• Title/Summary/Keyword: 척추 골절

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Lumbar Compression Fracture Following Snowboard Injury - Case Report - (스노우 보드 손상에 의한 요추 압박 골절 - 증례 보고 -)

  • Chung, Kook-Jin;Chung, Yung-Khee;Noh, Kyu-Cheol;Hong, Sung-Koo;Yoo, Jung-Han
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.4 no.2
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    • pp.128-132
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    • 2005
  • With the introduction of working 5 days a week, people who are participating in sports activity has been increased so rapidly, therefore sports related injuries also has continued to grow. Among winter sports, snowboard has been gaining popularity among adolescents and young adults. But, snowboard related injuries, especially spinal injuries, has been rarely documented. We report a case of lumbar compression fracture following snowboard injury.

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Sternal Fracture occurred after Thai Massage : A Case Report (마사지 시술 후 발생한 흉골골절 환자 증례보고)

  • Song, Young-Il;Kim, Dong-Eun
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.10 no.2
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    • pp.51-60
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    • 2015
  • Objectives: The purpose of this study is to investigate the safety, injury mechanism, complication and adverse reactions associated with Chuna manual theraphy(CMT), to report one case of adverse reaction with Thai Massage(TM). Methods: A 76-year-old woman presented with chest pain and dorsalgia. The patient undertook a TM. The patient's chest pain didn't improve by Korean medecine. In MRI study, sternal fracture was diagnosed. Results and Conclusions : It is supposed that this patient suffered chest pain and dorsalgia due to a TM. From this case, we can understand the etiology of sternal fracture to some extent and consider the complication of Chuna manual theraphy through TM. In addition, This study raises the awareness of the possibility of a sternal fracture caused by a low-energy CMT technique.

Biomedical evaluation of the vertebra based on bone density (골밀도를 고려한 척추의 생체역학적 평가)

  • Kim D.R.;Chae S.W.;Choi K.W.;Lee T.S.;Park J.Y.;Suh J.G.
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2005.06a
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    • pp.1921-1924
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    • 2005
  • In this paper, three-dimensional finite element analysis have been performed to investigate the biomechanics of vertebroplasty in patient. In order to apply various properties of the spine, the functional relation between the well-known apparent density and HU(Hounsfield unit) from CT image were employed and thus real material property can be assigned to each element of FE model. The FE analysis showed similar results with the experiments. With this approach accurate analysis of the spine and the clinical application can be expected.

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A Microstructural Analysis for Preventive Treatments of Vertebral Fracture (척추 골절의 예방적 치료법에 관한 미세 구조해석)

  • 김형도;탁계래;김한성;이성재
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2002.05a
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    • pp.146-149
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    • 2002
  • It is reported that the mechanical properties of vertebral trabecular bone depend on the density and the mass of bones. Osteoporosis is a systemic skeletal disease caused by low bone mass and microstructure deterioration of trabecular bone. Silva and Gibson (1997) studied the treatment of age-related bone loss using drug therapy. Vertebroplasty is a minimally invasive surgery for the treatment of osteoporosis vertebrae. This procedure includes puncturing vertebrae and filling with Polymethylmethacrylate (PMMA). However, the relative effect of drug therapy and bone cement for osteoporosis treatment is not reported yet. In this study, several 2D models of human vertebral trabecular bone are analyzed by finite element method. The mechanical behaviors of the vertebral trabecular bone treated by the drug therapy and the bone cement are compared. This study shows that bone cement treatment is more effective strategy than drug therapy to prevent the degradation of bone strength.

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Biomechanical Property Change of Vertebral body in Vertebroplasty (척추성형술 시술에서 요추의 생체역학적 특성 변화)

  • 이준형;전성재;채수원;이태수;서중근;박정율;김상돈;이관행
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2003.06a
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    • pp.1324-1327
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    • 2003
  • The compressed fracture of spine caused by osteoporosis is one of the most frequent diseases in bone fracture. Recently the vertebroplasty has drawn much attention as a medical treatment for the compressed fracture of spine, which strengthens the vertebral body and corrects deformity, and relieves pain in patients by injecting bone cement. The finite element analysis is used to investigate the vertebroplasty quantitatively. Previous works with finite element analysis have drawbacks in their simplified models geometry of vertebral body and with material properties of bone. In this paper the exact geometry of vertebral body has been constructed from medical image data and the biomechanical property changes of vertebral body in vertebroplasty have been investigate by using three dimensional finite element analysis.

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Extraosseous Extradural Cervical Tuberculoma (경 척수강에 발생한 경막외결핵성 육아종)

  • Cho, Soo-Ho;Choi, Byung-Yearn;Moon, Choong-Bae
    • Journal of Yeungnam Medical Science
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    • v.1 no.1
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    • pp.135-138
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    • 1984
  • A 44-year-old female with cervical cord compression signs had myelographic and computerized tomographic evidence of extradural spinal cord compression without any tuberculous bony lesion or cold abscess. At surgery, cervical spinal cord was compressed by extraosseous extradural granulomatous tissue which was histologically proved a very rare localized extradural tuberculous granuloma.

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Biomechanical Evaluation of the Vertebroplasty Based on Bone Density (골밀도를 고려한 척추성형술의 생체역학적 평가)

  • Kim Dong-Ryul;Lee Tae-Soo;Park Jung-Yul;Suh Jung-Gun;Choi Kui-Won;Chae Soo-Won
    • Journal of the Korean Society for Precision Engineering
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    • v.23 no.8 s.185
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    • pp.185-194
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    • 2006
  • In this paper, three dimensional finite element analyses have been performed to investigate the biomechanics of vertebroplasty in patient accurate FE models have been constructed from CT images of a PMMA injected vertebra. In order to apply various material properties of the spine(T12), the functional relation between the well known apparent density and HU(Hounsfield unit) from CT image were employed and thus real material properties can be assigned to each element of FE model. The FE analysis showed similar results with the experiments. With this approach accurate analysis of the vertebroplasty and its clinical applications can be expected.

성인병 뉴스 제320호

  • The Korea Association of Chronic Disease
    • The Korean Chronic Disease News
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    • no.320
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    • pp.1-17
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    • 2007
  • 전국 지자체 보건사업 종합평가/"생활습관병 퇴치 정책도입 필요"/고혈압.당뇨병환자 직접 등록관리/'방문건강관리'로 고혈압 관리율 향상/세계폐암학회, 담배 판매 금지 촉구/"폐암 진단 기준 세분화된다"/세계폐암학회 2007년 담배규제선언문/서울대병원, 브랜드 경쟁력 1위/세브란스병원 국제적으로 인증/충남도청 이전지에 '건양대학병원' 설립/55세 이상 남성... 5%가 전립선암/"순한 담배가 선암성 폐암 일으킨다"/골다공증 척추골절, 직접성형 96% 만족/건강투자전략의이해/"살기 좋은 웰빙 도봉"-도봉구보건소/"생각이 바뀌면 운명이 달라진다"

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Characteristics of Blood Mixed Cement in Percutaneous Vertebroplasty (경피적 척추 성형술에서 혈액 혼합 시멘트의 특성)

  • Seo, Jin-Hyeok;Woo, Young-Ha;Jeong, Ju-Seon;Kim, Do-Hun;Kim, Ok-Gul;Lee, Sang-Wook;Park, Chan-Ho
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.5
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    • pp.435-439
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    • 2019
  • Purpose: This study evaluated the efficacy of blood mixed cement for osteoporotic vertebral compression fractures in reducing the complications of percutaneous vertebroplasty using conventional cement. Materials and Methods: This study was performed retrospectively in 80 patients, from January 2016 to January 2017. Porous cement was formed by mixing 2, 4, and 6 ml of blood with 20 g of cement used previously. A tube with a diameter and length of 2.8 mm and 215 mm, respectively, was used and the polymerization temperature, setting time, and optimal passing-time were measured and compared with those using only conventional cement. Radiologically, the results were evaluated and compared. Results: The polymerization temperature was 70.3℃, 55.3℃, 52.7℃, and 45.5℃ in the conventional cement (R), 2 ml (B2), 4 ml (B4), and 6 ml (B6), respectively, and the corresponding setting time decreased from 960 seconds (R) to 558 seconds (B2), 533 seconds (B4), and 500 seconds (B6). The optimal passing-time was 45 seconds (B2), 60 seconds (B4), and 78 seconds (B6) at 73 seconds (R), respectively and as the amount of blood increased, it was similar to the cement passing-time. The radiological results showed that the height restoration rates and the vertebral subsidence rates similar among the groups. Two cases of adjacent vertebral compression fractures in the R group and one in the B2 and B4 groups were encountered, and the leakage rate of the cement was approximately two times higher than that in the conventional cement group. Conclusion: In conventional percutaneous vertebroplasty, the procedure of using autologous blood with cement decreased the polymerization temperature, reduced the setting time, and the incidence of cement leakage was low. These properties may contribute to more favorable mechanical properties that can reduce the complications compared to conventional cements alone.

Surgical Treatment of the Fracture of the Scapular Body (견갑골 체부 골절의 수술적 치료)

  • Rhyou, In-Hyeok;Suh, Bo-Gun;Chung, Chae-Ik;Kim, Kyung-Chul
    • Clinics in Shoulder and Elbow
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    • v.11 no.2
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    • pp.150-157
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    • 2008
  • Purpose: We wanted to evaluate the results of surgical treatment for fracture of the scapular body. Materials and methods: The subjects of this study were seven patients with fracture of the scapular body and all these patients were managed surgically. We considered the operative indications as being 100% translation of the lateral border, or $25^{\circ}$ of angular deformity of the glenoid, or 1cm medialization or the variant of the double disruption of the superior scapular suspensory complex. There were five males and two females, and their ages ranged between 40 and 58 years (mean age: 49) with average follow up of 11 months (6~24 months). Two patients sustained multiple fractures of the ribs and spines. The surgical results were evaluated according to the subjective satisfaction, the UCLA score and the Korean shoulder score. Results: The mean UCLA score was 29 (17~33) and the mean Korean shoulder score was 86 (63~94). The self assessment for subjective satisfaction was 7.7 (4~9). There were two complications; one case of screw pull-out without the loss of the fracture fixation and the other case with screw penetration of the glenoid cavity. Conclusion: Surgical treatment may be effective for the management of severely displaced fracture of the scapular body in order to prevent the impairment of the shoulder function caused by the altered glenohumeral and scapulothoracic kinematics.