• Title/Summary/Keyword: 척추 전만

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Effects of Patient Controlled Analgesia Convergence Education on Postoperative Pain Management in Spinal Surgery Patients (통증자가조절기 융합교육이 척추수술환자의 수술 후 통증관리에 미치는 효과)

  • Choi, Ga-Young;Kim, Ju-Sung
    • Journal of the Korea Convergence Society
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    • v.9 no.2
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    • pp.371-380
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    • 2018
  • The purpose of this study was to investigate the effects of patient controlled analgesia(PCA) convergence education on postoperative pain management in spinal surgery patients. Sixty spinal surgery patients were included. For the experimental group(n=30), PCA education using video, booklet, and a PCA model practice was provided before surgery. The data were collected using questionnaire and were analyzed using descriptive statistics, ${\chi}^2-test$, Fisher's exact test, t-test and repeated measures ANOVA. PCA knowledge-attitude, PCA satisfaction and pain control satisfaction were higher in the experimental group than the control group(p<.001; p=.001; p<.001). Postoperative pain and frequency of additional analgesia use of the experimental group were significantly lower than those of the control group(p<.001; p=.001). This findings showed that the convergence PCA education of audiovisual aids with PCA practice training could be effective pain management intervention in patients undergoing spinal surgery. These apply to development of convergence nursing interventions in clinical practice.

Cauda Equina Syndrome after Percutaneous Balloon Kyphoplasty for Pathologic Compression Fracture (병적 척추체 압박 골절 환자에서 경피적 풍선 척추 성형술 시행 후 발생한 마미 증후군)

  • Park, Sung Jun;Park, Myung Hoon;Park, Jae Woo;Cho, Kyu Jung
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.1
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    • pp.90-94
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    • 2020
  • Percutaneous balloon kyphoplasty is an option for pain relief in pathological vertebral compression fractures. Complications related to cement leakage through cortical defects have been reported. On the other hand, dural compression due to retropulsion of the tumor mass is rarely reported. The authors report a case of a 65-year female patient who had cauda equina syndrome after a percutaneous balloon kyphoplasty in a pathological vertebral fracture, even though epidural compression were not found prior to surgery. Magnetic resonance imaging revealed retropulsion of the tumor mass into the spinal canal through the disrupted posterior vertebral cortex.

Numerical Analysis on Stress Distribution of Vertebra and Stability of Intervertebral Fusion Cage with Change of Spike Shape (척추체간 유합케이지의 스파이크형상 변화에 따른 척추체의 응력분포 및 케이지의 안정성에 대한 수치적 해석)

  • 심해영;김철생;오재윤
    • Journal of Biomedical Engineering Research
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    • v.25 no.5
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    • pp.361-367
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    • 2004
  • The axial compressive strength, relative 3-D stability and osteoconductive shape design of an intervertebral fusion cage are important biomechanical factors for successful intervertebral fusion. Changes in the stress distribution of the vertebral end plate and in cage stability due to changes in the spike shape of a newly contrived box-shaped fusion cage are investigated. In this investigation, the initial contact of the cage's spikes with the end plate and the penetration of the cage's spikes into the end plate are considered. The finite element analysis is conducted to study the effects of the cage's spike height, tip width and angle on the stress distribution of the vertebral end plate, and the micromigration of the cage in the A-P direction. The stress distribution in the end plate is examined when a normal load of 1700N is applied to the vertebra after inserting 2 cages. The micromigration of the cage is examined when a pull out load of l00N is applied in the A-P direction. The analysis results reveal that the spike tip width significantly influences the stress concentration in the end plate, but the spike height and angle do not significantly influence the stress distribution in the end plate touching the cage's spikes. In addition, the analysis results show that the micromigration of the cage can be reduced by adjusting the spike angle and spike arrangement in the A-P direction. This study proposes the optimal shape of an intervertebral fusion cage, which promotes bone fusion, reduces the stress concentration in a vertebral end plate, and increases mechanical stability.

Osteochondroma at the Cervicothoracic Junction (경흉추 이행부에 발생한 골연골종)

  • Park, Yung;Ha, Joong Won;Kie, Jeong Hae;Hong, Seung-Pyo
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.6
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    • pp.562-566
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    • 2019
  • Osteochondroma is a common benign bone tumor, but relatively rare in the spine. Spinal osteochondroma originates mainly from the posterior column and sometimes invades the spinal canal causing cord compression and myelopathy. A 36-year-old man was admitted to the authors' institution with a two-year history of neck pain. A radiology examination revealed osteochondroma, arising from the left superior articular process of the T1 vertebra with significant central canal narrowing. Most cases of the spinal osteochondroma originate in the cervical vertebra, but there are few reports of an origin of the cervicothoracic junction. This paper reports a case of osteochondroma at the cervicothoracic junction with a review of the relevant literature.

Metastatic Cervical Lvrnphadenopathy from Uterine Leiornyosarcorna with Good Local Response to Radiotherapy and Chemotherapy (자궁 평활근육종의 경부림프절 전이와 방사선치료 및 화학요법에의 반응)

  • Oh Yoon Kyeong;Park Hee Chul;Kee Keun Hong;Jeon Ho Jong;Park You Hwan;Chung Choon Hai
    • Radiation Oncology Journal
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    • v.18 no.4
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    • pp.309-313
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    • 2000
  • The metastasis of uterine leiornyosarcorna to the neck node has not been reported previously and the radiotherapy has been rarely used for the metastatic lesion of the other sites. We report a case of neck metastasis from a uterine leiornyosarcorna, which developed 10 months after surgery and postoperative pelvic radiotherapy. It also involved the parapharyngeal space, adjacent spine, and spinal canal. The metastatic neck mass was inoperable, and was treated by neck radiotherapy (6,000 cGy) and chemotherapy including taxol and carboplatin. The mass has regressed progressively to a nearly impalpable state. She has never developed spinal cord compression syndrome, and has maintained good swallowing for eight months since the neck radiotherapy and chemotherapy. Since the extensive metastatic neck mass showed good local response to high dose radiotherapy and chemotherapy, both treatments may be considered for an unresectable metastatic leiornyosarcorna.

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The Measurement of Size of the Pedicle Using 3 Dimensional Reconstruction Image in Idiopathic Scoliosis (특발성 척추측만증 환자에서의 3차원적 재구성을 이용한 척추경의 크기 측정)

  • Heo, Jae-Hee;Ahn, Myun-Hwan
    • Journal of Yeungnam Medical Science
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    • v.21 no.1
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    • pp.40-50
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    • 2004
  • Background: This study was conducted to analyze the height and width of the pedicle of the upper and lower levels on the concave and the convex sides. In addition, we checked for the appropriate pedicle screw size which could be screwed in without complications. Materials and Methods: Taking a simple AP radiography in a standing position, 99 vertebrae on the major curve with the possibility of 3-D reconstruction were analyzed after checking the CT in a supine position of 22 idiopathic scoliosis. We measured Cobb's angle from a simple radiograph, and measured the size of the isthmus by the Inner Space 3-D Editor after 3-D reconstruction with the Inner Space 3-D program in the DICOM file transformed from CT image. We then analyzed the size of pedicles of the upper and lower levels on the concave and the convex sides by measuring the height and width of the pedicle. Results: All pedicles on the concave side were smaller than those on the convex side. Their size increased as the measurement moved from the upper to lower vertebra, except for the upper thoracic vertebra. When the width of the pedicle through 3-D reconstruction was compared with the narrowest width of the pedicle measured by using CT, the width of the pedicles through 3-D reconstruction was statistically smaller (P<0.01). Most of the pedicles were tear-drop or kidney shaped rather than cylindrical. Conclusion: These results suggest that the use of the coronal plane through 3-D reconstruction would be necessary for an accurate measurement of the size of the pedicle. It is important to pay careful attention to the screw size and the screwing method considering the pedicle shape through 3-D reconstruction.

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Effects of Debris Barrier on Community Structure and Functional Feeding Groups of the Benthic Macroinvertebrate (사방공작물의 시공이 저서성대형무척추동물의 군집구조 및 섭식기능군에 미치는 영향)

  • Seo, Jun-Pyo;Lee, Heon-Ho
    • Journal of Korean Society of Forest Science
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    • v.101 no.3
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    • pp.480-487
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    • 2012
  • This study was conducted to search the effects of debris barrier on the benthic macroinvertebrate. Gimcheon was selected as the survey site as it has relatively stable ecosystem with constantly running water. The survey was conducted 6 times before and after the construction of debris barrier from February in 2009 to October in 2010. In the first survey before construction, the identified species were 36 species belonged to 22 families, 9 order, 4 class, and 4 phylum. The figure slightly decreased to 30 species belonged to 18 families, 7 order, 2 class, and 2 phylum in the sixth survey after construction. Before construction, occupation ratio of EPT taxa was showed in the following order: Ephemeroptera (50.0%, 85.0%), Trichoptera (35.3%, 10.0%), and Plecopteran (14.8%, 5.0%). After construction, it was showed in the following order: Trichoptera (50.3%, 68.0%), Ephemeroptera (42.1%, 29.4%), and Plecopteran (7.5%, 2.7%). Ephemeroptera was the highest before construction. Trichoptera increased rapidly after construction. The Diversity, Richness, Evenness, and Dominance indices were all turned low in the second survey right after the construction. However, each index tended to increase with the course of time. In Functional Feeding Groups, GC type was the highest of 60.7% before construction. After construction, SC(53.1%) and FC(35.4%) increased rapidly and they became stabilized since the third survey. The result of this study reveals that debris barrier greatly affects the Aquatic Ecosystem right after its construction, but the system becomes stable and returns to normal with the course of time (about 18 months). Therefore, the study considering various influence factors such as time is required to recover completely through further long-term monitoring.

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
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    • v.11 no.11
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    • pp.4367-4373
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    • 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.

지혜 깊어지는 건강 - 건강검진 캘린더 - 스무 살이 되기 전에 스스로 점검하는 건강검진

  • Lee, Yun-Mi
    • 건강소식
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    • v.35 no.11
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    • pp.30-31
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    • 2011
  • 3년 내내 열심히 공부만 해온 고3 수험생. 그동안 공부하느라 건강을 돌볼 틈도 없었다면 이제 몸 상태에 귀 기울일 때다. 특히 고3들에게 많이 나타난다고 하여 '고3병'으로 불리기도 하는 비만, 지방간, 저체중, 빈혈, 위 십이지장궤양, 척추측만증으로부터 안전한지 점검이 필요하다.

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Effects of Sedimentation on Benthic Macroinvertebrate Communities at Upper Song Stream Basin (고랭지 농업으로 인한 토사가 송천 상류역에 서식하는 저서성 대형무척추동물 군집에 미치는 영향)

  • Han, Seung-Chul;Jun, Yung-Chul;Hwang, In-Chul;Won, Doo-Hee
    • Korean Journal of Environmental Biology
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    • v.29 no.4
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    • pp.353-361
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    • 2011
  • This study was conducted to examine the effects of sedimentation caused by highland agriculture on benthic macroinvertbrate assemblages in upper Song Stream from 2006 to 2009. The mean concentrations of water quality parameters (pH, DO, EC, TDS, TN, and TP) were gradually increasing toward downstream but ORP was decreased. Furthermore, biological habitats at lower reaches were more homogeneous and unstable due to sand deposition than those at upper sites. A total 106 species of benthic macroinvertbrates in 47 families, 11 orders, 6 classes, and 5 phyla were identified during whole field surveys. Song Stream showed great declines of overall biological attributes along its longitudinal gradients, particularly in taxa richness and abundance. Of all functional groups scrapers and clingers were most affected against the degradation of habitat quality, whereas collector-gatherers and burrowers showed the opposite case. It was found that such results had close correlations with water quality parameters and substrate composition which played an important role in structuring macroinvertebrate communities. In conclusion, this study represents that disturbance caused by highland agricultural activities had negative effects on benthic macroinvertebrate communities by leading to sand deposition at adjacent stream ecosystems.