• Title/Summary/Keyword: C2 slope

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Physiologic Cervical Alignment Change between Cervical Spine X-ray and Computed Tomography

  • Lee, Ho Jin;Kim, Il Sup;Hong, Jae Taek
    • Journal of Korean Neurosurgical Society
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    • v.64 no.5
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    • pp.784-790
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    • 2021
  • Objective : The purpose of this study was to investigate the correlations among various radiological parameters used to determine cervical alignment from cervical spine radiographs (X-CS) and cervical spine computed tomography (CT-CS), both within and between modalities. Methods : This study included 168 patients (≤60 years old) without a definite whole spine deformity who underwent CT-CS and X-CS. We measured occipital slope (O-s), C1 slope, C2 slope, C7 slope, sella turcica - C7 sagittal vertical axis (StC7-SVA), spino-cranial angle, T1 slope, and C27-SVA. We calculated the O-C2 angle, O-C7 angle, and C2-7 angle from the measured parameters and conducted correlation analyses among multiple parameters. Results : The intrinsic correlation features among multiple cervical parameters were very similar for both X-CS and CT-CS. The two SVA parameters (C27-SVA and StC7-SVA) were mainly influenced by the upper cervical slope parameters (r=|0.13-0.74|) rather than the lower slope cervical parameters (r=|0.08-0.13|). The correlation between X-CS and CT-CS for each radiological parameter was statistically significant (r=0.26-0.44) except for O-s (r=0.10) and StC7-SVA (r=0.11). Conclusion : The correlation patterns within X-CS and CT-CS were very similar in this study. The correlation between X-ray and CT was statistically significant for most radiological parameters, and the correlation score increased when the horizontal gaze was consistently maintained. The lower cervical parameters were not statistically associated with translation-related parameters (C2-7 SVA and StC7-SVA). Therefore, the upper cervical segment may be a better predictor for determining head and neck translation.

Analyzing the Significance of T1 Slope minus Cervical Lordosis in Patients with Anterior Cervical Discectomy and Fusion Surgery

  • Lee, Ho Jin;You, Soon Tae;Sung, Jae Hoon;Kim, Il Sup;Hong, Jae Taek
    • Journal of Korean Neurosurgical Society
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    • v.64 no.6
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    • pp.913-921
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    • 2021
  • Objective : Accurate measurement of T1 slope (a component of T1s minus cervical lordosis [CL]) is often constrained by anatomical limitations. In this situation, efforts should be made to find the exact meaning of T1s-CL and whether there are any alternatives to it. Methods : We enrolled 117 patients who received two-level anterior cervical discectomy and fusion (ACDF). Occipital slope, C2 slope (C2s), C7 slope (C7s), T1, O-C2 angle (O-C2A), C2-7 angle (C2-7A), O-C7 angle (O-C7A), T1s-CL, C7-T1 angle (C7-T1A), and C2-7 sagittal vertical axis were measured. We determined 16° (T1s-CL) as the reference point for dividing subjects into the mismatch group and the balance group, and a comparative analysis was performed. Results : The mean value of C7-T1A was constantly maintained within 2.6° peri-operatively. In addition, C2s and T1s-CL showed the same absolute change (Δ|0.8|°). The mean values of T1s-CL of the mismatch and balance groups were 23.0° and 7.6°, respectively. The five factors with the largest differences between the two groups were as follows : C2s (Δ13.3°), T1s-CL (Δ15.4°), O-C2A (Δ8.7°), C2-7A (Δ14.7°), and segmental angle (Δ7.9°) before surgery. Only four factors showed statistically significant change between the two groups after ACDF : T1s-CL (Δ4.0° vs. Δ0.2°), C2s (Δ3.2° vs. Δ0.7°), O-C2A (Δ2.6° vs. Δ1.3°), C2-7A (Δ6.3° vs. Δ1.3°). A very strong correlation between T1s-CL and C2s was also found (r=|0.88-0.96|). Conclusion : C2s itself may be the essential key to represent T1s-CL. The amounts and directions of change of these two factors (T1s-CL and C2s) were also almost identical. The above phenomenon was re-confirmed once again through the correlation analysis.

The Predictable Factors of the Postoperative Kyphotic Change of Sagittal Alignment of the Cervical Spine after the Laminoplasty

  • Lee, Jun Seok;Son, Dong Wuk;Lee, Su Hun;Kim, Dong Ha;Lee, Sang Weon;Song, Geun Sung
    • Journal of Korean Neurosurgical Society
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    • v.60 no.5
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    • pp.577-583
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    • 2017
  • Objective : Laminoplasty is an effective surgical method for treating cervical degenerative disease. However, postoperative complications such as kyphosis, restriction of neck motion, and instability are often reported. Despite sufficient preoperative lordosis, this procedure often aggravates the lordotic curve of the cervical spine and straightens cervical alignment. Hence, it is important to examine preoperative risk factors associated with postoperative kyphotic alignment changes. Our study aimed to investigate preoperative radiologic parameters associated with kyphotic deformity post laminoplasty. Methods : We retrospectively reviewed the medical records of 49 patients who underwent open door laminoplasty for cervical spondylotic myelopathy (CSM) or ossification of the posterior longitudinal ligament (OPLL) at Pusan National University Yangsan Hospital between January 2011 and December 2015. Inclusion criteria were as follows : 1) preoperative diagnosis of OPLL or CSM, 2) no previous history of cervical spinal surgery, cervical trauma, tumor, or infection, 3) minimum of one-year follow-up post laminoplasty with proper radiologic examinations performed in outpatient clinics, and 4) cases showing C7 and T1 vertebral body in the preoperative cervical sagittal plane. The radiologic parameters examined included C2-C7 Cobb angles, T1 slope, C2-C7 sagittal vertical axis (SVA), range of motion (ROM) from C2-C7, segmental instability, and T2 signal change observed on magnetic resonance imaging (MRI). Clinical factors examined included preoperative modified Japanese Orthopedic Association scores, disease classification, duration of symptoms, and the range of operation levels. Results : Mean preoperative sagittal alignment was $13.01^{\circ}$ lordotic; $6.94^{\circ}$ lordotic postoperatively. Percentage of postoperative kyphosis was 80%. Patients were subdivided into two groups according to postoperative Cobb angle change; a control group (n=22) and kyphotic group (n=27). The kyphotic group consisted of patients with more than $5^{\circ}$ kyphotic angle change postoperatively. There were no differences in age, sex, C2-C7 Cobb angle, T1 slope, C2-C7 SVA, ROM from C2-C7, segmental instability, or T2 signal change. Multiple regression analysis revealed T1 slope had a strong relationship with postoperative cervical kyphosis. Likewise, correlation analysis revealed there was a statistical significance between T1 slope and postoperative Cobb angle change (p=0.035), and that there was a statistically significant relationship between T1 slope and C2-C7 SVA (p=0.001). Patients with higher preoperative T1 slope demonstrated loss of lordotic curvature postoperatively. Conclusion : Laminoplasty has a high probability of aggravating sagittal balance of the cervical spine. T1 slope is a good predictor of postoperative kyphotic changes of the cervical spine. Similarly, T1 slope is strongly correlated with C2-C7 SVA.

Application Case of Test of Revegetation Measures on Design of Slopes Revegetation and Tentative Instruction on Construction Work -With a Case of Slopes Along the National Road Between Gimcheon and Eomo - (비탈면 녹화 설계 및 시공 잠정 지침 적용사례 -김천어모구간 국도비탈면을 중심으로-)

  • Jeon, Gi-Seong
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.10 no.4
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    • pp.83-94
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    • 2007
  • Test application of revegetation measure was made on the roadside slope damaged by Gimcheon-Eomo national road improvement project in a bid to prevent the soil from being washed out as well as to restore the ecological environment, and the survey for assessing the effect of slope revegetation measures was conducted, beginning Sep 7 through Sep 20, 2006. In the wake of comprehensive reviewing and evaluating the surrounding topographic environment, physical and chemical characteristics of soil, germination of revegetation plants, analysis of bio mass, covering ratio and the plants appeared, revegetation measure C was found to have been most effective and desirable for further application in the area. Viewing the specific applicability by the area, revegetation measure C and C-1 appeared to be appropriate for blasting rock slope and ripping rock slope as they are efficient in preventing the slope from being washed out and in early revegetating. And revegetation measure B deemed to be effective to blasting rock slope or ripping rock slope as an alternative. And for cut slope, vegetation measure C-2 was judged to be more effective than measure D or E, while measure C-3 would be appropriateto embankment slope.

Reliability analysis of soil slope reinforced by micro-pile considering spatial variability of soil strength parameters

  • Yuke Wang;Haiwei Shang;Yukuai Wan;Xiang Yu
    • Geomechanics and Engineering
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    • v.36 no.6
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    • pp.631-640
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    • 2024
  • In the traditional slope stability analysis, ignoring the spatial variability of slope soil will lead to inaccurate analysis. In this paper, the K-L series expansion method is adopted to simulate random field of soil strength parameters. Based on Random Limit Equilibrium Method (RLEM), the influence of variation coefficient and fluctuation range on reliability of soil slope supported by micro-pile is investigated. The results show that the fluctuation ranges and the variation coefficients significantly influence the failure probability of soil slope supported by micro-pile. With the increase of fluctuation range of soil strength parameters, the mean safety factor of the slope increases slightly. The failure probability of the soil slope increases with the increase of fluctuation range when the mean safety factor of the slope is greater than 1. The failure probability of the slope increases by nearly 8.5% when the fluctuation range is increased from δv=2 m to δv =8 m. With the increase of the variation coefficient of soil strength parameters, the mean safety factor of the slope decreases slightly, and the probability of failure of soil slope increases accordingly. The failure probability of the slope increases by nearly 31% when the variation coefficient increases from COVc=0.2, COVφ=0.05 to COVc=0.5, COVφ=0.2.

Soil Properties Affecting C-type slope as a Parameter for Silica Sorption of Soils (토양의 규산 흡착 지표인 C-type slope에 영향을 미치는 토양 특성)

  • Lee, Sang Eun;Lim, Woo Jin;Ahn, Jae Ho;Kim, Jeong-Gyu;Lim, Soo-Kil
    • Korean Journal of Soil Science and Fertilizer
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    • v.37 no.6
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    • pp.365-370
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    • 2004
  • To invesligate the characteristics of silica sorption on soils silica sorption experiments were conducted with 9 soils at 4 pH levels (5, 6, 7, and 8). Silica sorption increased in great extent with increase of pH. At the same pH level silica sorption increased linearly with increase of equilibrium $SiO_2$ concentration. Silica sorption characteristics was C-type. The C-type slope, i.e., the slope of linear regression of silica sorption isotherm, increased exponentially with increase of pH in all soils. Log(C-type slope) increased linearly with increase of pH in all soils. The slopes of linear regression were similar in most soils from 0.29 to 0.34 except Sachon and Jonggog soil. None of the soil properties showed any correlation with the slope of linear regression of Log(C-type slope) to pH. Only $Fe_o$ (oxalate extractable Fe oxides) was significantly correlated with the Log(C-type slope) at pH 7 in simple correlation analysis, and was shown to be the principal contributor as determined by standardized multiple linear regression.

The Slope Stability Establishment with P.C. Anchoring Method (P.C. Anchoring 공법을 활용한 사면안정대책)

  • 박철숙;손재호;인영길;장두희
    • Proceedings of the KSEG Conference
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    • 2002.04a
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    • pp.61-73
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    • 2002
  • Daegok dam is Concrete Face Rockfill Dam(C.F.R.D) of which 52m height, 190m length, that construction in beneath 306, Chanjeon-Ri, Dudong-Myeon, Ulju-Gun, Ulsan Metrocity. Left slope excavation of spillway have related to Daegok dam construction are developing crack in Sta. No. 1~2, EL. 134~137m after 67.0mm rainfall from 2000. 7. 23. 13:00 to 7. 24. 04:00. Surface geological survey and slope stability investigation with stereographic projection method in order of slope stability establishment. Partial supplement excavation and SSL. P. C. Anchoring method is able to pre-stressing are think about unstable element after excavation. This slope stability establishment is very successfully completion.

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T1 Slope and Cervical Sagittal Alignment on Cervical CT Radiographs of Asymptomatic Persons

  • Park, Ji Hoon;Cho, Chul Bum;Song, Jun Ho;Kim, Seok Woo;Ha, Yoon;Oh, Jae Keun
    • Journal of Korean Neurosurgical Society
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    • v.53 no.6
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    • pp.356-369
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    • 2013
  • Objective : We performed a retrospective analysis of medical records and radiographic images of patients who never underwent spinal treatment including diagnosis. The objective of this study is to explain the biomechanical and physiologic characteristics of cervical alignment related to thoracic inlet angle including T1 slope changes in each individual. Methods : We reviewed the cervical CT radiographs of 80 patients who visited ENT outpatient clinic without any symptom, diagnosis and treatment of cervical spine from January 2011 to September 2012. All targeted people were randomized without any prejudice. We assessed the data-T1 slope, Cobb's angle C2-7, neck tilt, sagittal vertical axis (SVA) C2-7 and thoracic inlet angle by the CT radiographs. Results : The relationships between each value were analyzed and we concluded that Cobb's angle C2-7 gets higher as the T1 slope gets higher, while the SVA C2-7 value decreases. Conclusion : We propose that the T1 slope is background information in deciding how much angle can be made in the cervical spinal angle of surgical lordotic curvature, especially severe cervical deformity.

Application Case of Test of Revegetation Measures on Design of Slopes Revegetation and Tentative Instruction on Construction Work -With a Case of Slopes Along the National Road Between Nongseo and Eomo - (비탈면 녹화 설계 및 시공 잠정 지침 적용사례 -농소어모구간 국도비탈면을 중심으로-)

  • Jeon, Gi-Seong
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.10 no.4
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    • pp.95-108
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    • 2007
  • Test application of revegetation measure was made on the roadside slope damaged by Nongseo-Eomo national road improvement project in a bid to prevent the soil from being washed out as well as to restore the ecological environment, and the survey for assessment of the effect of slope revegetation measures was conducted, beginning May 11 through Nov 7, 2006. In the wake of comprehensive reviewing and evaluating the surrounding topographic environment, physical and chemical characteristics of soil, germination of revegetation plants, analysis of bio mass, covering ratio and the plants appeared, measure b was found to have been most appropriate to cut blasting rock slope, and alternatively measure c. For cut ripping rock slope, measure c-1 appeared to be effective in revegetation effect, and alternatively, b-1.When it comes to cut soil slope, measure c-2 was found to be effective, and b-2 to be a good alternative. And for embankment soil slope, measure b-3 appeared to be most efficient in revegetation effect and measure f as alternative.

Studies on Cocoon Filament Size Deviation in Multivoltine Breeds and Multivoltine ${\times}$ Bivoltine Hybrids of Silkworm, Bombyx mori L.

  • Rao, D.Raghavendra;Singh, Ravindra;Kariappa, B.K.;Dandin, S.B.
    • International Journal of Industrial Entomology and Biomaterials
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    • v.9 no.2
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    • pp.273-277
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    • 2004
  • Variation in the size of the silk filament will determine the uniformity and quality of the silk reeled. In the present study, an attempt has been made to study the filament size variation in 6 multivoltine parental breeds and 9 multivoltine ${\times}$ bivoltine hybrids in all three seasons of a year. All multivoltine breeds and multivoltine ${\times}$ bivoltine hybrids showed variation in filament size throughout its length from the outer layer to inner layer. Results of the present study indicated that the size of the filament decreased from outer to inner layer. The decrease in filament size was sudden in some breeds/hybrids whereas it was gradual in other. Relationship between filament length to that of slope, average filament size to slope, and maximum filament size to slope was determined based on regression analysis. Regression analysis revealed significant positive correlation between slope vs average filament length (r=0.92$^{**}$) in multivoltine${\times}$bivoltine hybrids. Among parental breeds, 96C showed lowest slope of the curve (b-value: -0.00428) and 96A showed highest slope of the curve (b-value: -0.00269). Among 9 hybrids, PM${\times}$N $B_4$ $D_2$ recorded lowest slope value (b-value: -0.00328) and BL24${\times}$N $B_4$ $D_2$ showed highest value for slope of the curve (b-value: -0.00234). The breed 96C, which showed lowest slope value can be utilized for future breeding programmes to breed strains with less size deviation. Three multivoltine${\times}$bivoltine hybrids viz., PM${\times}$N $B_4$ $D_2$, 96E${\times}$CSR19 and BL67${\times}$CS $R_{101}$ , which showed less slope values (b-values: -0.00328, -0.00300 and -0.00297 respectively) can be utilized for commercial exploitation to produce uniform silk.k.