• Title/Summary/Keyword: C1 screw

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Parametric study on the development of pedicular screw suitable for Korean (국산 척추경 나사못 설계를 위한 parametric study)

  • Song, J.I.;Bae, S.I.;Choi, Y.C.;Ahn, M.W.
    • Proceedings of the KOSOMBE Conference
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    • v.1998 no.11
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    • pp.167-168
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    • 1998
  • The purpose of this study is to verify the biomechanical characteristics of the custom-made(our) pedicle screws which are designed the different types of shape, pitch, and profile. The results of experiments for our pedicle screw were summarized. 1) The screw of larger outer diameter showed greater holding strength. 2) The holding strength of cylindrical shaped screw was superior to that of conical shaped screw. 3) The holding strength of buttress shape of thread profile showed superior to that of V-shape. 4) The pull out and holding strength of our pedicle screws was superior to that of commercialized screw (Diapason and CD) which is widely used.

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Comparative Analysis of Surgical Outcomes of C1-2 Fusion Spine Surgery between Intraoperative Computed Tomography Image Based Navigation-Guided Operation and Fluoroscopy-Guided Operation

  • Lee, Jun Seok;Son, Dong Wuk;Lee, Su Hun;Ki, Sung Soon;Lee, Sang Weon;Song, Geun Sung
    • Journal of Korean Neurosurgical Society
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    • v.63 no.2
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    • pp.237-247
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    • 2020
  • Objective : Fixation of the C1-2 segment is challenging because of the complex anatomy in the region and the need for a high degree of accuracy to avoid complications. Preoperative 3D-computed tomography (CT) scans can help reduce the risk of complications in the vertebral artery, spinal cord, and nerve roots. However, the patient may be susceptible to injury if the patient's anatomy does not match the preoperative CT scans. The intraoperative 3D image-based navigation systems have reduced complications in instrument-assisted techniques due to greater accuracy. This study aimed to compare the radiologic outcomes of C1-2 fusion surgery between intraoperative CT image-guided operation and fluoroscopy-guided operation. Methods : We retrospectively reviewed the radiologic images of 34 patients who underwent C1-2 fusion spine surgery from January 2009 to November 2018 at our hospital. We assessed 17 cases each of degenerative cervical disease and trauma in a study population of 18 males and 16 females. The mean age was 54.8 years. A total of 139 screws were used and the surgical procedures included 68 screws in the C1 lateral mass, 58 screws in C2 pedicle, nine screws in C2 lamina and C2 pars screws, four lateral mass screws in sub-axial level. Of the 34 patients, 19 patients underwent screw insertion using intraoperative mobile CT. Other patients underwent atlantoaxial fusion with a standard fluoroscopy-guided device. Results : A total of 139 screws were correctly positioned. We analyzed the positions of 135 screws except for the four screws that performed the lateral mass screws in C3 vertebra. Minor screw penetration was observed in seven cases (5.2%), and major pedicle screw penetration was observed in three cases (2.2%). In one case, the malposition of a C2 pedicle screw was confirmed, which was subsequently corrected. There were no complications regarding vertebral artery injury or onset of new neurologic deficits. The screw malposition rate was lower (5.3%) in patients who underwent intraoperative CT-based navigation than that for fluoroscopy-guided cases (10.2%). And we confirmed that the operation time can be significantly reduced by surgery using intraoperative O-arm device. Conclusion : Spinal navigation using intraoperative cone-beam CT scans is reliable for posterior fixation in unstable C1-2 pathologies and can be reduced the operative time.

Effects of Screw Diameter and Thread Shape on the Strength of Transpedicular Screw Fixation in Posterior Spinal Fusion (후방 척추고정술에서 척추경 나사못의 크기와 형태가 척추 고정력에 미치는 영향에 대한 연구)

  • Mun, Mu-S.;Ryu, Jei-C.;Yoo, Myung-C.;Kim, Ki-T.
    • Proceedings of the KOSOMBE Conference
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    • v.1995 no.05
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    • pp.23-26
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    • 1995
  • The objectives of the present study are 1)to find the effect of the diameter of transpedicular screws on their fixational strength in pedicles under static pull-out loading, 2)to determine the biomechanical correlation between the pedicle diameter and the screw diameter, and 3)to find the effects of other factors in the screw design, such as materials, screw pitch, thread height and shape on their fixational strength. Biomechanical tests (Test I) were performed to evaluate the effect of the screw diameter on pull-out strength by using 60 porcine pedicls and six groups of custom-made pedicle screws with different diameters (the major and the minor diameter of the screws used in the testing varied from 4mm upto 9mm and from 3mm upto 8mm, respectively) while all other factors (materials, screw pitch, thread height and shape etc.) were fixed. In Test II, by using 61 porcine pedicles, the relationship between the ratio of the pedicle diameter and the screw diameter(=aspect ratio) of the custum-made screw and the pull-out strength of the screw was investigated. Test III was performed with 94 porcine pedicles and 8 different types of the commercial screws from 6 major productors in order to determine the effect of the screw diameter, pitch and the thread shape on the pull-out strength of the screw, respectively. The results of Test I showed that the axial pull-out resistance of the screw could be increased prportionaly to the screw diameter(P<0.05). But this increase in the pull-out resistance did not found when the screws of 4mm or 9mm in the diameter were employed. It was found from the results of Test II that the screws had its maximum pull-out resistant force when the aspect ratio ranging 40 - 69% (P<0.05). based on the results for the major diameter against the minor diameter of screw, the maximal pull-out resistance was found at 60-65% (P<0.05). According to these biomechanical testing results, it seems that the screw with a moderately large pitch is more desirable and the buttress-shaped screw can provide stronger fixation than the V-shape one can, if other designal factor and conditions were fixed.

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Unilateral Posterior Atlantoaxial Transarticular Screw Fixation in Patients with Atlantoaxial Instability : Comparison with Bilateral Method

  • Hue, Yun-Hee;Chun, Hyoung-Joon;Yi, Hyeong-Joong;Oh, Seong-Hoon;Oh, Suck-Jun;Ko, Yong
    • Journal of Korean Neurosurgical Society
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    • v.45 no.3
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    • pp.164-168
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    • 2009
  • Objective : Bilateral C1-2 transarticular screw fixation (TAF) with interspinous wiring has been the best treatment for atlantoaxial instability (AAI). However, several factors may disturb satisfactory placement of bilateral screws. This study evaluates the usefulness of unilateral TAF when bilateral TAF is not available. Methods : Between January 2003 and December 2007, TAF was performed in 54 patients with AAI. Preoperative studies including cervical x-ray, three dimensional computed tomogram, CT angiogram, and magnetic resonance image were checked. The atlanto-dental interval (ADI) was measured in preoperative period, immediate postoperatively, and postoperative 1, 3 and 6 months. Results : Unilateral TAF was performed in 27 patients (50%). The causes of unilateral TAF were anomalous course of vertebral artery in 20 patients (74%), severe degenerative arthritis in 3 (11%), fracture of C1 in 2, hemangioblastoma in one, and screw malposition in one. The mean ADI in unilateral group was measured as 2.63 mm in immediate postoperatively, 2.61 mm in 1 month, 2.64 mm in 3 months and 2.61 mm in 6 months postoperatively. The mean ADI of bilateral group was also measured as following; 2.76 mm in immediate postoperative, 2.71 mm in 1 month, 2.73 mm in 3 months, 2.73 mm in 6 months postoperatively. Comparison of ADI measurement showed no significant difference in both groups, and moreover fusion rate was 100% in bilateral and 96.3% in unilateral group (p=0.317). Conclusion : Even though bilateral TAF is best option for AAI in biomechanical perspectives, unilateral screw fixation also can be a useful alternative in otherwise dangerous or infeasible cases through bilateral screw placement.

Part-Load Performance Test of a Screw Chiller with Economizer using R22 and R407C (이코노마이저를 채용한 스크류 냉동기에서 R22와 R407C의 부분부하 성능실험)

  • 장영수;이용철;김영일
    • Korean Journal of Air-Conditioning and Refrigeration Engineering
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    • v.15 no.11
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    • pp.902-909
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    • 2003
  • Screw compressor type chillers are widely used in refrigeration for capacity over 30 RT. In general, chillers operate under part-load conditions. Therefore, information on characteristics at part-load is very important in view of chiller performance and energy economy. In this study, performance tests of part-load and economizer system using R22 and R407C 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 injection volume ratio is 1.01. For the same cooling capacity condition at part-load, COP of both non-economizer and economizer system showed similar values.

Clinical Experiences and Usefulness of Cervical Posterior Stabilization with Polyaxial Screw-Rod System

  • Hwang, In-Chang;Kang, Dong-Ho;Han, Jong-Woo;Park, In-Sung;Lee, Chul-Hee;Park, Sun-Young
    • Journal of Korean Neurosurgical Society
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    • v.42 no.4
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    • pp.311-316
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    • 2007
  • Objective : The objective of this study is to investigate the safety, surgical efficacy, and advantages of a polyaxial screw-rod system for posterior occipitocervicothoracic arthrodesis. Methods : Charts and radiographs of 32 patients who underwent posterior cervical fixation between October 2004 and February 2006 were retrospectively reviewed. Posterior cervical polyaxial screw-rod fixation was applied on the cervical spine and/or upper thoracic spine. The surgical indication was fracture or dislocation in 18, C1-2 ligamentous injury with trauma in 5, atlantoaxial instability by rheumatoid arthritis (RA) or diffuse idiopathic skeletal hyperostosis (DISH) in 4, cervical spondylosis with myelopathy in 4, and spinal metastatic tumor in 1. The patients were followed up and evaluated based on their clinical status and radiographs at 1, 3, 6 months and 1 year after surgery. Results : A total of 189 screws were implanted in 32 patients. Fixation was carried out over an average of 3.3 spinal segment (range, 2 to 7). The mean follow-up interval was 20.2 months. This system allowed for screw placement in the occiput, C1 lateral mass, C2 pars, C3-7 lateral masses, as well as the lower cervical and upper thoracic pedicles. Satisfactory bony fusion and reduction were achieved and confirmed in postoperative flexion-extension lateral radiographs and computed tomography (CT) scans in all cases. Revision surgery was required in two cases due to deep wound infection. One case needed a skin graft due to necrotic change. There was one case of kyphotic change due to adjacent segmental degeneration. There were no other complications, such as cord or vertebral artery injury, cerebrospinal fluid leak, screw malposition or back-out, or implant failure, and there were no cases of postoperative radiculopathy due to foraminal stenosis. Conclusion : Posterior cervical stabilization with a polyaxial screw-rod system is a safe and reliable technique that appears to offer several advantages over existing methods. Further biomechanical testings and clinical experiences are needed in order to determine the true benefits of this procedure.

A Model Study on Development of Animal Wastes Treatment System for a Full-time Farm Household Raising Livestock (전업양축농가의 축분뇨처리시스템 개발을 위한 모형실험)

  • 최홍림;김현태;정영륜
    • Journal of Bio-Environment Control
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    • v.2 no.1
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    • pp.16-26
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    • 1993
  • A sundry system is one of popular systems for composting livestock manure, of which main honest is to utilize unlimited, clean, and free solar radiation. A sundry system with a composter of two horizontal screw-type concrete ducts at different height, was constructed and operated for three days for each test in May, 1993, to evaluate its composting performance. Four treatments of the mixture ratio of swine manure and saw dust (manure : sawdust= 1 : 1.25, 1 : 1, 1 : 0.7, 1 : 0.5) were implemented to evaluate the effect of the mixture ratio on degradation of the composting materials of a sundry system with a screw-type composter. Maximum temperature of the composting materials was over 5$0^{\circ}C$ at D1 or D2 (one or two days after operation starts) for each test. Mean C/N ratio and water contents of the materials were reduced by more than 15 and 20%, respectively. Microbial density of each test showed a typical variation with the lapse of the composting time. Mesophilic microorganism seemed to play more important role on degradation of the materials than thermophilic. A sundry system with a screw-type composter can be considered as a feasible system on basis of maturity data. The conclusion was completely reverse from that of Choi et at., although both adopted a sundry system. A further study is recommended to pursue the cause of better performance of the screw-type composter, whether it was due to affirmative weather or more efficient composter.

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The effect of a titanium socket with a zirconia abutment on screw loosening after thermocycling in an internally connected implant: a preliminary study (내부연결 임플란트용 타이타늄 소켓을 이용한 지르코니아 지대주에서 열순환이 나사풀림에 미치는 영향: 예비연구)

  • Kyung, Kyu-Young;Cha, Hyun-Suk;Lee, Joo-Hee
    • Journal of Dental Rehabilitation and Applied Science
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    • v.33 no.2
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    • pp.114-118
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    • 2017
  • Purpose: The aim of this study was to investigate the effects of a titanium component for the zirconia abutment in the internal connection implant system on screw loosening under thermocycling conditions. Materials and Methods: Internal connection titanium abutments and external connection zirconia abutments with titanium sockets were connected respectively to screw-shaped internal connection type titanium implants with 30 Ncm tightening. These implant-screw-abutment assemblies were divided into two groups of five specimens each; titanium abutments as control and zirconia abutments with titanium sockets as experimental group. The specimens were subjected to 2,000 thermocycles in water baths at $5^{\circ}C$ and $55^{\circ}C$, with 60 seconds of immersion at each temperature. The removal torque values (RTVs) of the abutment screws of the specimen were measured before and after thermocycling. RTVs pre- and post-thermocycling were investigated in statistics. Results: There was not screw loosening identified by tactile and visual inspection in any of the specimens during or after thermocycling. The mean RTV difference for the control group and the experimental group were $-1.34{\pm}2.53Ncm$ and $-1.26{\pm}2.06Ncm$, respectively. Statistical analysis using an independent t-test revealed that no significant differences were found in the mean RTV difference of the groups (P > 0.05). Conclusion: Within the limitations of this in vitro study, the titanium socket for the zirconia abutment did not show a significant effect on screw loosening under thermal stress compared to the titanium abutment in the internal connection implant.

Optimization for Extrusion Cooking Conditions of Rice Extrudate by Response Surface Methodology (반응 표면 분석방법을 이용한 쌀 압출 성형물 제조조건의 최적화)

  • 이상현;김창근
    • The Korean Journal of Food And Nutrition
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    • v.7 no.2
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    • pp.137-143
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    • 1994
  • To optimize extrusion cooking condition of single screw extuder for production of puffed rice extrudate using response surface methodology (RSM), moisture content, barrel temperature and screw speed were determined from contour maps, showing relationship between dependent (hardness, expansion ratio, water absorption index, water solubility Index, degree of gelatinization) and independent variables. Optimum operational conditions for production of puffed rice extrudate with suitable quality properties were moisture content 17%, barrel temperature 1$25^{\circ}C$ and screw speed 210 rpm, respectively.

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Effects of Processing Parameters of Twin Screw Extruder and Dry Methods on the Resistant Starch Formation from Normal Maize Starch (압출성형공정과 건조조건이 옥수수전분의 저항전분 수율에 미치는 영향)

  • Shin, Mal-Shick;Mun, Sae-Hun;Bae, Chun-Ho
    • Korean Journal of Human Ecology
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    • v.5 no.1
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    • pp.62-70
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    • 2002
  • The objective of this study was to evaluate the effects of processing parameters of co-rotating twin screw extruder and dry methods on the level of resistant starch (RS) and the properties of extrudate prepared from normal maize starch. The processing parameters were used 90, 110, 130$^{\circ}C$ in temperature, 25.0~30.0% in moisture content, 150, 200, 250 rpm in screw speed and hot and cool air drying and drying after refrigerating in drying methods. The barrel temperature and drying methods had affected the level of resistant starch of extrudate. RS levels of extrudates were ranged from 2.4 to 15.5% by AOAC method. The extrudates, extruded at 110$^{\circ}C$ and then stored at 4$^{\circ}C$, showed the highest level of RS level (15.5%). Water absorption index increased with increasing moisture content and peak temperatures and viscosities of extudates decreased compare to that of raw starch from 94$^{\circ}C$ to 50~65$^{\circ}C$ and from 220 to 46~98 RVU, respectively. Extudates treated in 90$^{\circ}C$ and 110$^{\circ}C$ showed strong peak at $2{\theta}=6.7{\sim}17.0^{\circ}$ by X-ray diffractometry and had ~150$^{\circ}C$ endotherm like as that of RS3 starch by differential scanning calorimetry. In case of 130$^{\circ}C$, extrudates showed strong peak at $2{\theta}=20.0^{\circ}$ and had 106$^{\circ}C$ endotherm.

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