• Title/Summary/Keyword: Vertebrae

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A Case of Complete Remission after Concurrent Chemoradiotherapy for Esophageal Squamous cell Carcinoma with Solitary Bone Metastasis (고립성 골 전이를 동반한 식도편평세포암에서 동시 항암화학방사선 요법 후 완전관해를 보인 1례)

  • Woo Jin Lee;Hoon Jai Chun;Ye Ji Kim;Sun Young Kim;Min Ho Seo;Hyuk Soon Choi;Eun Sun Kim;Bora Keum;Yoon Tae Jeen;Hong Sik Lee;Soon Ho Um;Chang Duck Kim;Ho Sang Ryu
    • Journal of Digestive Cancer Research
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    • v.1 no.1
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    • pp.53-57
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    • 2013
  • There is no established treatment for esophageal carcinoma with metastasis. For the metastatic esophageal squamous cell carcinoma, chemotherapy or best supportive care according to patient's performance status are accepted as an available treatment. We report a case of complete remission after concurrent chemoradiotherapy for esophageal squamous cell carcinoma with metastatic lesion in 5th thoracic vertebrae. A 57-year-old man with ongoing dysphagia and weight loss was admitted to our hospital. On the endoscopic and radiologic imaging evaluation,the patient was diagnosed as a squamous cell carcinoma of esophagus with solitary metastatic lesion in 5th thoracic vertebrae. The patient was treated with combination chemotherapy (5-fluorouracil (5-FU) and cisplatin) and concurrent radiotherapy for two months to relieve dysphagia. Because metastatic lesion in thoracic vertebrae was located near the primary esophageal tumor, the metastatic lesion could be included within the radiation field. After concurrent chemoradiotherapy, consecutive 4 cycles of chemotherapy had been carried out. Primary esophageal tumor with metastatic lymph nodes and metastatic lesion in 5th thoracic vertebrae disappeared on follow up computed tomography (CT) and positron emission tomography-CT (PET-CT). Follow up endoscopic biopsy revealed no remnant malignant cells at previous primary cancer lesion.

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The Exercise Protocol for Spinal Stabilization (척추 안정화를 위한 운동프로토콜)

  • Kim, Eui-Ryong;Lee, Gun-Chul
    • Journal of Korean Physical Therapy Science
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    • v.15 no.4
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    • pp.61-74
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    • 2008
  • Background: Purpose of this study is mat exercises and sling exercises that based on proceeding studies for exercising protocol for spinal stabilization. Methods: We analyze many other bibliographies and result of studies. Results: The vertebrae stabilization practices are formed on intra-abdominal pressure and converted into isolation of our body and limbs gradually through co-contraction training of transverse abdominis, pelvic floor muscle and diaphragm. Also, for prevention of low back pain and relapse, it is diverted to reflex muscle contraction training as well as functional integration. What is better, it should carry out with Activity of Daily Living. Conclusion: We should feel the necessity of it, more effective recognition training of local muscle for chronic low back pain patients. Besides, it is suggested that we should import measurable equipment and go hands with discipline.

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First Record of Glossogobius olivaceus(Perciformes: Gobiidae) from Korea (한국산 망둑어과(Gobiidae) 어류 1 미기록종, Glossogobius olivaceus)

  • Kwun, Hyuck Joon
    • Korean Journal of Ichthyology
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    • v.32 no.1
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    • pp.32-36
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    • 2020
  • A single specimen of Glossogobius olivaceus was collected from Ulsan, Korea in May 2015, representing the first identification of the species in Korean waters. This species is characterized by several blackish dots on the nape, developed sensory pores and papillae on the head, 33 lateral line scales, and 27 vertebrae. The newly proposed Korean names of the genus and species are "Geom-eun-ban-jeom-mang-duk-sok" and "Geom-eun-ban-jeom-mang-duk", respectively.

New Record of Nomeus gronovii (Pisces: Nomeidae) from Korea

  • Lee, Soo Jeong;Kim, Jin-Koo;Lee, Won-Chan;Kim, Jeong Bae;Kim, Hyung Chul
    • Fisheries and Aquatic Sciences
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    • v.18 no.3
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    • pp.317-320
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    • 2015
  • A new record of Nomeus gronovii is described here based on a single specimen collected off the Jeju Island, Korea. The species has a blotched and spotted pattern on the body, 41 vertebrae, and a large pectoral fin with a white lower part. A molecular analysis of the partial (500 bp) cytochrome c oxidase subunit I gene showed that this specimen is closely related to specimens of N. gronovii collected in South Africa (Kimura-two-parameter distance = 0.006-0.012). A new Korean name, "Ga-neun-dong-gang-yeon-chi", is proposed for this species.

Percutaneous Vertebroplasty for Pregnancy-Associated Osteoporotic Vertebral Compression Fractures

  • Kim, Han-Woong;Song, Jae-Wook;Kwon, Austin;Kim, In-Hwan
    • Journal of Korean Neurosurgical Society
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    • v.47 no.5
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    • pp.399-402
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    • 2010
  • Osteoporosis is a worldwide problem and it mainly affects postmenopausal women. Osteoporosis associated with pregnancy or lactation is a rare condition. The incidence and mechanism of this phenomenon has not been clarified, but it can cause one or more vertebral compression fractures with severe, prolonged back pain in the affected women. We experienced this uncommon case, treated it with percutaneous vertebroplasty. A 35-old-woman visited our hospital with complaints of severe back pain and flank pain 2 months after normal vaginal delivery. She was diagnosed with osteoporotic vertebral compression fractures on the T5, 8, 9 and 11 vertebral bodies and we performed percutaneous vertebroplasty on the T8, 9 and 11 vertebrae with a good result. We present here an unusual case of pregnancy-associated compression fractures treated by percutaneous vertebroplasty.

Developments of Semi-Automatic Vertebra Bone Segmentation Tool using Valley Tracking Deformable Model (계곡 추적 Deformable Model을 이용한 반자동 척추뼈 분할 도구의 개발)

  • Kim, Yie-Bin;Kim, Dong-Sung
    • Journal of Biomedical Engineering Research
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    • v.28 no.6
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    • pp.791-797
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    • 2007
  • This paper proposes a semiautomatic vertebra segmentation method that overcomes limitations of both manual segmentation requiring tedious user interactions and fully automatic segmentation that is sensitive to initial conditions. The proposed method extracts fence surfaces between vertebrae, and segments a vertebra using fence-limited region growing. A fence surface is generated by a deformable model utilizing valley information in a valley emphasized Gaussian image. Fence-limited region growing segments a vertebra using gray value homogeneity and fence surfaces acting as barriers. The proposed method has been applied to ten patient data sets, and produced promising results accurately and efficiently with minimal user interaction.

Analysis of Scoliosis Correction Effects according to Instrumentation Devices using a Finite Element Model (유한요소 모델을 이용한 척추 측만증 교정 시 교정 기구에 따른 효과 분석)

  • 김영은;손창규;이광희;최형연;이춘기
    • Journal of the Korean Society for Precision Engineering
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    • v.21 no.8
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    • pp.157-163
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    • 2004
  • Scoliosis is a complex musculoskeletal dieses requiring 3-D treatment with surgical instrumentation. To investigate the effects of correction surgery, a finite element model of personalized model of the scoliotic spine that will allow the design of clinical test providing optimal estimation of the post-operation results was developed. Three dimensional skeletal parts, such as vertebrae, clavicle and scapular were modeled as rigid bodies with keeping their morphologies. Kinematical joints and spring elements were adapted to represent the inter-vertebral disc and ligaments respectively. With this model, two types of surgery procedure, distraction procedure with Harrington device and rod derotation procedure with pedicle screw and rod system had been carried out. The obtained simulation results were comparatively corresponding to the post operational outcomes and successfully demonstrated qualitative analysis of surgical effectiveness. From this analysis, it has been found that the preparing of appropriate rod curvature and its insertion was more important than just performing the excessive derotation for scoliosis correction.

Contralateral Pedicular Fracture with Unilateral Spondylolysis

  • Jeong, In-Ho;Hwang, Eai-Hong;Bae, Weon-Tae
    • Journal of Korean Neurosurgical Society
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    • v.46 no.6
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    • pp.584-587
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    • 2009
  • Although most authors regard contralateral pedicular fracture with unilateral spondylolysis as an unstable condition and recommend surgical management when immobilization fails in promoting bony healing of the fracture, few researchers have investigated the natural history of pedicle fracture or the causal relationship between symptoms and the fracture. In addition, there are no detailed guidelines that address the management of this disease. We report a rare case of contralateral pedicular fracture associated with unilateral spondylolysis at the L5 level which was successfully treated by rehabilitation with activity modification.

Successful Treatment of Infantile Fibrosarcoma Spinal Metastasis by Chemotherapy and Stereotactic Hypofractionated Radiotherapy

  • Lo, Cheng-Hsiang;Cheng, Shin-Nan;Lin, Kuen-Tze;Jen, Yee-Min
    • Journal of Korean Neurosurgical Society
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    • v.54 no.6
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    • pp.528-531
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    • 2013
  • We report a case of infantile fibrosarcoma in an 8-month-old boy manifested as a right-sided lower leg mass. Repeated local recurrence and distant metastasis were noted during the following three-year period. Whole body fluoro-deoxyglucose positron emission tomography scan revealed an asymptomatic metastasis involving the fourth lumbar vertebrae. The patient received chemotherapy (VAC regimen) with Cyberknife$^{(R)}$ stereotactic hypofractionated radiotherapy (26 Gy; 4 fractions). This treatment reduced tumor size by 23% without acute radiation toxicity even after 33 months. This case suggests that combining chemotherapy and this form of radiotherapy may be safe and effective against childhood spinal metastasis.

The Change of the Vital Sign by the Variables of Stimulated Areas in Interferential Current Treatment (간섭 전류 치료의 자극부위에 따른 활력징후의 변화)

  • Park, Young-Han
    • Journal of Korean Physical Therapy Science
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    • v.16 no.3
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    • pp.1-9
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    • 2009
  • Background: The purpose of this study is to have examined the influence on the blood circulation by comparing the differences between stimulating the sympathetic ganglion and the muscle group among the stimulation variables in interferential current stimulation. Method: The object of the study is the twenties(M=8, F=12), who are in great condition and have no pathological report for the blood circulation influence. The intensity of the inferential current stimulation is the medium degree, 100 bps constant current, which is the comfort and degree to confirm the muscle contraction. The areas stimulated are the stellate ganglion area in the seventh cervical vertebrae and the forearm muscle area. Results: We have made sure that there is no change in blood pressure and pulse and that the change in the skin temperature occurred highly. Conclusion: In considering the change of the blood circulation in case of stimulation area by the inferential current stimulation, we have seen that stimulating the sympathetic ganglion area is more effective than stimulating muscle area directly.

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