• Title/Summary/Keyword: C1 screw

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Endovascular Treatment of Symptomatic High-Flow Vertebral Arteriovenous Fistula as a Complication after C1 Screw Insertion

  • Jang, Hyun Jun;Oh, Se-Yang;Shim, Yu Shik;Yoon, Seung Hwan
    • Journal of Korean Neurosurgical Society
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    • v.56 no.4
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    • pp.348-352
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    • 2014
  • High-flow vertebral arteriovenous fistulas (VAVF) are rare complications of cervical spine surgery and characterized by iatrogenic direct-communication of the extracranial vertebral artery (VA) to the surrounding venous plexuses. The authors describe two patients with VAVF presenting with ischemic presentation after C1 pedicle screw insertion for a treatment of C2 fracture and nontraumatic atlatoaxial subluxation. The first patient presented with drowsy consciousness with blurred vision. The diffusion MRI showed an acute infarction on bilateral cerebellum and occipital lobes. The second patient presented with pulsatile tinnitus, dysarthria and a subjective weakness and numbness of extremities. In both cases, digital subtraction angiography demonstrated high-flow direct VAVFs adjacent to C1 screws. The VAVF of the second case occurred near the left posterior inferior cerebellar artery originated from the persistent first intersegmental artery of the left VA. Both cases were successfully treated by complete occlusion of the fistulous portion and the involved segment of the left VA using endovascular coil embolization. The authors reviewed the VAVFs after the upper-cervical spine surgery including C1 screw insertion and the feasibility with the attention notes of its endovascular treatment.

SURFACE CHANGE AND FIT OF TIN-COATED ABUTMENT SCREW AFTER REPEATED CLOSING AND OPENING (TiN 코팅된 지대주 나사의 반복 착탈 후 표면 변화와 적합도에 관한 연구)

  • Kim, Jong-Nam;Chung, Chae-Heon;Kim, Hee-Jung
    • The Journal of Korean Academy of Prosthodontics
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    • v.45 no.1
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    • pp.119-130
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    • 2007
  • Statement of problem: A few dry lubricants were applied to abutment screws for the improvement of joint stability. Purpose: The purpose of this study was to evaluate the surface change and fit of TiN-Coated abutment screw through the examination of tested screws in the field emission scanning electron microscope(FE-SEM;Netherland, Phillips co., model:XL 30 SFEG) after repeated closing and opening. Materials and method: Titanium(3i/implant Innovations Inc, USA) and Gold-Tite abutment screws(3i/implant Innovations Inc, USA) were selected for Group A and C respectively. TiN coated titanium abutment screws were also divided into two groups, Group B and D. Abutment screws of each group and the fit of abutment screw/implant fixture/abutment were observed on FE-SEM after repeated closing and opening test respectively. Results: 1. The abutment screws of TiN coated groups(Group B and D) showed more remarkable wear resistance in the threads of the screw than those of the other group(Group A and C). 2. There were more severe wear and defect of TiN coating in Group D tightened to 32 Ncm than Group B to 20 Ncm. 3. There was no difference in the fit of abutment screw/fixture/abutment among four groups, Group A, Group B, Group C and Group D. Conclusion: Under the conditions of this study, it is suggested that TiN coating of abutment screw be clinically acceptable and be expected to reduce the risk of abutment screw loosening. TiN coating of abutment screw showed good resistance against wear and the adequate fit of abutment screw/implant fixture/abutment.

Part-load Performance of a Screw Chiller with Economizer using R22 and R407C

  • Chang, Young-Soo;Kim, Young-Il;Lee, Yong-Chul
    • International Journal of Air-Conditioning and Refrigeration
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    • v.13 no.1
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    • pp.1-10
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    • 2005
  • Screw compressor chillers are widely used in refrigeration for capacity over 30 RT. In general, chillers operate under part-load conditions during most of the time. Therefore, information on the characteristics of part-load is very important for better chiller performance and energy economy. In this study, performance tests of screw chiller with economizer using R22 and R407C under part-load conditions have been performed for various secondary fluid temperatures. Adoption of an economizer system increased the cooling capacity and improved COP except for lower part-load condition when economizer volume ratio is 1.01. For the same cooling capacity condition at part-load, COP's of both non-economizer and economizer system showed similar values.

Experimental Study on the Direct Contact Thermal Screw Drying of Sawdust for Wood-Pellet Fuel

  • Lee, Hyoung-Woo
    • Journal of the Korean Wood Science and Technology
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    • v.35 no.2
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    • pp.23-28
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    • 2007
  • Wood fuel must be dried before combustion to minimize the energy loss. Sawdust of Japanese red pine was dried in a direct contact thermal screw dryer to investigate the drying characteristics of sawdust as a raw material for bio-fuel. Average drying rate and energy efficiency was 1.4%/min and 69.23% at $100^{\circ}C$, respectively, and those at $120^{\circ}C$ was 2.1%/min and 71.03%, respectively.

Single Screw Transphyseal Bridging for Correction of Unilateral Carpal Valgus in a 5-Week Old Thoroughbred Foal

  • Ryu, Seung-Ho;Park, Chull-Gyu;Kim, Ho-Seong;Kim, Yeong-Hun;Kim, Byung-Sun;Jeong, Soon-Wuk
    • Journal of Veterinary Clinics
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    • v.39 no.1
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    • pp.28-31
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    • 2022
  • A 5-week old Thoroughbred foal was presented with severe left carpal valgus. Radiographs of the dorsopalmar projections confirmed the deviation was 14 degrees. Surgery using a single-position screw traversing the physis of the distal radius was performed. The limb was almost straight (2 degrees) 3 weeks after surgery. Visual/radiograph follow-up 7 months after screw removal revealed no over-correction after removal of the screw. Transphyseal bridging using a single-position screw without lateral periosteal transection of distal radius was successful for the correction of foals with this condition.

Stress Corrosion Cracking Lifetime Prediction of Spring Screw (스프링 체결나사의 응력부식균열 수명예측)

  • Koh, S.K.;Ryu, C.H.
    • Proceedings of the KSME Conference
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    • 2004.11a
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    • pp.7-12
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    • 2004
  • A lifetime prediction of holddown spring screw in nuclear fuel assembly was performed using fracture mechanics approach. The spring screw was designed such that it was capable of sustaining the loads imposed by the initial tensile preload and operational loads. In order to investigate the cause of failure and to predict the stress corrosion cracking life of the screw, a stress analysis of the top nozzle spring assembly was done using finite element analysis. The elastic-plastic finite element analysis showed that the local stresses at the critical regions of head-shank fillet and thread root significantly exceeded than the yield strength of the screw material, resulting in local plastic deformation. Normalized stress intensity factors for PWSCC life prediction was proposed. Primary water stress corrosion cracking life of the Inconel 600 screw was predicted by using integration of the Scott model and resulted in 1.78 years, which was fairly close to the actual service life of the holddown spring screw.

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Treatment of Atlantoaxial Fractures (제1,2경추골절의 치료)

  • Jin, Sung-Chul;Kim, Sang-Jin
    • Journal of Trauma and Injury
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    • v.19 no.2
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    • pp.164-172
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    • 2006
  • Background: The authors conducted a retrospective study to evaluate the mechanism of injury, the surgical techniques, the clinical features, the combined injuries, the treatment results, and the surgical complications in patients with atlantoaxial fracture/subluxations. Methods: The authors reviewed 71 cervical fracture/dislocations during a four-year period from September 2002 to August 2006. Among them, there were twenty one C1,2 fracture/subluxations. There were thirteen men (mean age : 43.5 years) and eight women (mean age : 50 years). Their follow-up period was at least 6 months, and the mean follow-up period was 9.6 months. Gardner-Wells tongs traction was used in all patients immediately on presentation. Surgical treatment was performed, depending on the pathologic conditions. Results: Of all 21 cases, 14 cases were injured in motor vehicle accidents, 5 were falls, and 2 were miscellaneous. There were four C1 fracture (5.6%), fourteen C2 fracture (66.7%), one C1 and 2 combined fracture (4.8%), and one C1-2 subluxation (4.8%). The C1 fractures in our series were classified as two Jefferson's fractures and two C1 lateral mass fracture. The C2 fractures were classified as one odontoid type I fracture, two odontoid type II fractures, five odontoid type III fractures, one hangman's fracture, and four C2 body tear-drop fractures. Atlantoaxial fractures were associated with six (28.6%) head injuries, four (19.0%) other spinal injuries, two (9.5%) chest injuries, and three (14.3%) spinal cord injuries. Surgical treatment was performed in nine cases, which included anterior odontoid screw fixation in two cases, transarticular screw fixation with iliac bone graft in one case, posterior fixation by using C2 pedicle screw and C3 lateral mass screw in three cases, lateral mass screw fixation C1-2 with iliac bone graft in one case, O(occipito)-C1-3-4 screw fixation in one case, posterior C2-3 wiring with allograft in one case, and halo vest in six cases. Conservative management was used in the rest of the patients in our trials. Bone fusion was complete in all cases. There were no operation-related complication, except one pin site infection in the case of halo vest. Conclusion: In this study, the choice of appropriate treatment according to the fracture types resulted in safe and effective management of unique atlantoaxial fracture/subluxations.

Post-traumatic Atlantoaxial Rotatory Dislocation in an Adult Treated by Open Reduction and C1-C2 Transpedicular Screw Fixation

  • Kim, Yeon-Seong;Lee, Jung-Kil;Kim, Jae-Hyoo;Kim, Soo-Han
    • Journal of Korean Neurosurgical Society
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    • v.41 no.4
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    • pp.248-251
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    • 2007
  • Atlantoaxial rotatory dislocation [AARD] is an uncommon disorder of childhood in which clinical diagnosis is generally difficult and often made late. It is very rare in adults because of the unique biomechanical features of the atlantoaxial articulation. We report a case of post-traumatic AARD in an adult. Reduction was difficult to obtain by skull traction and gentle manipulation. Therefore, the patient was treated surgically by an open reduction, transpedicular screw fixation, and posterior C1-2 wiring with graft. The normal atlantoaxial relation was restored with disappearance of torticollis. Postoperatively, the patient remains neurologically intact and has radiographic documentation of fusion. Atlantoaxial transpedicular screw fixation can be one of the treatment options for the AARD.

Extrusion-cooking Using Twin-screw Extruder on Cordyceps Pruinosa (이축 압출 성형기를 이용한 붉은자루 동충하초의 압출 성형)

  • Kim D. E.;Sung J. M.;Kang W. S.
    • Journal of Biosystems Engineering
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    • v.30 no.1 s.108
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    • pp.8-16
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    • 2005
  • The extrusion-cooking condition on Cordyceps pruinosa was designed using twin-screw extruder. Response surface methodology (RSM) was used to investigate extrusion-cooking using a central composition design with varying die temperature $(114-146^{\circ}C)$, feed moisture $(22-38\%)$, feed rate (4-14 ka/h) and screw speed (120-280 rpm). System parameters (die pressure and specific mechanical energy (SME)) and extrudate parameters (density and water solubility index (WSI)) were statically analyzed using RSH. Die pressure was significantly affected by temperature, moisture contents and feed rate. SM was affected by screw speed and feed rate. When die temperature is $130^{\circ}C$ and moisture content $25\%$, the optimum pressure is shown. SME is about 20 Wh/kg, when feed rate is $10\~12kg/min$ and screw speed $200\~250rpm$. WSI was affected by temperature and moisture contents. Density was not affected by any factor. WSI increases by $7\%$ from about $23\%$ to about $30\%$, as temperature is raised from $120^{\circ}C\;to\;140^{\circ}C$. The WSI of Cordyceps pruinosa pulverized after extruding (PE) is about $26.97\%$ higher than that of raw material and $10\%$ higher than that of pulverized after drying (PD). The content of unsaturated fatty acid were not significantly different in PD and PE. Anti-oxidative activity of PE was 1.67-2.2 times higher than that of PD in Cordyceps pruinosa using 1- dipheny1-2-picrylhydrazyl method (DPPH).

Arteriovenous Fistula after C1-2 Posterior Transarticular Screw Fixation - Case Report - (환축추체 후방 나사고정술 후 생긴 동정맥루)

  • Lee, Hyuk Gi;Cho, Jae Hoon;Lee, Sung Lak;Kang, Dong Gee;Kim, Sang Chul;Kim, Yong Sun
    • Journal of Korean Neurosurgical Society
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    • v.29 no.2
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    • pp.280-285
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    • 2000
  • Posterior transarticular screw fixation for atlantoaxial instability due to trauma or rheumatoid arthritis provides immediate rigid fixation of the C1-2 vertebral segment while preserving motion between the occiput and C1. This technique provides more resistance to translational and rotational forces than wiring technique. However, the technique of transarticular screw fixation is inherently demanding because of the complex anatomy of the occipitocervical region and vertebral artery(VA) at risk for arterial damage. VA injury may lead to serious subsequent neurological deficits and possibly death from bilateral VA injury. We report a case of a vertebral artery-to-epidural venous plexus fistula after posterior transarticular screw fixation which was treated with balloon occlusion.

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