• Title/Summary/Keyword: Vertebrae

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Anesthesia for elective bilateral sagittal slip osteotomy of the mandible and genioplasty in a young man with Klippel-Feil syndrome, Sprengel deformity, and mandibular prognathism

  • Paramaswamy, Rathna
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.19 no.5
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    • pp.307-312
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    • 2019
  • Klippel-Feil syndrome is characterized by congenital fusion of two or more cervical vertebrae, a low hair line at the back of the head, restricted neck mobility, and other congenital anomalies. We report a 16-year-old young man with Klippel-Feil syndrome, Sprengel deformity of the right scapula, thoracic kyphoscoliosis, and mandibular prognathism with an anterior open bite. He was treated with orthodontic treatment and maxillofacial surgery. An anticipated difficult airway due to a short neck with restricted neck movements and extrinsic restrictive lung disease due to severe thoracic kyphoscoliosis increased his anesthesia risk. Due to his deviated nasal septum and contralateral inferior turbinate hypertrophy, we chose awake fiber optic orotracheal intubation followed by submental intubation. Considering the cervical vertebral fusion, he was carefully positioned during surgery to avoid potential spinal injury. He recovered well and his postoperative course was uneventful.

New Record of Ricefish, Oryzias latiper sinensis (Pisces, Oryzidae) from Korea (한국산 송사리 1 미기록 아종 Oryzias latipes sinensis)

  • 김인수;이은희
    • Animal Systematics, Evolution and Diversity
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    • v.8 no.2
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    • pp.177-182
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    • 1992
  • A ricefish Oryzias latipes sinesis Chen et al. of the family Oryzidae is recorded for the first time from western Korea. The present speciment are similar to O. l. latipes in most morphometric characters, but agree well with the original description of O. l. sinensin based on the diploid chromosome number of 46 with two large metacentric chromosomes and the lesser vertebrae number.

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Android Based Self Judgment of Vertebrae (안드로이드 기반 자가 척추판단 애플리케이션)

  • Wook, Son-Min;Han, SangWook;Lee, HwaMin
    • Proceedings of the Korea Information Processing Society Conference
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    • 2013.11a
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    • pp.429-432
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    • 2013
  • 스마트 폰이 출시된 이후 애플리케이션 마켓은 점점 커지고 있지만 최근 들어 마켓은 새로운 컨텐츠를 내놓지 못하고, 같은 기능을 가진 채 인터페이스만 바뀌어서 출시되고 있다. 하지만 스마트폰에 내장되어 있는 여러 센서를 이용한다면 간단한 의료기기의 기능을 가진 애플리케이션을 구현할 수 있을 것이다. 이에 본 논문에서는 안드로이드를 기반으로 한 스마트폰에서 내장되어 있는 자이로 센서를 이용하여 척추 측만정도를 자가 측정 할 수 있는 기능을 제공하며, 또한 측정된 수치를 데이터베이스를 활용 저장하여 기간별로 자신의 측만도를 쉽게 알아볼 수 있도록 그래프를 이용한 시각적으로 수치를 알려주도록 애플리케이션을 구성하였다.

Optimum Angle of Incidence for General Anteroposterior Radiographic Image According to Lordosis angle : For Obese People

  • Kwak, Jong Hyeok;Kim, Gyeong Rip;Cho, Hee Jung;Moon, Sung Jin;Lee, Eun Sook;Sung, Soon Ki
    • International Journal of Contents
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    • v.17 no.1
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    • pp.18-26
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    • 2021
  • The obesity leads to be the result of the weakening of anatomical structure as well as the gravity effect. And, the obesity interferes with normal sagittal balance and fails to maintain a straight posture with minimal energy. Therefore, the obesity can be an important factor in causing back pain by changing the lumbar lordosis. In this study, we will present an appropriate angle of incidence for obese people to reduce the image distortion of L4, L5 during a general anteroposterior radiography examination. To reduce image distortion according to the change of lordosis, the angle of incidence was applied 9 ° and 21 ° to L4 and L5 vertebra body when obesity and low back pain (LBP) perform the general anteroposterior radiography examination.

Endovascular treatment of penetrating nail gun injury of the cervical spine and vertebral artery: a case report

  • Christodoulides, Alexei;Mitchell, Scott;Bohnstedt, Bradley N.
    • Journal of Trauma and Injury
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    • v.35 no.3
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    • pp.223-227
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    • 2022
  • In this report, we present a case of high cervical penetrating trauma with vertebral artery injury and outline preprocedural, procedural, and postprocedural considerations with recommendations for the treatment of similar injuries. Management involves multiple imaging modalities, including X-ray imaging, computed tomography, computed tomography angiography, magnetic resonance imaging, and catheter angiography. We recommend endovascular treatment of these injuries when possible, based on the improved ability to achieve proximal and distal control and manage hemorrhage risk.

Bertolotti's Syndrome Misdiagnosed as Juvenile Idiopathic Arthritis in an Adolescent Girl with Low Back Pain (소아 특발성 관절염과 관련된 요통으로 오인된 베르톨로티 증후군)

  • Han, Seung Hee;Kim, JoongGon;KIM, JongKyu
    • Clinical Pain
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    • v.20 no.1
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    • pp.35-38
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    • 2021
  • Bertolotti's syndrome is a congenital abnormality in which the expanded lower lumbar transverse process articulates with the ilium or sacrum. It is an important cause of low back pain in children and adolescents that is frequently misdiagnosed. We describe the case of a 17-year-old girl with low back pain who had a 4-year history of juvenile idiopathic arthritis. She subsequently underwent plain radiography and magnetic resonance imaging and was eventually diagnosed with Bertolotti's syndrome. She was managed conservatively with 6 weeks of physical therapy and an exercise program, and her pain subsided. This case demonstrates the importance of considering anatomical and structural variants when evaluating low back pain in adolescents.

Ultrasound-guided interventions for controlling the thoracic spine and chest wall pain: a narrative review

  • Park, Donghwi;Chang, Min Cheol
    • Journal of Yeungnam Medical Science
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    • v.39 no.3
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    • pp.190-199
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    • 2022
  • Ultrasound-guided injection is useful for managing thoracic spine and chest wall pain. With ultrasound, pain physicians perform the injection with real-time viewing of major structures, such as the pleura, vasculature, and nerves. Therefore, the ultrasound-guided injection procedure not only prevents procedure-related adverse events but also increases the accuracy of the procedure. Here, ultrasound-guided interventions that could be applied for thoracic spine and chest wall pain were described. We presented ultrasound-guided thoracic facet joint and costotransverse joint injections and thoracic paravertebral, intercostal nerve, erector spinae plane, and pectoralis and serratus plane blocks. The indication, anatomy, Sonoanatomy, and technique for each procedure were also described. We believe that our article is helpful for clinicians to conduct ultrasound-guided injections for controlling thoracic spine and chest wall pain precisely and safely.

Scapulothoracic Mobilization for the Management of Lateral Epicondylalgia: a Case Report

  • Kim, Jong Won;Heo, tae jun;Park, Ji-Won
    • The Journal of Korean Physical Therapy
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    • v.34 no.4
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    • pp.140-148
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    • 2022
  • Purpose: The purpose of this study was to investigate the effects of the scapulothoracic mobilization on subject with lateral epicondylalgia. This was done through lateral slide scapular test, grip strength, visual analogue scale, glenohumeral joint external rotation range of motion. Methods: Before the experiment, Lateral slide scapular test, grip strength, visual analogue scale, glenohumeral joint external rotation range of motion were measured. Scapulothoracic joint mobilization was applied and then measurements were taken again to compared the changes. Results: After applying the scapulothoracic joint mobilization, lateral slide scapular test, grip strength, visual analogue scale, glenohumeral joint external rotation range of motion significantly improved. Conclusion: This study found that the scapulothoracic mobilization was effective in improving functional aspects and pain on subject with lateral epicondylalgia. The results suggest that the scapulothoracic joint mobilization is a significant considered intervention method that could be used for subject with lateral epicondylalgia.

Cervical Myelopathy Induced by Posterior Vertebral Body Osteolysis after Cervical Disc Arthroplasty

  • Man Kyu Choi;Jun Ho Lee
    • Journal of Korean Neurosurgical Society
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    • v.66 no.5
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    • pp.591-597
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    • 2023
  • Cervical disc arthroplasty (CDA) has become more widespread and diverges from the conventional technique used in anterior cervical fusion for cervical degenerative disc disease. As arthroplasty has become a popular treatment option, few complications have been reported in the literature. These include subsidence, expulsion, posterior avulsion fractures, heterotopic ossification, and osteolysis. One of the critical complications is osteolysis, but current studies on this subject are limited in terms of not elucidating the incidence, etiology, and consequences. The authors present two cases, who presented with clinical signs of gradually worsening myelopathy induced by posterior vertebral body osteolysis, 2 years after CDA. Subsequently, the patient underwent posterior decompression and fusion without prosthesis removal. Postoperatively, the clinical symptoms gradually resolved, with no severe deficits. The present rare cases highlight the osteolysis that occurs after CDA, which can cause cervical myelopathy, and suggest spine surgeons to be alert to this fatal complication.

Three-column reconstruction through the posterior approach alone for the treatment of a severe lumbar burst fracture in Korea: a case report

  • Woo Seok Kim;Tae Seok Jeong;Woo Kyung Kim
    • Journal of Trauma and Injury
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    • v.36 no.3
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    • pp.290-294
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    • 2023
  • Generally, patients with severe burst fractures, instability, or neurological deficits require surgical treatment. In most cases, circumferential reconstruction is performed. Surgical methods for three-column reconstruction include anterior, lateral, and posterior approaches. In cases involving an anterior or lateral approach, collaboration with general or thoracic surgeons may be necessary because the adjacent anatomical structures are unfamiliar to spinal surgeons. Risks include vascular or lumbar plexus injuries and cage displacement, and in most cases, additional posterior fusion surgery is required. However, the posterior approach is the most common and anatomically familiar approach for surgeons performing spinal surgery. We present a case in which three-column reconstruction was performed using only the posterior approach to treat a patient with a severe lumbar burst fracture.