• Journal of Korean Neurosurgical Society
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• 제58권6호
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• pp.534-538
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• 2015

Objective : To correct apical vertebral rotation for adolescent idiopathic scoliosis (AIS), direct vertebral derotation (DVD) or simple rod rotation (SRR) might be considered. The aim of the present study is to introduce the surgical experiences of AIS by a Korean neurosurgeon and to evaluate the effectiveness of SRR for apical vertebral rotation. Methods : A total of 9 patients (1 male and 8 females) underwent scoliosis surgery by a neurosurgeon of our hospital. The Lenke classifications of the patients were 1 of 1B, 2 of 1C, 1 of 2A, 1 of 2C, 3 of 5C and 1 of 6C. Surgery was done by manner of simple rod rotation on the concave side and in situ coronal bending. Coronal Cobb's angles, vertebral rotation angles and SRS-22 were measured on a plain standing X-ray and CT before and after surgery. Results : The mean follow up period was 25.7 months (range : 5-52). The mean number of screw positioning level was nine (6-12). The mean age was 16.4 years (range : 13-25) at surgery. The mean Risser grade was $3.7{\pm}0.9$. The apical vertebral rotation measured from the CT scans was $25.8{\pm}8.5^{\circ}$ vs. $9.3{\pm}6.7^{\circ}$ (p<0.001) and the Coronal Cobb's angle was $53.7{\pm}10.4^{\circ}$ vs. $15.4{\pm}6.5^{\circ}$ (p<0.001) preoperatively and postoperative, respectively. The SRS-22 improved from 71.9 preoperatively to 90.3 postoperatively. There were no complications related with the operations. Conclusion : SRR with pedicle screw instrumentation could be corrected successfully by axial rotation without complications. SRR might serve as a good option to correct AIS deformed curves of AIS.

• 척추신경추나의학회지
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• 제4권2호
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• pp.31-38
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• 2009

Objectives : This study is designed to find out the influence of acupuncture treatments on Iliopsoas muscles of disc herniated patients. Method : Control group took usual acupuncture therapies and sample group took acupuncture therapies on their Iliopsoas muscles and usual acupuncture therapies. To Conclude the results, we studied Numerical Rating Scale(NRS) score and changes of SLR-test angle statistically. Results : The improvement rate of the group who took Iliopsoas muscles and usual acupuncture therapies was higher than the group who only took usual acupuncture therapies. Conclusion : In this study, we found out that the treatment on Iliopsoas muscles is effective to low back pain patients.

• 척추신경추나의학회지
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• 제9권2호
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• pp.93-113
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• 2014

Objectives : This study aims to evaluate domestic/foreign clinical studies related to the traction therapy and analyse points to consider about cervical/lumbar traction therapy. Methods : Seven databases were searched for related articles about cervical/lumbar traction therapy from 1950 to 2014. Fourteen clinical studies and several systemic reviews were included among 144 studies searched. Out of fourteen clinical studies, four were case series and ten were controlled trials. Results : Most of included studies reported favorable effects of traction group compared to baseline of controlled group. The various mechanical factors most relevant to traction are 1) angle of pull and direction, 2) traction force, 3) duration of traction and frequency of treatment. Conclusions : We found various mistake in the applications of statistical methodologies of traction therapy targeting patients of cervical, lumbar vertebral disease. It is necessary for more randomized controlled trials to evaluate effect of cervical/lumbar traction therapy targeting patients of cervical, lumbar vertebral disease.

• Journal of Korean Neurosurgical Society
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• 제46권4호
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• pp.317-321
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• 2009

Objective : In the thoracic spine, insertion of a pedicle screw is annoying due to small pedicle size and wide morphological variation between different levels of the spine and between individuals. The aim of our study was to analyze radiologic parameters of the pedicle morphometry from T1 to T8 using computed tomographic myelography (CTM) in Korean population. Methods : For evaluation of the thoracic pedicle morphometry, the authors prospectively analyzed a consecutive series of 26 patients with stable thoracic spines. With the consent of patients, thoracic CTM were performed, from T1 to T8. We calculated the transverse outer diameters and the transverse angles of the pedicle, distance from the cord to the inner cortical wall of the pedicle, and distance from the cord to the dura. Results : Transverse outer pedicle diameter was widest at T1 ($7.66{\pm}2.14\;mm$) and narrowest at T4 ($4.38{\pm}1.55\;mm$). Transverse pedicle angle was widest at T1 ($30.2{\pm}12.0^{\circ}$ and it became less than $9.0^{\circ}$ below T6 level. Theoretical safety zone of the medial perforation of the pedicle screw, namely, distance from the cord to inner cortical wall of the pedicle was more than 4.5 mm. Conclusion : Based on this study, we suggest that the current pedicle screw system is not always suitable for Korean patients. Computed tomography is required before performing a transpedicular screw fixation at the thoracic levels.

• 척추신경추나의학회지
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• 제7권1호
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• pp.113-120
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• 2012

본 논문은 좌하지비증(左下肢痺症)및 보행장애와 간헐적인 하지통증을 주소로 하며 Meyerding 분류 상 grade II에 해당하는 퇴행성 척추전방전위증 환자에 대한 증례로 기존에 많이 시행되어 오던 치료방법인 침구치료 및 약물치료에 추나치료를 추가 시행하여 통증 호전 및 한 번에 이동 가능한 보행 거리의 증가와 영상의학적 변화를 보였다. 향후 척추전방전위증 환자의 한방적 치료에 대한 보다 다양한 연구와 임상적 고찰이 이루어져야 한다고 사료된다.

• 한국어류학회지
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• 제32권3호
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• pp.136-142
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• 2020

이 연구는 투라치의 형태 및 골격 관찰을 위해 2017년에 여수시 돌산도와 부산에서 채집한 3개체를 대상으로 외부형태를 관찰하고 내부 골격을 삶아 채골하여 관찰하였다. 형태적 특징은 다음과 같다. 몸은 길고 측편되어 있었고, 위턱은 앞으로 돌출됐다. 체색은 은백색을 띠고 있었고, 눈은 크며, 가슴지느러미와 꼬리지느러미는 등쪽으로 향해 있었다. 작은 돌기들이 배쪽에 머리 뒤부터 꼬리까지 있었다. 새파 수는 (3~4)+(7~8)개였다. 등지느러미 줄기는 185~190개였고, 가슴지느러미는 12~13개, 꼬리지느러미에는 9개의 연조와, 5+2개의 짧은 극조가 있었다. 골격 특징은 다음과 같다. 주상악골은 길고 4개의 이빨이 있었다. 치골은 삼각형 모양이었고, 간새개골과 하새개골은 크고 넓었으며, 5개의 새조골이 있었다. 후쇄골은 가늘고 길게 발달 되어있었다. 척추골은 79~80개였고, 후방 추골은 길었으며, 미부봉상골에는 5~6개의 돌기가 있었다.

• The Journal of Korean Physical Therapy
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• 제12권1호
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• pp.73-78
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• 2000

The Sit-and-Reach Test (SRT) is commonly nea to assess flexibility of the spine and length of the hamstring muscle, The purpose of this study was to describe hamstring muscle length as reflected by use of the SRT, the Hip Joint Angle (HJA) and Sack length(from C7 to S2) in children, to examine the correlation between Back length, SRT and HJA measurements and to examine gender differences. The 162 subjects were participated without known musculoskeletal and neurological impairments of their spine or lower exeremities. In the Long-silting position, the Back length, SRT and HJA measurements were obtained. A mean Back length value of 46.2cm, a mean SRT value of 29.4cm and a mean HJA of 77,0 degrees were obtained including all subjects. There was a strong correlation between the SRT and HJA measurements (r=.66). There were a difference between boys and girls in Back(p=.0019) and HJA measurements (p=.015). The results of this study suggest that measurements for the SRT and HJA were correlated than Back. The HJA measurements guide treatment more effectively than do Back length and SRT measurements.

• 한방재활의학과학회지
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• 제15권2호
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• pp.105-105
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• 2005

Objectives : The purpose of this study was to investigate the correlation between cervical spine curvature and thermography on neck pain patients. Methods : The cervical spine curvature was assessed on lateral view of plain radiograph by three measurements(Depth of cervical curve, Method of Jochumsen, Angle of cervical curve), then the neck pain patients were divided into straight curvature group(Straight group), normal curvature group(Control I), and no neck pain group(Control II) was selected by random sampling. I measured temperature of the both side Pungji(風池, G20), Kyonjong(肩井, G21), Chonjong(天宗, SI11) by thermography examination on Experimental group(Straight group) and control group(Control I, II), then analyzed the temperature statically with student's t-test, ANOVA. Results : The temperature of six point on Straigt group was lower than that of Control I, but had no significant difference(p>0.05). The temperature of six point on Straigt group was lower than that of Control II. The descent of temperature on Lt. Pungji(風池, G20), Lt. Kyonjong(肩井, G21), Rt. Chonjong(天宗, SI11) had significance(p<0.05). There is no corelation between onset period and mean temperature of six points. Conclusions : Thermography represnets the presence of neck pain, but has no correlation with straight of cervical curvature.

• 대한방사선기술학회지:방사선기술과학
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• 제42권1호
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• pp.61-66
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• 2019

The purpose of this study was to improve the unstable treatment posture by placing the Carbon fabric blanket on the couch which was used for the patient fixation for the unstable posture from the severe pain caused by the neuromuscular pressure of the spinal metastatic cancer patient and to analyze the dose difference caused by the energy loss of high energy radiation. Using a linear accelerator, a FC-65G was installed at a depth of 5 cm at a solid phantom at 6 MV and 10 MV energies. The SAD was 100 cm, Gantry angle was $0^{\circ}$, a Cotton and Carbon blanket with a thickness of 1 cm on the couch, The blankets were placed on the couch and the dose was measured according to field size. For the dose measurement, and the dose was measured at 100 MU each time, and the mean value was calculated by repeating the measurement three times in order to reduce the error. The results showed that the difference rate in dose between Carbon blanket and Cotton blanket was respectively -0.54% and -0.75% based on the absence of the blanket(Non). Therefore, it is considered that the use of Carbon fabric blanket, which reduces the patient's pain and does not affect the depth dose, may be useful during radiation therapy of the spine metastasis cancer.

• Asian Spine Journal
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• 제12권6호
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• pp.1037-1042
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• 2018

Study Design: Retrospective study. Purpose: This study aimed to investigate whether segmental lumbar hyperlordosis of the affected vertebra in patients with spondylolysis occurs only at L5 or also occurs at L4. Overview of Literature: To the best of our knowledge, increase in segmental lordosis of the spondylolytic vertebrae has only been investigated in bilateral L5 spondylolysis; it has not been examined at different levels of bilateral spondylolysis. According to the characteristics of segmental lordosis in bilateral L5 spondylolysis, patients with bilateral L4 spondylolysis may also have increased segmental lordosis of the L4 vertebra. Methods: Patients with bilateral spondylolysis of the L5 or L4 vertebra in 2013-2015 were retrospectively identified from the hospital database. Standing lateral lumbar radiographs were assessed for the angle of segmental lordosis of the L5 and L4 vertebra, sacral slope, and lumbar lordosis. The differences in segmental lordosis of the L5 and L4 vertebra, sacral slope, and lumbar lordosis were determined using non-paired Student t-test. Results: Overall, 15 cases of bilateral L4 spondylolysis and 41 cases of bilateral L5 spondylolysis satisfied the inclusion and exclusion criteria. Lordosis of the L4 vertebra was significantly greater in the bilateral L4 spondylolysis group ($24.2^{\circ}{\pm}7.0^{\circ}$) than that in the L5 spondylolysis group ($20.3^{\circ}{\pm}6.1^{\circ}$, p=0.047). Lordosis of the L5 vertebra was significantly lower in the L4 spondylolysis group ($27.7^{\circ}{\pm}8.2^{\circ}$) than that in the L5 spondylolysis group ($32.5^{\circ}{\pm}7.3^{\circ}$, p=0.040). The sacral slope and lumbar lordosis did not significantly differ between the groups. Conclusions: Adolescent patients with bilateral spondylolysis have segmental hyperlordosis of the affected vertebra not only at the L5 level but also at the L4 level.