• Journal of Korean Neurosurgical Society
• /
• 제59권3호
• /
• pp.276-281
• /
• 2016

Objective : Although trunk muscles in the lumbar spine preserve spinal stability and motility, little is known about the relationship between trunk muscles and spinal fusion rate. The aim of the present study is to evaluate the correlation between trunk muscles cross sectional area (MCSA) and fusion rate after posterior lumbar interbody fusion (PLIF) using stand-alone cages. Methods : A total of 89 adult patients with degenerative lumbar disease who were performed PLIF using stand-alone cages at L4-5 were included in this study. The cross-sectional area of the psoas major (PS), erector spinae (ES), and multifidus (MF) muscles were quantitatively evaluated by preoperative lumbar magnetic resonance imaging at the L3-4, L4-5, and L5-S1 segments, and bone union was evaluated by dynamic lumbar X-rays. Results : Of the 89 patients, 68 had bone union and 21 did not. The MCSAs at all segments in both groups were significantly different (p<0.05) for the PS muscle, those at L3-4 and L4-5 segments between groups were significantly different (p=0.048, 0.021) for the ES and MF muscles. In the multivariate analysis, differences in the PS MCSA at the L4-5 and L5-S1 segments remained significant (p=0.048, 0.043 and odds ratio=1.098, 1.169). In comparison analysis between male and female patients, most MCSAs of male patients were larger than female's. Fusion rates of male patients (80.7%) were higher than female's (68.8%), too. Conclusion : For PLIF surgery, PS muscle function appears to be an important factor for bone union and preventing back muscle injury is essential for better fusion rate.

• 폴리머
• /
• 제39권1호
• /
• pp.33-39
• /
• 2015

올메사탄은 BCS 2단계에 해당하는 약물로 물에 잘 녹지 않는 난용성 약물이다. 이런 약물이 낮은 생체이용률과 제형을 설계하는 과정에서 어려움을 주는 원인이 된다. 본 연구에서는 올메사탄을 분무건조법 및 회전용매증 발법을 이용해 고체분산체를 제조하여 제법에 따른 난용성약물의 용출률을 확인하였다. 수용성 고분자로 PVP를 사용하여 약물과 고분자의 비율별로 고체분산체를 제조하였다. SEM을 이용하여 고체분산체의 형태학적인 특성을 분석하였고, 고체분산체의 결정학적 성질은 XRD와 DSC를 통하여 확인하였다. 또한 FTIR을 통해 화학적인 변화를 확인하고, 생체 외 용출거동 실험을 통하여 변화된 용출률을 확인하였다. 제조된 고체분산체는 pH 1.2에서 용출을 확인하였으며, 올메텍과 용출률을 비교하였으며, 분무건조를 통해 약물의 용출률을 향상시킬 수 있다는 것을 확인할 수 있다.

• Journal of Korean Neurosurgical Society
• /
• 제30권12호
• /
• pp.1369-1374
• /
• 2001

Objectives : The rates of pseudarthrosis for two- and three level fusion have been reported to be 17-63 and 50% without anterior cervical plating. The purpose of this study is to assess the effects of anterior cervical plating in the treatment of multilevel degenerative cervical disease such mostly the additional risks associated with hardware implants and its benefits, fusion rate and radiographic results, and clinical outcomes. Methods : Forty-seven patients who underwent operations between 1993 and 1997 were retrospectively reviewed. The technique for operation was same for both groups(Smith Robinson with autologous iliac bone graft). Group I consisted of 35 consecutive patients treated with anterior cervical decompression and fusion with anterior cervical plate fixation. Group II consisted of 12 consecutive patients treated without plate fixation. We compared clinical outcomes by Prolo score, radiographic results in the rate of fusion, cervical lordosis by Gore angle, disc height by Farfan method, and surgical complications between two groups. Results : The favorable clinical outcomes(excellent and good) by Prolo score were observed with the use of anterior cervical plate fixation(89% vs 75%). The successful fusion rate of multilevel cervical fusion was as seen with anterior cervical plate fixation(97% vs 75%). The overall graft complication rate in multilevel fusions was decreased, with anterior cervical plate fixation, and the hardware related complications were relatively minimal without serious consequences. Conclusion : Anterior cervical plate fixation in the treatment of multilevel cervical disorders is an effective stabilizing method which provides increased bony fusion rate, decreased graft complications, maintained cervical lordosis, early mobilization of the these patients without serious hardware related complications.

• Journal of Korean Neurosurgical Society
• /
• 제30권12호
• /
• pp.1388-1393
• /
• 2001

Objective : In the retrospective analyzing 19 consecutive patients with subaxial cervical spine(C3~T1) injury treated by posterior cervical fixation and fusion, clinical manifestation, radiologic finding, operative technique, and postoperative results following 6 months were analyzed. Materials and Methods : Most common fracture level was C4-5, mean age 41, and male to female ratio 13 : 6. The most common cause of injury was motor vehicle accident(17 cases). In 19 cervical procedures, interspinous triple wiring was done in 14 cases, lateral mass plating in 5 cases, and additional anterior fusion in 2 cases. Results : Twelve weeks after operation, all cases were reviewed by plain cervical radiogram. In 17 cases that treated by posterior fusion only, 14 cases(81%) had kyphotic angle change less than $5^{\circ}$, 2 cases(12%) $5-20^{\circ}$, and 1 case(6%) more than $20^{\circ}$. Overall fusion rate was 88%, and there was no significant difference of bone fusion rate between autogenous bone graft and allogenous bone graft. Conclusion : In the case of severe posterior column injury or displacement, posterior approach seems superior to anterior approach, but in the case of combined anterior column injury, anterior approach is considered necessary. In this study, posterior fixation and fusion might be acceptable procedure for subaxial cervical fracture and dislocation, owing to its high fusion rate, low kyphotic angulation and low operation related complication rate.

• 전자공학회논문지
• /
• 제52권12호
• /
• pp.142-149
• /
• 2015

단일 카메라 센서를 기반으로 한 차선검출 시스템은 급격한 조도 변화, 열악한 기상환경 등에 취약하다. 이러한 단일 센서 시스템의 한계를 극복하기 위한 방안으로 센서 융합을 통해 성능 안정화를 도모할 수 있다. 하지만, 기존 센서 융합의 연구는 대부분 물체 및 차량을 대상으로 한 융합 모델에 국한되어 차용하기 어렵거나, 차선 센서의 다양한 신호 주기 및 인식범위에 대한 상이성을 고려하지 않은 경우가 대부분이었다. 따라서 본 연구에서는 다중센서의 상이성을 고려하여 차선 정보를 최적으로 융합하는 기법을 제안한다. 제안하는 융합 프레임워크는 센서 별 가변적인 신호처리 주기와 인식 신뢰 범위를 고려하므로 다양한 차선 센서 조합으로도 정교한 융합이 가능하다. 또한, 새로운 차선 예측 모델의 제안을 통해 간헐적으로 들어오는 차선정보를 세밀한 차선정보로 정밀하게 예측하여 다중주기 신호를 동기화한다. 조도환경이 열악한 환경에서의 실험과 정량적 평가를 통해, 제안하는 융합 시스템이 기존 단일 센서 대비 인식 성능이 개선됨을 검증한다.

• Journal of Korean Neurosurgical Society
• /
• 제60권6호
• /
• pp.676-683
• /
• 2017

Objective : The purpose of this study is to evaluate the efficacy and safety of 3-level hybrid surgery (HS), which combines fusion and cervical disc replacement (CDR), compared to 3-level fusionin patient with cervical spondylosis involving 3 levels. Methods : Patients in the anterior cervical discectomy and fusion (ACDF) group (n=30) underwent 3-level fusion and the HS group (n=19) underwent combined surgery with fusion and CDR. Clinical outcomes were evaluated using the visual analogue scale for the arm, the neck disability index (NDI), Odom criteria and postoperative complications. The cervical range of motion (ROM), fusion rate and adjacent segments degeneration were assessed with radiographs. Results : Significant improvements in arm pain relief and functional outcome were observed in ACDF and HS group. The NDI in the HS group showed better improvement 6 months after surgery than that of the ACDF group. The ACDF group had a lower fusion rate, higher incidence of device related complications and radiological changes in adjacent segments compared with the HS group. The better recovery of cervical ROM was observed in HS group. However, that of the ACDF group was significantly decreased and did not recover. Conclusion : The HS group was better than the ACDF group in terms of NDI, cervical ROM, fusion rate, incidence of postoperative complications and adjacent segment degeneration.

• 전기학회논문지
• /
• 제63권11호
• /
• pp.1551-1558
• /
• 2014

We propose a multi-rate sensor fusion of vision and radar using Kalman filter to solve problems of asynchronized and multi-rate sampling periods in object vehicle tracking. A model based prediction of object vehicles is performed with a decentralized multi-rate Kalman filter for each sensor (vision and radar sensors.) To obtain the improvement in the performance of position prediction, different weighting is applied to each sensor's predicted object position from the multi-rate Kalman filter. The proposed method can provide estimated position of the object vehicles at every sampling time of ECU. The Mahalanobis distance is used to make correspondence among the measured and predicted objects. Through the experimental results, we validate that the post-processed fusion data give us improved tracking performance. The proposed method obtained two times improvement in the object tracking performance compared to single sensor method (camera or radar sensor) in the view point of roots mean square error.

• Journal of Korean Neurosurgical Society
• /
• 제37권1호
• /
• pp.39-43
• /
• 2005

Objective: For Posterior lumbar interbody fusion(PLIF) various cages or iliac bone dowels are used with or without pedicle screw fixation(PSF). To evaluate and compare the clinical and radiological results of different fusion methods, we intend to verify the effect of added PSF on PLIF, the effect of bone cages and several factors which are thought to be related with the postoperative prognosis. Methods: One hundred and ninety seven patients with lumbar spinal stenosis and instability or spondylolisthesis underwent various fusion operations from May 1993 to May 2003. The patients were divided into five groups, group A (PLIF with autologous bone dowels, N=24), group B (PLIF with bone cages, N=13), group C (PLIF with bone dowels and PSF, N=37), group D (PLIF with bone cages and PSF, N=30) and group E (PSF with intertransverse bone graft, N=93) for comparison and analyzed for the outcome and fusion rate. Results: Outcome was not significantly different among the five groups. In intervertebral height (IVH) changes between pre- and post-operation, Group B ($2.42{\pm}2.20mm$) was better than Group A ($-1.33{\pm}2.05mm$). But in the Group C, D and E, the IVH changes were not different statistically. Fusion rate of group C, D was higher than that of Group A and B. But the intervertebral height(IVH) increased significantly in group B($2.42{\pm}2.20mm$). Fusion rate of group C and D were higher than that of group A and D. Conclusion: Intervertebral cages are superior to autologous iliac bone dowels for maintaining intervertebral height in PLIF. The additional pedicle screw fixation seems to stabilize the graft and improve fusion rates.

• 한국가축번식학회지
• /
• 제24권4호
• /
• pp.365-373
• /
• 2000

체세포 핵이식이 완료된 수정란을 70 volt 40 $\mu\textrm{s}$ 1회, 70 volt 40 $\mu\textrm{s}$ 2회, 180 volt 15 $\mu\textrm{s}$ 1 회 및 180 volt 30 $\mu\textrm{s}$ 1회의 전압을 이용하여 융합을 실시하였으며, 융합배지로는 mannitol 및 ZCFM 을 사용하였다. 70 volt 40 $\mu\textrm{s}$ 1회, 70 volt 40 $\mu\textrm{s}$ 2회 및 180 volt 15 $\mu\textrm{s}$ 1회의 전압을 이용하여 공핵 난구세포와 수핵란 세포질간에 융합을 유도한 결과, 융합율은 각각, 0.0%, 25.4% 및 58.1% 였으며, 배반포 발생율은 각각, 0.0%, 13.3% 및 36.1 % 였다. 180 volt 15 $\mu\textrm{s}$ 1회의 전압을 이용하였을 때 융합율 및 배반포 발생율이 유의적으로 높았다 (P＜0.05). 180 volt 15 $\mu\textrm{s}$ 및 30 $\mu\textrm{s}$ 1회의 전압을 이용하여 공핵 태아 섬유아세포와 수핵란 세포질간에 융합을 유도한 결과, 융합율은 각각,4 5.7% 및 63.2% 였으며, 배반포 발생율은 각각, 24.3% 및 25.0% 였다. 융합율은 180 volt 30 $\mu\textrm{s}$ 1회의 전압을 이용하였을 때 유의적으로 높았으나, 배반포 발생율에 있어서는 차이를 나타내지 않았다(P＜0.05). Mannitol 및 ZCFM 을 이용하여 융합을 실시한 결과, 융합율은 각각, 71.2 % 및 65.8% 였고, 배반포 발생율은 각각, 37.8% 및 39.8% 였다. 융합배지간 융합율 및 발생율에 있어서는 유의적인 차이를 나타내지 않았다.

• Korean Chemical Engineering Research
• /
• 제46권2호
• /
• pp.211-216
• /
• 2008

아토피의 치료를 위해 사용되는 부펙사막은 연고제 형태로 사용되는 약물이다. 부펙사막은 피부 장벽효과에 의해 실제 전달되는 양은 매우 적다. 이러한 문제를 갖는 부펙사막의 피부전달 효율을 증가시키기 위하여 마이크로니들을 이용해 피부처리를 실시하였다. 약물의 피부투과량과 피부에서 약물의 전달형태를 알아보기 위하여 부펙사막에 FITC를 결합시켰으며 이를 포함하는 하이드로겔을 제조하여 피부에 도포하였다. 약물의 피부투과량을 확인하기 위해서 형광분광계를 사용하여 분석하였으며 약물의 전달형태를 확인하기 위하여 형광필터가 장착된 마이크로현미경을 사용하였다. 실험결과 마이크로니들로 처리된 피부에서 부펙사막의 피부투과량이 대조군에 비해 5~20배 이상 증가되었으며 마이크로니들 처리횟수가 증가함에 따라서 더 크게 증가될 수 있음을 확인하였다.