• 제목/요약/키워드: disc

검색결과 3,928건 처리시간 0.026초

New Diagnostic Tool for Far Lateral Lumbar Disc Herniation : The Clinical Usefulness of 3-Tesla Magnetic Resonance Myelography Comparing with the Discography CT

  • Kim, Duk-Gyu;Eun, Jong-Pil;Park, Jung-Soo
    • Journal of Korean Neurosurgical Society
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    • 제52권2호
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    • pp.103-106
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    • 2012
  • Objective : To prospectively assess the diagnostic and clinical value of a new technique (3-tesla magnetic resonance myelography, 3T MRM) as compared to computed tomographic discography (disco-CT) in patients with far lateral disc herniation. Methods : We evaluated 3T MRM and disco-CT of 25 patients, whom we suspected of suffering from far lateral disc herniation. Using an assessment scale, 4 observers examined independently both 3T MRM and disco-CT images. We analyzed observer agreement and the accentuation of each image. Results : We found complete matching, and observer agreement, between high resolution images of 3T MRM and disco-CT for diagnosing far lateral disc herniation. Conclusion : We think noninvasive 3T MRM is an appropriate diagnostic tool for far lateral disc herniation as compared to disco-CT.

Simultaneous Paraspinal and Midline Approach for Upper Lumbar Disc Herniation : Technique to Prevent Lamina Fracture

  • Kim, Seok-Won;Shin, Ho
    • Journal of Korean Neurosurgical Society
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    • 제38권2호
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    • pp.111-115
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    • 2005
  • Objective : Upper lumbar disc herniation is rare disease, compared with lower. The lamina of this high level lumbar vertebra is narrower than that of low level, and this have taken surgeon into important consideration for surgical methods because partial removal of lamina for discectomy weakens the base of the articular process and may result in fracture. The authors an accurate preoperative diagnosis that enables the surgeon to operative approach for preserving the facet joint. Methods : Thirteen patients with upper lumbar disc herniation have underone surgical procedure by midline approach for removal of ruptured disc fragment and paraspinal approach for removal of residual disc materials simultaneously without instrumentation. All patients who underwent surgery were analyzed and long-term follow-up was conducted. Results : At a mean follow-up of 24months, there were complete resolution of presenting radiating leg pain in 85% of the patients, 7.5% were left with minimal residual discomfort, and 7.5% derived little or no benefit from surgery. The follow-up radiologic findings of all patients shows that lamina and facet joint have preserved safely and no instability. Conclusion : Simultaneously, paraspinal with midline approach provides highly satisfactory operating methods by simplifying exposure and greatly limiting the risk of complications. This provides the basis for a planned surgical approach in which destruction of the facet joint can be avoided.

Optimal Design of Ventilated Disc Brake Rotor (벤틸레이티드 디스크 브레이크 로터의 최적설계)

  • Lee, Su-Gi;Seong, Bu-Yong;Ha, Seong-Gyu
    • Transactions of the Korean Society of Mechanical Engineers A
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    • 제24권3호
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    • pp.593-602
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    • 2000
  • The shape optimization is performed to minimize the judder of ventilated disc brake rotor that is induced by the thermal deformation of the disc. A three-dimensional finite element is developed to analyze the coupled system of temperature and displacement field, and the thermal conductivity and mechanical stiffness matrices are simultaneously taken into account. To reduce computing time, an equivalent heat transfer rate is introduced approximating the heat transfer rate on the disc surface. A deformation factor is introduced to describe the thermal deformation causing the judder. The deformation factor is chosen as an objective function in the optimization process. Consequently an optimum design is then performed minimizing the deformation factor with the design variables of the shape of the disc. The optimum design procedure presented in this study is proven to be an effective method of minimizing the judder, and it reduces the thermal deformation by 23% of the initial geometry.

Effects on the Adjacent Motion Segments according to the Artificial Disc Insertion (인공 추간판 적용으로 인한 인접 운동 분절의 영향)

  • Kim, Young-Eun;Yun, Sang-Seok
    • Journal of the Korean Society for Precision Engineering
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    • 제24권8호통권197호
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    • pp.122-129
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    • 2007
  • To evaluate the effect of artificial disc implantation and fusion on the biomechanics of adjacent motion segment, a nonlinear three-dimensional finite element model of whole lumbar spine (L1-S1) was developed. Biomechanical analysis was performed for two different types of artificial disc, ProDisc and SB $Charit{\acute{e}}$ III model, inserted at L4-L5 level and these results were also compared with fusion case. Angular motion of vertebral body, forces on the spinal ligaments and facet joint under sagittal plane loading with a compressive preload of 150 N at a nonlinear three-dimensional finite element model of Ll-S1 were compared. The implant did not significantly alter the kinematics of the motion segment adjacent to the instrumented level. However, $Charit{\acute{e}}$ III model tend to decrease its motion on the adjacent levels, especially in extension motion. Contrast to motion and ligament force changes, facet contact forces were increased in the adjacent levels as well as implanted level for constrained instantaneous center of rotation model, i.e. ProDisc model.

A Parametric Study on Double-Slit-Type Rupture Disc of Pulse Separation Device (펄스분리장치의 이중 슬릿형 파열판 매개변수 연구)

  • Han, Houk-Seop;Cho, Won-Man;Lee, Won-Bok;Koo, Song-Hoe;Lee, Bang-Eop
    • Journal of the Korean Society of Propulsion Engineers
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    • 제14권5호
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    • pp.101-110
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    • 2010
  • Dual pulse rocket motor is a solid motor with two grains separated by a bulkhead and rupture disc. The elasto-plastic explicit dynamic analysis for the rupture disc was conducted by finite element method. The effect of the slit geometry of a rupture disc was parametrically analyzed in terms of rupture time and shape. The results can be used to control the rupture pressure by changing the slit geometry of rupture disc.

A Fatigue Analysis of Thermal Shock Test in Brake Disc Material for Railway (철도차량 제동디스크 소재 열충격 실험에 대한 피로해석)

  • Lim, Choong-Hwan;Goo, Byeong-Choon
    • Proceedings of the KSR Conference
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    • 한국철도학회 2010년도 춘계학술대회 논문집
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    • pp.615-620
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    • 2010
  • During braking of railway vehicles the repetitive thermal shock leads to thermal cracks on disc surface, and the lifetime of brake disc is dependent on the number of trimming works for removing these thermal cracks. Many tries for development of high heat resistant brake disc to extend the disc life and to warrant reliable braking performance has been continued. In present study, we carry out the computational fatigue analysis for thermal fatigue test in three candidate materials which were made to develop new high heat resistant material. Using FEM, we simulate thermal fatigue test in three candidate materials and conventional disc material. We then estimate the number of cycle to thermal crack initiation based on data from mechanical fatigue tests, and the results are compared with each material. For each material, the correction factor for $N_{f-40}$ which is the number of cycles when crack over $40{\mu}m$ was observed in thermal fatigue test is decided. From this study, we can verify the performance of thermal fatigue test system and suggest a qualitatively comparative method for heat resistance by FEM analysis of thermal shocking phenomenon.

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Moan Noise Analysis of Rear Disc Brake (후륜 디스크 브레이크 Moan 노이즈 해석)

  • 박진국;김찬중;이봉현;정호일;문창룡;김정락;이충렬
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 한국소음진동공학회 2004년도 춘계학술대회논문집
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    • pp.607-612
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    • 2004
  • Disc brake noise continues to be a major concern throughout the automotive industry despite efforts to reduce its occurrence. Eliminating vibrations during braking is an important task for both vehicle passenger comfort and reducing the overall environmental noise levels. There are several classes of disc brake noise, the major ones being squeal, judder, groan, and moan. In this study, analytical model for moan noise of rear disk brake is investigated. Modeling of the disc brake assembly to take account of the effect of different geometrical and contact parameters is studied through the use of multi-body model. The contact stiffness of the caliper and torque member plays an important role in controlling brake vibration. Therefore, a suitable material pair at the caliper/body contact has been made. An ADAMS model of a rear disc brake system was integrated with a flexible suspension trailng arm from MSC/NASTRAN. A fully non-linear dynamic simulatin of brake system behavior, containing rigid and flexible bodies, was performed for a Prescribed set of operating conditions. Simulation results were validated using data from vehicle experimental testing.

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Roentgenographic Analysis of Cervical Lordosis and Disc Degeneration in Neck Pain Patients with or without Low Back Pain (요통 유무에 따른 경항통 환자의 경추 전만각 퇴행성 변화 비교분석)

  • Lee, Sang-Ho;Chung, Seok-Hee;Lee, Jong-Soo;Kim, Sung-Soo;Shin, Hyun-Dae
    • The Journal of Korea CHUNA Manual Medicine
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    • 제2권1호
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    • pp.85-92
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    • 2001
  • Objectives : To study the cervical lordosis and disc degeneration in neck pain patients with or without low back pain. Subjects. The study was composed of 57 neck pain patients with low back pain(LBP group) and 40 neck pain patients without low back pain(Non-LBP group). Methods : Radiographic measures of spinal lordosis(cervical and lumbar) and disc degeneration were collected, and statistically analyzed. Results: LBP group showed a significant increase in cervical lordotic angle as compared with Non-LBP group, whereas no significant change in cervical disc degeneration. A relationship was found between cervical and lumbar disc degeneration in LBP $group({\gamma}-0.3064)$. Conclusions : The findings from this study suggest that the curvature of the cervical spine is related to the subject's low back pain.

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Microdecompression for Extraforaminal L5-S1 Disc Herniation; The Significance of Concomitant Foraminal Disc Herniation for Postoperative Leg Pain

  • Lee, Dong-Yeob;Lee, Sang-Ho
    • Journal of Korean Neurosurgical Society
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    • 제44권1호
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    • pp.19-25
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    • 2008
  • Objective : To analyze the relationship of concomitant foraminallumbar disc herniation (FLDH) with postoperative leg pain after microdecompression for extraforaminallumbar disc herniation (EFLDH) at the L5-S1 level. Methods : Sixty-five patients who underwent microdecompression for symptomatic EFLDH at the L5-S1 level were enrolled, According to the severity of accompanying FLDH, EFLDH was classified into four categories (Class I : no FLDH; Class II : mild to moderate FLDH confined within a lateral foraminal zone; Class III : severe FLDH extending to a medial foraminal zone; Class IV : Class III with intracanalicular disc herniation). The incidence of postoperative leg pain, dysesthesia, analgesic medication, epidural block, and requirement for revision surgery due to leg pain were evaluated and compared at three months after initial surgery. Results : The incidences of postoperative leg pain and dysesthesia were 36.9% and 26.1%, respectively. Pain medication and epidural block was performed on 40% and 41.5%, respectively, Revision surgery was recommended in six patients (9.2%) due to persistent leg pain, The incidences of leg pain, dysesthesia, and requirement for epidural block were higher in Class III/IV, compared with Class I/II. The incidence of requirement for analgesic medication was significantly higher in Class III/IV, compared with Class I/II (p=0,02, odds ratio=9,82). All patients who required revision surgery due to persistent leg pain were included in Class III/IV. Conclusion : Concomitant FLDH seems related to postoperative residual leg pain after microdecompression for EFLDH at the L5-S1 level.

An Unappreciated Correlation : Surgical Treatment of Lumbosacral Disc Disease and Erectile Dysfunction

  • Kulaksizoglu, Haluk;Kaptan, Hulagu
    • Journal of Korean Neurosurgical Society
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    • 제47권4호
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    • pp.282-286
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    • 2010
  • Objective : The aim of the present study was to assess the effect of lumbar disc herniation surgery for low back pain on the erectile functioning. Methods : Thirty-eight patients, with age ranging from 22 to 56 years, who had presented with pain due to herniated lumbar discs were included in the study. International Index of Erectile Function (IIEF) Short Form questionnaire was used to evaluate the erectile functioning. Patient visits on the 1st week,1st month and 3rd month postoperatively were analyzed. Pain scores were also noted together with side effects and the complications of the surgery. Results : Of the 38 patients, 18 patients had reported erectile dysfunction; 10 patients mild and 8 patients moderate erectile dysfunction. Twenty patients did not report erectile problems. The herniation levels mostly were L5-S1 in 12 (31.6%). Overall, erectile dysfunction rates have improved in 31.7% of those previously with erectile dysfunction in a 3 month period after the surgery. Best results were obtained in those patients with mild erectile dysfunction preoperatively. Conclusion : Mild erectile dysfunction together with radiculopathy tends to improve after lumbosacral disc surgery. Moderate and severe erectile dysfunction may be related to a more severe nerve injury or to vascular and/or psychiatric factors. An evaluation of erectile functioning should routinely be performed in patients with lumbosacral disc disease both for data accumulation and for medico legal causes since the documentation of the correlation between erectile dysfunction and lumbosacral disc disease is still lacking.