• Journal of Korean Neurosurgical Society
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• 제62권5호
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• pp.603-609
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• 2019

Objective : The purpose of this retrospective study was to determine which of the proximal adjacent segment disease (ASD) and distal ASD was more prevalent and what parameters is more related to ASD in proximal levels and distal levels after more than 2 levels fusions. Methods : The medical records were reviewed retrospectively for 856 cases. A total of 66 cases of ASD were enrolled. On preop magnetic resonance imaging, disc degeneration was measured at the upper and lower parts of surgically treated levels and confirmed by the commonly used Pfirrmann grade. Segmental flexibility in sagittal plane was embodied in segment range of motion (ROM) obtained through flexion and extension X-ray before surgery. Coronal angle was recorded as methods Cobb's angle including fusion levels preoperatively. For the comparison of categorical variables between two independent groups, the chi-square test and Fisher exact test were performed. Results : Proximal ASD and distal ASD were 37/856 (4.32%) and 29/856 (3.39%), respectively. The incidence of proximal ASD was relatively high but insignificant differences. In comparison between ASD group and non ASD group, proximal Pfirmman was higher in proximal ASD and distal Pfirmman was higher in distal ASD group (p=0.005, p<0.008, respectively). However, in the ROM, proximal ROM was higher in proximal ASD, but distal ROM was not different between the two groups (p<0.0001, p=0.995, respectively). Coronal angle was not quite different in both groups (p=0.846). Conclusion : In spite of higher frequency in ASD in proximal level in spinal fusion, it is not clear that incidence of ASD in proximal level is not higher than that of distal ASD group in more than 2 level thoracolumbar fusions. Not only Pfirrmann grade but also proximal segmental ROM is risk factor for predicting the occurrence of ASD in patients more than 2 level of thoracolumbar spine fusion operation excluding L5S1.

• Journal of Korean Neurosurgical Society
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• 제46권5호
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• pp.437-442
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• 2009

Objective : To characterize perioperative biomechanical changes after thoracic spine surgery. Methods : Fifty-eight patients underwent spinal instrumented fusions and simple laminectomies on the thoracolumbar spine from April 2003 to October 2008. Patients were allocated to three groups; namely, the laminectomy without fusion group (group I, n = 17), the thoracolumbar fusion group (group II, n = 27), and the thoracic spine fusion group (group III, n = 14). Sagittal (ADS) and coronal (ADC) angles for adjacent segments were measured from two disc spaces above lesions at the upper margins, to two disc spaces below lesions at the lower margins. Sagittal (TLS) and coronal (TLC) angles of the thoracolumbar junction were measured from the lower margin of the 11th thoracic vertebra body to the upper margin of the 2nd lumbar vertebra body on plane radiographs. Adjacent segment disc heights and disc signal changes were determined using simple spinal examinations and by magnetic resonance imaging. Clinical outcome indices were determined using a visual analog scale. Results : The three groups demonstrated statistically significant differences in terms of angle changes by ANOVA (p<0.05). All angles in group I showed significantly smaller angles changes than in groups II and III by Turkey's multiple comparison analysis. Coronal Cobb's angles of the thoracolumbar spine (TLC) were not significantly different in the three groups. Conclusion : Postoperative sagittal balance is expected to change in the adjacent and thoracolumbar areas after thoracic spine fusion. However, its prevalence seems to be higher when the thoracolumbar spine is included in instrumented fusion.

• Journal of Korean Neurosurgical Society
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• 제45권2호
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• pp.81-84
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• 2009

Objective : Many biomechanical and clinical studies on adjacent segment degeneration (ASD) have addressed cranial segment. No study has been conducted on caudal segment degeneration after upper segment multiple lumbar fusions. This is a retrospective investigation of the L5-S1 segment after spinal fusion at and above L4-5, which was undertaken to analyze the rate of caudal ASD at L5-S1 after spinal fusion on and above L4-5 and to determine that factors that might have influenced it. Methods : The authors included 67 patients with L4-5, L3-5, or L2-5 posterior fusions. Among these patients, 28 underwent L4-5 fusion, 23 L3-5, and 16 L2-5 fusions. Pre- and postoperative radiographs were analyzed to assess degenerative changes at L5-S1. Also, clinical results after fusion surgery were analyzed. Results : Among the 67 patients, 3 had pseudoarthrosis, and 35 had no evidence of ASD, cranially and caudally. Thirteen patients (19.4%) showed caudal ASD, 23 (34.3%) cranial ASD, and 4 (6.0%) both cranial and caudal ASD. Correlation analysis for caudal ASD at L5-S1 showed that pre-existing L5-S1 degeneration was most strongly correlated. In addition, numbers of fusion segments and age were also found to be correlated. Clinical outcome was not correlated with caudal ASD at L5-S1. Conclusion : If caudal and cranial ASD are considered, the overall occurrence rate of ASD increases to 50%. The incidence rate of caudal ASD at L5-S1 was significantly lower than that of cranial ASD. Furthermore, the occurrence of caudal ASD was found to be significantly correlated with pre-existing disc degeneration.

• The Korean Journal of Pain
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• 제32권4호
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• pp.264-270
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• 2019

Background: To develop a rabbit epidural steroid injection (ESI) model for analyzing steroid retention in the tissue, and to assess the difference in steroid retention in the model according to the location and time elapsed after ESI. Methods: Fluoroscopy-guided ESI was performed using the interlaminar approach between the lowest two lumbar segments in 13 female New Zealand white rabbits. Four rabbits were allocated to each of three different groups according to the time of sacrifice: 3, 7, and 15 days post-ESI; the remaining rabbit was sacrificed immediately post-ESI to obtain baseline data. After sacrifice, two segments were harvested: the lowest two lumbar vertebrae and another two lumbar vertebrae immediately above these. The residual steroid amount (RSA) and residual steroid concentration (RSC) in the collected spinal columns were analyzed. A linear mixed model was used to compare RSAs and RSCs between the injected and adjacent segments, and among the number of days until sacrifice; P < 0.05 was considered statistically significant. Results: Both RSA and RSC of the injected segment were significantly higher than those of the adjacent segment (P < 0.001, both). The RSA and RSC significantly decreased over time (P = 0.009 and P = 0.016, respectively). Conclusions: The developed rabbit ESI model verified that significantly more steroid was retained at the injected segment than at the adjacent segment and the residual steroid decreased over time. This model could be useful not only for comparing current steroid medications, but also for developing new, better steroid formulations.

• Smart Structures and Systems
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• 제21권5호
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• pp.623-635
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• 2018

In order to study the mechanical behavior of shield tunnel segments during assembly stage, the in-situ tests and FDM numerical simulation were conducted based on the Foguan Shiziyang Tunnel with large cross-section. Analysis for the load state of the assembling segments in different assembly steps as well as the investigation for the changing of inner forces and longitudinal stress of segments with assembling steps were carried out in this paper. By comparing the tested results with the simulated results, the conclusions and suggestions could be drawn as follows: (1) It is the most significant for the effects on axial force and bending moment caused by the assembly of adjacent segment, followed by the insertion of key segment while the effects in the other assembly steps are relative smaller. With the increasing value of axial force, the negative bending moment turns into positive and remains increasing in most monitored sections, while the bending moment of segment B1and B6 are negative and keeping increasing; (2) The closer the monitored section to the adjacent segments or the key segment, the more significant the internal forces response, and the monitored effects of key segment insertion are more obvious than that of calculation; (3) The axial forces are all in compression during assembling and the monitored values are about 1.5~1.75 times larger than the calculated values, and the monitored values of bending moment are about 2 times the numerical calculation. The bending moment is more sensitive to the segments assembly process compared with axial force, and it will result in the large bending moment of segments during assembling when the construction parameters are not suitable or the assembly error is too large. However, the internal forces in assembly stage are less than those in normal service stage; (4) The distribution of longitudinal stress has strong influence on the changing of the internal forces. The segment side surface and intrados in the middle of two adjacent jacks are the crack-sensitive positions in the early assembly stage, and subsequently segment corners far away from the jacks become the crack-sensitive parts either.

• 음성과학
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• 제7권3호
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• pp.11-19
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• 2000

The present electropalatographic study reports the production of the allophones. i.e., [l] and [r], of Korean tap /r/ and their coarticulatory characteristics in /$C{\'{a}}r#g$/ and /$C{\'{a}}r#i$/ sequences. The finding that tap /r/ involves a complete oral closure with less lingual contact, i.e., apico-frontalveolar coupling. than lateralized /r/ which involves apico-bladealveolar coupling and tongue dorsum lowering for adequate airflow through either side and/or both of the tongue body suggests that the two allophones of the tap /r/ have different lingual gestures. Moreover. in comparison with the tap. the lateral exerts longer lingual contacts. The mean ratio between them is 3.7. In the sequences /Car#g/. the two adjacent antagonistic segments (i.e., /r/ and /g/) show mutual coarticulation effects taking on features of adjacent segment. but either of them is precisely constrained without blocking the formation of involved major lingual gestures for the other segment. In sequences /Car#i/ occurs anticipatory V-to-C coarticulation but not vocalic carryover effects. In both sequences. the allophones reveal insignificant wordinitial consonantal carryover coarticulatory effects and insignificant speaker-specific lingual contacts.

• 한국정보과학회논문지:소프트웨어및응용
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• 제32권8호
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• pp.742-751
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• 2005

본 논문은 단어 분류에 기반한 새로운 텍스트 영상 워터마킹 알고리즘을 제안한다. 간단한 특징을 이용하여 단어를 K개로 분류한다. 이웃한 몇 개의 단어들을 조합하여 세그먼트를 구성하고, 세그먼트에 속한 단어들의 부류에 의해 세그먼트 또한 분류된다. 각 세그먼트에 동일한 양의 신호가 삽입된다. 신호 삽입은 세그먼트 부류가 갖는 단어 간 공백의 통계값을 조작함으로써 이루어진다. 몇 가지 기준에 따라 기존 단어 이동 알고리즘과의 주관적인 비교가 제시된다.

• PNF and Movement
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• 제15권1호
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• pp.13-25
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• 2017

Purpose: This study investigated the coordination and contribution of body segments during functioning. Methods: The relevant literature related to body segments and function were reviewed. Results: Efficient control of function is considered with regard to a participant's ability to perform a sequence of movements in body segments, which progresses from the head to the arm, trunk, pelvis, and leg segments. Each segment performs a specific role, which environment explorer using visual information for the head, reaching and grasping for the arms, a stabilizer for the trunk, and the distribution of COM in the pelvis and leg. Conclusion: During any of the movements, the momentum generated by the proximal segments is transferred to the adjacent distal segments in an appropriate sequence. In assessing function for clinical intervention strategies, the segment coordination, segment sequence, transfer of the center of body mass, asymmetrical ratio, muscle activity, and compensatory strategies should be considered.

• International Journal of Advanced Culture Technology
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• 제6권4호
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• pp.317-322
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• 2018

We use edge detection technique for the input image to extract the entire edges of the object in the image and then select only the edges that construct the outline of the object. By examining the positional relation between these pixels composing the outline, a simplified version of the outline of the object in the input image is generated by removing unnecessary pixels while maintaining the condition of connection of the outline. For each pixel constituting the outline, its direction is calculated by examining the positional relation with the next pixel. Then, we group the consecutive pixels with same direction into one and then change them to a line segment instead of a point. Among those line segments composing the outline of the object, a line segment whose length is smaller than a predefined minimum length of acceptable line segment is removed by merging it into one of the adjacent line segments. As a result, an outline composed of line segments of over a certain length is obtained through this process.

• Journal of Korean Neurosurgical Society
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• 제58권3호
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• pp.225-230
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• 2015

Objective : The clinical outcomes according to the radiological results after cervical total disc replacement (TDR) are not well established. Here, the authors reviewed the clinical results according to the asymmetry in radiographs. Methods : This retrospective analysis included patients after TDR ($Mobi-C^{(R)}$ disc) with at least 12 months follow up, and the clinical and radiological data were obtained preoperatively and postoperatively for 12 months. Clinical outcome measures numerical rating scale (NRS) score for neck pain, visual analog scale (VAS) for arm pain, and the Oswestry disability index (ODI) value. The asymmetries of TDRs were evaluated on the anterior-posterior (AP) and the lateral radiographs, and the radiographic adjacent segment degenerations were evaluated for 12 months. Results : A total of 24 patients (one level cervical TDR; 10 male and 14 female; aged $41.50{\pm}8.35years$) were included in this study. The clinical results including NRS for neck pain, VAS for arm pain, and ODIs were similar between the normal and asymmetrized TDRs in AP and lateral radiographs. The radiographic adjacent segment degenerations were significantly increased in deviated TDRs (AP >10 mm asymmetry and lateral>10 mm asymmetry). Conclusion : Asymmetrical location of TDR is not related to the clinical outcomes, but related to the risk of radiographic adjacent disc segment degeneration.