• Title/Summary/Keyword: Thoracic vertebra

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Neck Pain Patient with Cervical Block Vertebra-A Case Report (경추부 융합척추(block vertebra)를 동반한 경추통 환자 증례보고)

  • Byun, Jang-Hoon;Kim, Min-Kyu;Shin, Ye-Sle;Park, Sang-Won;Sung, Ik-Hyun;Lee, Kap-Soo;Kim, Won-Woo;Jung, Jae-Hoon;Lee, Jae-Hwan;An, Yong-Jun;Lee, Jong-Hwan
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.9 no.2
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    • pp.35-43
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    • 2014
  • Objective : To report a case of cervical block vertebra with neck pain successfully treated with conservative Korean Traditional Medicine treatment with Thoracic Chuna Manipulation. Methods : A patient diagnosed with block vertebra was treated with Thoracic Chuna manipulation, acupuncture, pharmacoacupuncture, and herbal medicine. Numeric Rating Scale(NRS) and Neck Disability Index(NDI) scores were collected before and after treatment for comparison. Results : There was a significant decrease in NRS and NDI scores. The mean NRS score decreased from 8 to 1, and NDI from 50 to 8. Conclusion : Conservative Korean Traditional Medicine treatment appears to be effective for treatment of cervical block vertebra.

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Extraction of Muscle Areas form Ultrasonographic Images using Subcutaneous Fat Areas and Thoracic Vertebra (피하지방층과 등뼈 영역을 이용한 초음파 영상에서의 근육 영역 추출)

  • Kim, Kwang-Baek
    • Journal of the Korea Society of Computer and Information
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    • v.17 no.5
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    • pp.29-32
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    • 2012
  • In this paper, we propose a novel method to extract muscle area from lumbar ultrasonographic image. The muscle area resided in lumbar area can be defined as the area between thoracic vertebra and subcutaneous fat area. A modified 4-directional contour tracing algorithm is designed to detect the boundaries and candidate areas are extracted and verified by the morphological characteristics of lumbar area. The experiment using 392 lumbar images verifies that the proposed method is sufficiently effective by showing over 94% accuracy in extraction.

A case of fused thoracic vertebrae and deformity of the lumbar vertebrae in equine (말의 흉추골유합과 요추골변형의 1례)

  • Kim, Chong-Sup;Song, Chi-Won;Cho, Gyu-Hyen;Lee, Sang-Rae;Yang, Je-Hoon;Won, Chung-Kil
    • Korean Journal of Veterinary Research
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    • v.43 no.1
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    • pp.5-9
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    • 2003
  • The fused thoracic vertebra and deformity of the lumbar vertebrae in the female Thoroughbred horse were observed macroscopically. The 11th and 12th thoracic vertebrae (T) were partially fused. They were composed of three parts between the spinous process of the 11th and 12th T, left and right caudal articular processes of the 11th T, and left and right cranial articular processes of the 12th T. The vertical surface of cranial articular process of the 11th T and left mamillary process of the 12th T were absent. The left caudal part of the transverse process of the 12th T and left costal fovea of the transverse process of the 12th T were severely deformed. On the other hand, the left transverse process of the first lumbar vertebra (L) was a typical rib-like transverse process and two times longer than the right transverse process of the 2nd L. The right transverse process of 4th L has an oval concave facet on the medial part of caudal border for articulation with the right transverse process of 5th L; the latter has a corresponding convex facet on the medial part of the cranial border in the right transverse process of the 5th L.

A Clinical Two Case Studies on Juvenile Idiopathic Scoliosis Treated by Lumbar Flexion-Distraction Manipulation And Sitting Position Thoracic And Lumbar Vertebra Adjustment Manipulation (요추굴곡신연기법과 좌위흉요추교정법을 이용한 청소년기 특발성 척추측만증 환자 치험 2례)

  • Jang, Hong-Gyu;Yang, Du-Hwa;Woo, Chang-Hun;Ahn, Hui-Duk
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.9 no.1
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    • pp.103-114
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    • 2014
  • Objectives : The purpose of this study was to report clinical effects of Lumbar flexion-distraction manipulation and Sitting position thoracic and lumbar vertebra adjustment manipulation on patient with Juvenile idiopathic scoliosis Methods : The patients have been treated with the above two Chuna manual manipulations. We measured Cobb's angle, VNRS before and after treatment Results : After treatment, we confirmed these transition : In first case, Cobb's angle of T-spine changed from 27 to 23 : Cobb's angle of L-spine changed from 17 to 10 : VNRS changed from 6 to 2. In second case Cobb's angle of T-spine changed from 30 to 21 : Cobb's angle of L-spine changed from 16 to 16 : VNRS chagned from 6 to 3 Conclusion : The result suggests that these two Chuna manual manipulations were effective treatment on patients with Juvenile idiopathic scoliosis.

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Intraosseous Hemangioblastoma Mimicking Spinal Metastasis in the Patient with Renal Cell Carcinoma

  • Cho, Hee-Cheol;Lee, Sun-Ho;Kim, Eun-Sang;Eoh, Whan
    • Journal of Korean Neurosurgical Society
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    • v.49 no.6
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    • pp.381-383
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    • 2011
  • Sporadic osseous hemangioblastomas in the vertebra are extremely rare and they can be misdiagnosed as a vertebral hemangioma or metastasis in imaging studies. We report an intraosseous hemangioblastoma that arose from the 11 th thoracic vertebra and was diagnosed initially as a metastasis in a patient with renal cell carcinoma. Diagnosis, surgical treatment and adjuvant radiosurgery of such case in reference to the literature are discussed.

The Human Spine Mechanical Properties Database for Korean (한국인 척추 연구를 위한 물성 정보 구축)

  • Kwak, dai-soon;Lee, seung-bock;Lee, sang-ho;Han, seung-ho
    • Proceedings of the Korea Contents Association Conference
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    • 2011.05a
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    • pp.259-260
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    • 2011
  • 한국과학기술정보연구원과 가톨릭대학교 의과대학 가톨릭응용해부연구소에서는 기초기술연구회 National agenda project 일환으로 척추 연구자들이 쉽게 사용할 수 있는 기초 자료를 구축하고 있다. 척추 관련 컴퓨터 시뮬레이션 연구에 활용할 수 있는 모델 제작을 위한 형상 정보와 물리적 성질 정보를 구축하고 있다. 물리적 성질 정보 구축은 60대, 70대 기증시신 10여 표본을 활용하여 척추뼈의 임상적, 물리적 골밀도를 측정하고, 목척추(cervical vertebra), 등척추(thoracic vertebra), 허리척추(lumbar vertebra) 부분의 굽힘-폄(flexion-extension) 시험, 가쪽 굽힘(lateral bending) 시험, 회전(torsion), 압축(body/disc compression) 시험을 수행하여 작용력과 굽힘량의 관계를 구축하고 있다. 구축된 물성 시험 결과는 형상 모델과 함께 제공되어 자료의 활용도를 높이고 있으며, 이를 이용하여 한국인 특성이 반영된 척추 관련 연구 및 제품 개발에 활용될 수 있다.

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Vertebroplasty Utilizing Percutaneous Vertebral Body Access (PVBA) Technique for Osteoporotic Vertebral Compression Fractures in the Middle Thoracic Vertebrae

  • Cho, Yong-Jun;Choi, Jong-Hun;Cho, Sung-Min
    • Journal of Korean Neurosurgical Society
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    • v.41 no.3
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    • pp.161-165
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    • 2007
  • Objective : Percutaneous approach to the middle thoracic vertebra through the transpedicular route for the patients with osteoporotic vertebral compression fractures is difficult due to the small size of the pedicle and parasagittally oriented vertebra body anatomy. The percutaneous vertebral body access [PVBA] technique utilizing the posterolateral extrapedicular approach avoids the pedicle and provides direct access to the vertebral body. The objective of this study is to evaluate the efficacy of the vertebroplasty utilizing PVBA technique for osteoporotic vertebral compression fractures in the middle thoracic vertebrae. Methods : A retrospective review was done on 20 patients who underwent vertebroplasty utilizing PVBA technique performed for painful osteoporotic compression fracture in the middle thoracic vertebrae at 22 levels from May 2003 to June 2006. The average amount of the injected cement was 1.5-2.5ml. The postprocedural outcome was assessed using a visual analogue scale [VAS]. Results : The treated vertebrae were T5 [1 level], T6 [5 levels], 17 [7 levels], and T8 [9 levels]. The compression rate and kyphotic angle were improved after procedure from $18%{\pm}13.4$ to $16%{\pm}13.8$ [p > 0.05] and from $6.9^{\circ}{\pm}6.7$ to $6.6^{\circ}{\pm}6.2$ [p>005], respectively. Preprocedural VAS was $8.2{\pm}0.70$ and was decreased to $2.1{\pm}1.02$ [p < 0.01] after treatment. Postprocedural cement leakage was noted in 3 levels [13.7%]. There were no cases of leakage to epidural space or neural foramen, segmental artery injury, and pneumothorax. Conclusion : These results suggest that the complication rates are low and good results can be achieved with vertebroplasty utilizing PVBA technique for the osteoporotic vertebral compression fractures especially in the middle thoracic vertebrae.

Surgical Correction of the Stenosis of Descending Thoracic Aorta in Takayasu's Arteritis (Takayasu 동맥염에 의한 하행흉부대동맥 협착의 수술치험 -2례 보고-)

  • 서강석
    • Journal of Chest Surgery
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    • v.27 no.5
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    • pp.394-398
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    • 1994
  • Takayasu`s arteritis is one of chronic inflammatory disease characteristically involving the aorta and it`s major branches. We experienced two surgical cases of Takayasu`s arteritis associated with the stenosis of the descending thoracic aorta. One case was 15 year-old girl and she was admitted because of dyspnea on exertion for 12 months. Aortogram showed the stenosis of the descending thoracic aorta from just below left subclavian artery to the 9th thoracic vetebra. The other case was 10 year-old girl and she was admitted because of URI and hypertension. Aortogram showed narrowing of right innominate artery, but developed collateral circulation, and the stenosis of the descending thoracic aorta near the 9th thoracic vertebra. In each case, bypass graft from the ascending aorta to the abdominal aorta just above the inferior mesenteric artery was performed with satisfactory result.

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Surgical Treatment of Intralobar Pulmonary Sequestration (폐엽내형 폐격리증 수술치험 1례)

  • 안광수
    • Journal of Chest Surgery
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    • v.27 no.11
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    • pp.961-964
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    • 1994
  • The pulmonary sequestration is an uncommon congenital anomaly characterized by the presence of nonfunctioning lung tissue supplied by aberrant artery from the aorta or its branches and usually has no communication with the normal bronchial tree. The patient was 35 year old female and had no specific complaints. The lung mass was found incidentally and was continned to be intralobar pulmonary sequestration by aotography whitch showed aberrant blood supply from thoracic aorta at the T. vertebra level. The right lower lobectomy was done.

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The Change of Adjacent Segment and Sagittal Balance after Thoracolumbar Spine Surgery

  • Kim, Kang-San;Hwang, Hyung-Sik;Jeong, Je-Hoon;Moon, Seung-Myung;Choi, Sun-Kil;Kim, Sung-Min
    • Journal of Korean Neurosurgical Society
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    • v.46 no.5
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    • pp.437-442
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    • 2009
  • Objective : To characterize perioperative biomechanical changes after thoracic spine surgery. Methods : Fifty-eight patients underwent spinal instrumented fusions and simple laminectomies on the thoracolumbar spine from April 2003 to October 2008. Patients were allocated to three groups; namely, the laminectomy without fusion group (group I, n = 17), the thoracolumbar fusion group (group II, n = 27), and the thoracic spine fusion group (group III, n = 14). Sagittal (ADS) and coronal (ADC) angles for adjacent segments were measured from two disc spaces above lesions at the upper margins, to two disc spaces below lesions at the lower margins. Sagittal (TLS) and coronal (TLC) angles of the thoracolumbar junction were measured from the lower margin of the 11th thoracic vertebra body to the upper margin of the 2nd lumbar vertebra body on plane radiographs. Adjacent segment disc heights and disc signal changes were determined using simple spinal examinations and by magnetic resonance imaging. Clinical outcome indices were determined using a visual analog scale. Results : The three groups demonstrated statistically significant differences in terms of angle changes by ANOVA (p<0.05). All angles in group I showed significantly smaller angles changes than in groups II and III by Turkey's multiple comparison analysis. Coronal Cobb's angles of the thoracolumbar spine (TLC) were not significantly different in the three groups. Conclusion : Postoperative sagittal balance is expected to change in the adjacent and thoracolumbar areas after thoracic spine fusion. However, its prevalence seems to be higher when the thoracolumbar spine is included in instrumented fusion.