• Title/Summary/Keyword: endplate

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Anterior Cervical Discectomy and Fusion Using a Stand-Alone Polyetheretherketone Cage Packed with Local Autobone : Assessment of Bone Fusion and Subsidence

  • Park, Jeong-Ill;Cho, Dae-Chul;Kim, Kyoung-Tae;Sung, Joo-Kyung
    • Journal of Korean Neurosurgical Society
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    • v.54 no.3
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    • pp.189-193
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    • 2013
  • Objective : It remains debatable whether cervical spine fusion cages should be filled with any kind of bone or bone substitute. Cortical and subcortical bone from the anterior and posterior osteophytes of the segment could be used to fill the cage. The purposes of the present study are to evaluate the clinical outcomes and radiological outcomes including bone fusion and subsidence that occurred after anterior cervical discectomy and fusion using a stand-alone cage packed with local autobone graft. Methods : Thirty-one patients who underwent anterior cervical fusion using a stand-alone polyetheretherketone (PEEK) cage packed with local autobone graft from July 2009 to december 2011 were enrolled in this study. Bone fusion was assessed by cervical plain radiographs and computed tomographic scan. Nonunion was evaluated according to the absence of bony bridge on computed tomographic scan. Subsidence was defined as a ${\geq}2$ mm decrease of the interbody height at the final follow-up compared to that measured at the immediate postoperative period. Results : Subsidence was observed in 7 patients (22.6%). Of 7 patients with subsidence greater 2 mm, nonunion was developed in 3. Three patients with subsidence greater 2 mm were related with endplate damage during intraoperative endplate preparation. Solid bone fusion was achieved in 28 out of 31 patients (90.3%). Conclusion : With proper patient selection and careful endplate preparation, anterior cervical discectomy and fusion (ACDF) using a stand-alone PEEK cage packed with local autobone graft could be a good alternative to the standard ACDF techniques with plating.

Experimental study on the Behavior CFT Column to H-Beam Endplate Connections with Penetrated High Strength Bolts (II) (관통형 고력볼트를 사용한 엔드플레이트형식 콘크리트 충전 각형강관 기둥.H형강 보 접합부의 거동에 관한 실험적 연구 (II))

  • Kim, Jae Keon;Moon, Tae Sup
    • Journal of Korean Society of Steel Construction
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    • v.11 no.2 s.39
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    • pp.109-116
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    • 1999
  • This paper presents an experimental study on the behavior of CFT Column to H-Beam Endplate Connections with penetrated H/T bolts under monotonic loading. The object of this study is to estimate accurately the effect about the thickness of endplate and the arrangement of H/T bolts which was not got a grip on the results reported in the previous paper. Main parameters are the thickness of endplates (12mm, 16mm) and the arrangemement of H/T bolts (EP1, EP2, EP3 Type). The experimental results compared and analysed. 1) The specimens were classified by Bjorhovde's and EC3's method. 2) A formula to predict the ultimate moment of connection was derived based on the T-stub model, and theoretical value $(_tM_u)$ computed by the formula corresponded to the experimental value $(_eM_u)$.

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Cyclic behaviour of infilled steel frames with different beam-to-column connection types

  • Sakr, Mohammed A.;Eladly, Mohammed M.;Khalifa, Tarek;El-Khoriby, Saher
    • Steel and Composite Structures
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    • v.30 no.5
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    • pp.443-456
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    • 2019
  • Although numerous researchers demonstrated the significant difference in performance between the various beam-to-column connection types, most of the previous studies in the area of infilled steel frames focused on the behaviour of frames with welded connections. Therefore, there is a need for conducting studies on infilled steel frames with other common connection types (extended endplate with and without rib stiffeners, flush endplate and shear connections). In this paper, firstly, a two-dimensional finite-element model simulating the cyclic response of infilled steel frames was presented. The infill-frame interaction, as well as the interactions between connections' components, were properly modelled. Using the previously-validated model, a parametric study on infilled steel frames with five different beam-to-column connection types, under cyclic loading, was carried out. Several parameters, including infill material, fracture energy of masonry and infill thickness, were investigated. The results showed that the infilled frames with welded connections had the highest initial stiffness and load-carrying capacity. However, the infilled frames with extended endplate connections (without rib stiffeners) showed the greatest energy dissipation capacity and about 96% of the load-carrying capacity of frames with welded connections which indicates that this type of connection could have the best performance among the studied connection types. Finally, a simplified analytical model for estimating the stiffness and strength of infilled steel frames (with different beam-to-column connection types) subjected to lateral cyclic loading, was suggested.

Behavior of simple precast high-strength concrete beams connected in the maximum bending moment zone using steel extended endplate connections

  • Magdy I. Salama;Jong Wan Hu;Ahmed Almaadawy;Ahmed Hamoda;Basem O. Rageh;Galal Elsamak
    • Steel and Composite Structures
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    • v.50 no.6
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    • pp.627-641
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    • 2024
  • This paper presents an experimental and numerical study to investigate the behavior of the precast segmental concrete beams (PSCBs) utilizing high-strength concrete (HSC) connected in the zone of the maximum bending moment using steel extended endplate connections (EECs). The experimental study consisted of five beams as follows: The first beam was the control beam for comparison, which was an unconnected one-piece beam made of HSC. The other four other beams consisted of two identical pieces of precast concrete. An important point to be noted is that at the end of each piece, a steel plate was used with a thickness of 10 mm. Moreover, this steel plate was welded to the lower and upper reinforcing bars of the beam. Furthermore, the steel plate was made to connect the two pieces using the technique of EECs. Several variables were taken in these four beams, whether from the shape of the connection or enhancing the behavior of the connection using the post-tensioning technique. EECs without stiffeners were used for some of the tested beams. The behavior of these connections was improved using stiffeners and shear bolts. To get accurate results, a comparison was made between the behaviors of the five beams. Another important point to be noted is that Abaqus and SAP2000 programs were used to investigate the behavior of PSCBs and to ensure the accuracy of the modeling process which showed a good agreement with the experimental results. Additionally, the simplified modeling using SAP2000 was able to model the nonlinear behavior of PSCBs connected using steel EECs. It was found that the steel pre-tensioned bolted EECs, reinforced with steel stiffeners and shear anchors, could be used to connect the precast HSC segmental beams via the internal pre-stressing technique.

Comparison of SpineJet$^{TM}$ XL and Conventional Instrumentation for Disk Space Preparation in Unilateral Transforaminal Lumbar Interbody Fusion

  • Huh, Han-Yong;Ji, Cheol;Ryu, Kyeong-Sik;Park, Chun-Kun
    • Journal of Korean Neurosurgical Society
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    • v.47 no.5
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    • pp.370-376
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    • 2010
  • Objective : Although unilateral transforaminal lumbar interbody fusion (TLIF) is widely used because of its benefits, it does have some technical limitations. Removal of disk material and endplate cartilage is difficult, but essential, for proper fusion in unilateral surgery, leading to debate regarding the surgery's limitations in removing the disk material on the contralateral side. Therefore, authors have conducted a randomized, comparative cadaver study in order to evaluate the efficiency of the surgery when using conventional instruments in the preparation of the disk space and when using the recently developed high-pressure water jet system, SpineJet$^{TM}$ XL. Methods : Two spine surgeons performed diskectomies and disk preparations for TLIF in 20 lumbar disks. All cadaver/surgeon/level allocations for preparation using the SpineJet$^{TM}$ XL (HydroCision Inc., Boston, MA, USA) or conventional tools were randomized. All assessments were performed by an independent spine surgeon who was unaware of the randomizations. The authors measured the areas (cm2) and calculated the proportion (%) of the disk surfaces. The duration of the disk preparation and number of instrument insertions and withdrawals required to complete the disk preparation were recorded for all procedures. Results : The proportion of the area of removed disk tissue versus that of potentially removable disk tissue, the proportion of the area of removed endplate cartilage, and the area of removed disk tissue in the contralateral posterior portion showed 74.5 ${\pm}$ 17.2%, 18.5 ${\pm}$ 12.03%, and 67.55 ${\pm}$ 16.10%, respectively, when the SpineJet$^{TM}$ XL was used, and 52.6 ${\pm}$ 16.9%, 22.8 ${\pm}$ 17.84%, and 51.64 ${\pm}$ 19.63%, respectively, when conventional instrumentations were used. The results also showed that when the SpineJet$^{TM}$ XL was used, the proportion of the area of removed disk tissue versus that of potentially removable disk tissue and the area of removed disk tissue in the contralateral posterior portion were statistically significantly high (p < 0.001, p < 0.05, respectively). Also, compared to conventional instrumentations, the duration required to complete disk space preparation was shorter, and the frequency of instrument use and the numbers of insertions/withdrawals were lower when the SpineJet$^{TM}$ XL was used. Conclusion : The present study demonstrates that hydrosurgery using the SpineJet$^{TM}$ XL unit allows for the preparation of a greater portion of disk space and that it is less traumatic and allows for more precise endplate preparation without damage to the bony endplate. Furthermore, the SpineJet$^{TM}$ XL appears to provide tangible benefits in terms of disk space preparation for graft placement, particularly when using the unilateral TLIF approach.

Biomechanical Analysis of the Artificial Discs (인공디스크에 대한 생체역학적 분석)

  • Kim Young-Eun;Yun Sang-Seok;Jung Sang-Ki
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2005.06a
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    • pp.907-910
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    • 2005
  • Although several artificial disc designs have been developed for the treatment of discogenic low back pain, biomechanical change with its implantation was rarely studied. To evaluate the effect of artificial disc implantation on the biomechanics of functional spinal unit, nonlinear three-dimensional finite element model of L4-L5 was developed with 1-mm CT scan data. Two models implanted with artificial discs, SB $Charit\acute{e}$ or Prodisc, via anterior approach were also developed. The implanted model predictions were compared with that of intact model. Angular motion of vertebral body, force on spinal ligaments and facet joint, and the stress distribution of vertebral endplate for flexion-extension, lateral bending, and axial rotation with a compressive preload of 400 N were compared. The implanted model showed increased flexion-extension range of motion and increased force in the vertically oriented ligaments, such as ligamentum flavum, supraspinous ligament and interspinous ligament. The increase of facet contact force on extension were greater in implanted models. The incresed stress distribution on vertebral endplate for implanted cases indicated that additinal bone growth around vertebral body and this is matched well with clinical observation. With axial rotation moment, relatively less axial rotation were observed in SB $Charit\acute{e}$ model than in ProDisc model.

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Numerical study on Wells turbine with penetrating blade tip treatments for wave energy conversion

  • Cui, Ying;Hyun, Beom-Soo
    • International Journal of Naval Architecture and Ocean Engineering
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    • v.8 no.5
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    • pp.456-465
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    • 2016
  • In order to optimize the performance of a Wells turbine with fixed guide vanes, the designs of an end plate and a ring on the tip of the turbine rotor are proposed as penetrating blade tip treatments. In this study, numerical investigations are made using computational fluid dynamics (CFD)-based ANSYS Fluent software, and validated by corresponding experimental data. The flow fields are analyzed and non-dimensional coefficients $C_A$, $C_T$ and ${\eta}$ are calculated under steady-state conditions. Numerical results show that the stalling phenomenon on a ring-type Wells turbine occurs at a flow coefficient of ${\phi}=0.36$, and its peak efficiency can reach 0.54, which is 16% higher than that of an unmodified turbine and 9% higher than in the case of an endplate-type turbine. In addition, quasi-steady analysis is used to calculate the mean efficiency and output work of a wave cycle under sinusoidal flow conditions. As a result, it has been found that the ring-type turbine is superior to other types of Wells turbines.

Microstructure of the biological attachment devices in the ladybug Harmonia axyridis (Coleoptera: Coccinellidae)

  • Moon, Myung-Jin;Kim, Hyo-Jeong;Kim, Hoon;Park, Jong-Gu
    • Animal cells and systems
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    • v.16 no.6
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    • pp.479-487
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    • 2012
  • Biological attachment device is optimized in insect legs for attachment onto the variety of natural substrate. We have studied the microstructural characteristics of the tarsal appendages in the ladybug Harmonia axyridis using scanning electron microscopy to reveal the attachment system of their legs. The attachment devices are composed of claws and adhesive pads. The claws are connected with pretarsal segment, and their apical diverged hooks are developed to hold rough substrates. In contrast, the adhesive pads have an adhesive function onto smooth surface. The pads are interspersed at the ventral part of each tarsomere, and are composed of two kinds of hairy setae. The discoid tip seta (DtS) has a spoon-shaped endplate usually with a rounded concave structure, whereas the pointed tip seta (PtS) has a pointed tip, usually with a hooked endplate. While the PtS is broadly localized concentrically on the marginal area of both the proximal and distal pads, the DtS can be seen at the central areas of each adhesive pad except for the hind legs. Our findings demonstrate the presence of the direction-dependence pattern of the fibrillar system as well as a functional modification of the tenent setae to achieve proper contact with almost any kind of substrates.

Temperature in Nerve Conduction and Electromyography (신경전도와 근전도검사에서의 체온)

  • Kim, Doo-Eung
    • Annals of Clinical Neurophysiology
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    • v.8 no.2
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    • pp.125-134
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    • 2006
  • Among the various physiological factors that affect nerve conduction velocity (NCV), temperature is the most important. Because the influence of temperature is the most important source of error. It is known from animal experiments that conduction is eventually completely blocked at low temperatures, the myelinated A fibers being the first affected and the thin fibers of group C the last. Many studies showed that the NCV decreases linearly with lowering temperature within the physiological range. The distal motor latency increased by $0.2msec/^{\circ}C$ drop in temperature between $25^{\circ}C$and $35^{\circ}C$ in the median, ulnar and peroneal nerves. The temperature affect the neuromuscular transmission; The miniature endplate potential (MEPP) and endplate potential (EPP) are increase with increasing temperature. In myasthenia gravis, the reduction in the decremental response is observed following cooling. The lowering temperature make increase the amplitude of sensory compound action potential; make enlarge the surface area of compound muscle action potential with very little increase in amplitude; make diminish the fibrillation potential and increase the myotonia in needle electromyography (EMG). Because of these findings mentioned above, the skin temperature should be routinely monitored and controlled during nerve conduction tests and needle EMG and should be taken into account when interpreting the findings.

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Case Analysis of the Effects of Nucleoplasty and Chemonucleolysis on the Intervertebral Disc (척추의 추간판에 대한 수핵성형술과 화학적수핵융해술의 영향 증례분석)

  • Hong, Youngki
    • Archives of Orthopedic and Sports Physical Therapy
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    • v.14 no.2
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    • pp.73-80
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    • 2018
  • Purpose: This study was evaluated the effects of nucleoplasty and chemonucleolysis, as interventional treatments for herniated intervertebral disc disease, on spinal tissues. Methods: Nucleoplasty using plasma beam and chemonucleolysis with collagenase were conducted on the spinal motion segments that were dissected from of human cadaver spine under fluoroscopic guidance. After the procedure, the intervertebral discs were transected, and the changes in gross findings were examined. Subsequently, the influence of the procedure on the nucleus pulposus, annuls fibrosus, and endplate was analyzed through a pathologic examination. Results: Nucleoplasty was confirmed to eliminate the local range of tissues in nucleus pulposus according to the procedure tract and to not affect other tissues. In chemonucleolysis, we found that collagenase diffused from the surgical site within the nucleus pulposus and was not present in the annulus fibrosus and endplate. Conclusions: The clinically-used interventional treatments that were investigated here were not found to do not cause additional damage to areas other than those targeted.