• Title/Summary/Keyword: Cylindrical cage

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Long-Term Follow-Up Radiologic and Clinical Evaluation of Cylindrical Cage for Anterior Interbody Fusion in Degenerative Cervical Disc Disease

  • Kim, Su-Hyeong;Chun, Hyoung-Joon;Yi, Hyeon-Joong;Bak, Koang-Hum;Kim, Dong-Won;Lee, Yoon-Kyoung
    • Journal of Korean Neurosurgical Society
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    • v.52 no.2
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    • pp.107-113
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    • 2012
  • Objective : Various procedures have been introduced for anterior interbody fusion in degenerative cervical disc disease including plate systems with autologous iliac bone, carbon cages, and cylindrical cages. However, except for plate systems, the long-term results of other methods have not been established. In the present study, we evaluated radiologic findings for cylindrical cervical cages over long-term follow up periods. Methods : During 4 year period, radiologic findings of 138 patients who underwent anterior cervical fusion with cylindrical cage were evaluated at 6, 12, 24, and 36 postoperative months using plain radiographs. We investigated subsidence, osteophyte formation (anterior and posterior margin), cage direction change, kyphotic angle, and bone fusion on each radiograph. Results : Among the 138 patients, a minimum of 36 month follow-up was achieved in 99 patients (mean follow-up : 38.61 months) with 115 levels. Mean disc height was 7.32 mm for preoperative evaluations, 9.00 for immediate postoperative evaluations, and 4.87 more than 36 months after surgery. Osteophytes were observed in 107 levels (93%) of the anterior portion and 48 levels (41%) of the posterior margin. The mean kyphotic angle was $9.87^{\circ}$ in 35 levels showing cage directional change. There were several significant findings : 1) related subsidence [T-score (p=0.039) and anterior osteophyte (p=0.009)], 2) accompanying posterior osteophyte and outcome (p=0.05). Conclusion : Cage subsidence and osteophyte formation were radiologically observed in most cases. Low T-scores may have led to subsidence and kyphosis during bone fusion although severe neurologic aggravation was not found, and therefore cylindrical cages should be used in selected cases.

Anterior Cervical Discectomy and Fusion Using a Double Cylindrical Cage versus an Anterior Cervical Plating System with Iliac Crest Autografts for the Treatment of Cervical Degenerative Disc Disease

  • Kim, Seong Joon;Kim, Sang Don
    • Journal of Korean Neurosurgical Society
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    • v.55 no.1
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    • pp.12-17
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    • 2014
  • Objective : Anterior cervical discectomy and fusion (ACDF) is often complicated by subsidence, pseudoarthrosis, kyphosis, and graft donor site morbidities. To decrease the occurrence of these complications, various types of cages have been developed. We designed this retrospective study to analyze and compare the efficacy and outcomes of ACDF using double cylindrical cages (DCC) (BK Medical, Seoul, Korea) versus an anterior cervical plating system with autogenous iliac crest grafts. Methods : Forty-eight patients were treated with autograft and plating (plate group), and 48 with DCC group from October 2007 to October 2011. We analyzed construct length, cervical lordotic curvarture, the thickness of the prevertebral soft tissue, segmental instability, and clinical outcomes. Results : There were no significant differences between the two groups with regard to the decrease in construct length or cervical lodortic curvature at the 3-, 6-, and 12-month follow-ups. The prevertebral soft tissue was thinner in the DCC group than the plate group immediately after surgery and at the 3-, 6-, and 12-month follow-ups. The difference in interspinous distance on flexion-extension was shorter in the plate group than the DCC group at the 3- and 6-month follow-ups. However, there was no significant difference in this distance between the two groups at the 12-month follow-up. Conclusion : A double cylindrical cage is a good alternative for fusion in patients with cervical degenerative diseases; the surgical method is relatively simple, allows good synostosis, has less associated prevertebral soft tissue swelling, and complications associated with autografting can be avoided.

Reproductive Rate of Green Stink Bug, Nezara antennata Scott (Hemiptera: Pentatomidae) by the Size of Rearing Cages (사육용기의 규격에 따른 풀색노린재의 증식률)

  • Bae, Soon-Do;Kim, Hyun-Ju;Lee, Geon-Hwi;Park, Sung-Tae
    • Korean journal of applied entomology
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    • v.47 no.1
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    • pp.31-36
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    • 2008
  • The embryonic and postembryonic developments of Nezara antennata Scott were observed in 5 different rearing cages such as A (Cylindrical, ${\phi}\;10cm{\times}4cm$), B (Cylindrical, ${\phi}\;14.5cm{\times}2.8cm$), C (Rectangle, $6.5L{\times}6.5cmW{\times}10cmH$), D (Cylindrical, ${\phi}$ 9cm in bottom & ${\phi}$ 11.5 cm in $upper{\times}10.8cm$) and E (Cylindrical, ${\phi}\;15cm{\times}7.5cm$) containing soybean and peanut seeds as food, and sponge soaked with water under laboratory condition of $24^{\circ}C$ and 15L : 9D. Hatchability ranged from 93 to 97%. Nymphal duration was shortest of 6 days in the 1st instar and longest of 10 days in the 5th instar. The nymphal duration was 38 to 39 days observed in the rearing cages. Emergence rate was in the range from 53 to 62% with highest in A and B cages. Adult longevity was 65 to 75 days for male, and 67 to 74 days for female, and was longest in the B cage. Total number of eggs laid by female adult was in the range from 51 to 56 without significant difference in the rearing cages, and was the most in the B cage. Accordingly, the reproductive rate of N. antennata for 1 generation was within 25 to 33 times, and was highest in the B rearing cage. Therefore, it could be concluded that B cage is most suitable for stable rearing of N. antennata under laboratory condition.

Wave Forces Acting on a Cylindrical Aquaculture Fish Cage (원통형 양식시설물에 작용하는 파랑하중)

  • Cho, Il-Hyoung
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.23 no.1
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    • pp.63-69
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    • 2011
  • In this paper, the wave forces on a cylindrical aquaculture fish cage, which consists of the porous mesh with the uniform porosity, are analyzed using matched eigenfunction expansion method. The boundary condition on the porous net is derived based on the Darcy's law, which implies that the velocity of the fluid passing through the net is linearly proportional to the pressure difference between two sides of the net. The wave forces and wave responses are investigated by changing the porous parameter of porous net as well as the submerged position (floating type, bottom-mounted type) of an aquaculture fish cage. It is found that the wave forces on a bottom-mounted type are largely decreased compared with that on a floating type. Also, the porosity of the netting structure plays an important role in reducing the wave forces and the wave elevation in the vicinity of an aquaculture fish cage.

Reproductive Rate of One-banded Stink Bug, Piezodorus hybneri Linnaeus (Hemiptera: Pentatomidae) in Various Rearing Cages (사육용기의 규격에 따른 가로줄노린재의 증식율)

  • Bae, Soon-Do;Kim, Hyun-Ju;Park, Chung-Gyoo;Lee, Geon-Hwi;Park, Sung-Tae;Song, Yoo-Han
    • Korean journal of applied entomology
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    • v.44 no.4 s.141
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    • pp.293-298
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    • 2005
  • The embryonic and postembryonic developments of Pierodorus hybneri Linnaeus were observed in 5 different rearing cages such as A (Cylindrical, 10 cm in diameter, height of 4 cm), B (Cylindrical, 14.5 cm in diameter, height of 2.8 cm), C (Rectangle, 6.5 by 6.5 cm in $length{\times}breadth$, height of 10 cm), D (Cylindrical, 9 cm in bottom diameter, 11.5 cm in upper diameter, height of 10.8 cm) and E (Cylindrical, 15 cm in diameter, height of 7.5 cm) containing soybean and peanut seeds as feeding food, and sponge-water container under laboratory condition of $24^{\circ}C$ and 16L:8D. Egg duration was 6 days regardless of rearing cages. Hatchability ranged from 63 to 80% with the highest in B (14.5 cm in diameter, 2.8 cm in height) rearing cage. Instar duration was longer from 5 days in 1st instar to about 11 days in 5th instar. Nymphal duration showed 35 to 36 days with'3ut significant difference in rearing cages. Percent emergence was in range from 65 to 82% with the highest in B rearing cage. Adult longevity was 35 to 83 days for male, and 32 to 79 days for female, and was the longest in B rearing cage. Total number of eggs laid by female adult was in range from 38 to 86 with significant difference in rearing cages, and was the most in B rearing cage. Accordingly, the reproductive rate of P. hybneri for 1 generation was within 17 to 56 times, and was the highest in B rearing cage. Therefore, it could be concluded that B cage is most suitable for stable rearing of P. hybneri under laboratory condition.

Titanium Mesh Cage for Anterior Stabilization in Tuberculous Spondylitis : Is It Safe?

  • Bak, Koang-Hum;Cheong, Jin-Hwan;Kim, Jae-Min;Kim, Choong-Hyun;Kim, Seung-Bum
    • Journal of Korean Neurosurgical Society
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    • v.40 no.6
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    • pp.412-418
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    • 2006
  • Objective : The safety of titanium metal cages in tuberculous spondylitis has not been investigated. We evaluated the outcome and complications of titanium mesh cages for reconstruction after thoracolumbar vertebrectomy in the tuberculous spondylitis. Methods : There were 17 patients with 18 operations on the tuberculous spondylitis in this study. Sixteen patients were operated with anterior corpectomy and reconstruction with titanium mesh cage followed by posterior transpedicular screw fixations on same day, two pateints were operated by either anterior or posterior approach only. After the affected vertebral body resection and pus drainage from the psoas muscle, titanium mesh cage, filled with morselized autogenous bone, was inserted. All the patients had antituberculosis medication for 18 months. The degree of kyphosis correction and the subsidence of cage were measured in the 15 patients available at a minimum of 2 years. Outcome was assessed with various cross-sectional outcome measures. Recurrent infection was identified by serial ESR[Erythrocyte Sedimentation Rate] and CRP[Cross Reactive Protein]. Results : There was no complication from the use of a titanium mesh cage. Recurrent infection was not detected in any case. Average preoperative of $9.2^{\circ}$ was reduced to $-2^{\circ}$ at immediate postoperative period, and on final follow up period kyphotic angle was measured to be $4.5^{\circ}$. Postoperatively, subsidence was detected in most patients especially at ambulation period, however further subsidence was prevented by the titanium mesh cage. Osseous union was identified in all cases at the final follow-up. Conclusion : The cylindrical mesh cage is a successful instrument in restoring and maintaining sagittal plane alignment without infection recurrence after vertebrectomy for tuberculous spondylitis.

Subsidence of Cylindrical Cage ($AMSLU^{TM}$ Cage) : Postoperative 1 Year Follow-up of the Cervical Anterior Interbody Fusion

  • Joung, Young-Il;Oh, Seong-Hoon;Ko, Yong;Yi, Hyeong-Joong;Lee, Seung-Ku
    • Journal of Korean Neurosurgical Society
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    • v.42 no.5
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    • pp.367-370
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    • 2007
  • Objective : There are numerous reports on the primary stabilizing effects of the different cervical cages for cervical radiculopathy. But, little is known about the subsidence which may be clinical problem postoperatively. The goal of this study is to evaluate subsidence of cage and investigate the correlation between radiologic subsidence and clinical outcome. Methods : To assess possible subsidence, the authors investigated clinical and radiological results of the one-hundred patients who underwent anterior cervical fusion by using $AMSLU^{TM}$ cage during the period between January 2003 and June 2005. Preoperative and postoperative lateral radiographs were measured for height of intervertebral disc space where cages were placed intervertebral disc space was measured by dividing the sum of anterior, posterior, and midpoint interbody distance by 3. Follow-up time was 6 to 12 months. Subsidence was defined as any change in at least one of our parameters of at least 3 mm. Results : Subsidence was found in 22 patients (22%). The mean value of subsidence was 2.21 mm, and mean subsidence rate was 22%. There were no cases of the clinical status deterioration during the follow-up period No posterior or anterior migration was observed. Conclusion : The phenomenon of subsidence is seen in substantial number of patients. Nevertheless, clinical and radiological results of the surgery were favorable. An excessive subsidence may result in hardware failure. Endplate preservation may enables us to control subsidence and reduce the number of complications.

Supramolecular Assembly toward Organic Nanostructures

  • Lee, Myong-Soo
    • Proceedings of the Polymer Society of Korea Conference
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    • 2006.10a
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    • pp.173-173
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    • 2006
  • We have explored a strategy to control the supramolecular nano-structures self-assembled from rigid segments through attachment of flexible chains through microphase separation and anisotropic arrangement. Supramolecular structures formed by self-assembly of rigid building blocks can be precisely controlled from 1-D layered, 3-D bicontinuous cubic to 2-D cylindrical structures by systematic variation of the type and relative length of the respective blocks. Furthermore, depending on the individual molecular architectures, rigid building blocks self-assemble into a wide range of supramolecular structures such as honeycomb, disk, cylinder, helix, tube, barrel stave, and nano-cage.

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육체운동이 사염화탄소의 간독성에 미치는 영향

  • 김민경;김영철
    • Toxicological Research
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    • v.7 no.2
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    • pp.165-171
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    • 1991
  • Effects of forced physical exercise on the CCl4 hepatotoxicity were examined in adult female rats. Rats were treated with CCl4 (2 mmol/kg, ip) and introduced into a cylindrical cage rotating at 9 rpm for 20 min/hr for 6 hr. Eighteen hr following the termination of exercise serum sorbitol dehydrogenase (SDH), glutamic oxaloacetic transaminase (GOT), glutamic pyruvic transaminase (GPT) activities and glucose-6-phosphatase activity were determined as parameters for hepatotoxicity. Physical exercise inhibited the $CCI_{4-}$induced increases in SDH, GOT, GPT activity, and glucose-6-phosphatase activity were determined as parameters for hepatotoxicity.

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Posterior Lumbar Interbody Fusion Using Posterolateral Placement of A Single Cylindrical Threaded Cage and Two Regular Cages : A Biomechanical Study (단일 나사형 Cage를 이용한 후방 요추체간 융합술과 두개의 나사형 Cage를 이용한 PLIF의 생체 역학적 비교)

  • Park, Choon Keun;Hwang, Jang Hoe;Ji, Chul;Kwun, Sung Oh;Sung, Jae Hoon;Choi, Seung Jin;Lee, Sang Won;Kim, Moon Kyu;Park, Sung Chan;Cho, Kyeung Suok;Park, Chun Kun;Yuan, Hansen;Kang, Joon Ki
    • Journal of Korean Neurosurgical Society
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    • v.30 no.7
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    • pp.883-890
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    • 2001
  • Objectives : An in vitro biomechanical study of posterior lumbar interbody fusion(PLIF) with threaded cage using two different approaches was performed on eighteen functional spinal units of bovine lumbar spines. The purpose of this study was to compare the segmental stiffnesses among PLIF with one long posterolateral cage, PLIF with one long posterolateral cage and simultaneous facet joint fixation, and PLIF with two posterior cages. Methods : Eighteen bovine lumbar functional spinal units were divided into three groups. All specimens were tested intact and with cage insertion. Group 1(n=12) had a long threaded cage($15{\times}36mm$) inserted posterolaterally and oriented counter anterolaterally on the left side by posterior approach with left unilateral facetectomy. Group 2(n=6) had two regular length cages($15{\times}24mm$) inserted posteriorly with bilateral facetectomy. Six specimens from group 1 were then retested after unilateral facet joint screw fixation in neutral(group 3). Likewise, the other six specimens from group 1 were retested after fixation with a facet joint screw in an extended position(group 4). Nondestructive tests were performed in pure compression, flexion, extension, lateral bending, and torsion. Results : PLIF with a single cage, group 1, had a significantly higher stiffnesses than PLIF with two cages, group 2, in left and right torsion(p<0.05). Group 1 showed higher stiffness values than group 2 in pure compression, flexion, left and right bending but were not significantly different. Group 3 showed a significant increase in stiffness in comparison to group 1 for pure compression, extension, left bending and right torsion(p<0.05). For group 4, the stiffness significantly increased in comparison to group 1 for extension, flexion and right torsion(p<0.05). Although there was no significant difference between groups 3 and 4, group 4 had increased stiffness in extension, flexion, right bending and torsion. Conclusion : Posterior lumbar interbody fusion with a single long threaded cage inserted posterolaterally with unilateral facetectomy enables sufficient decompression while maintaining a majority of the posterior elements. In combination with a facet joint screw fixation, adequate postoperative stability can be achieved. We suggest that posterolateral insertion of a long threaded cage is biomechanically an ideal alternative to PLIF.

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