• 제목/요약/키워드: L5-S1 segment

검색결과 77건 처리시간 0.024초

Anterior Lumbar Interbody Fusion with Stand-Alone Interbody Cage in Treatment of Lumbar Intervertebral Foraminal Stenosis : Comparative Study of Two Different Types of Cages

  • Cho, Chul-Bum;Ryu, Kyeong-Sik;Park, Chun-Kun
    • Journal of Korean Neurosurgical Society
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    • 제47권5호
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    • pp.352-357
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    • 2010
  • Objective : This retrospective study was performed to evaluate the clinical and radiological results of anterior lumbar interbody fusion (ALIF) using two different stand-alone cages in the treatment of lumbar intervertebral foraminal stenosis (IFS). Methods : A total of 28 patients who underwent ALIF at L5-S1 using stand-alone cage were studied [Stabilis$^{(R)}$ (Stryker, Kalamazoo, MI, USA); 13, SynFix-LR$^{(R)}$ (Synthes Bettlach, Switzerland); 15]. Mean follow-up period was 27.3 ${\pm}$ 4.9 months. Visual analogue pain scale (VAS) and Oswestry disability index (ODI) were assessed. Radiologically, the change of disc height, intervertebral foraminal (IVF) height and width at the operated segment were measured, and fusion status was defined. Results : Final mean VAS (back and leg) and ODI scores were significantly decreased from preoperative values (5.6 ${\pm}$ 2.3 ${\rightarrow}$ 2.3 ${\pm}$ 2.2, 6.3 ${\pm}$ 3.2 ${\rightarrow}$1.6 ${\pm}$ 1.6, and 53.7 ${\pm}$ 18.6 ${\rightarrow}$ 28.3 ${\pm}$ 13.1, respectively), which were not different between the two devices groups. In Stabilis$^{(R)}$ group, postoperative immediately increased disc and IVF heights (10.09 ${\pm}$ 4.15 mm ${\rightarrow}$ 14.99 ${\pm}$ 1.73 mm, 13.00 ${\pm}$ 2.44 mm ${\rightarrow}$ 16.28 ${\pm}$ 2.23 mm, respectively) were gradually decreased, and finally returned to preoperative value (11.29 ${\pm}$ 1.67 mm, 13.59 ${\pm}$ 2.01 mm, respectively). In SynFix-LR$^{(R)}$ group, immediately increased disc and IVF heights (9.60 ${\pm}$ 2.82 mm ${\rightarrow}$ 15.61 ${\pm}$ 0.62 mm, 14.01 ${\pm}$ 2.53 mm ${\rightarrow}$ 21.27 ${\pm}$ 1.93 mm, respectively) were maintained until the last follow up (13.72 ${\pm}$ 1.21 mm, 17.87 ${\pm}$ 2.02 mm, respectively). The changes of IVF width of each group was minimal pre- and postoperatively. Solid arthrodesis was observed in 11 patients in Stabilis group (11/13, 84.6%) and 13 in SynFix-LR$^{(R)}$ group (13/15, 86.7%). Conclusion : ALIF using stand-alone cage could assure good clinical results in the treatment of symptomatic lumbar IFS in the mid-term follow up. A degree of subsidence at the operated segment was different depending on the device type, which was higher in Stabilis$^{(R)}$ group.

Efficient Plant Regeneration from Petal Segment of Standard-Type Chrysanthemum

  • Chhetri, Mahesh;Jeon, Su-Min;Naing, Aung Htay;Kim, Chang Kil
    • Current Research on Agriculture and Life Sciences
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    • 제31권2호
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    • pp.94-100
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    • 2013
  • An efficient plant regeneration protocol is developed for a standard-type chrysanthemum. When petal segments derived from flower buds (4 or 8cm in diameter) were used as the culture material, the highest shoot regeneration frequency (96%) was obtained on a Murashige and Skoog (MS) medium supplemented with 0.5 mg/L IAA, 2 mg/L BA, 3% sucrose, and a 0.8% agar. Pre-culturing the explants under dark conditions for 14 days produced better results for the shoot regeneration frequency than the explants cultured under a continuous 16 h photoperiod ($40{\mu}molm^{-2}s^{-1}$). The shoot regeneration frequency ranged from 19.0% for the Shinmato cultivar to 89.1% for the Baeksun cultivar. Activated charcoal (0.2%) enhanced the root formation of the regenerated shoots in a hormone-free MS medium. The rooted plantlets were acclimatized and successfully established in a greenhouse.

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Characteristics and Clinical Outcomes of Cancer Patients who Developed Constrictive Physiology After Pericardiocentesis

  • Hyukjin Park;Hyun Ju Yoon;Nuri Lee;Jong Yoon Kim;Hyung Yoon Kim;Jae Yeong Cho;Kye Hun Kim;Youngkeun Ahn;Myung Ho Jeong;Jeong Gwan Cho
    • Korean Circulation Journal
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    • 제52권1호
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    • pp.74-83
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    • 2022
  • Background and objectives: This study aimed to identify the characteristics and clinical outcomes of cancer patients who developed constrictive physiology (CP) after percutaneous pericardiocentesis. Methods: One-hundred thirty-three cancer patients who underwent pericardiocentesis were divided into 2 groups according to follow-up echocardiography (CP vs. non-CP). The clinical history, imaging findings, and laboratory results, and overall survival were compared. Results: CP developed in 49 (36.8%) patients after pericardiocentesis. The CP group had a more frequent history of radiation therapy. Pericardial enhancement and malignant masses abutting the pericardium were more frequently observed in the CP group. Fever and ST segment elevation were more frequent in the CP group, with higher C-reactive protein levels (6.6±4.3mg/dL vs. 3.3±2.5mg/dL, p<0.001). Pericardial fluid leukocytes counts were significantly higher, and positive cytology was more frequent in the CP group. In baseline echocardiography before pericardiocentesis, medial e' velocity was significantly higher in the CP group (8.6±2.1cm/s vs. 6.5±2.3cm/s, p<0.001), and respirophasic ventricular septal shift, prominent expiratory hepatic venous flow reversal, pericardial adhesion, and loculated pericardial fluid were also more frequent. The risk of all-cause death was significantly high in the CP group (hazard ratio, 1.53; 95% confidence interval,1.10-2.13; p=0.005). Conclusions: CP frequently develops after pericardiocentesis, and it is associated with poor survival in cancer patients. Several clinical signs, imaging, and laboratory findings suggestive of pericardial inflammation and/or direct malignant pericardial invasion are frequently observed and could be used as predictors of CP development.

회피불능잠의 피선에 관한 조직학적 연구 (Histological Studies on the Exuvial Gland in a Non-moulting Silkworm, Bombyx mori L)

  • 윤종관;사기언
    • 한국잠사곤충학회지
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    • 제16권2호
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    • pp.119-125
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    • 1974
  • 정상잠이 3령의 성식기에 이르렀을때(춘잠기 소잠후약 9일 20시간 경과한 무렵) 불면잠으로 인정되는 것과 같은 잠박에서 정상잠을 재료로 하여 이를 고정하였고 또한 4령의 성식기에 1~2령기의 발육정도 밖에 되지 않은 왜소잠을 수집하여 고정하고 이와 동시에 이때의 정상잠도 고정하였다. 불면잠과 정상잠을 형태학적으로 비교하고 그 조직검사에서 얻은 조사내용을 요약하여 보면 다음과 같다. 1. 정상잠이 3령의 성식기에 이르렀음에도 불면잠으로 인정되는 누에는 마치 소잠후 2일이 경과한 정도의 누에의 크기에 불과하였으며 4령의 성식기에 관찰한 불면잠도 이와 대동소리라하였다. 2. 태피선은 타원형의 편평한 낭상체로서 그 크기는 흉부에 위치하는 것이 작고 복부의 것이 일반적으로 큰 경향을 나타냈다. 3. 흉부에 있는 태피선은 흉지의 기부에 있는 것이 배맥관을 끼고 있는 태피선보다 큰것으로 종내에는 보고되었지만 본실험결과에 었어서는 일정한 경향이 없었다. 4. 정상잠이 3령의 성식기에 이르렀을 때의 태피선의 크기는 전흉에 있는 것이 최소로서 151.3$\mu$(major axis)~94.5$\mu$(minor axis)였고 최대로서는 복부제7절의 것이 568.6$\mu$~495.$\mu$였으며 이때에 불면잠으로 인정되는 것은 최소로서 전흉에 있는 태피선이 57.5~51.3$\mu$이였으며 최대로서는 복부제5절의 것이 91.5~75.5$\mu$으였다(표 1. 참조) 5. 정상잠이 4령의 성식기에 이르렀을 때 정상잠과 왜소잠의 태피선의 크기를 비교해 본 바에 의하면 정상잠에 있어서는 전흉의 것이 최소로서 252.2~131.6$\mu$이였고 복부제7절의 것이 최대로서 691.5~493.4$\mu$이였으며 왜소잠에 있어서는 후흉의 것이 최소로서 71.4~61.5$\mu$이였고 복부제8절의 것이 최대로서 94.6~71.5$\mu$이였다(표 2. 참조) 6. 불면잠에 있어서의 태피선의 형태는 그 공포형태피선이 정상잠의 것과 크게 차이가 있어 공흉의 크기가 정상잠의 것에 비하여 몇배에 달하였다. 7. 불면잠과 정상잠과의 분필세포의 구조에는 큰 차이가 없지만 불면잠의 과립형태피선은 정상잠에 비하여 소형이 었다.

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Surface Wear Monitoring with a Non-Vibrating Capacitance Probe

  • Zanoria, E.S.;Hamall, K.;Danyluk, S.;Zharin, A.L.
    • Tribology and Lubricants
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    • 제11권5호
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    • pp.40-46
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    • 1995
  • This study concerns the design and development of the non-vibrating capacitance probe which could be used as a non-contact sensor for tribological wear. This device detects surface charge through temporal variation in the work function of a material. Experiments are performed to demonstrate the operation of the probe on a roating aluminum shaft. The reference electrode of the probe, made of lead, is placed adjacent (< 1.25-mm distance) to the shaft. Both surfaces which are electrically connected, form a capacitor. An artificial spatial variation in the work function is imposed on the shaft surface by coating a segment along the shaft circumference with a colloidal silver paint. As the shaft rotates, the reference electode senses changing contact potential difference with the shaft surface, owing to compositional variation. Temporal variation in the contact potential difference induces a current through the electrical connection. This current is amplified and converted to a voltage signal by an electoronic circuit with an operational amplifier. The magnitude of the signal decreases asymptotically with the electrode-shaft distance and increases linearly with the rotational frequency. These results are consistent with the theoretical model. Potential applications of the probe on wear monitoring are proposed.

Evaluation of the Degenerative Changes of the Distal Intervertebral Discs after Internal Fixation Surgery in Adolescent Idiopathic Scoliosis

  • Dehnokhalaji, Morteza;Golbakhsh, Mohammad Reza;Siavashi, Babak;Talebian, Parham;Javidmehr, Sina;Bozorgmanesh, Mohammadreza
    • Asian Spine Journal
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    • 제12권6호
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    • pp.1060-1068
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    • 2018
  • Study Design: Retrospective study. Purpose: Lumbar intervertebral disc degeneration is an important cause of low back pain. Overview of Literature: Spinal fusion is often reported to have a good course for adolescent idiopathic scoliosis (AIS). However, many studies have reported that adjacent segment degeneration is accelerated after lumbar spinal fusion. Radiography is a simple method used to evaluate the orientation of the vertebral column. magnetic resonance imaging (MRI) is the method most often used to specifically evaluate intervertebral disc degeneration. The Pfirrmann classification is a well-known method used to evaluate degenerative lumbar disease. After spinal fusion, an increase in stress, excess mobility, increased intra-disc pressure, and posterior displacement of the axis of motion have been observed in the adjacent segments. Methods: we retrospectively secured and analyzed the data of 15 patients (four boys and 11 girls) with AIS who underwent a spinal fusion surgery. We studied the full-length view of the spine (anterior-posterior and lateral) from the X-ray and MRI obtained from all patients before surgery. Postoperatively, another full-length spine X-ray and lumbosacral MRI were obtained from all participants. Then, pelvic tilt, sacral slope, curve correction, and fused and free segments before and after surgery were calculated based on X-ray studies. MRI images were used to estimate the degree to which intervertebral discs were degenerated using Pfirrmann grading system. Pfirrmann grade before and after surgery were compared with Wilcoxon signed rank test. While analyzing the contribution of potential risk factors for the post-spinal fusion Pfirrmann grade of disc degeneration, we used generalized linear models with robust standard error estimates to account for intraclass correlation that may have been present between discs of the same patient. Results: The mean age of the participant was 14 years, and the mean curvature before and after surgery were 67.8 and 23.8, respectively (p<0.05). During the median follow-up of 5 years, the mean degree of the disc degeneration significantly increased in all patients after surgery (p<0.05) with a Pfirrmann grade of 1 and 2.8 in the L2-L3 before and after surgery, respectively. The corresponding figures at L3-L4, L4-L5, and L5-S1 levels were 1.28 and 2.43, 1.07 and 2.35, and 1 and 2.33, respectively. The lower was the number of free discs below the fusion level, the higher was the Pfirrmann grade of degeneration (p<0.001). Conversely, the higher was the number of the discs fused together, the higher was the Pfirrmann grade. Conclusions: we observed that the disc degeneration aggravated after spinal fusion for scoliosis. While the degree of degeneration as measured by Pfirrmann grade was directly correlated by the number of fused segments, it was negatively correlated with the number of discs that remained free below the lowermost level of the fusion.

기립자세에서 신발 굽의 높이가 요추부 시상만곡각에 미치는 영향 (The Effect of Heel Height on Lumbar Sagittal Curvature at Standing Posture)

  • 윤범철;이명화
    • 대한물리치료과학회지
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    • 제5권4호
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    • pp.763-775
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    • 1998
  • Some segment or segments of the body must compensate for the heel, and the higher the heel the greater the compensation. Such compensation was once generally thought to take place in the lumbar region and therefore to increase the lumbar lordosis. The purpose of this study is to analyze changes of lumbar sagittal curvature in barefoot and 6cm 12cm high-heel stance. We selected 19 subjects(11 males, 8 females} without history of lower back pain, significant spinal abnormality. And lateral view X-ray of lumbar region from T12 to S1 was taken of each individual. On each X-ray film, lumbar lordotic angle lumbosacral angle and lumbar segmental angles were measured by Cobb method. We drew the following interpretations from the analysis of measured variables of the lumbar region. 1. In comparison of barefoot 6cm heel 12cm heel stance, lumbar lordotic angle had a tendency to decrease according as the heel height was higher. The change in lumbar lordosis measured in high-heel stance was inconsistent with clinical forkelord of hyperlordosis in wearers of high-heeled. 2. Lumbar lordotic angle from T12 to L5 showed sex difference, and was more lordotic in female(p<0.05). 3. There was no sex difference in lumbosacral angle and lumbar segmental angles(p>0.05). 4. There was a significant correlation between lumbar lordotic angle and lumbosacral angle(r>0.60).

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남해안 아귀(Lophiomus setigerus) 아가미에 기생하는 Acanthochondria spirigera에 관하여 (A report on Acanthochondria spirigera from the gills of Lophiomus setigerus in the southern coast of Korea)

  • 최상덕;홍성윤;정춘구
    • 한국어병학회지
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    • 제9권2호
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    • pp.127-135
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    • 1996
  • 남해안 아귀, Lophiomus setigerus에서 기생성 요각류, Acanthochondria spirigera(Chondracanthidae, Poecilostomatoida)이 채집되었다. 이 종은 한국 미기록종이다. A. spirigera는 나선형으로 굽어지는 알주머니를 가짐으로서 Acanthochondria속 다른 종과 쉽게 구별된다. 또한 이 기생충은 5월을 제외하고 1~4월에 아귀 아가미에서 채집되었다. 감염률과 상대 감염밀도는 1월에서 5월로 진행됨에 따라 점차 감소하였다. Acanthochondria spirigera는 아귀 구강에 제한적으로 기생하며, 숙주의 아가미에서 분비되는 점액질 등을 섭취하면서 서식한다. 그리고 수컷은 암컷의 복절에 작은 혹처럼 부착되어 있다.

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Sagittal Pelvic Radius in Low-Grade Isthmic Lumbar Spondylolisthesis of Chinese Population

  • Zhao, Yang;Shen, Cai-Liang;Zhang, Ren-Jie;Cheng, Da-Wei;Dong, Fu-Long;Wang, Jun
    • Journal of Korean Neurosurgical Society
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    • 제59권3호
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    • pp.292-295
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    • 2016
  • Objective : To investigate the variation of pelvic radius and related parameters in low-grade isthmic lumbar spondylolisthesis. Methods : Seventy-four patients with isthmic lumbar spondylolisthesis and 47 controls were included in this study. There were 17 males and 57 females between 30 and 66 years of age, including 30 with grade I slippages and 44 grade II slippages; diseased levels included 34 cases on L4 and 40 cases on L5. Thoracic kyphosis (TK), the pelvic radius (PR), the pelvic angle (PA), pelvic morphology (PR-S1), and total lumbopelvic lordosis (PR-T12) were assessed from radiographs. Results : Statistically significant differences were found for the PA, PR-T12, and PR-S1 ($24.5{\pm}6.6^{\circ}$, $83.7{\pm}9.8^{\circ}$, and $25.4{\pm}11.2^{\circ}$, respectively) of the patients with spondylolisthesis and the healthy volunteers ($13.7{\pm}7.8^{\circ}$, $92.9{\pm}9.2^{\circ}$, and $40.7{\pm}8.9^{\circ}$, respectively). The TK/PR-T12 ratios were between 0.15 and 0.75. However, there were no differences in all the parameters between the L4 and L5 spondylolysis subgroups (p>0.05). The TK and PR-S1 of grade II were less than grade I, but the PA was greater. The PR-T12 of female patients were less than male patients, but the PA was greater (p<0.05). Conclusion : Pelvic morphology differed in patients with low-grade isthmic lumbar spondylolisthesis compared to controls. Gender and the grade of slippage impacted the sagittal configuration of the pelvis, but the segment of the vertebral slip did not. Overall, the spine of those with spondylolisthesis remains able to maintain sagittal balance despite abnormal pelvic morphology.

토마토의 조직배양(組織培養)에 있어 Cytokinin과 Auxin의 영향(影響) (Effect of Cytokinin and Auxin on Tomato Leaf Segment Culture)

  • 이영복;김명원;조성섭
    • 농업과학연구
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    • 제13권2호
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    • pp.168-175
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    • 1986
  • 토마토의 엽육조직(葉肉組織)을 MS배지(培地)에 cytokinin으로 BA를 auxin으로 NAA 와 2, 4-D를 첨가하여 배양하여 다음과 같은 결과(結果)를 얻었다. 1. Cytokinin 인 BA의 단독처리구(單獨處理區)에서도 callus는 형성(形成)되었으며 농도(濃度)가 증가(增加)할수록 생체중(生體重)이나 건물중(乾物重)도 증가(增加)하였다. 2. Auxin 의 일종(一種)인 NAA를 처리(處理)하였을때 callus는 형성(形成)되었으나 BA처리시(處理時)보다 생체중(生體重)이나 건물중(乾物重)은 떨어졌으며 BA와의 혼합처리시(混合處理時)에는 callus의 생육(生育)에 상승적(上昇的) 효과(效果)를 보였다. 그러나 auxin의 농도가 증가하면서 callus의 생육(生育)은 떨어지는 경향(傾向)이었다. 3. 2, 4-D의 처리구(處理區)에 있어서는 NAA의 효과(效果)보다 부진한 결과(結果)로서 특히 농도(濃度)의 증가(增加)에 따른 억제효과(抑制效果)는 컸다. 4. Shoot의 형성(形成)은 BA단독처리구(單獨處理區)에서만 유도되었고, auxin은 shoot 형성(形成)에는 효과(效果)가 없었다. 5. 뿌리의 발생(發生)에 있어 cytokinin은 효과(效果)가 없었고, auxin 중에서도 NAA처리구(處理區)에서만 효과(效果)가 있었으며 저농도에서 양호하였다. NAA와 BA와의 혼합처리(混合處理)의 경우에서도 BA의 농도(濃度)가 증가(增加)됨에 따라 뿌리의 발생(發生)에는 억제적(抑制的) 효과(效果)가 나타났다.

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