgeons became more involved in spine surgery towards the end of the 20th century, the Taiwan Neurosurgical Spine Society (TNSS), earlier named the Taiwan Neurospinal Society, was established on March 11, 2001. As its main founder, Dr. Chun-I Huang was elected as the first president of the TNSS. The goals of the TNSS were to promote research, to hold academic seminars, to participate in international conferences, and to exchange clinical experiences. The mission of the TNSS was successful, and the profession of spine surgery in Taiwan advanced during the first decade of the 21st century, culminating in the TNSS joining ASIA SPINE in 2010. Since its establishment, the TNSS has always been supportive of collaboration and communication with the Korean Spinal Neurosurgery Society and the Neurospinal Society of Japan. Through periodical meetings, supported by the TNSS, surgeons worldwide have enjoyed a platform of sharing and mutual learning. To further promote academic research, the TNSS has officially supported the journal Neurospine since 2018. With extensive efforts from local and international surgeons, the TNSS will continue to adhere to its mission and to advance the profession of spine surgery.

The Option of Motion Preservation in Cervical Spondylosis: Cervical Disc Arthroplasty Update

  • Chang, Chih-Chang;Huang, Wen-Cheng;Wu, Jau-Ching;Mummaneni, Praveen V.
    • Neurospine
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    • v.15 no.4
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    • pp.296-305
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    • 2018
  • Cervical disc arthroplasty (CDA), or total disc replacement, has emerged as an option in the past two decades for the management of 1- and 2-level cervical disc herniation and spondylosis causing radiculopathy, myelopathy, or both. Multiple prospective randomized controlled trials have demonstrated CDA to be as safe and effective as anterior cervical discectomy and fusion, which has been the standard of care for decades. Moreover, CDA successfully preserved segmental mobility in the majority of surgical levels for 5-10 years. Although CDA has been suggested to have long-term efficacy for the reduction of adjacent segment disease in some studies, more data are needed on this topic. Surgery for CDA is more demanding for decompression, because indirect decompression by placement of a tall bone graft is not possible in CDA. The artificial discs should be properly sized, centered, and installed to allow movement of the vertebrae, and are commonly 6 mm high or less in most patients. The key to successful CDA surgery includes strict patient selection, generous decompression of the neural elements, accurate sizing of the device, and appropriately centered implant placement.