• Title/Summary/Keyword: 측만증

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Correction of Single Thoracic Adolescent Idiopathic Scoliosis Using Pedicle Screw Instrumentation: Comparison of Stainless Steel to Titanium Alloy Instruments (척추경 나사못 고정술을 이용한 단일 흉추 청소년기 특발성 척추 측만증의 치료: 스테인리스강과 티타늄 합금 기기의 비교)

  • Kim, Sung-Soo;Lim, Dong-Ju;Kim, Jung-Hoon;Choi, Byung-Wan;Kim, Hwi-Young;Lee, Jun-Seok
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.2
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    • pp.141-149
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    • 2019
  • Purpose: To compare the results of two different instruments made of stainless steel and titanium alloy for correction of single thoracic adolescent idiopathic scoliosis (AIS) using pedicle screw instrumentation. Materials and Methods: A total of 141 patients with single thoracic AIS treated with pedicle screw instrumentation and selective thoracic fusion were retrospectively reviewed after a follow-up of 2 years. The patients had a main thoracic curve of 40° to 75° and were divided into two groups based on instrument materials; S group (stainless steel, n=90) and T group (titanium alloy, n=51). The diameter of the stainless steel rod used was 7.0 mm while that of the titanium alloy rod was 6.35 mm or 6.0 mm. Standing long-cassette radiographic measurements including various coronal and sagittal parameters for the preoperative, early postoperative and 2-year postoperative followup were analyzed. There were no significant differences in the preoperative curve characteristics between the two groups. Results: In the S group, the preoperative main thoracic curve of 51.3°±8.4° was improved to 19.0°±7.6° (63.1% correction) and the lumbar curve of 32.3°±8.4° spontaneously decreased to 12.7°±8.2° (62.9% correction) at 2 years postoperatively. In the T group, the preoperative main thoracic curve of 49.5°±8.4° and the lumbar curve of 30.3°±8.9° was improved to 18.8°±7.4° (62.2% correction) and 11.3°±5.4° (63.3% correction), respectively. The corrections of coronal curves were not statistically different between the two groups (p>0.05). The thoracic kyphosis was changed from 16.8°±8.5° to 24.3°±6.1° in the S group and from 19.6°±11.2° to 26.6°±8.5° in the T group. There were no significant differences in the changes of sagittal curves, coronal and sagittal balances at the 2-year follow-up and the number of fused segments and used screws between the two groups (p>0.05). Conclusion: When conducting surgery for single thoracic AIS using pedicles screw instrumentation, two different instruments made of stainless steel and titanium alloy showed similar corrections for coronal and sagittal curves.

Effects of Fusion Level for Scioliotic Spine Correction Simulation with Pedicle Screw and Rod Derotation Method (척추경 나사못 고정과 강봉 감염술을 이용한 척추 측만증 교정 해석시 유합 범위에 따른 교정 효과 분석)

  • 김영은;손창규;최형연;하정현;이춘기
    • Journal of Biomedical Engineering Research
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    • v.25 no.1
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    • pp.71-76
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    • 2004
  • In order to investigate the Post-operative changes in scoliotic spine according to selection of fusion level a mathematical finite element model of King-Moe type II scoliotics spine system was developed. By utilizing this finite element scoliosis model surgical correction simulation procedures of pedicle fixation and derotation were simulated. In consequence of the calculation by changing the fusion Levels, postoperative changes like Cobb angle, apical vertebrae axial rotation (AVAR), thoracic kyphosis, and rib hump were Qualitatively analyzed. In the analysis of operative kinematics, the decrease or Cobb angle was most prominent in distraction than in deroation. Applying the rod derotation only was not effective in decrease of Cobb angle but just caused increase of At AR and rib hump. From the operative simulation, co-action or distraction and translation during rod insertion has major impact on Cobb angle decrease and maintenance of kyphosis. With rod rotation, Cobb angle decrease was obtained, but combined increase of AVAR and rib hump was simulation observed as well. The case of most extended instrumentation range with 60o rod rotation produced double decrease of Cobb angle, but the increase of rib hump and AYAR occurred corresponding1y. The optimum selection of fusion level was proved as one level less than inflection position of the thoracic spine curvature.

A Case Report on the Scoliosis Treated by HyunGa manual Technique. ("현가 수기법"을 이용한 척추 측만증의 치험 1례)

  • Lee, Yong-Seob
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.3 no.1
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    • pp.49-54
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    • 2008
  • This study is designed to evaluate the effect of HyunGa manual technique for the patient with scoliosis. After HyunGa manual technique the results of cobb's angle were improved significantly. It is suggested that HyunGa manual technique might be effective for the patiant with Scoliosis.

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A Case Report on the Scoliosis Patient with Lumbago Treated by Hyun-Ga Therapy (현가요법을 이용한 요통을 호소하는 측만증 환자 치험 1례)

  • Yoon, Dae-Shik
    • Korean Journal of Acupuncture
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    • v.28 no.1
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    • pp.171-177
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    • 2011
  • Objectives : This study is designed to evaluate the effect of Hyun-Ga therapy for the scoliosis patient with Lumbago. Methods : After treatment with Hyun-Ga therapy compared with Cobb's angle and Visual Analog Scale (VAS). Results : After six treatments with Hyun-Ga therapy in one case, significant decrease in Cobb's angle and Visual Analog Scale (VAS) was observed. Conclusions : Hyun-Ga therapy might be effective for the scoliosis patient with Lumbago. It will be attempted to more patients in the future.

A Descriptive Study on Abdominal Discomfort after Scoliosis Corrective Surgery (척추측만증 수술 후 환자의 복부불편감 실태조사)

  • Lee, Mi Young;Park, Hyun Suk;Kim, Jin Won;Yoon, So Jeong;Moon, Nam Kyung;Choi, Jeoung Hee
    • Journal of Korean Clinical Nursing Research
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    • v.22 no.3
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    • pp.345-351
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    • 2016
  • Purpose: The specific aims of this study were to investigate the incidence, time of occurrence, intervention methods and related causes of abdominal discomfort after scoliosis corrective surgery. Methods: A retrospective review was carried out on all patients with diagnosis of adolescent idiopathic scoliosis (n=420) who received a posterior spinal fusion between January 2012 and December 2014. Logistic regression analysis was used to identify significant related factors. Results: One hundred eighty five of the patients in the study (44.0%) reported abdominal discomfort (AD group). The discomfort was worst on 2nd days after operation (31.4%), and 3rd days (27.0%). Ninety seven patients (52.4%) in the AD group received enema treatment. Significant related factors for developing abdominal discomfort were distal fusion levels (OR=2.43, p<.006) and increased operative blood loss (OR=1.03, p<.001). Conclusion: The incidence of abdominal discomfort after scoliosis corrective surgery in this study was 44%. Abdominal discomfort, therefore, is a main concern in reference to scoliosis corrective surgery, and solutions need to be searched and reported in future research.

Smart chair for posture diagnosis (자세 진단용 스마트 의자)

  • Park, Sang-Min;Choi, Min-Seong;Park, Sun-Young;Nam, Su-Min;On, Byung-Won
    • Proceedings of the Korea Information Processing Society Conference
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    • 2017.04a
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    • pp.1145-1148
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    • 2017
  • 현대의 사람들은 의자와 가까이 지내는 시간이 많다. 이를 테면, 회사에서의 업무, 학교에서의 교육, 자동차의 운전 등 다양한 부분에서 의자를 접하고 사용하는 시간이 많다. 이렇게 의자에서 생활하는 시간이 길어짐에 따라 의자로 인한 부작용 발생도 증가하고 있다. 이를 테면, 의자에서의 잘못된 자세로 인한, 허리디스크, 척추측만증 등이 있다. 본 논문에서는 이러한 의자에서 발생할 수 있는 문제를 미리 진단하고 예방하기 위해 자세 진단용 스마트 의자를 제안한다. 자세 진단용 스마트 의자는 주기적으로 사용자의 자세 데이터를 수집하고 분석하여 우리에게 잘못된 자세에 대한 경보, 자신의 자세에 대한 분석을 할 수 있는 기능을 제안한다.

A Case Report on the Juvenile Scoliosis and Obesity Treated by Chuna Therapy (추나요법을 시행한 소아의 측만증과 비만도를 개선시킨 1례)

  • Cho, Woong-Hee;Park, Won-Hyung;Cha, Yun-Yeop;Ji, Hyun-Chul
    • Journal of Korean Medicine for Obesity Research
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    • v.9 no.2
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    • pp.75-82
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    • 2009
  • Objective This study is designed to evaluate the effectiveness of Chuna Therapy for the patient with juvenile scoliosis. Methods The first X-ray examination was performed at the first visit suffering from disproportion, and the second performed after therapy. The first image was compared with second one. And We checked body composition using Inbody3.0 before and after Chuna Therapy. Result & Conclusions The second x-ray shows clearly improvement of scoliosis compared with previous x-ray. And, we obtained that the result of body compositional change.

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Posture guidance system using 3-axis accelerometer for scoliosis patient (3축 가속도 센서를 활용한 척추 측만증 환자용 자세 교정 유도 장치)

  • An, Y.S.;Kim, K.S.;Song, C.G.
    • Proceedings of the IEEK Conference
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    • 2009.05a
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    • pp.396-398
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    • 2009
  • Scoliosis is a three-dimensional deformity caused by lateral curvature of the spine. The existing braces used to correct the posture were some drawbacks such as inconvenience, tightness as well as unfitness to wear. In this study, we devised a posture guidance system in order to monitor a posture continuously and lead to pose correctly and a new method fur measuring a Cobb's angle value in third dimension based on two 3-axis accelerometers. As a result, the correlation coefficients between desired and measured angles were and standard error between desired and measured angles were 0.99, 1.32(x-axis), 0.99 and 1.10(y-axis), respectively. The devised system showed good potential for the optimal posture guide and an early detection of scoliosis.

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A Recent Study of Conservative Treatment of Idiopathic Scoliosis (특발성 척추 측만증(Idiopathic Scoliosis)의 보존적 치료에 대한 최근 임상 연구)

  • Lee, Kwang-Ho;Song, Yun-Kyung;Jun, Chan-Yong;Jung, Seung-Min
    • The Journal of Korea CHUNA Manual Medicine
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    • v.6 no.1
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    • pp.67-84
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    • 2005
  • Idiopathic scoliosis is a complex three-dimensional deformity of the spine. There is two ways in treatment of scoliosis, normally. In order to prevent a progressive course of the disorder, conservative treatment is started in selected patients. And sometimes, operation is performed to severe patients. But, application standard is vague. So We reviewed the latest medical theses. English language articles in Medline database between 2003 and 2005. 8. 31. were reviewed. The searching words was Idiopathic scoliosis, conservative treatment, brace. exercise. We classified 27 articles. The results of this research demonstrate that conservative treatment is more effective than observation until operation.

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Nonstructural Scoliosis Treated with Foot Orthosis: Three Clinical Cases Report -2 Cases Treated with Only Foot Orthosis, 1 Case Treated with Foot Orthosis and Korean Medicine Therapy (족부 보조기를 통해 비구조적 척추 측만증을 치료한 3례 -2례는 족부 보조기만으로, 1례는 족부 보조기와 한의학적 치료법을 병행함)

  • Yang, Mi-Sung;Park, Soo-Yeon
    • Korean Journal of Acupuncture
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    • v.34 no.2
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    • pp.100-108
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    • 2017
  • Objectives : The objective of this study is to report the effect of foot orthosis on by observing 3 clinical case studies. Methods and Results : We investigated for the changes in Cobb's angle and pelvic height by using the standing full X-ray. After application of foot orthosis, Cobb's angle and pelvic height was reduced in cases. We treated 2 cases with only Foot Orthosis, 1 case with Foot Orthosis and Korean Medicine therapy. Conclusions : This study showed that foot orthosis can be effective way on nonstructural scoliosis and statistics study should be followed.