• 대한기계학회논문집A
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• 제35권6호
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• pp.619-628
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• 2011

인체의 근육, 힘줄, 피부와 혈관 등은 일상생활 속에서 다양한 손상을 입는 경우가 많으므로 관심을 갖고 연구해야할 주제이다. 인체의 윤상인대의 역학적 특성을 얻기 위해서는 부족한 실험 자료를 감안하고서도 대변형뿐만 아니라 이방성 및 압축성까지 고려해야 하는 어려움이 있다. 본 연구에서는 섬유강화재료 모델을 사용하여 초탄성 재료 모델을 사용하고, 모재, 섬유 및 모재와 섬유와의 상관관계를 포함하는 에너지 함수를 도입하여 실험값과 비교하여 보았다. 윤상인대의 내부에서 2종류의 섬유는 일정한 각도를 갖고 있다고 가정하였다. 섬유강화재료 모델을 사용함에 있어서 모재에 대한 두 종류의 다른 에너지 함수를 대입하여 Neo-Hookean 재료를 사용하여 계산한 결과 및 기존에 알려진 실험결과와 비교하였으며 본 연구에서 제시된 모재에 관한 에너지 함수의 타당성을 보였다.

• 한국정밀공학회:학술대회논문집
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• 한국정밀공학회 2009년도 춘계학술대회 논문집
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• pp.45-46
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• 2009

• 대한정형외과학회지
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• 제56권4호
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• pp.283-293
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• 2021

퇴행성 추간판 질환은 전통적으로 수핵과 섬유륜의 변화에 따른 요통으로 생각되어 왔으나, 최근 연구들에서 추간판을 이루고 있는 상·하 종판의 변화가 추간판의 퇴행을 유발하고, 그 결과로 기계적 압박과 염증 반응에 의해 요통이 유발된다고 한다. 또한 최근에는 추체 골수-종판-수핵과 섬유륜을 하나의 단위로 생각하고, 그 연관성을 설명하고 있다. 종판이 손상되면 결국 추체, 수핵과 섬유륜의 퇴행성 변화를 가중시킨다. 이 과정에서 섬유륜에 가해지는 압박력이 증가하고, 염증성 매개 물질들에 의한 염증 반응이 일어나서, 동척추 신경(sinuvertebral nerve)과 기저추 신경(basivertebral nerve)이 자극을 받으면서 요통을 발생시킨다. 이런 변화가 만성화되면, 추체 내 골수에도 Modic 변화 같은 퇴행성 변화가 발생하게 된다. 결국, 퇴행성 추간판 질환은 추체 골수-종판-수핵과 섬유륜을 하나의 단위로 연관지어서 생각해야 할 필요가 있다. 그러므로 만성 요통 환자 진료 시에는 수핵과 섬유륜의 변화 소견뿐 아니라, 종판의 병변에 관심을 가질 필요가 있다고 생각된다.

• Journal of Korean Neurosurgical Society
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• 제48권1호
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• pp.1-7
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• 2010

Objective : Notochordal cells in the intervertebral disc interact with nucleus pulposus (NP) cells and support the maintenance of disc homeostasis by regulation of matrix production. However, the influence of notochordal cells has not been evaluated in the annulus fibrosus (AF), which is the primary pain generator in the disc. We hypothesized that the notochordal cell has the capacity to modulate inflammatory mediators secreted by AF cells secondary to stimulation. Methods : Notochordal and AF cells were isolated from adult New Zealand white rabbits. AF pellets were cultured with notochordal cell clusters or in notochordal cell-conditioned media (NCCM) for 24 or 48 hours with proinflammatory cytokines at varying concentrations. Gene expression in AF pellets were assayed for nitric oxide synthase (iNOS), cyclo-oxygenase (COX)-2, and interleukin (IL)-6 by real time reverse transcriptase polymerase chain reaction (RT-PCR). Results : AF pellet in NCCM significantly decreased the iNOS and COX-2 messenger ribonucleic acid (mRNA) levels compared to AF pellets alone and AF pellets with notochordal cells (p < 0.05). AF pellet resulted in dose-dependent iNOS and COX-2 expression in response to IL-$1{\beta}$, stimulation, demonstrating that 1 ng/ml for 24 hours yielded a maximal response. AF pellet in NCCM significantly decreased the expression of iNOS and COX-2 in response to 1ng/ml IL-$1{\beta}$, stimulation at 24 hours (p < 0.05). There was no difference in IL-6 expression compared to AF pellets alone or AF pellets with notochordal cell clusters. Conclusion : We conclude that soluble factors from notochordal cells mitigate the gene expression of inflammatory mediators in stimulated AF, as expected after annular injury, suggesting that notochordal cells could serve as a novel therapeutic approach in symptomatic disc development.

• 폴리머
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• 제34권3호
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• pp.282-288
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• 2010

소장점막하조직(SIS)은 면역반응이 없어 생체물질로 널리 사용되고 있다. 히알루론산(HA)은 천연 보습제라 불릴 정도로 친수성이 매우 뛰어나고 조직을 수복하기 위한 체내이식용 구조물로써 널리 사용되고 있는 천연고분자이다. 본 연구에서는 섬유륜세포를 이용한 조직공학 디스크 재생을 위해 HA를 함유한 SIS/HA 스폰지를 제조하였다. 제조된 스폰지 내부의 전자현미경 관찰 결과 열린 다공구조를 하고 있음을 확인하였고, FTIR 분석을 통해 C-O 관능기가 관찰 되어 SIS/HA 스폰지 내부의 HA가 빠져나가지 않고 고르게 분포되어 있음을 확인하였다. 결론적으로 SIS/HA 스폰지는 SIS와 HA 각각의 특성을 유지하며 섬유륜세포의 성장에 유익한 환경을 제공함을 확인하였고, 이는 HA의 우수한 생체적합성 및 수분 보유능력에 기인된 것으로 사료된다.

• 폴리머
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• 제32권1호
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• pp.26-30
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• 2008

추간판 디스크의 섬유륜(AF)조직 재생에 적합한 다양한 담체를 평가하기 위해 천연재료인 소장점막하조직(SIS)과 탈미네랄화된 골분(DBP)을 폴리(락타이드-글리콜라이드) 공중합체(PLGA)와 혼합하여 담체(PLGA/SIS, PLGA/DBP, PLGA/SIS/DBP)를 제조하였으며, PLGA담체, PGA 메쉬, SIS 스폰지와 비교하였다. 제조된 담체의 압축강도 및 AF 세포를 담체에 파종하여 콜라겐 양과 DNA량을 측정하였으며, 이를 누드마우스 피하에 이식 후 적출하여 육안관찰과 조직학적인 평가를 수행하였다. 압축강도 측정에서 PLGA와 유사하게 PLGA/SIS, PLGA/DBP 에서도 충분한 강도를 나타내었다. DNA 증가량에 따른 콜라겐 양은 PLGA/SIS 에서 가장 높게 나타났고, 면역화학 염색을 통해 PLGA/SIS, PLGA/SIS/DBP 에서 글라이코스아미노글라이칸과 콜라겐 발현량이 높음을 확인하였다.

• 대한의용생체공학회:의공학회지
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• 제39권1호
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• pp.22-29
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• 2018

Intervertebral disc(IVD) mainly consists of Annulus fibrosus(AF) and Nucleus pulposus(NP), playing a role of distributing a mechanical load on vertebral body. IVD tissue engineering has been developed the methods to achieve anatomic morphology and restoration of biological function. The goal of present study is to identify the possibilities for creating a substitute of IVD the morphology and biological functions are the same as undamaged complete IVD. To fabricate the AF and NP combine biphasic IVD tissue, AF tissue scaffolds have been printed by 3D bio-printing system with natural biomaterials and NP tissues have been prepared by scaffold-free culture system. We evaluated whether the combined structure of 3D printed AF scaffold and scaffold-free NP tissue construct could support the architecture and cell functions as IVD tissue. 3D printed AF scaffolds were printed with 60 degree angle stripe patterned lamella structure(the inner-diameter is 5mm, outer-diameter is 10 mm and height is 3 mm). In the cytotoxicity test, the 3D printed AF scaffold showed good cell compatibility. The results of histological and immunohistochemical staining also showed the newly synthesized collagens and glycosaminoglycans, which are specific makers of AF tissue. And scaffold-free NP tissue actively synthesized glycosaminoglycans and type 2 collagen, which are the major components of NP tissue. When we combined two engineered tissues to realize the IVD, combined biphasic tissues showed a good integration between the two tissues. In conclusion, this study describes the fabrication of Engineered biphasic IVD tissue by using enable techniques of tissue engineering. This fabricated biphasic tissue would be used as a model system for the study of the native IVD tissue. In the future, it may have the potential to replace the damaged IVD in the future.

• Journal of Korean Neurosurgical Society
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• 제65권2호
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• pp.186-195
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• 2022

Objective : To explore the histological feature of the cervical disc degeneration in patients with degenerative ossification (DO) and its potential mechanisms. Methods : A total of 96 surgical segments, from cervical disc degenerative disease patients with surgical treatment, were divided into ossification group (group O, n=46) and non-ossification group (group NO, n=50) based on preoperative radiological exams. Samples of disc tissues and osteophytes were harvested during the decompression operation. The hematoxylin-eosin staining, Masson trichrome staining and Safranin O-fast green staining were used to compare the histological differences between the two groups. And the distribution and content of transforming growth factor (TGF)-β1, p-Smad2 and p-Smad3 between the two groups were compared by a semi-quantitative immunohistochemistry (IHC) method. Results : For all the disc tissues, the content of disc cells and collagen fibers decreased gradually from the outer annulus fibrosus (OAF) to the central nucleus pulposus (NP). Compared with group NO, the number of disc cells in group O increased significantly. But for proteoglycan in the inner annulus fibrosus (IAF) and NP, the content in group O decreased significantly. IHC analysis showed that TGF-β1, p-Smad2, and p-Smad3 were detected in all tissues. For group O, the content of TGF-β1 in the OAF and NP was significantly higher than that in group NO. For p-Smad2 in IAF and p-Smad3 in OAF, the content in group O were significantly higher than group NO. Conclusion : Histologically, cervical disc degeneration in patients with DO is more severe than that without DO. Local higher content of TGF-β1, p-Smad2, and p-Smad3 are involved in the disc degeneration with DO. Further studies with multi-approach analyses are needed to better understand the role of TGF-β/Smads signaling pathway in the disc degeneration with DO.

• 정형스포츠물리치료학회지
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• 제14권2호
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• pp.73-80
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• 2018

Purpose: This study was evaluated the effects of nucleoplasty and chemonucleolysis, as interventional treatments for herniated intervertebral disc disease, on spinal tissues. Methods: Nucleoplasty using plasma beam and chemonucleolysis with collagenase were conducted on the spinal motion segments that were dissected from of human cadaver spine under fluoroscopic guidance. After the procedure, the intervertebral discs were transected, and the changes in gross findings were examined. Subsequently, the influence of the procedure on the nucleus pulposus, annuls fibrosus, and endplate was analyzed through a pathologic examination. Results: Nucleoplasty was confirmed to eliminate the local range of tissues in nucleus pulposus according to the procedure tract and to not affect other tissues. In chemonucleolysis, we found that collagenase diffused from the surgical site within the nucleus pulposus and was not present in the annulus fibrosus and endplate. Conclusions: The clinically-used interventional treatments that were investigated here were not found to do not cause additional damage to areas other than those targeted.

• Journal of Korean Neurosurgical Society
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• 제47권3호
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• pp.224-227
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• 2010

Small bowel injury resulting from unforeseen penetration of the anterior annulus fibrosus and longitudinal ligament is a rare complication of lumbar microdiscectomy. The patient complained of abdominal tenderness and distention immediately after microdiscectomy for L4-5 and L5-S1 disc herniation. Using abdominal computed tomography, we found several foci of air overlying the anterior aspect of the vertebral body at the L5-S1 level. Segmental resection of the small bowel including small tears and primary anastomosis of the jejunum were performed. Here, we present a case of intestinal perforation after lumbar microdiscectomy and discuss technical methods to prevent this complication with a review of literature.