• Title/Summary/Keyword: Vertebrae

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Utility of the computed tomography indices on cone beam computed tomography images in the diagnosis of osteoporosis in women

  • Koh, Kwang-Joon;Kim, Kyoung-A
    • Imaging Science in Dentistry
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    • v.41 no.3
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    • pp.101-106
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    • 2011
  • Purpose : This study evaluated the potential use of the computed tomography indices (CTI) on cone beam CT (CBCT) images for an assessment of the bone mineral density (BMD) in postmenopausal osteoporotic women. Materials and Methods : Twenty-one postmenopausal osteoporotic women and 21 postmenopausal healthy women were enrolled as the subjects. The BMD of the lumbar vertebrae and femur were calculated by dual energy X-ray absorptiometry (DXA) using a DXA scanner. The CBCT images were obtained from the unilateral mental foramen region using a PSR-$9000N^{TM}$ Dental CT system. The axial, sagittal, and coronal images were reconstructed from the block images using $OnDemend3D^{TM}$. The new term "CTI" on CBCT images was proposed. The relationship between the CT measurements and BMDs were assessed and the intra-observer agreement was determined. Results : There were significant differences between the normal and osteoporotic groups in the computed tomography mandibular index superior (CTI(S)), computed tomography mandibular index inferior (CTI(I)), and computed tomography cortical index (CTCI). On the other hand, there was no difference between the groups in the computed tomography mental index (CTMI: inferior cortical width). Conclusion : CTI(S), CTI(I), and CTCI on the CBCT images can be used to assess the osteoporotic women.

Prediction of osteoporosis using fractal analysis et cetera on panoramic radiographs (파노라마 방사성사진에서 프랙탈 분석 등을 이용한 골다공증 예측)

  • Kim, Joo-Yeon;Nah, Kyung-Soo
    • Imaging Science in Dentistry
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    • v.37 no.2
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    • pp.79-82
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    • 2007
  • Purpose: The purpose of this study was to investigate whether panoramic radiographs were useful in predicting osteoporosis. Materials and Methods: 50 postmenoposal women between the age of 41.8 and 78.5 were classified as normal and osteoporosis groups according to the bone mineral density of lumbar vertebrae. Panoramic radiographs were taken. Age, body mass index, remaining mandibular teeth, mandibular cortical thickness and morphology, and fractal dimensions at periapical areas of mandibular first molars were evaluated to differentiate the two groups. Results: The age of osteoporotic group was statistically significantly higher than that of normal group (p<0.05), but not the body mass index or number of remaining mandibular teeth. The mean fractal dimension of osteoporotic group was $1.391{\pm}0.085$, and was significantly lower than that of the normal group, which was $1.523{\pm}0.725$ (p<0.01). Thick mandibular cortical thickness was common in normal group, whereas thin or very thin mandibular cortical thickness was common in osteoporotic group and the difference was significant (p < 0.05). C2 pattern was common in normal group followed by C1, whereas C2 was common in osteoporotic group followed by C3. The difference was statistically significant (p< 0.0 1). Conclusion: Age, mandibular cortical thickness and shape, fractal dimension on panoramic radiographs were useful in predicting osteoporosis.

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Effects of Nutrients Intakes on Development of Osteoporosis in Korean Postmenopausal Women (폐경후 우리나라 여성의 영양 섭취 상태가 골다공증 발병에 미치는 영향)

  • Lee, Ho-Seon;Baek, In-Gyeong;Hong, Eun-Sil
    • Journal of the Korean Dietetic Association
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    • v.2 no.1
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    • pp.38-48
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    • 1996
  • The relationship of nutrients intake and bone mineral density (BMD) was investigated in 285 Korean postmenopausal women (age 40-70 y) consisted of 65 normal women and 159 osteopenia patients who don't have other diagnosed disease. BMD was measured at the spine (vertebrae L2-4) and femur (neck, Ward's triangle and trochanter). Height, weight, body mass index(BMI), lean body mass(LBM), body fat(Bfat) and dietary intakes of animal calcium(animal Ca), protein and phosphorus per 1,000kcaI intake were correlated with BMD of the spine and the femur positively(p<0.05). Women with an animal calcium intake < 315mg/d (mean % animal Ca/total Ca intake > 50%) exhibited significantly lower BMD of the spine and Ward's triangle than that of women with an intake > 315mg/d, p<0.OS. When subjects were grouped by diagnosis into 3 groups (normal, osteopenia and osteoporosis group), animal Ca intake of osteoporosis group (mean animal Ca intake 261mg) was significantly lower than those of the other two groups (mean animal Ca intake 306mg and 297mg, respectively), p < 0.05. These results suggest that balanced nutrients intake and increased animal Ca in the diet is likely to be beneficial in reducing bone loss in postmenopausal women.

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Molecular and morphological evidence for the taxonomic status of a newly reported species of Albula (Albuliformes: Albulidae) from Korea and Taiwan

  • Kwun, Hyuck-Joon;Kim, Jin-Koo;Doiuchi, Ryu;Nakabo, Tetsuji
    • Animal cells and systems
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    • v.15 no.1
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    • pp.45-51
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    • 2011
  • To clarify the taxonomic status of five specimens of Albula collected from Korea and Taiwan (Albula sp.), genetic differences among them and other congeneric species were investigated based on mitochondrial DNA cytochrome b sequences. All five specimens of Albula sp. showed identical haplotypes and strongly supported a monophyletic group on phylogenetic analysis. The genetic differences between Albula sp. and ten other species of Albula ranged from 0.100 to 0.164. These values were almost equal to or exceeded the interspecific differences among the latter ten species (0.038-0.206). Morphological comparisons of Albula sp. and another four Indo-Pacific species, A. argentea, A. glossodonta, A. oligolepis and A. virgata, are also presented. Albula sp. could be distinguished from the latter four species in their numbers of pored lateral-line scales, anal fin rays and vertebrae, as well as in several proportional measurements.

The pattern of accidental bone fractures in Thoroughbred foals (Thoroughbred 망아지의 중 골절사고 유형)

  • Yang, Jae-hyuk;Yang, Young-jin;Cho, Gil-jae;Cheong, Jong-tae;Lim, Yoon-kyu
    • Korean Journal of Veterinary Research
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    • v.42 no.1
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    • pp.115-121
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    • 2002
  • The present study was conducted to investigate the pattern of fracture of 50 Thoroughbred foals in Jeju from January 1997 to August 2001. A total 50 Thoroughbred foals were investigated to figure out the relationship between breeding condition and fracture. The fracture was diagnosed by physical and radiological examinations after lameness test. Most sites of fracture were limb, skull and vertebrae. Age analyzed that the most popular is the 1-year-old foals. Most places of the occurrence of the fracture were pasture, paddock, track and stable. Main cause of the fracture were play, training and foal's dam. These results suggest that there were the 1-year-old foals have a lot of fracture during play at pasture in winter.

Change of Cervical Angle According to Smartphone using Time (스마트폰 사용 시간이 목뼈 각도 변화에 미치는 영향)

  • Kim, Soo-Han;Kim, Ko-Un
    • Journal of the Korean Society of Physical Medicine
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    • v.9 no.2
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    • pp.141-149
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    • 2014
  • PURPOSE: This study uses X-rays investigate how university students' smart phone use affects the cervical vertebral angle. METHODS: Ninety-two randomly selected students agreed to participate in this study. The participants' number of hours of smart phone use was gathered using a questionnaire. An X-ray of the participants' cervical vertebrae was taken, and the cervical vertebral angle was measured using the Cobb and the absolute rotation angle (ARA) method. Also, the relation between pain and hours of smart phone use was identified using a visual analog scale (VAS). Using SPSS ver18, the relationships among the cervical vertebral angle and the items in the questionnaire were identified and a frequency analysis, an independent t-test, and the analysis of variance (ANOVA) were calculated. RESULTS: The study showed that an increase in the number hours of smart phone per day led to cervical lordosis(p<0.05). The relationships between points of smart phone addiction and cervical vertebral angle have a negative correlation (p<0.05). Therefore, there are the higher smart phone addiction points, the decrease the cervical vertebral angle. CONCLUSION: The results of the study showed that increase in smart phone use lead to cervical lordosis, and smart phone addiction scores resulted in decreased in the cervical vertebral angle.

Combined Anomalies of Atlantal Hypoplasia, Assimilation and Basilar Invagination - Case Report - (환추 저형성, 환추후두골 유합증, 두개저 함입증의 복합 기형 - 증례보고 -)

  • Cho, Won Jung;Won, Yu Sam;Lee, Seung Min;Yang, Jae Young;Choi, Chun Sik;Ju, Mun Bae
    • Journal of Korean Neurosurgical Society
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    • v.29 no.3
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    • pp.402-406
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    • 2000
  • The term 'craniovertebral junction' refers to the occipital bone that surrounds the foramen magnum and the atlas and the axis vertebrae. A wide variety of congenital, developmental, and acquired anomalies exist at the craniovertebral junction. The authors present a rare case of the congenital anomaly of the craniovertebral junction consisting of atlantal hypoplasia, atlantal assimilation, and basilar invagination in a 58-year-old male. An occiput-C2 arthrodesis was performed. The clinical and imaging features are described, and the embryology and etiology of this anomaly are discussed.

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Conus Medullaris Levels on Ultrasonography in Term Newborns : Normal Levels and Dermatological Findings

  • Asil, Kiyasettin;Yaldiz, Mahizer
    • Journal of Korean Neurosurgical Society
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    • v.61 no.6
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    • pp.731-736
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    • 2018
  • Objective : Ultrasonography (US) is the most non-invasive, safe, and, especially in the period of infancy, best method for visualizing and examining the spinal cord. Furthermore, US is the primary work-up for development of the spinal canal, and for follow-up on issues relating to subcutaneous tissues, bone development, and the spinal cord. Conus medullaris terminates at the second lumbar vertebra, according to a consensus in the literature. Methods : Healthy children under the age of 6 months who were admitted to the radiology clinic for routine USG follow-ups between the dates of March 2012 to December 2014 were included in this study. Results : Our study includes data from 1125 lumbosacral ultrasounds. The terminal point of the conus level of the attended infants, superior, middle part, inferior of the vertebrae L1, L2, and L3. Furthermore, the termination of the discal distance ratio did not differ significantly between genders. Conclusion : Therefore, according to our results, gender is not an influencing factor in the termination of the spinal cord. Based on the study we performed, as well as the previous literature, in infants without a recognized spinal pathology, the spinal cord is detected below the vertebra L3.

Percutaneous osteoplasty for painful bony lesions: a technical survey

  • Kim, Won-Sung;Kim, Kyung-Hoon
    • The Korean Journal of Pain
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    • v.34 no.4
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    • pp.375-393
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    • 2021
  • Percutaneous osteoplasty (POP) is defined as the injection of bone cement into various painful bony lesions, refractory to conventional therapy, as an extended technique of percutaneous vertebroplasty (PVP). POP can be applied to benign osteochondral lesions and malignant metastatic lesions throughout the whole skeleton, whereas PVP is restricted to the vertebral body. Common spinal metastases occur in the thoracic (70%), lumbosacral (20%), and cervical (10%) vertebrae, in order of frequency. Extraspinal metastases into the ribs, scapulae, sternum, and humeral head commonly originate from lung and breast cancers; extraspinal metastases into the pelvis and femoral head come from prostate, urinary bladder, colon, and uterine cervical cancers. Pain is aggravated in the dependent (or weight bearing) position, or during movement (or respiration). The tenderness and imaging diagnosis should match. The supposed mechanism of pain relief in POP is the augmentation of damaged bones, thermal and chemical ablation of the nociceptive nerves, and local inhibition of tumor invasion. Adjacent (facet) joint injections may be needed prior to POP (PVP). The length and thickness of the applied needle should be chosen according to the targeted bone. Bone cement is also selected by its osteoconduction, osteoinduction, and osteogenesis. Needle route should be chosen as a shortcut to reach the target bony lesions, without damage to the nerves and vessels. POP is a promising minimally invasive procedure for immediate pain relief. This review provides a technical survey for POPs in painful bony lesions.

Systematic Review of Reciprocal Changes after Spinal Reconstruction Surgery : Do Not Miss the Forest for the Trees

  • Kim, Chang-Wook;Hyun, Seung-Jae;Kim, Ki-Jeong
    • Journal of Korean Neurosurgical Society
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    • v.64 no.6
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    • pp.843-852
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    • 2021
  • The purpose of this review was to synthesize the research on global spinal alignment and reciprocal changes following cervical or thoracolumbar reconstruction surgery. We carried out a search of PubMed, EMBASE, and Cochrane Library for studies through May 2020, and ultimately included 11 articles. The optimal goal of a truly balanced spine is to maintain the head over the femoral heads. When spinal imbalance occurs, the human body reacts through various compensatory mechanisms to maintain the head over the pelvis and to retain a horizontal gaze. Historically, deformity correction has focused on correcting scoliosis and preventing scoliotic curve progression. Following substantial correction of a spinal deformity, reciprocal changes take place in the flexible segments proximal and distal to the area of correction. Restoration of lumbar lordosis following surgery to correct a thoracolumbar deformity induces reciprocal changes in T1 slope, cervical lordosis, pelvic shift, and lower extremity parameters. Patients with cervical kyphosis exhibit different patterns of reciprocal changes depending on whether they have head-balanced or trunk-balanced kyphosis. These reciprocal changes should be considered to in order to prevent secondary spine disorders. We emphasize the importance of evaluating the global spinal alignment to assess postoperative changes.