• 제목/요약/키워드: PLIF

검색결과 127건 처리시간 0.028초

요추전방전위증 환자들에서 후방요추체간유합술로 자가골편 또는 Cage를 사용한 두 군간의 비교 (Comparision of the Two Groups between Autologous Bone Chips and Cage as Posterior Lumbar Interbody Fusion in Spondylolisthesis Patients)

  • 신필재;김창현;문재곤;이호국;황도윤
    • Journal of Korean Neurosurgical Society
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    • 제29권4호
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    • pp.507-513
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    • 2000
  • Objective : Posterior lumbar interbody fusion(PLIF) with transpedicular screw fixation(TPSF) have many merits in the treatment of spondylolisthesis. The aim of this study was to compare cage PLIF group(PLIF using cage and TPSF) with chip PLIF group(PLIF using autologous bone chips and TPSF) as surgical treatment of spondyloisthesis. Methods : PLIF and TPSF were performed in 44 patients with spondylolisthesis from January 1994 to December 1998. The surgical methods were divided into two groups. One group was cage PLIF(20 patients), and the other group was chip PLIF(24 patients). We analyzed the change of anterior translation, change of intervertebral space height, fusion rate, clinical outcomes, and postoperative complications in two groups. Result : There was no significant difference in reduction and maintenance of anterior translation between two groups. Intervertebral space height was increased in the two groups at immediate postoperative state. At last followup, it was decreased compared to preoperative height in chip PLIF group. In cage PLIF group, last follow-up height was decreased compared to immedate postoperative height, but it was significantly increased compared to preoperative height. Fusion rates were 70.9% and 90% in chip PLIF group and cage PLIF group, respectively. Excellent and good clinical outcomes were 79.2% in chip PLIF group and 85% in cage PLIF group, but there was no statistical significance. Complications were screw fracture(1 case), CSF leakage(1 case) in chip PLIF group and screw loosening and retropulsion of cage(1 case), CSF leakage(2 cases) in cage PLIF group. Conclusion : PLIF using cage is better than PLIF using autologous bone chips in the maintenance of intervertebral space height and fusion rate. But there is no statistical difference of the clinical outcomes between the two groups. Further studies, especially on long term follow-up, should be considered.

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CH-OH PLIF와 Stereoscopic PIV동시계측에 의한 난류예혼합화염의 관찰 (Simultaneous Measurements of CH-OH PLIF and Stereoscopic PIV in Turbulent Premixed Flames)

  • 최경민
    • 한국연소학회:학술대회논문집
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    • 한국연소학회 2004년도 제29회 KOSCI SYMPOSIUM 논문집
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    • pp.91-96
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    • 2004
  • Simultaneous CH and OH planar laser induced fluorescence(PLIF) and stereoscopic particle image velocimetry (PIV) measurements have been developed to investigate the local flame structure of turbulent premixed flames. The developed simultaneous two radical concentrations and three component velocity measurements on a two-dimensional plane was applied for relatively high Reynolds number turbulent premixed flames in a swirl stabilized combustor. All measurements were conducted for methane-air premixed flames in the corrugated flamelets regime. Strong three-dimensional fluctuation implies that misunderstanding of the flame/turbulent interactions would be caused by the analysis of two-component velocity distribution in a cross section. Furthermore, comparisons of CH-OH PLIF and three-component velocity field show that the burned gases not always have high-speed velocity in relatively high Reynolds number turbulent premixed flame. The Reynolds number dependence of the flame front was clearly captured by the simultaneous CH-OH PLIF and stereoscopic PIV measurements.

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아세톤 PLIF를 이용한 가스터빈 연소기 버너 출구 연료분포의 정량적 측정 (Quantitative Acetone PLIF Measurement of Fuel Distribution in a Gas Turbine Combustor Burner)

  • 전우진;김형모;이강엽;양수석
    • 한국연소학회지
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    • 제15권4호
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    • pp.43-52
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    • 2010
  • A non-intrusive measurement, Planar Laser Induced Fluorescence was employed to visualize and measure the fuel distribution of the non-reacting field at the burner exit of gas turbine combustor. Measurement techniques, image processing method and quantification procedure were presented. Also, concentration measurement with gas analyzer was carried out to verify the propriety of PLIF result. The PLIF result coincides well with gas analyzer measurement result. PLIF test result for several other conditions are mentioned as well.

라디칼 PLIF계측을 이용한 연소실의 공간적 열발생율 예측 (Prediction of Spatial Heat Release Rate of Combustion Chamber by Radicals-PLIF)

  • 최경민
    • 한국분무공학회지
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    • 제8권4호
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    • pp.9-16
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    • 2003
  • The Purpose of this study is to investigate the relationships between the local heat release rate and CH concentration have been investigated by numerical simulations of methane-air premixed flames. And simultaneous CH and OH PLIF(Planar Laser Induced Fluorescence) measurement has been also conducted for lean premixed flame as well as for laminar flames. Numerical simulations are conducted for laminar premixed flames and turbulent ones by using PREMIX in CHEMKIN and two dimensional DNS code with GRI mechanism version 2.11, respectively. In the case of laminar premixed flame, the distance between the peak of heat release rate and that of CH concentration is under $91{\mu}m$ for all equivalence ratio calculated in present work. Even for the premixed flame in high intensity turbulence, the distribution of the heat release rate coincides with that of CH mole fraction. For CH PLIF measurements in the laminar premixed flame burner, CH fluorescence intensity as a function of equivalence ratio shows a similar trend with CH mole fraction computed by GRI mechanism. Simultaneous CH and OH PLIF measurement gave us useful information of instantaneous reaction zone. In addition, CH fluorescence can be measured even for lean conditions where CH mole fraction significantly decreases compared with that of stoichiometric condition. It was found that CH PLIF measurements can be applicable to the estimation of the spatial fluctuations of heat release rate in the engine combustion.

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What are the Differences in Outcome among Various Fusion Methods of the Lumbar Spine?

  • Kang, Suk-Hyung;Kim, Young-Baeg;Park, Seung-Won;Hong, Hyun-Jong;Min, Byung-Kook
    • Journal of Korean Neurosurgical Society
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    • 제37권1호
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    • pp.39-43
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    • 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.

Comparison between Posterior and Transforaminal Approaches for Lumbar Interbody Fusion

  • Park, Jae-Sung;Kim, Young-Baeg;Hong, Hyun-Jong;Hwang, Sung-Nam
    • Journal of Korean Neurosurgical Society
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    • 제37권5호
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    • pp.340-344
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    • 2005
  • Objective: Posterior lumbar interbody fusion(PLIF), the current leading method of pedicle screw fixation combined with interbody fusion via posterior route, sometimes requires too much destruction of the facet joint than expected especially for the patient with a narrow spine. On the other hand, tranforaminal lumbar interbody fusion(TLIF) technique provides potential advantages over PLIF and can be chosen as a better surgical alternative to more traditional fusion methods in certain surgical conditions. Methods: From October 1999, 99 PLIF and 29 TLIF procedures were done for the patients with spinal stenosis and instability. Radiological data including the interpedicular distance and the size of the pedicles as well as the clinical parameters were collected retrospectively. The degree of resection of the inferior articular process was compared with the interpedicular distance in each patient who received PLIF. Results: No significant differences were found between PLIF and TLIF regarding the operation time, blood loss, duration of hospital stay, or short term postoperative clinical result. There were no complication with TLIF, but PLIF resulted in 9(9.1%) complications. During PLIF procedure, all patients(n=24) except one with the interpedicular distance shorter than 27mm required near complete or complete resection of the inferior articular processes, whereas only 6(31.5%) of 19 patients with the interpedicular distances longer than 30mm required the similar extent of resection. Conclusion: TLIF is better than PLIF in terms of the complication rate. The patient who had narrow interpedicular distance(<27mm) might be better candidate for TLIF.

CH-OH PLIF와 Stereoscopic PIV계측법을 이용한 난류예혼합화염의 관찰 (Simultaneous Measurement of CH-OH PLIF and Stereoscopic PIV in Turbulent Premixed Flames)

  • 최경민
    • 한국가시화정보학회:학술대회논문집
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    • 한국가시화정보학회 2004년도 추계학술대회 논문집
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    • pp.102-103
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    • 2004
  • Simultaneous CH and OH planar laser induced fluorescence(PLIF) and stereoscopic particle image velocimetry(PIV) measurements have been developed to investigate the local flame structure of turbulent premixed flames. The developed simultaneous two radical concentrations and three component velocity measurements on a two-dimensional plane was applied for relatively high Renolds number turbulent premixed flames in a swirl stabilized combustor. All measurements were conducted for methane-air premixed flames in the corrugated flamelets regime. Strong three-dimensional fluctuation implies that misunderstanding of the flame/turbulent interactions would be caused by the analysis of two-component velocity distribution in a cross section. Furthermore, comparisons of CH-OH PLIF and three-component velocity field show that the burned gases not always have high-speed velocity in relatively high Renolds number turbulent premixed flame.

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LPG 액상분사 엔진에서 아세톤 PLIF를 이용한 연료분포 측정기법 연구 (Acetone PLIF for Fuel Distribution Measurements in Liquid Phase LPG Injection Engine)

  • 오승묵;박승재;허환일;강건용;배충식
    • 한국자동차공학회논문집
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    • 제12권1호
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    • pp.74-82
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    • 2004
  • Planar laser-induced fluorescence(PLIF) has been widely used to obtain two dimensional fuel distribution. Acetone PLIF is chosen because fluorescence signal from acetone as a fluorescent tracer is less sensitive to oxygen quenching than other dopants. Acetone PLIF is applied to measure quantitative air excess ratio distribution in an engine fueled with LPG. Acetone is excited by KrF excimer laser (248nm) and its fluorescence image is acquired by ICCD camera with a cut-off filter to suppress Mie scattering from the laser light. For the purpose of quantifying PLIF signal, an image processing method including the correction of laser sheet beam profile is suggested. Raw images are divided by each intensity of laser energy and profile of laser sheet beam. Inhomogeneous fluorescence images scaled with the reference data, which is taken by a calibration process, are converted to air excess ratio distribution. This investigation shows instantaneous quantitative measurement of planar air excess ratio distribution for gaseous fuel.

협부형 척추전방전위증에 대한 후방가동관절 이용한 골유합술 및 척추경나사못 고정술의 수술적 결과 (Surgical Results of Patients with Isthmic Spondylolisthesis with Transpedicular Screw Fixation and Posterior Lumbar Interbody Fusion Using Posterior Movable Segment)

  • 김찬;이승명;신호
    • Journal of Korean Neurosurgical Society
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    • 제30권sup1호
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    • pp.108-114
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    • 2001
  • Objective : Posterior lumbar interbody fusion(PLIF) provides the favorable outcome to degenerative lumbar disease, especially isthmic spondylolisthesis. To determine the long-term effect of PLIF using psterior movable segment, we analysed the results of follow-up radiologic changes and surgical outcome retrospectively Patients and Method : During the past 11 years(1989. 1.-1999. 9.), 148 patients with symptomatic lumbar spondylolisthesis were managed at our department and the clinical wants were throughly recieved and final outcome is determined at last follow up. PLIF using antogenous bone(posterior movable segment, iliac bone and rib) were performed in 106 case. Results : After an average follow-up period of 33 months(range ; 15-58 months), the results were excellent in 66 cases, good in 37 cases, fair in 2 cases and poor in 1 cases. And the satisfactory results were 103 cases(98.2%) in PLIF,. Conclusion : In conclusion, patients who underwent PLIF with autologous bone graft had good clinical and radiological outcomes without significant neurological complications.

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Clinical Comparison of Posterolateral Fusion with Posterior Lumbar Interbody Fusion

  • Kim, Chang-Hyun;Gill, Seung-Bae;Jung, Myeng-Hun;Jang, Yeun-Kyu;Kim, Seong-Su
    • Journal of Korean Neurosurgical Society
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    • 제40권2호
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    • pp.84-89
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    • 2006
  • Objective : The purpose of this study is to compare the outcomes of two methods for stabilization and fusion : Postero-Lateral Fusion [PLF, pedicle screw fixation with bone graft] and Posterior Lumbar Interbody Fusion [PLIF, cage insertion] for spinal stenosis and recurred disc herniation except degenerative spondylolisthesis. Methods : Seventy one patients who underwent PLF [n=36] or PLIF [n=35] between 1997 and 2001 were evaluated prospectively. These two groups were compared for the change of interbody space, the range of segmental angle, the angle of lumbar motion, and clinical outcomes by Prolo scale. Results : The mean follow-up period was 32.6 months. The PLIF group showed statistically significant increase of the interbody space after surgery. However, the difference in the change of interbody space between two groups was insignificant [P value=0.05]. The range of segmental angle was better in the PLIF group, but the difference in the change of segmental angle was not statistically significant [P value=0.0l7]. Angle of lumbar motion was similar in the two groups. Changes of Prolo economic scale were not statistically significant [P value=0.193]. The PLIF group showed statistically significant improvement in Prolo functional scale [P value=0.003]. In Prolo economic and functional scale, there were statistically significant relationships between follow-up duration [P value<0.001]. change of interbody space [P value<0.001], and range of segmental angle [P value<0.001]. Conclusion : Results of this study indicate that PLIF is superior to PLF in interbody space augmentation and clinical outcomes by Prolo functional scale. Analysis of clinical outcomes showed significant relationships among various factors [fusion type, follow-up duration, change of interbody space, and range of segmental angle]. Therefore, the authors recommend instrumented PLIF to offer better clinical outcomes in patients who needed instrumented lumbar fusion for spinal stenosis and recurred disc herniation.