• 한국어류학회지
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• 제9권1호
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• pp.114-120
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• 1997

자연상태에서 어류의 척추골 이상을 조사하기 위하여 1995년 8월과 1996년 7월 및 8월에 낙동강의 일차지류인 금호강에서 채집한 잉어과 어류 5종의 치어를 대상으로 종별 및 체장별로 척추골 변형의 형태와 그 빈도를 조사하였다. 치어에서 나타난 척추골 변형의 형태는 척추굴곡, 척추융합, 나선형 봉합선을 가진 척추, 하나 이상의 가시를 중복하여 가지는 척추 등 4가지 유형이었고 척추골 변형의 발생 빈도는 종에 따라 다소 차이가 있었다. 조사대상 종 모두에서 하나 이상의 가시가 중복되어 나타나는 척추변형은 11.72~21.11%로 가장 높은 빈도를 보였고 척추융합은 4.69~7.68%로 나타났다. 융합의 형태는 2개의 추골이 서로 융합된 빈도가 가장 높았다. 또한 추골 융합은 미부 봉상골 바로 앞의 추골에서 발생 빈도가 종에 따라 67.09~86.71%로서 다른 부위에 비해 높았다. 척추굴곡은 0.02~0.15%, 나선형 봉합선을 가진 척추는 0.02%의 빈도로 나타났다. 조사된 어류에서 나타난 척추이상의 형태를 종별로 보면 긴몰개(Squalidus gracilis majimae), 참붕어(Pseudorasbora parva), 붕어(Carassius auratus)는 척추융합과 하나 이상의 가시를 중복하여 가지는 척추변형만 나타났으며 참몰개(Squalidus chankaensis tsuchigae)는 이 두 척추변형 외에 척추굴곡이 함께 발견되었고 갈겨니(Zacco temmincki)는 나선형 봉합선을 가진 척추변형도 나타나 조사된 어류 중에서 가장 다양한 척추변형의 형태를 보였다. 척추융합과 하나 이상의 가시를 중복하여 가지는 척추변형의 빈도는 체장과는 관계가 없었으며 척추굴곡과 나선형 봉합선은 체장 20mm 이하의 치어에서만 나타났다.

• 대한물리의학회지
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• 제1권1호
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• pp.23-36
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• 2006

Purpose : The purpose of this study was to evaluate the effects of back muscle stretching on the flexibility of spinal column. Methods : The subjects were consisted of healthy adults (18 of females, 22 males ; mean aged 21.83) from 18 to 29. All subjects randomly assigned to the control group, back muscle stretching group. back muscle stretching group received back muscles stretching for 20 minutes per day and 3 times a week during 3 week period. Spine motion analyzer (Spinal Mouse) was used to measure the flexibility of spinal column. All measurement of each subjects were measured at pre-experiment, after 10 days, and after 21 days. Results : The results of this study were summarized below 1. The sacral tilt angle of the hip joint of control group, back muscle stretching group was no significantly differences at pre-experiment and after 10 days(p>0.5), but differency of each group occurred at after 21 days(p<0.5). the sacral tilt angle significantly increased at the back muscle stretching group rather than the control group. 2. The thoracic vertebral tilt angle of the control group, back muscle stretching group was no significantly differences at pre-experiment, after 10 days, after 21 days(p>0.5). 3. The lumbar vertebral tilt angle of the control group, back muscle stretching group was no significantly differences at pre-experiment, after 10 days, after 21 days(p>0.5). 4. The spinal tilt angle of control group, back muscle stretching group was no significantly differences at pre-experiment and after 10 days(p>0.5), but differency of each group occurred at after 21 days(p<0.5). the spinal tilt angle significantly increased at the back muscle stretching group rather than the control group(p>0.5). 5. The length of the spinal column of control group, back muscle stretching group was no significantly differences at pre-experiment and after 10 days (p>0.5), but differency of each group occurred at after 21 days(p<0.5). the length of the spinal column significantly increased at the back muscle stretching group rather than the control group(p<0.5). Conclusion : These data suggests that 3-week back muscle stretching improved the flexibility of sacrum, spinal column, and also improved spinal column lengthening. Additional randomized controlled trials to more fully investigate treatment effects and factors that may mediate these effects are needed.

• 대한정형도수물리치료학회지
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• 제12권1호
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• pp.1-15
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• 2006

Purpose: The purpose of this study was to evaluate the effects of abdominal muscle strengthening exercises and back muscle stretching on the flexibility of spinal column. Methods: The subjects were consisted of healthy adults ( 28 of females, 32 males; mean aged 21.6) from 18 to 29. All subjects randomly assigned to the control group, back muscle stretching group, abdominal muscle strengthening exercises group. back muscle stretching group received back muscles stretching for 20 minutes, abdominal muscle strengthening exercises group received abdominal muscle strengthening exercises for 30 minutes per day and 3 times a week during 3 week period. Spine motion analyzer (Spinal Mouse) was used to measure the flexibility of spinal column. All measurement of each subjects were measured at pre-experiment, after 10 days, and after 21 days. Results: The results of this study were summarized below 1. The sacral tilt angle of the hip joint of control group, back muscle stretching group, abdominal strengthening exercises group was no significantly differences at pre-experiment and after 10 days(p>0.5), but differency of each group occurred at after 21 days(p<0.5). the sacral tilt angle significantly increased at the back muscle stretching group, abdominal muscle strengthening exercises group, rather than the control group. 2. The thoracic vertebral tilt angle of the control group, back muscle stretching group, abdominal muscle strengthening exercises group was no significantly differences at pre-experiment, after 10 days, after 21 days(p>0.5). 3. The lumbar vertebral tilt angle of the control group, back muscle stretching group, abdominal muscle strengthening exercises group was no significantly differences at pre-experiment, after 10 days, after 21 days(p>0.5). 4. The spinal tilt angle of control group, back muscle stretching group, abdominal muscle strengthening exercises group was no significantly differences at pre-experiment and after 10 days(p>0.5), but differency of each group occurred at after 21 days(p<0.5). the spinal tilt angle significantly increased at the back muscle stretching group, abdominal muscle strengthening exercises group, rather than the control group(p<0.5). 5. The length of the spinal column of control group, back muscle stretching group, abdominal muscle strengthening exercises group was no significantly differences at pre-experiment and after 10 days (p>0.5), but differency of each group occurred at after 21 days(p<0.5). the length of the spinal column significantly increased at the back muscle stretching group, abdominal muscle strengthening exercises group, rather than the control group(p<0.5). Conclusion: these data suggests that 3-week abdominal muscle strengthening exercises and back muscle stretching improved the flexibility of sacrum, spinal column, and also improved spinal column lengthening. Additional randomized controlled trials to more fully investigate treatment effects and factors that may mediate these effects are needed.

• 대한의용생체공학회:의공학회지
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• 제21권6호
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• pp.559-566
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• 2000

Methodology for finite element analysis of vertebral column and pedicle screw system, which circumvents the tremendous difficulties in geometric, material, and structural modeling, is proposed. The simplification is focused on the modeling of the cancellous bone in vertebral body the intervertebral disc. and the instrumented internal fixation devices. Each proposed modeling technique is justified to result in reasonable accuracy. These methods are believed to be suitable for the development of pedicle screw systems, not only because modeling itself is much simpler. but also because reliable empirical data for disc stiffness may be incorporated with little additional effort, and presumably frequent design change may be easily reflected on the analysis.

• 한국어병학회지
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• 제13권2호
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• pp.147-151
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• 2000

저온 처리에 의한 버들치, Rhynchocypris oxycephalus에서의 척주 기형을 발견하였다. 외형적으로 기형의 기형 위치는 미병 부위이었다. 이런 기형에 대한 x-ray 사진 조사 및 조직학적 조사 결과 기형을 확인할 수 있었으며 특히, 조직학적 조사시 기형은 미네랄화된 조직의 내적작용에 기인되어 척주 관절의 광범위한 융합을 나타내었다. 본 연구 결과, 저온 처리가 버들치에서 내적으로 척주 융합을 일으킨다는 직접적인 증거를 보여주었다.

• Journal of Korean Neurosurgical Society
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• 제56권3호
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• pp.230-236
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• 2014

Objective : The technique of short segment pedicle screw fixation (SSPSF) has been widely used for stabilization in thoracolumbar burst fractures (TLBFs), but some studies reported high rate of kyphosis recurrence or hardware failure. This study was to evaluate the results of SSPSF including fractured level and to find the risk factors concerned with the kyphosis recurrence in TLBFs. Methods : This study included 42 patients, including 25 males and 17 females, who underwent SSPSF for stabilization of TLBFs between January 2003 and December 2010. For radiologic assessments, Cobb angle (CA), vertebral wedge angle (VWA), vertebral body compression ratio (VBCR), and difference between VWA and Cobb angle (DbVC) were measured. The relationships between kyphosis recurrence and radiologic parameters or demographic features were investigated. Frankel classification and low back outcome score (LBOS) were used for assessment of clinical outcomes. Results : The mean follow-up period was 38.6 months. CA, VWA, and VBCR were improved after SSPSF, and these parameters were well maintained at the final follow-up with minimal degree of correction loss. Kyphosis recurrence showed a significant increase in patients with Denis burst type A, load-sharing classification (LSC) score >6 or DbVC >6 (p<0.05). There were no patients who worsened to clinical outcome, and there was no significant correlation between kyphosis recurrence and clinical outcome in this series. Conclusion : SSPSF including the fractured vertebra is an effective surgical method for restoration and maintenance of vertebral column stability in TLBFs. However, kyphosis recurrence was significantly associated with Denis burst type A fracture, LSC score >6, or DbVC >6.

• Journal of Korean Neurosurgical Society
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• 제61권2호
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• pp.251-257
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• 2018

Objective : The aim of this study was to investigate clinical and radiological outcomes of patients who underwent posterior vertebral column resection (PVCR) by a single neurosurgeon in a single institution. Methods : Thirty-four consecutive patients with severe spinal deformities who underwent PVCR between 2010 and 2016 were enrolled. The radiographic measurements included a kyphotic angle of PVCR levels (VCR angle), sagittal vertical axis (SVA), thoracic kyphosis, lumbar lordosis (LL), and spinopelvic parameters. The data of surgical time, estimated blood loss, duration of hospital stay, complications, intraoperative neurophysiologic monitoring, and the Scoliosis Research Society (SRS)-22 questionnaire were collected using a retrospective review of medical records. Results : The VCR angle, LL, and SVA values were significantly corrected after surgery. The VCR and LL angle were changed from the average of $38.4{\pm}32.1^{\circ}$ and $-22.1{\pm}39.1^{\circ}$ to $-1.7{\pm}29.4^{\circ}$ (p<0.001) and $-46.3{\pm}23.8^{\circ}$ (p=0.001), respectively. The SVA was significantly reduced from $103.6{\pm}88.5mm$ to $22.0{\pm}46.3mm$ (p=0.001). The clinical results using SRS-22 survey improved from $2.6{\pm}0.9$ to $3.4{\pm}0.8$ (p=0.033). There were no death and permanent neurological deficits after PVCR. However, complications occurred in 19 (55.9%) patients. Those patients experienced a total of 31 complications during- and after surgery. Sixteen reoperations were performed in twelve (35.3%) patients. The incidence of transient neurological deterioration was 5.9% (two out of 34 patients). Conclusion : Severe spinal deformities can be effectively corrected by PVCR. However, the PVCR technique should be utilized limitedly because surgery-related serious complications are relatively common.

• Journal of Korean Neurosurgical Society
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• 제61권6호
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• pp.723-730
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• 2018

Objective : The aim of the present study was to identify whether the deformity angular ratio (DAR) influences the occurrence of complications after posterior vertebral column resection (PVCR) and to establish the DAR cut-off value. Methods : Thirty-six consecutive patients undergoing PVCR from December 2010 to October 2016 were reviewed. The relationships between the total, sagittal, and coronal DAR and complications were assessed using receiver operator characteristics curves. The patients were divided into two groups according to a reference value based on the cut-off value of DAR. Demographic, surgical, radiological, and clinical outcomes were compared between the groups. Results : There were no significant differences in the patient demographic and surgical data between the groups. The cut-off values for the total DAR (T-DAR) and the sagittal DAR (S-DAR) were 20.2 and 16.4, respectively (p=0.018 and 0.010). Both values were significantly associated with complications (p=0.016 and 0.005). In the higher T-DAR group, total complications (12 vs. 21, p=0.042) and late-onset complications (3 vs. 9, p=0.036) were significantly correlated with the T-DAR. The number of patients experiencing complications (9 vs. 11, p=0.029) and the total number of complications (13 vs. 20, p=0.015) were significantly correlated with the S-DAR. Worsening intraoperative neurophysiologic monitoring was more frequent in the higher T-DAR group (2 vs. 4) than in the higher S-DAR group (3 vs. 3). There was no difference in neurological deterioration between the groups after surgery. Conclusion : Both the T-DAR and the S-DAR are risk factors for complications after PVCR. Those who had a T-DAR >20.2 or S-DAR >16.4 experienced a higher rate of complications after PVCR.

• 한국식품영양학회지
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• 제11권2호
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• pp.165-170
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• 1998

교통사고로 인한 척추골절 환자 S75에서 손상부위에 따른 진단방사선학 및 보존적 치료 소견을 임상 문헌과 함께 고찰해 본 결과 다음과 같은 결론을 얻었다. 1. 흉요추 좌측방 단순필름에서 L1 요추에 설상변형 정도가 약 10%인 쐐기형 압박골절이 확인되었다. 2. L1 요추의 CT촬영 결과 추체부 전면에 궁형의 불규칙한 골 절편을 관찰할 수 있었으며, T12∼L1는 구조상 손상빈도가 높은 부위로 밝혀졌으며, Denis의 골절형태는 중간주와 후방주가 잘 보존된 전방주의 다발성 압박골절로 분류되었고, Cobb의 척추 만각증은 없었으며, Frankel의 신경손상 분류형태는 E형이었다. 3. 정형외과적 치료방법은 비수술 요법의 보존적 치료를 원칙으로 하였고, 수분·전해질, 영양 및 혈장제 대용으로 공급하는 수액과 함께 브스테로이드성 항염진통제, 근육 이완제를 투여하면서 철저한 침상안정을 유도하였다. 4. 수상후 3주째는 폴리에틸렌 back corset를 착용하고 조기재활을 시도하였으며, 수상 8주 후에도 경도의 불편감이 남아 있었으나, 추시 관찰한 결과 일정기간이 지나면서 점차 척추는 안정성을 찾게 되었다.

• 한국수산과학회지
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• 제56권2호
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• pp.228-242
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• 2023

We examined the osteological development of the cranium, visceral skeleton, pectoral girdle, vertebral column, fins, and pterygiophore of small yellow croaker Larimichthys polyactis cultured at the Jeju Fisheries Research Institute. At 5.89 mm NL (notochord length), the larvae already had ossified frontal and basioccipital bones, parasphenoids, and vomer in the cranium. All elements of the visceral skeleton except the metapterygoid were ossified at 5.89 mm NL. Preorbital bone was ossified at 8.11 mm SL (standard length), and suborbital bones were ossified at 12.90 mm SL. In the vertebral column, ossification proceeded from the first to last centrum. The urostyle ossified at 7.41 mm SL. The caudal skeleton ossified at 6.78 mm NL, along with three hypural bones. In the pectoral girdle, the cleithrum, supracleithrum, postcleithrum, and post-temporal bones ossified at 5.89 mm NL. Caudal fin ossification began at 6.19 mm SL and was complete at 7.16 mm SL. Dorsal and anal fin ossification began at 7.16 mm SL and was complete at 8.62 mm and 8.11 mm SL, respectively. Anal and dorsal pterygiophore bone ossification was complete at 9.86 mm and 11.54 mm SL, respectively, and that of the supraneural bones was complete at 9.60 mm SL.