• 제목/요약/키워드: Conventional decompression

검색결과 37건 처리시간 0.023초

Clinical Experiences of Transforaminal Balloon Decompression for Patients with Spinal Stenosis

  • Kim, Sung-Hoon;Koh, Won-Uk;Park, Soo-Jin;Choi, Woo-Jong;Suh, Jeong-Hun;Leem, Jeong-Gil;Park, Pyung-Hwan;Shin, Jin-Woo
    • The Korean Journal of Pain
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    • 제25권1호
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    • pp.55-59
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    • 2012
  • Lumbar spinal stenosis is a commonly treated with epidural injections of local anesthetics and corticosteroids, however, these therapies may relieve leg pain for weeks to months but do not influence functional status. Furthermore, the majority of patients report no substantial symptom change over the repeated treatment. Utilizing balloon catheters, we successfully treated with three patients who complained persistent symptoms despite repeated conventional steroid injections. Our results suggest that transforaminal decompression using a balloon catheter may have potential in the nonsurgical treatment of spinal stenosis by modifying the underlying pathophysiology.

경추 신경근병증에 대한 전방 터널링 수술 : 초기 32례에 대한 보고 (Anterior Tunnelling Operation for Cervical Radiculopathy : A Report of First 32 Cases)

  • 조태현;송준혁;서중근
    • Journal of Korean Neurosurgical Society
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    • 제30권7호
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    • pp.870-875
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    • 2001
  • Objectives : Anterior tunnelling technique consist of anterior cervical fractional interspace decompression without fusion. This method provides sufficient space for adequate neuroforaminal decompression but avoids the need for fusion or fixation. We report early clinical results of 32 cases that underwent anterior tunnelling operation for treatment of cervical radiculopathy. Methods : This method is identical to conventional approach until the exposure of anterior cervical body and bilateral retraction of longus colli is made. A vertical window is then made at the vertebral bodies and disc space lateral to the insertion site of the longus colli. The window is deepened with drilling that follows a tunnelling fashion down to the compressive lesion. We analyzed clinical results from 32 patients who treated between December 1998 and August 2000. Results : Satisfactory results were obtained in 87% of the patients. Two patients required revision surgery. None revealed surgical spinal instability on last follow-up. Conclusion : Anterior tunnelling operation is an acceptable surgical option for the treatment of cervical radiculopathy. Its advantages are short hospitalization, minimal postoperative discomfort, and technical feasibility.

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A Novel Balloon-Inflatable Catheter for Percutaneous Epidural Adhesiolysis and Decompression

  • Choi, Seong Soo;Joo, Eun Young;Hwang, Beom Sang;Lee, Jong Hyuk;Lee, Gunn;Suh, Jeong Hun;Leem, Jeong Gill;Shin, Jin Woo
    • The Korean Journal of Pain
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    • 제27권2호
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    • pp.178-185
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    • 2014
  • Epidural adhesions cause pain by interfering with the free movement of the spinal nerves and increasing neural sensitivity as a consequence of neural compression. To remove adhesions and deliver injected drugs to target sites, percutaneous epidural adhesiolysis (PEA) is performed in patients who are unresponsive to conservative treatments. We describe four patients who were treated with a newly developed inflatable balloon catheter for more effective PEA and relief of stenosis. In the present patients, treatments with repetitive epidural steroid injection and/or PEA with the Racz catheter or the NaviCath did not yield long-lasting effects or functional improvements. However, PEA and decompression with the inflatable balloon catheter led to maintenance of pain relief for more than seven months and improvements in the functional status with increases in the walking distance. The present case series suggests that the inflatable balloon catheter may be an effective alternative to performing PEA when conventional methods fail to remove adhesions or sufficiently relieve stenosis.

흉곽 출구 포착성 신경 병증의 외과적 치료 (Surgery for Entrapments of the Thoracic Outlet)

  • 정환영
    • Archives of Reconstructive Microsurgery
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    • 제8권1호
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    • pp.1-9
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    • 1999
  • Surgical treatment was performed on the 39 cases out of 76 cases of entrapments of the thoracic outlet. The remaining 36 cases of entrapments were treated by conservatively. The operated cases were categorized as follows. They were 34 cases of scalenus anticus syndrome, 1 of cervical rib syndrome, 2 of costoclavicular syndrome, and 2 of hyperabduction syndrome. 1. Scalenus anticus syndrome : Anterior scalenotomy was performed by simple sectioning of the attachment to the first rib. 2. Cervical rib syndrome : Complete decompressive resection of cervical rib sometimes required both anterior and posterior approaches to avoid over-retraction of the brachial plexus. 3. Costoclavicular syndrome : Partial decompressive claviculectomy was undergone instead of conventional total claviculectomy. 4. Hyperabduction syndrome : The resection of coracoid process was performed as well as conventional tenotomy of pectoralis minor muscle to insure free up-and-down moving of neurovascular bundle at the time of hyperabduction. Every diagnostic maneuver was tested at the time of operation to observe whether or not neurovascular decompression including restoration of radial pulse was sufficient. Despite of the postoperative vascular restoration was inmediate, neurogenic symptoms were improved slowly. Because this entity is essentially chronic nerve injnry, its recovery needed a couple of months or several. Although improvement was slow, ultimate results were definite. Complication was not observed.

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A Thin Film Transistor LCD Module with Novel OverDriving Timing Controller

  • Yu, Hong-Tien;Huang, Juin-Ying;Tseng, Wen-Tse;Wen, Harchson
    • 한국정보디스플레이학회:학술대회논문집
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    • 한국정보디스플레이학회 2004년도 Asia Display / IMID 04
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    • pp.1053-1056
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    • 2004
  • Chunghwa Picture Tubes, LTD. (CPT) has developed a Novel TFT-LCD Driving Techniquel. This new technique is developed in combination with other state-of-the-art image processing solutions such as image compression / decompression, motion detection, and noise reduction. By applying the Novel Driving Technique to the high resolution TFT-LCD, it was found that the response time can be effectively reduced with a lower overall system cost by smaller frame memory requirement, lower EMI by less memory band-width. Likewise, higher display quality can also be achieved in that the unexpected noises generated by over-drive can be eliminated. The Novel TFT-LCD Driving Technique has been successfully implemented to the 30 inch WXGA (1280${\times}$768) resolution TFT LCD commercial TV module. It was found that the quality of moving picture was better improved compared with that of the conventional fast response driving method.

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Clinical Applications of the Tubular Retractor on Spinal Disorders

  • Kim, Young-Baeg;Hyun, Seung-Jae
    • Journal of Korean Neurosurgical Society
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    • 제42권4호
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    • pp.245-250
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    • 2007
  • Tubular retractor system as a minimally invasive surgery (MIS) technique has many advantages over other conventional MIS techniques. It offers direct visualization of the operative field, anatomical familiarity to spine surgeons, and minimizing tissue trauma. With technical advancement, many spinal pathologies are being treated using this system. Namely, herniated discs, lumbar and cervical stenosis, synovial cysts, lumbar instability, trauma, and even some intraspinal tumors have all been treated through tubular retractor system. Flexible arm and easy change of the tube direction are particularly useful in contralateral spinal decompression from an ipsilateral approach. Careful attention to surgical technique through narrow space will ensure that complications are minimized and will provide improved outcomes. However, understanding detailed anatomies and keeping precise surgical orientation are essential for this technique. Authors present the technical feasibility and initial results of use a tubular retractor system as a minimally invasive technique for variaties of spinal disorders with a review of literature.

Improvement of Image Sensor Performance through Implementation of JPEG2000 H/W for Optimal DWT Decomposition Level

  • Lee, Choel;Kim, BeomSu;Jeon, ByungKook
    • International journal of advanced smart convergence
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    • 제6권1호
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    • pp.68-75
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    • 2017
  • In this paper, a particular application of digital photos, remote sensing, remote shooting air moving, high-resolution and high compression of medical images required by remote shooting of JPEG2000 standard applied in the field of hardware design, production was implemented. JPEG2000 standard for image compression using the software implementation of the processing speed is very slow compared to conventional JPEG disadvantages, and also the standard of JPEG2000 DWT (Discrete wavelet transform) to improve the level of compression for image data if processing speed is a phenomenon that has degraded. In order to solve these JPEG2000 compression / decompression groups were designed and applied. In this paper, the optimal JPEG2000 compression / reservoir hardware by changing the level for still image compression, faster computation speed and quality has shown improvement.

A New Controller for Improvement of Response Time by Data Compression Using Color Space Conversion

  • Koo, Sung-Jo;Kim, Chang-Gon;An, Jong-Ki;Park, Man-Hyo;Yeo, Sang-Deog
    • 한국정보디스플레이학회:학술대회논문집
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    • 한국정보디스플레이학회 2005년도 International Meeting on Information Displayvol.II
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    • pp.863-864
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    • 2005
  • In recent years, we use overdriving scheme to improve the response time of the liquid crystal. Since conventional overdriving scheme uses memory to perform ideal processing, it is desired to reduce system cost by decreasing the data stored in these SDRAMs. As a general compression method, quantization, sub-sampling and Block Truncation Coding ( BTC ) are used, which process data in block base and cause block effect. So we proposed new data compression method by color space conversion. Because this method compresses luminance and chrominance signal by different ratio, it can efficiently reduce error of block effect in decompression image.

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Cervical Myelopathy Induced by Posterior Vertebral Body Osteolysis after Cervical Disc Arthroplasty

  • Man Kyu Choi;Jun Ho Lee
    • Journal of Korean Neurosurgical Society
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    • 제66권5호
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    • pp.591-597
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    • 2023
  • Cervical disc arthroplasty (CDA) has become more widespread and diverges from the conventional technique used in anterior cervical fusion for cervical degenerative disc disease. As arthroplasty has become a popular treatment option, few complications have been reported in the literature. These include subsidence, expulsion, posterior avulsion fractures, heterotopic ossification, and osteolysis. One of the critical complications is osteolysis, but current studies on this subject are limited in terms of not elucidating the incidence, etiology, and consequences. The authors present two cases, who presented with clinical signs of gradually worsening myelopathy induced by posterior vertebral body osteolysis, 2 years after CDA. Subsequently, the patient underwent posterior decompression and fusion without prosthesis removal. Postoperatively, the clinical symptoms gradually resolved, with no severe deficits. The present rare cases highlight the osteolysis that occurs after CDA, which can cause cervical myelopathy, and suggest spine surgeons to be alert to this fatal complication.

Minimally Invasive Removal of an Intradural Cervical Tumor : Assessment of a Combined Split-Spinous Laminectomy and Quadrant Tube Retractor System Technique

  • Kwak, Young-Seok;Kim, Kyoung-Tae;Cho, Dae-Chul;Kim, Young-Baeg
    • Journal of Korean Neurosurgical Society
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    • 제52권4호
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    • pp.427-431
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    • 2012
  • Conventional laminectomy is the most popular technique for the complete removal of intradural spinal tumors. In particular, the central portion intramedullary tumor and large intradural extramedullary tumor often require a total laminectomy for the midline myelotomy, sufficient decompression, and adequate visualization. However, this technique has the disadvantages of a wide incision, extensive periosteal muscle dissection, and bony structural injury. Recently, split-spinous laminectomy and tubular retractor systems were found to decrease postoperative muscle injuries, skin incision size and discomfort. The combined technique of split-spinous laminectomy, using a quadrant tube retractor system allows for an excellent exposure of the tumor with minimal trauma of the surrounding tissue. We propose that this technique offers possible advantages over the traditional open tumor removal of the intradural spinal cord tumors, which covers one or two cervical levels and requires a total laminectomy.