• Title/Summary/Keyword: Slip percentage

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Clinical and Radiological Outcomes of Foraminal Decompression Using Unilateral Biportal Endoscopic Spine Surgery for Lumbar Foraminal Stenosis

  • Kim, Ju-Eun;Choi, Dae-Jung;Park, Eugene J.
    • Clinics in Orthopedic Surgery
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    • v.10 no.4
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    • pp.439-447
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    • 2018
  • Background: Since open Wiltse approach allows limited visualization for foraminal stenosis leading to an incomplete decompression, we report the short-term clinical and radiological results of unilateral biportal endoscopic foraminal decompression using $0^{\circ}$ or $30^{\circ}$ endoscopy with better visualization. Methods: We examined 31 patients that underwent surgery for neurological symptoms due to lumbar foraminal stenosis which was refractory to 6 weeks of conservative treatment. All 31 patients underwent unilateral biportal endoscopic far-lateral decompression (UBEFLD). One portal was used for viewing purpose, and the other was for surgical instruments. Unilateral foraminotomy was performed under guidance of $0^{\circ}$ or $30^{\circ}$ endoscopy. Clinical outcomes were analyzed using the modified Macnab criteria, Oswestry disability index, and visual analogue scale. Plain radiographs obtained preoperatively and 1 year postoperatively were compared to analyze the intervertebral angle (IVA), dynamic IVA, percentage of slip, dynamic percentage of slip (gap between the percentage of slip on flexion and extension views), slip angle, disc height index (DHI), and foraminal height index (FHI). Results: The IVA significantly increased from $6.24^{\circ}{\pm}4.27^{\circ}$ to $6.96^{\circ}{\pm}3.58^{\circ}$ at 1 year postoperatively (p = 0.306). The dynamic IVA slightly decreased from $6.27^{\circ}{\pm}3.12^{\circ}$ to $6.04^{\circ}{\pm}2.41^{\circ}$, but the difference was not statistically significant (p = 0.375). The percentage of slip was $3.41%{\pm}5.24%$ preoperatively and $6.01%{\pm}1.43%$ at 1-year follow-up (p = 0.227), showing no significant difference. The preoperative dynamic percentage of slip was $2.90%{\pm}3.37%$; at 1 year postoperatively, it was $3.13%{\pm}4.11%$ (p = 0.720), showing no significant difference. The DHI changed from $34.78%{\pm}9.54%$ preoperatively to $35.05%{\pm}8.83%$ postoperatively, which was not statistically significant (p = 0.837). In addition, the FHI slightly decreased from $55.15%{\pm}9.45%$ preoperatively to $54.56%{\pm}9.86%$ postoperatively, but the results were not statistically significant (p = 0.705). Conclusions: UBEFLD using endoscopy showed a satisfactory clinical outcome after 1-year follow-up and did not induce postoperative segmental spinal instability. It could be a feasible alternative to conventional open decompression or fusion surgery for lumbar foraminal stenosis.

Correlation between Fatty Infiltration of Lumbar Paraspinal Muscle and Slip Percentage on 45 Korean Medicinal Treatment Cases of Spondylolisthesis: A Retrospective Study (척추전방전위증 환자 45예의 요추주변근육의 지방침착도와 전위정도의 상관성에 대한 후향적 연구)

  • Kim, Yu-Gon;Kim, Dae-Ho;Jeong, Hyeon-Gyo;Lim, Jin-Woong;Kim, Yong-Hwa;Kang, Deok;Jeong, Hwe-Joon;Shin, Kyung-Moon;Shin, Dong-Hoon;Yang, Jae-Woo;O, Ji-Hoon;Cho, Jae-Seong
    • Journal of Korean Medicine Rehabilitation
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    • v.32 no.1
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    • pp.51-62
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    • 2022
  • Objectives Objective of this study is to investigate the role of paraspinal muscles by examining the correlation between slip percentage (SP) of spondylolisthesis and fatty infiltration of lumbar paraspinal muscle. Methods Retrospective analysis was performed on 45 patients diagnosed with spondylolisthesis based on medical records. Using T2-weighted axial magnetic resonance imaging, cross-sectional areas (CSAs) of psoas major (PM), multifidus (MU) and erector spinae (ES) were calculated and divided by CSA of lower level vertebral body (VB). SP was measured using sagittal T2-weighted images. Correlation of SP with muscle relative cross-sectional area (RCSA) and muscle fatty infiltration by Goutallier classification was respectively analyzed using Spearman correlation. Statistic assessment conducted by Wilcoxon signed rank test and paired t-test using program GraphPad prism 5 (GraphPad Software, Inc., San Diego, CA, USA). Results Spondylolisthesis forward slip percentage by Taillard's method was negatively associated with both side MU RCSAs. No significant correlation was found between PM RCSA, ES RCSA and SP. Forward slippage was significantly correlated with fatty infiltration of lumbar paraspinal muscle measured by Goutallier classification. Conclusions This study is to understand the role of paraspinal muscle affecting spinal instability by investigating correlation between statistical deviation of lumbar muscle characters (RCSA, fatty infiltration of lumbar muscle) and SP. We found that spondylolisthesis SP is positively related to fatty infiltration of lumbar paraspinal muscle. and is negatively associated with both side MU RCSAs.

Comparison of Some Selected Growth, Physiological and Bone Characteristics of Capon, Slip and Intact Birds in Taiwan Country Chicken Cockerels

  • Lin, Cheng-Yung;Hsu, Jenn-Chung
    • Asian-Australasian Journal of Animal Sciences
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    • v.16 no.1
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    • pp.50-56
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    • 2003
  • An experiment was carried out to compare the body weight, shank length, rectal temperature, comb area, abdominal fat, blood parameters and bone traits of capon, slip and intact birds in Taiwan country chicken cockerels. One hundred and sixty-six Taiwan country chicken cockerels were randomly assigned to caponized or intact male groups. Caponized birds were surgically altered at 10 weeks old and raised to 28 weeks old. At 28 weeks of age, the capons were separated into capon and slip groups, depending on the atrophy of the comb and wattle in size. The results showed that body weight and shank length in slips were significantly (p<0.05) greater than in intact birds. Intact birds had the highest (p<0.05)feather scores and the lowest (p<0.05) rectal temperature. Compared with intact birds and slips, capons had a significantly (p<0.05) smaller comb area. Bone percentage, stress and cortical thickness, and bone and ash calcium content and plasma testosterone concentration, in intact birds were the highest (p<0.05) followed by slips and capons. However, intact birds had the lowest (p<0.05) plasma ionized calcium and phosphorus concentrations. Bone and ash manganese contents in capons were significantly (p<0.05)lower than those in others. These findings support the hypothesis that androgenic effects on secondary sexual characteristics are stronger than anabolic growth promoting response. Androgens can directly influence calcium fluxes in male chickens. Caponized caused a reduction in the bone percentage, stress, cortical thickness and bone calcium content.

Bond behavior between high volume fly ash concrete and steel rebars

  • Liang, Jiong-Feng;Hu, Ming-Hua;Gu, Lian-Sheng;Xue, Kai-Xi
    • Computers and Concrete
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    • v.19 no.6
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    • pp.625-630
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    • 2017
  • In this paper, 54 pull-out specimens and 36 cubic specimens with different replacement ratios of fly ash in the concrete (i.e., 0%, 20%, 30%, 40%, 50%, 60%) were fabricated to evaluate the bond at the interface between fly ash concrete and steel rebar. The results showed that the general shape of the bond-slip curve between fly ash concrete and steel rebar was similar to that for the normal concrete and steel rebar. The bond strength between fly ash concrete and the steel rebar was closer to each other at the same rebar diameter, irrespective of the fly ash replacement percentage. On the basis of a regression analysis of the experimental data, a revised bond strength mode and bond-slip relationship model were proposed to predict the bond-slip behaviour of high volume fly ash concrete and steel rebar.

Preservation of the Posterior Ligaments for Preventing Postoperative Spinal Instability in Posterior Decompression of Lumbar Spinal Stenosis: Comparative Study between Port-Hole Decompression and Subtotal Laminectomy (요추부 척추관 협착증의 후방 감압술에서 후방 인대의 보존 여부와 술 후 척추 불안정성과의 연관성: 포트홀(Port-Hole) 감압술과 후궁 아전절제술 간 비교 연구)

  • Jung, Yu-Hun;Na, Hwa-Yeop;Choe, Saehun;Kim, Jin;Lee, Joon-Ha
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.1
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    • pp.71-77
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    • 2020
  • Purpose: To determine if sparing the interspinous and supraspinous ligaments during posterior decompression for lumbar spinal stenosis is significant in preventing postoperative spinal instability. Materials and Methods: A total of 83 patients who underwent posterior decompression for lumbar spinal stenosis between March 2014 and March 2017 with a minimum one-year follow-up period, were studied retrospectively. The subjects were divided into two groups according to the type of surgery. Fifty-six patients who underwent posterior decompression by the port-hole technique were grouped as A, while 27 patients who underwent posterior decompression by a subtotal laminectomy grouped as B. To evaluate the clinical results, the Oswestry disability index (ODI), visual analogue scale (VAS) for both back pain (VAS-B) and radiating pain (VAS-R), and the walking distance of neurogenic intermittent claudication (NIC) were checked pre- and postoperatively, while simple radiographs of the lateral and flexion-extension view in the standing position were taken preoperatively and then every six months after to measure anteroposterior slippage (slip percentage), the difference in anteroposterior slippage between flexion and extension (dynamic slip percentage), angular displacement, and the difference in angular displacement between flexion and extension (dynamic angular displacement) to evaluate the radiological results. Results: The ODI (from 28.1 to 12.8 in group A, from 27.3 to 12.3 in group B), VAS-B (from 7.0 to 2.6 in group A, from 7.7 to 3.2 in group B), VAS-R (from 8.5 to 2.8 in group A, from 8.7 to 2.9 in group B), and walking distance of NIC (from 118.4 m to 1,496.2 m in group A, from 127.6 m to 1,481.6 m in group B) were improved in both groups. On the other hand, while the other radiologic results showed no differences, the dynamic angular displacement between both groups showed a significant difference postoperatively (group A from 6.2° to 6.7°, group B from 6.5° to 8.4°, p-value=0.019). Conclusion: Removal of the posterior ligaments, including the interspinous and supraspinous ligaments, during posterior decompression of lumbar spinal stenosis can cause a postoperative increase in dynamic angular displacement, which can be prevented by the port-hole technique, which spares these posterior ligaments.

Efficacy of Unilateral Biportal Endoscopic Decompression in Lumbar Foraminal Stenosis (요추 추간공 협착증에서 일측성 양방향 내시경적 측부 추간공 감압술의 효과)

  • Lee, Ji-Min;Woo, Young-Ha;Yoo, Seong-Ho;Kim, Young-Jun;Seo, Jin-Hyuk;Bae, Hyuk
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.5
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    • pp.411-417
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    • 2020
  • Purpose: This paper reports the short-term clinical and radiological results of unilateral biportal endoscopic decompression (UBE) to prove its efficacy. Materials and Methods: Twenty patients who received unilateral biportal endoscopic far-lateral decompression (UBEFLD) were analyzed statistically using the visual analogue scale (VAS), modified Macnab criteria and Oswestry Disability Index (ODI) clinically. Radiologically, their intervertebral angle (IVA), percentage slip, disc height index (DHI) and foraminal height index (FHI) were analyzed pre- and postoperatively. Results: The VAS scores were 6.20 preoperatively, which improved to 2.05, 1.75 and 1.45 at postoperative one month, three months and one year, respectively (p<0.001). The modified macnab criteria in both the good or excellent category was 70.0%, 80.0% and 85.0% at postoperative one month, three months and one year, respectively (p=0.034). The ODI improved from 59.8% preoperatively to 35.8%, 33.2%, and 17.1% at postoperative one month, three months, and one year, respectively (p<0.001). The IVA was increased 0.40±0.88 after a surgery (p=0.057). Percentage slip was increased 0.19% after surgery (p=0.134). The DHI changed from 0.49 preoperatively to 0.62 postoperatively (p=0.359), and the FHI changed from 0.71 preoperatively to 0.79 postoperatively (p<0.001). Conclusion: UBEFLD displayed satisfactory results. Such a result highlights the potential of UBEFLD as an excellent alternative to spinal fusion or microscopic surgery.

Bond Properties of GFRP Rebar in Fiber Reinforced Concrete (Engineered Cementitious Composite) (섬유보강 콘크리트(ECC)와 GFRP 보강근의 부착 특성)

  • Choi, Yun-Cheul;Park, Keum-Sung;Choi, Chang-Sik;Choi, Hyun-Ki
    • Journal of the Korea Concrete Institute
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    • v.23 no.6
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    • pp.809-815
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    • 2011
  • An experimental investigations on the bond-slip properties of the steel and Glass Fiber Reinforced Polymer(GFRP) bars in engineered cementitious composite (ECC) with Polyvinyl Alcohol (PVA) fibers are presented. Total of 8 beam specimens prepared according to the Rilem procedures with 2% of PVA and PE fiber volume percentage and steel and GFRP reinforcements significantly changed the failure mechanism and slightly improved bond strength. The main objective of the tests was to evaluate the load versus displacement and load versus slip behaviors and the bond strength for the following parameters: concrete type (normal and fiber concrete) and bar diameter (10 and 13 mm). The study results showed that ordinary concrete and ECC specimens showed similar behavior for steel reinforced specimen. However, GFRP reinforced specimen showed different behavior that the steel specimen. The code analytical results showed more accuracy compared to the experimental results as expected in conservative code provisions. Based on the obtained results, it is safe to conclude that the new parameters need to be adopted to ensure safe usage of ECC for construction applications.

Analysis of the GPS Error Effect through Simulation (시뮬레이션을 통한 GPS 오차의 영향 분석)

  • Jeon, Jae-Han;Kwon, Jay-Hyoun;Lee, Ji-Sun
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.26 no.4
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    • pp.397-405
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    • 2008
  • The position accuracy is primarily dependent on the satellite position and signal delay caused by several elements. To know the effect of the delay on the estimated positions, we simulated GPS raw data (RINEX) with GPS errors using Bernese ver5.0. GPS errors used in this paper are Ionospheric delay, Cycle slip, Troposphere, DOP and Random error. If the baseline is short, the position error according to TEC is not large, since the ionospheric delay effect can be removed by ion-free combination. However, if the baseline is long, 3 dimensional position error up to 10cm is occurred. The 3D position error of coordinates with cycle slip is hardly ever changed up to 60% of cycle slip. Because the simulated cycle slips are equally distributed on satellites, the positioning was not seriously affected by the cycle slip. Also, if percentage of cycle slip is 60%, three dimensional error is sharply increased over 1m. The position error is calculated by using the observation data (2 hours) which was selected by DOP less than 3. And its accuracy is more improved about $3{\sim}4cm$.

A Study of Women's Incontinence Panties with Anti-aging Effect (항노화 패션을 위한 여성 요실금 팬티 연구)

  • Koo, Mi-Ran
    • Journal of the Korea Fashion and Costume Design Association
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    • v.18 no.1
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    • pp.51-60
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    • 2016
  • This study aims to contribute to development of women's incontinence panties with anti-aging effect meeting customers' requirements by examining types, sorts, sizes and specifications of women's incontinence panties currently sold in the market. The results of analysis of a total of 22 commercial products are as follows. 1. Among the samples, 21 incontinence panties were slip on type like regular underwear; only 1 was pad insertion type. With respect to the length of side seam, 17 (77.3%) incontinence panties were above 14 cm which is classified as maxi; the rest of them (5, 22.7%) were 7~11 cm which is classified as middy. 2. With respect to size, the percentage of Size 3 was 40.9% showing the largest, followed by Size 4 (31.8%), Size 2 (18.2%), Size 5 (9.1%). To produce the incontinence panties considering various ages and body shapes, it is recommended to select above Size 4 as a minimum. 3. With respect to materials of the incontinence panties, natural fibers such as cotton or rayon were mostly used and a polyurethane, nylon or polyester was mixed to enhance the wearing sensation and stretchability of the panties. Finally, for structure of the crotch area, single knit was the largest (9, 40.9%), terry weave 7 (31.8%), sofe pile weave 4 (18.2%), and waffle weave or diamond weave 2.

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A Study on Elderly Households′ Needs for Affordance of Interior Design (재가노인 단독세대의 실내디자인 지원성에 관한 요구 -광주광역시 노인을 중심으로 -)

  • Moon Hee-Jeong;Kim Mi-Hee
    • Journal of the Korean housing association
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    • v.15 no.4
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    • pp.65-74
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    • 2004
  • As the advent of an aging society, housing for the elderly has been of great concern. Because the majority of the elderly prefers living in their own familiar homes rather than moving to new ones, this study is concerned with the ways use and maintenance of the existing houses from the viewpoint of their independent living. The data was analyzed with frequency, percentage, mean, correlation, and multiple regression by using the SPSS 10.0 for Windows. The findings from the study were: Needs for Affordance of interior design(AID) were required slightly above the average. Among the items of AID, physiological maintenance was the most demanding, and social facilitation, behavioral facilitation, and perceptual maintenance were sequentially followed in the level of needs. The elements that should be considered in housing environment plans for the elderly household ire: (a) use of slip-proof tiles for the floor of the bathroom, (b) installation of safety bars in the bathroom, and (c) installation of emergency buttons. It also turned out that educational levels and health status were the most significant factors on the needs for AID.