• 제목/요약/키워드: Vertebral

검색결과 961건 처리시간 0.031초

추간관절 증후군의 치료 (Treatment of Facet Joint Syndrome)

  • 최중립;송찬우;이경숙
    • The Korean Journal of Pain
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    • 제7권2호
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    • pp.292-298
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    • 1994
  • The common disorder called facet syndrome exhibits lower back pain, with or without, radiating pain to buttock and thigh due to facet joint arthropathy. Many physicians have believed that the usual lesion of facet syndrome was an anatomical impairments of facet joint itself. So facet joint block has been known only as a therapeutic and diagnostic modality of facet syndrome. Based on clinical experience and anatomical study, we have concluded varying opinions from common sense about facet syndrome. Pain in the facet joint is supposedly the secondary effect of narrowing of joint space by sustained muscle contracture around joints. We therefore conclude that spasmolytic treatment of muscles connecting the two vertebral articular space would be better for treatment and diagnosis of facet syndrome rather than facet block with local anesthetic and steroid only.

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Pancoast Syndrome Accompanied by Rotator Cuff Tear

  • Nam, Seung Oh;Shin, Dongju;Park, Kihong;Kim, Tae Kyun;Kim, Han Sang
    • Clinics in Shoulder and Elbow
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    • 제18권1호
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    • pp.43-46
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    • 2015
  • Pancoast syndrome (PS) is characterized by a malignant neoplasm of the superior sulcus of the lung with destructive lesions of the thoracic inlet and involvement of the brachial plexus and cervical sympathetic nerves. The most common initial symptom of PS is shoulder pain; however, cough, dyspnea, and hemoptysis, signs often associated with lung cancer, are not as common. Investigation of PS can be difficult even with plain radiographs of the chest because it is surrounded by osseous structures such as the ribs, vertebral bodies, and manubrium. Due to these characteristics, orthopedic surgeons tend to make a misdiagnosis resulting in delay of appropriate treatment. Here we report on a patient who was supposed to undergo rotator cuff repair for his shoulder pain and weakness, and was eventually diagnosed with PS.

Takayasu씨 동맥염의 임상적 고찰 (Clinical Experience of Takayasu`s Arteritis)

  • 이계영
    • Journal of Chest Surgery
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    • 제25권12호
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    • pp.1492-1496
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    • 1992
  • Takayasu`s arteritis is a nonspecific inflammatory vascular disease of unknown origin. It most often cuases stenosis of the aorta or its branch arteries with ischemic changes in the organs supplied, but the vessels inside these organs are not directly involved. From 1983 to 1991, we performed operation on 6 patients with Takayasu`s arteritis. There were 6 female patients ranging in age from 17 years to 36 years. Symptoms included headache, dizzness, visual disturbance, and motor weakness or pain of arm. In 5 cases, bypass graft arised from ascening aorta[ventral aorta] were done, and in one, stenotic segments of left subclavian and vertebral arteries were resected an graft interposition done. Follow-up has been 62.4$\pm$34.8 months[ranging from 11 to 113 months], results of each patient were exellent, except one postoperative death.

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Ravitch 술식으로 교정한 누두흉 치험 5예 (Clinical expeerience of funnel chest corrected by ravitch method -5 cases report-)

  • 정황규
    • Journal of Chest Surgery
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    • 제19권4호
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    • pp.699-706
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    • 1986
  • We have experienced 5 cases of Pectus excavatum corrected by Ravitch method without use of K-wire or metal bar from Jan. 1985 to Apr. 1986. All cases were male. The symmetric depression was in 4 cases, asymmetric one was in one case. The chief complaints were dyspnea on exertion, frequent U.R.I. and inferiority. The flail chest was developed in all cases, but it was insignificant in all cases except one who needed assist ventilation. Mediastinitis was developed in one case one week postoperatively but well managed with drainage. A distance from the posterior surface of sternum to the anterior surface of vertebral body was estimated preoperatively and postoperatively. Postoperative result was evaluated as the change of distance postoperatively. The change was 1.5cm minimally to 3.5cm maximally. Late results were "Excellent" in 3 cases and "Good" in 2 cases.uot; in 2 cases.

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Wobbling Mass를 고려한 인체 진동 모텔의 개발 (Development of Human Body Vibration Model Including Wobbling Mass)

  • 김영은;백광현;최준희
    • 한국자동차공학회논문집
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    • 제10권2호
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    • pp.193-200
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    • 2002
  • Simple spring-damper-mass models have been widely used to investigate whole-body vortical biodynamic response characteristics of the seated vehicle driver. Most previous models have not considered the effect of wobbling masses; i.e. heart, lungs, liver, intestine, etc. In this study, 4 -DOF seated driver model including one non-rigid mass representing wobbling visceral mass, 5-DOF model including intestine, and 10-DOF model including five lumbar vertebral masses were proposed. The model parameters were identified by a combinatorial optimization technique. simulated annealing method. The objective function was chosen as the sum of error between model response of seat-to-head transmissibility and driving point mechanical impedance and those of experimental data for subjects seated erect without backrest support. The model response showed a good agreement with the experimental response characteristics. Using a 10-DOF model, calculated resonance frequency of lumbar spine at 4Hz was matched well with experimental results of Panjabi et al.

경부인성 두통의 물리치료적 접근에 대한 문헌적 고찰 (A Review of Physical Therapies Approach for Cervicogenic Headache)

  • 최병옥;김종대;주민종
    • 대한물리치료과학회지
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    • 제10권1호
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    • pp.212-221
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    • 2003
  • To observe the anatomical structures which cause a cervicogenic headache it reports, from viewpoint of physical therapist in treatment multiple to observe method which approaches, the reporter it does. With the manipulation the vertebral manipulation effected an affirmative effect to cervicogenic headache(Niels Nilsson et al,1997). The manipulation, soft the tissue massage, postural education/advice, muscular elongation, the traction, and postural exercises initially came to be used with that technique which the upper cervical vertebra(0-C3) passive accessory intervertebral movement comes to be used with a cervicogenic headache treatment technique(Grant T & Niere K., 2000). Also, it relates with the diagnosis standard about a cervicogenic headache when the body function over of the cervical vertebra is discovered, the Muscle energy technique was proposed in the treatment which is safety and effect(Bogduk N,2001). The TENS and the Mange gave a reduction effect of pain often.

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간격이 긴 식도 무공증에서 외부 견인술을 이용한 조기 문합 1예 (Long Gap Esophageal Atresia Successfully Treated by Esophageal Lengthening Using External Traction Sutures)

  • 이두선;남궁환;윤정석
    • Advances in pediatric surgery
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    • 제11권2호
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    • pp.165-170
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    • 2005
  • The repair of esophageal atresia with a long gap continues to pose difficulties for the surgeon. There is a general agreement that the child's own esophagus is the best, however, primary repair is not always possible. Foker JE et al. (1997) developed a technique of esophageal lengthening using external traction sutures. We successfully treated one patient with a 4.5cm gap esophageal atresia (4 vertebral spaces) using the external traction suture technique.

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Bow Hunter's Stroke Caused by a Severe Facet Hypertrophy of C1-2

  • Chough, Chung-Kee;Cheng, Boyle C.;Welch, William C.;Park, Chun-Kun
    • Journal of Korean Neurosurgical Society
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    • 제47권2호
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    • pp.134-136
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    • 2010
  • Bow hunter's stroke is a rare symptomatic vertebrobasilar insufficiency in which vertebral artery (VA) is mechanically occluded during head rotation. Various pathologic conditions have been reported as causes of bow hunter's stroke. However, bow hunter's stroke caused by facet hypertrophy of C1-2 has not been reported. A 71-year-old woman presented with symptoms of vertebrobasilar insufficiency. Spine computed tomography showed massive facet hypertrophy on the left side of C1-2 level. A VA angiogram with her head rotated to the right revealed significant stenosis of left VA. C1-2 posterior fixation and fusion was performed to prevent serious neurologic deficit from vertebrobasilar stroke.

Radiological assessment of pectus excavatum in a Pekingese dog

  • Cho, Sung-Jin;Hong, Sun-Hwa;Chung, Yung-Ho;Kim, Ok-Jin
    • 한국동물위생학회지
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    • 제35권3호
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    • pp.251-254
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    • 2012
  • Pectus excavatum (PE) is a ventral chest wall deformity, also known as funnel chest, sunken chest, chondrosternal depression or koilosternia. The 4 months old, 1.3 kg intact-female Pekingese dog was evaluated for acute semicoma and convulsion. The client reported that this patient have had chronic loss of appetite, intermittent dyspnea and palpable sunken breast. The other littermates did not show any abnormalities. On physical examination, cachexia (BCS 1/5), concave sternum, flatten thoracic cavity and cardiac murmur were observed. On radiographic study, the caudal sternum cave to vertebrae and narrowing thoracic cavity. The severities of thoracic deformity were evaluated by deformation indices such as-Frontosagittal index (FSI) and vertebral index (VI). Moderate to severe PE was founded by the radiological measurements.

Extradural spinal lipoma in a dog

  • Lim, Ji-Hey;Kim, Wan Hee;Kim, Dae-Yong;Cho, Deo-Youn;Kweon, Oh-kyeong
    • 대한수의학회지
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    • 제46권1호
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    • pp.75-76
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    • 2006
  • A 7-year-old, female pointer dog was referred to the SNU Veterinary Medicine Teaching Hospital for the evaluation of lameness in the pelvic limb of 10 days' duration. After the treatment for 2 weeks (carprofen 2.2 mg/kg, bid), the progressive, symmetric, ambulatory caudal paraparesis was profound. In the spinal myelography, left lateral extradural compression of the spinal cord over the ninth and tenth thoracic vertebral bodies was found. A left hemilaminectomy of the ninth and tenth thoracic vertebrae was done. A 1.5-cm-long, white extradural mass occupied the left side of the spinal canal. The tumor was identified histologically as lipoma. The 6 weeks after surgery the dog's complaints were much improved. Continuous evaluation is needed.