• Title/Summary/Keyword: 척추

Search Result 2,401, Processing Time 0.044 seconds

Management of Elderly Patients with Spinal Disease: Interventional Nonsurgical Treatment (고령 척추 질환자의 치료: 중재적 비수술 치료)

  • Park, Soo-An
    • Journal of the Korean Orthopaedic Association
    • /
    • v.54 no.1
    • /
    • pp.9-17
    • /
    • 2019
  • Owing to the upward shift in age structure, there is an increasing number of spinal diseases specific to elderly patients. Elderly spinal patients typically have a poor general condition with several medical comorbidities, low bone mineral density, more extensive and severe degeneration, and less effective treatment outcomes than young patients. This is why spinal physicians need to establish interventional nonsurgical treatment modalities for elderly patients with spinal disease. The objective of this study was to define the spinal disorders problematic to elderly patients and discuss the nonsurgical treatments for each subject.

Vertebral Compression Fractures: Distinction Between Benign and Malignant Causes with Tc-99m Labeled Antigranulocyte Antibody Immunoscintigraphy (Tc-99m 표지 항과립구항체 면역신티그라피(Tc-99m labeled antigranulocyte antibody immunoscintigraphy)를 이용한 척추압박골절의 원인질환 감별)

  • Cho, Ihn-Ho;Lee, Hyong-Woo;An, Sang-Ho;Won, Kyu-Chang;Bae, Jang-Ho;Cho, Soo-Ho
    • Journal of Yeungnam Medical Science
    • /
    • v.15 no.2
    • /
    • pp.254-262
    • /
    • 1998
  • We evaluated the effectiveness of Tc-99m labeled antigranulocyte antibody immunoscintigraphy in differentiating the causes of vertebral compression fracture. This study involved 16 patients with vertebral compression fracture; 8 were due to trauma or osteoporosis, 3 were due to metastasis and 5 were due to tuberculous spondylitis. We retrospectively analyzed the location and the extent of decreased tracer uptake in tomographic images of Tc-99m labeled antigranulocyte antibody immunoscintigraphy. Eight patients had a 16 vertebral compression fractures due to trauma or osteoporosis, three patients had 3 vertebral compression fractures due to metastasis and 5 patients had 6 vertebral compression fractures due to tuberculous spondylitis. Sixteen vertebral compression fractures by trauma or osteoporosis showed a normal tracer uptake in pedicle, laminar and spinous process, but there was noted with 6 decreased uptake, 8 absence of tracer uptake and 2 normal tracer uptake in the vertebral body. Two vertebral compression fractures by metastasis showed the absence of uptake in vertebral body, pedicle, laminar and spinous process, and one showed an absence of vertebral body and spinous process. Six vertebral compression fractures by tuberculous spondylitis showed the absence of uptake in six compression fractures, the absence of pedicle in five compression fractures. We concluded Tc-99m labeled antigranulocyte antibody immunoscintigraphy may be helpful to differentiate the causes of vertebral compression fractures.

  • PDF

Effects of 3-Dimensional Spinal Stabilization Exercise on Static Balance in chronic low back patients (만성요통환자에게 적용한 3차원 척추안정화운동이 정적균형에 미치는 영향)

  • Park, wan-seo;Kim, kyung-yun;Bae, se-hyun
    • Proceedings of the Korea Contents Association Conference
    • /
    • 2017.05a
    • /
    • pp.347-348
    • /
    • 2017
  • 만성요통 환자 15명을 대상으로 4주간, 주 3회 3차원 척추안정화운동과 허리안정화운동을 실시한 후 3차원 척추안정화검사를 통하여 허리심부근력을 측정하고 Tetrax장비를 통하여 신체균형능력을 평가하였다. 단기간일지라도 3차원척추안정화운동을 통해 정확한 방법으로 운동을 실시하였더니 만성요통환자의 허리근력과 자세균형에 긍정적인 효과를 주었다.

  • PDF

Effect of Lumbar Stabilization Exercise on Spinal In stability in Patients With Low Back Pain : A Literature Review (요추부 안정성 운동이 요통 환자의 척추 불안정성에 미치는 영향: 문헌고찰)

  • Jeong, Yeon-Tae
    • Physical Therapy Korea
    • /
    • v.7 no.4
    • /
    • pp.47-55
    • /
    • 2000
  • 요통은 산업화된 현대사회에서 흔히 발생하는 질환이다. 요통의 다양한 원인 중에서도 척추의 정상 가동범위를 넘은 불안정성이 요통의 한 원인으로 보고되고 있다. 이 문헌고찰의 목적은 요추 부위의 안정성을 부여하는 운동 프로그램 후 근육 기능의 강화, 통증의 감소를 보고한 논문들을 비교, 분석하는 것이다. 그리하여 요통의 한 원인인 척추의 안정성을 증가시켜 요추 부위의 통증을 감소시키고 기능을 향상시키는 운동 프로그램의 효과를 입증하는 것이다.

  • PDF

곰장어 내장으로부터 평활근 수축활성 펩타이드의 정제

  • 김은정;서정길;김찬희;고혜진;김인혜;김창훈;박남규
    • Proceedings of the Korean Society of Fisheries Technology Conference
    • /
    • 2001.05a
    • /
    • pp.228-229
    • /
    • 2001
  • 척추 및 무척추동물의 생체내에는 조절제어 및 정보전달의 역할을 담당하고 있는 내인성의 생리활성 펩타이드인 신경성 점타이드를 비롯한 수많은 호르몬 펩타이드가 존재하며, 이에 대한 연구가 활발히 진행되고 있다. 현재까지의 연구는 주로 무척추동물과 어류 및 양서류를 비롯한 척추동물을 대상으로 진행되어 왔으며, 원구류를 이용한 새로운 생리활성 펩타이드의 정제와 특성에 관한 연구는 수행되어 있지 않은 상태이다. (중략)

  • PDF

Early Onset Subsequent Vertebral Compression Fracture after Percutaneous Verteroplasty (경피적 척추 성형술 후 조기에 발생한 새로운 척추 압박골절)

  • Kim, Jong-Kil;Choi, Byeong-Yeol;Park, Young-Chul;Kim, Dong-Hyun
    • Journal of the Korean Orthopaedic Association
    • /
    • v.54 no.1
    • /
    • pp.24-29
    • /
    • 2019
  • Purpose: To evaluate the characteristics and the risk factors of early onset subsequent vertebral compression fractures after percutaneous vertebroplasty. Materials and Methods: A total of 44 patients, who had a new subsequent vertebral fracture after percutaneous vertebroplasty for an osteoporotic vertebral compression fracture between January 2013 and December 2015, were recruited. The patients were divided into two groups according to the onset period of subsequent fracture. The number of patients who had a fracture within 3 months following vertebroplasty were 22 cases (Group A); after 3 months were 22 cases (Group B). Variables, including age, sex, bone mineral density (BMD), body mass index (BMI), preexisting vertebral compression fracture, location of the initial fracture, intradiscal cement leakage, injected cement volume, restoration of vertebral body height, and correction of kyphosis, in the two groups were analyzed and compared retrospectively. Results: The age, sex, BMD, BMI, preexisting vertebral compression fracture, location of the initial fracture, intradiscal cement leakage, and correction of kyphosis were similar in the two groups. Both a greater volume of bone cement injected and a greater degree of vertebral height restoration contributed significantly to the risk of fracture within 3 months. Conclusion: The cement volume and degree of height restoration are risk factors for early onset fracture at the adjacent vertebrae after percutaneous vertebroplasty and close attention is needed during the follow-up period.

Pathophysiology and MRI Findings of Infectious Spondylitis and the Differential Diagnosis (감염성 척추염과 감별질환의 병태생리와 MRI 소견)

  • Sunjin Ryu;Yeo Ju Kim;Seunghun Lee;Jeongah Ryu;Sunghoon Park;Jung Ui Hong
    • Journal of the Korean Society of Radiology
    • /
    • v.82 no.6
    • /
    • pp.1413-1440
    • /
    • 2021
  • On MRI, abnormal signals of the intervertebral disc, destruction of the upper and lower vertebral body endplate around the disc, and bone marrow edema around the endplate are considered typical findings of infectious spondylitis. These findings can also appear in various non-infectious spinal diseases, such as degenerative changes, acute Schmorl's node, spondyloarthropathy, synovitis, acne, pustulosis, hyperostosis, and osteitis (SAPHO), chronic recurrent multifocal osteomyelitis, and calcium pyrophosphate dihydrate crystal deposition disease. The imaging findings of infectious spondylitis that can be differentiated from these non-infectious spinal diseases on MRI are high signal intensity and abscess of the disc space, an abscess in the paraspinal soft tissue, and the loss of the linear low signal intensity on T1-weighted images of the bony endplate. However, these differentiation points do not always apply since there are many similarities in the imaging findings of infectious and non-infectious diseases. Therefore, for an accurate diagnosis, it is important to know the imaging characteristics related to the pathophysiology of not only infectious spondylitis but also non-infectious spinal diseases, which requires differentiation from infection.

Intradural Schwannoma Associated with Lumbar Spinal Stenosis: A Cese Report (요추부 척추관 협착증과 동반된 경막내 신경초종: 증례 보고)

  • Soh, Jae-Wan;Kim, Tae-Heon;Kwon, Sai-Won
    • The Journal of the Korean bone and joint tumor society
    • /
    • v.17 no.2
    • /
    • pp.106-110
    • /
    • 2011
  • In the patient who has intradural mass associated with spinal stenosis, if the operation for spinal stenosis is performed alone, the symptom may remain. We report with literature review that we achieved the successful outcome after simultaneous decompression of spinal stenosis and space occupying mass removal in the case of intradural and extradural compression. A 71-year-old female patient suffering from low back pain and radiating pain of both lower extremities admitted. In magnetic resonance imaging, spinal stenosis on L4-5 and spondylolisthesis on L5-S1 compressed dural sac and intradural space occupying mass on L4 level compressed. By posterior approach, decompression and interbody fusion were carried out. Then mass was removed with median durotomy. Pathologic diagnosis was schwannoma and the symptom was improved remarkably.

The Pilates Effects about Scoliosis (척추 측만증에 대한 필라테스 효과)

  • Seo, JunHwan;Hong, SeongGyun
    • Journal of the Korean Society of Radiology
    • /
    • v.8 no.7
    • /
    • pp.397-400
    • /
    • 2014
  • This study purpose is to know about the effect of Cobb's angle of scoliosis patient by Pilates ecercise. It was executed for prove this exercise with Pilates Postural Correct Exercise(PCE), Spine Stretching Exercis(SSE), Muscle Strengthing Exercise(MSE). PCE is useful for unbalanced muscle energy and SSE gives relax for hypertensioned muscles and MSE is correcting balance for prime mover and secondary mover and so it will be recovery for elasticity and flexibility of paraspine muscles. The method study was proved with a Cobb's angle measurement of Lumbar spine by X-ray test before and after. As a result for the test, Cobb's angle by X-ray it shows reduced about 5 degree in statistics(p=0.005). And so It shows the Pilates exercise gives reduce for Scoliosis.

Awareness and Treatment Status of Scoliosis of Middle and High School Students in Seosan City (서산시 중·고등학생들의 척추측만증 인지도와 치료현황 조사)

  • Kim, Bo-Ra;Ham, Joo-Hyun
    • The Journal of the Korea Contents Association
    • /
    • v.11 no.11
    • /
    • pp.204-212
    • /
    • 2011
  • The purpose of this research is to investigate the level of awareness and treatment condition of scoliosis, and provide the basic data to give awareness, prevention and maintenance of scoliosis, targeting the middle and high school students. From 11th, April 2011 to 27th April 2011, this researcher executed the survey targeting 765 students from the middle and high school by selecting two middle schools and two high schools, and bus terminals and apartment complexes which have the high population density and mobility in Chungnam Seosan city. The result of the research is like this. The level of awareness about scoliosis in the middle and high school appeared highly as 63%. The answer which shows not having the treatment after they are diagnosed with scoliosis appeared most highly as 43 people(51.2%), the answer which shows having the treatment and then quitting it appeared as 22 people (26.2%), and the answer which shows having the treatment after they are diagnosed with scoliosis appeared as 19 people (22.6%).