• Title/Summary/Keyword: Successful fusion

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The Impact of Menopause on Bone Fusion after the Single-Level Anterior Cervical Discectomy and Fusion

  • Park, Sung Bae;Chung, Chun Kee;Lee, Sang Hyung;Yang, Hee-Jin;Son, Young-Je;Chung, Young Seob
    • Journal of Korean Neurosurgical Society
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    • v.54 no.6
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    • pp.496-500
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    • 2013
  • Objective : To evaluate the successful fusion rate in postmenopausal women with single-level anterior cervical discectomy and successful fusion (ACDF) and identify the significant factors related to bone successful fusion in pre- and postmenopausal women. Methods : From July 2004 to December 2010, 108 consecutive patients who underwent single-level ACDF were prospectively selected as candidates. Among these, the charts and radiological data of 39 women were reviewed retrospectively. These 39 women were divided into two groups : a premenopausal group (n=11) and a postmenopausal group (n=28). To evaluate the significant factors affecting the successful fusion rate, the following were analyzed : the presence of successful fusion, successful fusion type, age, operated level, bone mineral density, graft materials, stand-alone cage or plating with autologous iliac bone, subsidence, adjacent segment degeneration, smoking, diabetes mellitus, and renal disease. Results : The successful fusion rates of the pre- and postmenopausal groups were 90.9% and 89.2%, respectively. There was no significant difference in the successful fusion rate or successful fusion type between the two groups. In the postmenopausal group, three patients (10.8%) had successful fusion failure. In the postmenopausal group, age and subsidence significantly affected the successful fusion rate (p=0.016 and 0.011, respectively), and the incidence of subsidence in patients with a cage was higher than that in patients with a plate (p=0.030). Conclusion : Menopausal status did not significantly affect bone successful fusion in patients with single-level ACDF. However, in older women with single-level ACDF, the combination of use of a cage and subsidence may unfavorably affect successful fusion.

The Effect of Perioperative Radiation Therapy on Spinal Bone Fusion Following Spine Tumor Surgery

  • Kim, Tae-Kyum;Cho, Wonik;Youn, Sang Min;Chang, Ung-Kyu
    • Journal of Korean Neurosurgical Society
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    • v.59 no.6
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    • pp.597-603
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    • 2016
  • Introduction : Perioperative irradiation is often combined with spine tumor surgery. Radiation is known to be detrimental to healing process of bone fusion. We tried to investigate bone fusion rate in spine tumor surgery cases with perioperative radiation therapy (RT) and to analyze significant factors affecting successful bone fusion. Methods : Study cohort was 33 patients who underwent spinal tumor resection and bone graft surgery combined with perioperative RT. Their medical records and radiological data were analyzed retrospectively. The analyzed factors were surgical approach, location of bone graft (anterior vs. posterior), kind of graft (autologous graft vs. allograft), timing of RT (preoperative vs. postoperative), interval of RT from operation in cases of postoperative RT (within 1 month vs. after 1 month) radiation dose (above 38 Gy vs. below 38 Gy) and type of radiation therapy (conventional RT vs. stereotactic radiosurgery). The bone fusion was determined on computed tomography images. Result : Bone fusion was identified in 19 cases (57%). The only significant factors to affect bony fusion was the kind of graft (75% in autograft vs. 41 in allograft, p=0.049). Other factors proved to be insignificant relating to postoperative bone fusion. Regarding time interval of RT and operation in cases of postoperative RT, the time interval was not significant (p=0.101). Conclusion : Spinal fusion surgery which was combined with perioperative RT showed relatively low bone fusion rate (57%). For successful bone fusion, the selection of bone graft was the most important.

Engineering geoscience in Korea - from mining to fusion technology

  • Hyun, Byung-Koo
    • 한국지구물리탐사학회:학술대회논문집
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    • 2003.11a
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    • pp.3-6
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    • 2003
  • Fusion technology is a key to maximize innovative potential of geoscience for many challenging issues today that require integrated multi-disciplinary approach. Successful fusion technological advance can be achieved when interdisciplinary cooperation is firmly established. In order to establish firm the context of inter-disciplinarity that is still feeble, it is urgent to continuously develop geoscientific models and systematic infra for interdisciplinary cooperation such as well-prepared geo-spatial database and knowledge base network that can support multi-lateral cooperation between multiple disciplines and multi-phase international cooperation.

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Study on the Cooperation Model for Fusion-Technology Development in SMEs (융합기술 개발을 위한 중소기업 간 협업모형 제안)

  • Cho, Chanwoo;Lee, Sungjoo
    • Journal of Korean Institute of Industrial Engineers
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    • v.39 no.3
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    • pp.198-203
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    • 2013
  • Industry convergence is the inexorable trend, which has become a fundamental concept to understand the industrial dynamics and to develop business strategies. However, most of the previous studies on convergence have dealt with the issues at the macro-level (technology- or industry-level), little attention has been paid to the analysis of convergence at the micro level (firm-level). Recognizing that firms are the principal agents that develop fusion technologies, it is encouraged to help firms to work together for technology convergence. Therefore, this research proposes a collaboration model for SMEs, since SMEs tend to have novel ideas and are flexible enough to make fusion-technology. To do this, we conducted a survey for Korean SMEs and analyzed their successful cases of collaboration, which was used as a basis to develop the model. The research results will help develop strategy or policy to promote the collaboration between SMEs and ultimately to make a fusion-technology.

Predicting Further Markets of Innovative Products By Analyzing Successful Cases of Innovative Products (혁신제품의 성공사례 분석을 통한 향후 혁신제품의 판로 예측)

  • Kim, Yi Yeon;Boo, in gue
    • Korea Science and Art Forum
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    • v.25
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    • pp.71-80
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    • 2016
  • The meaning of innovative products pursued by pluralized societies is transforming. In the past, the markets were opened up after the products were released through various development strategies based on the needs of development. Recently, however, even the launching process of innovative products is differently operated and strategies with directions completely different from the past are used. In this regard, the paper aims to predict successful markets of innovative products in the future by analyzing the successful strategic cases of innovative products from both the past and the present. The following are the methodology and results of this study. - Conduct a case study and an analysis on which strategies were implemented after the release of successful innovative products in the past. - Conduct a case study and an analysis on the markets and launching trends of innovative products that were successful fairly recently. By reviewing the operation system of innovative products for each time period, it is assumed that startup companies releasing innovative products in the future will engage in the mass production of products through a pre-approval and post-production system, via overseas crowd funding. Moreover, we can expect that systems for partnerships between startups and conglomerates will be prepared in Korea within the near future. If we accurately perceive the operation trends related to the release of innovative products that come into existence by experiencing extreme changes, shortcuts to success will be available for startup companies preparing for such future.

Fusion Criteria for Posterior Lumbar Interbody Fusion with Intervertebral Cages : The Significance of Traction Spur

  • Kim, Kyung-Hoon;Park, Jeong-Yoon;Chin, Dong-Kyu
    • Journal of Korean Neurosurgical Society
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    • v.46 no.4
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    • pp.328-332
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    • 2009
  • Objective : The purpose of this study was to establish new fusion criteria to complement existing Brantigan-Steffee fusion criteria. The primary purpose of intervertebral cage placement is to create a proper biomechanical environment through successful fusion. The existence of a traction spur is an essential predictable radiologic factor which shows that there is instability of a fusion segment. We studied the relationship between the existence of a traction spur and fusion after a posterior lumbar interbody fusion (PLIF) procedure. Methods : This study was conducted using retrospective radiological findings from patients who underwent a PLIF procedure with the use of a cage without posterior fixation between 1993 and 1997 at a single institution. We enrolled 183 patients who were followed for a minimum of five years after the procedure, and used the Brantigan-Steffee classification to confirm the fusion. These criteria include a denser and more mature bone fusion area than originally achieved during surgery, no interspace between the cage and the vertebral body, and mature bony trabeculae bridging the fusion area. We also confirmed the existence of traction spurs on fusion segments and non-fusion segments. Results : The PLIF procedure was done on a total of 251 segments in 183 patients (71 men and 112 women). The average follow-up period was $80.4{\pm}12.7$ months. The mean age at the time of surgery was $48.3{\pm}11.3$ years (range, 25 to 84 years). Among the 251 segments, 213 segments (84.9%) were fused after five years. The remaining 38 segments (15.1%) were not fused. An analysis of the 38 segments that were not fused found traction spur formation in 20 of those segments (52.6%). No segments had traction spur formation with fusion. Conclusion : A new parameter should be added to the fusion criteria. These criteria should be referred to as 'no traction spur formation' and should be used to confirm fusion after a PLIF procedure.

Successful Treatment of Severe Sympathetically Maintained Pain Following Anterior Spine Surgery

  • Woo, Jae Hee;Park, Hahck Soo
    • Journal of Korean Neurosurgical Society
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    • v.56 no.1
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    • pp.66-70
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    • 2014
  • Sympathetic dysfunction is one of the possible complications of anterior spine surgery; however, it has been underestimated as a cause of complications. We report two successful experiences of treating severe dysesthetic pain occurring after anterior spine surgery, by performing a sympathetic block. The first patient experienced a burning and stabbing pain in the contralateral upper extremity of approach side used in anterior cervical discectomy and fusion, and underwent a stellate ganglion block with a significant relief of his pain. The second patient complained of a cold sensation and severe unexpected pain in the lower extremity of the contralateral side after anterior lumbar interbody fusion and was treated with lumbar sympathetic block. We aimed to describe sympathetically maintained pain as one of the important causes of early postoperative pain and the treatment option chosen for these cases in detail.

Classification of Fused SAR/EO Images Using Transformation of Fusion Classification Class Label

  • Ye, Chul-Soo
    • Korean Journal of Remote Sensing
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    • v.28 no.6
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    • pp.671-682
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    • 2012
  • Strong backscattering features from high-resolution Synthetic Aperture Rader (SAR) image provide useful information to analyze earth surface characteristics such as man-made objects in urban areas. The SAR image has, however, some limitations on description of detail information in urban areas compared to optical images. In this paper, we propose a new classification method using a fused SAR and Electro-Optical (EO) image, which provides more informative classification result than that of a single-sensor SAR image classification. The experimental results showed that the proposed method achieved successful results in combination of the SAR image classification and EO image characteristics.

Motion and Structure Estimation Using Fusion of Inertial and Vision Data for Helmet Tracker

  • Heo, Se-Jong;Shin, Ok-Shik;Park, Chan-Gook
    • International Journal of Aeronautical and Space Sciences
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    • v.11 no.1
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    • pp.31-40
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    • 2010
  • For weapon cueing and Head-Mounted Display (HMD), it is essential to continuously estimate the motion of the helmet. The problem of estimating and predicting the position and orientation of the helmet is approached by fusing measurements from inertial sensors and stereo vision system. The sensor fusion approach in this paper is based on nonlinear filtering, especially expended Kalman filter(EKF). To reduce the computation time and improve the performance in vision processing, we separate the structure estimation and motion estimation. The structure estimation tracks the features which are the part of helmet model structure in the scene and the motion estimation filter estimates the position and orientation of the helmet. This algorithm is tested with using synthetic and real data. And the results show that the result of sensor fusion is successful.

Treatment of Talonavicular Subluxation Accompanied by Calcaneal Malunion (A Case Report) (종골 부정 유합에 동반된 거주상 관절 아탈구의 치료 (1예 보고))

  • Cha, Seong-Mu;Chang, Bo Hoon;Suh, Jin-Soo
    • Journal of Korean Foot and Ankle Society
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    • v.16 no.4
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    • pp.270-275
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    • 2012
  • There may be complications after comminuted or intraarticular calcaneal fracture regardless of the initial treatment. Transcalcaneal talonavicular dislocation is rarely reported severe form of calcaneal fracture. We experienced a neglected transcalcaneal talonavicular subluxation case, who had been treated for intraarticular calcaneal fracture conservatively. Subtalar distraction bone block fusion was done for calcaneal malunion with talonavicular subluxation. Inspite of successful subtalar fusion, pain was persisted because of talonavicular re-subluxation with arthritis and calcaneocuboid arthritis. So, second operation, the talonavicular and calcaneocuboid fusion, was done. After union achieved, the patient's foot pain was improved. Calcaneal malunion combined with talonavicular subluxation and unstable transverse tarsal joint, such as this case, initial triple arthrodesis could be considered.