• 제목/요약/키워드: good lateral root

검색결과 28건 처리시간 0.028초

Clinical Outcome of Modified Cervical Lateral Mass Screw Fixation Technique

  • Kim, Seong-Hwan;Seo, Won-Deog;Kim, Ki-Hong;Yeo, Hyung-Tae;Choi, Gi-Hwan;Kim, Dae-Hyun
    • Journal of Korean Neurosurgical Society
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    • 제52권2호
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    • pp.114-119
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    • 2012
  • Objective : The purpose of this study was 1) to analyze clinically-executed cervical lateral mass screw fixation by the Kim's technique as suggested in the previous morphometric and cadaveric study and 2) to examine various complications and bicortical purchase that are important for b-one fusion. Methods : A retrospective study was done on the charts, operative records, radiographs, and clinical follow up of thirty-nine patients. One hundred and seventy-eight lateral mass screws were analyzed. The spinal nerve injury, violation of the facet joint, vertebral artery injury, and the bicortical purchases were examined at each lateral mass. Results : All thirty-nine patients received instrumentations with poly axial screws and rod systems, in which one hundred and seventy-eight screws in total. No vertebral artery injury or nerve root injury were observed. Sixteen facet joint violations were observed (9.0%). Bicortical purchases were achieved on one hundred and fifty-six (87.6%). Bone fusion was achieved in all patients. Conclusion : The advantages of the Kim's technique are that it is performed by using given anatomical structures and that the complication rate is as low as those of other known techniques. The Kim's technique can be performed easily and safely without fluoroscopic assistance for the treatment of many cervical diseases.

난치성 통증 환자의 치료를 위한 정위적 요부 후근신경절 절제술 -증례 보고- (Stereotactic Lumbar Dorsal Root Ganglionotomy in the Management of Intractable Pain -A case report-)

  • 신근만;안철수;홍순용;최영룡;손호균
    • The Korean Journal of Pain
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    • 제9권2호
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    • pp.407-411
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    • 1996
  • Stereotactic radiofrequency dorsal root ganglionotomy can be very useful procedures for the treatment of pain emanating from the lumbar segmental nerves. This procedure is reserved for patients who have failed conservative interventional treatments and in whom open surgical intervention is not an option. The advantages of the radiofrequency lesion method are presented, excellent control of the lesion process using temperature monitoring to quantify the lesion size, prevent boiling, and to produce differential destruction of neural tissue. The afferent fibers in the ventral root which are spared by dorsal rhizotomy but nerve fibers with their cells in the ganglion from either dorsal or ventral root can be destructed with stereotactic radiofrequency ganglionotomy. This technique is performed using a 100 mm cannula with a 5 mm active tip. Repeated lateral fluoroscopic view should be taken to make sure that cannlua still resides within the superior, dorsal quadrant or the foramen. With the cannula in this position, electrostimulation is performed and good paresthesia on the leg should be noted with 0.3 and 0.5 volt at 50 Hz stimulation. At 2Hz stimulation distinct dissociation between motor and sensory should be shown. Percutaneous lumbar ganglionotomy have carried out under local anesthesia on inpatient basis in 6 patients. A series of 5 patients with metastatic cancer pain and a patient with compression fracture have been relieved of pain without serious complications.

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Aluminium이 팥(Vigna angularis) 유식물의 생장, 엽록소함량, ALAD활성 및 뿌리와 경엽부의 형태에 미치는 영향 (Effects of Aluminium on Growth, Chlorophyll Content, ALAD Activity and Anatomy of Root rind Shoot in Azuki Bean (Vigna angularis) Seedlings)

  • 구서영;홍정희
    • 한국환경과학회지
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    • 제5권6호
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    • pp.813-826
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    • 1996
  • 발아후 7일된 팥유식물에서 alumlnlum(Al)이 생장, 엽록소 함량, ALAD활성 및 뿌리와 경엽부의 형태에 미치는 영향을 조사하였다. 저농도(50, 100 $\muM)의$ Al처리에 의해 뿌리와 경엽부의 신장이 매우 감소되었으며 농도가 증가함에 따라 생장이 더욱 억제되었다. 따라서 생장억제는 농도의존적이었다. 뿌리신장은 Al 처리 24시간에서 감소되었으며 7일간의 저농도처리에 의해 억제효과가 회복되는 경향을 보여주었다. Al의 독성증상과 생장반응은 경엽부에 비해 뿌리에서 더 크게 나타났다. Hematoxylin 염색법에 의해 Al 분포를 조사한 결과 Al은 근단을 통해 표피와 피층세포에 축적되어 있음을 알 수 있었다. 한편 Al처리는 엽록소함량을 감소시켰으며, ALAD활성 또한 억제시켰다. 엽록소 함량과 ALAD 활성 간에는 양의 상관관계가 나타났다. Al 처리에 의한 뿌리의 형태변화를 보면 표피세포 및 피층세포의 변형 또는 파괴가 관찰되었으며, 뿌리직경과 피층의 체적도 매우 감소되었다. 경엽부에서도 Al처리는 직경과 세포크기의 감소를 보여주었다. 그러나 잎에서의 형태적 변화는 엽록체수와 크기변화 이외에는 거의 관찰되지 않았다. 이와 같은 결과에서 Al의 독성효과는 1차적으로 뿌리에서 나타나며, 뿌리형태의 변화는 뿌리의 생장패턴과 관련이 있음을 알 수 있었다. 따라서 Al은 팥유식물에서 특히 뿌리의 형태와 기능적 손상을 일으키는데 큰 영향을 미치는 것으로 생각된다.

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Unusual Anterior Arch Fracture of C1 - 증 례 보 고 - (Unusual Anterior Arch Fracture of C1 - Case Report -)

  • 김상진;손찬영;김태홍;신형식;황용순;박상근
    • Journal of Korean Neurosurgical Society
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    • 제30권4호
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    • pp.537-540
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    • 2001
  • Fractures of C1 are not uncommon, constituting only 10% of all cervical spine injuries. There is a high prevalence of concomitant fractures of the second and first cervical vertebral complex. Surgical treatment is controversal. Mainstay of treatment is various combination of traction and cervical orthosis according to degree of displacement and location of fracture. We experienced unusual type of fracture, anterior arch fracture of C1 who had a history of total laminectomy of C1,2 due to cervical cord tumor(neurilemmoma arising from C2 root). We performed C1,2 lateral mass screw fixation with posterior fusion with good postoperative outcome.

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상악 전치부에 발생한 여러 유형의 치아 외상 (DIVERSE DENIAL TRAUMA OF MAXILLARY ANTERIORS : CASE REPORT)

  • 임혜정;최남기;김선미;양규호
    • 대한소아치과학회지
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    • 제32권1호
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    • pp.158-163
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    • 2005
  • 외상으로 인해 완전 탈구와 함입성 및 정출성 탈구가 병합되어 나타나는 경우는 드물다. 2003년 7월에 10세 2개월의 여아가 상악우측 측절치의 완전탈구와 상악우측 중절치의 함입성 탈구, 상악 좌측 중절치의 정출성 탈구로 전남대학교병원 소아치과에 내원하였다. 내원 당일 외상치아를 외과적으로 재위치시켰으며 레진 강선 고정을 시행하였다. 외상 2주 후 완전탈구된 상악우측 측절치는 근관치료를 시행하였다. 외상 3개월 후 방사선사진 상에 상악 좌우측 중절치의 치근 외흡수가 관찰되었으며 수산화칼슘을 이용한 근관치료를 시행한 후 치근 외흡수가 정지되었다. 1년 4개월 동안의 관찰기간 동안 병적인 변화 없이 양호한 결과를 보였으며 추후 장기적인 추적관찰이 필요하리라 사료된다.

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SUNSPOT MODELING AND SCALING LAWS

  • SKUMANICH A.
    • 천문학회지
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    • 제36권spc1호
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    • pp.1-5
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    • 2003
  • In an early paper Skumanich suggested the existence of a scaling law relating the mean sunspot magnetic field with the square-root of the photospheric pressure. This was derived from an analysis of a variety of theoretical spot models including those by Yun (1968). These were based on the Schliiter-Temesvary (S- T) similarity assumption. To answer criticisms that such modeling may have unphysical (non-axial maxima) solutions, the S-T model was revisited, Moon et al. (1998), with an improved vector potential function. We consider here the consequences of this work for the scaling relation. We show that by dimensionalizing the lateral force balance equation for the S- T model one finds that a single parameter enters as a characteristic value of the solution. This parameter yields Skumanich's scaling directly. Using an observed universal flux-radius relation for dark solar magnetic features (spots and pores) for comparison, we find good to fair agreement with Yun's characteristic value, however the Moon et al. values deviate significantly.

Comparison of Root Images between Post-Myelographic Computed Tomography and Magnetic Resonance Imaging in Patients with Lumbar Radiculopathy

  • Park, Chun-Kun;Lee, Hong-Jae;Ryu, Kyeong-Sik
    • Journal of Korean Neurosurgical Society
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    • 제60권5호
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    • pp.540-549
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    • 2017
  • Objective : To evaluate the diagnostic value of computed tomography-myelography (CTM) compared to that of magnetic resonance imaging (MRI) in patients with lumbar radiculopathy. Methods : The study included 91 patients presenting with radicular leg pain caused by herniated nucleus pulposus or lateral recess stenosis in the lumbar spine. The degree of nerve root compression on MRI and CTM was classified into four grades. The results of each imaging modality as assessed by two different observers were compared. Visual analog scale score for pain and electromyography result were the clinical parameters used to evaluate the relationships between clinical features and nerve root compression grades on both MRI and CTM. These relationships were quantified by calculating the receiver-operating characteristic curves, and the degree of relationship was compared between MRI and CTM. Results : McNemar's test revealed that the two diagnostic modalities did not show diagnostic concurrence (p<0.0001). Electromyography results did not correlate with grades on either MRI or CTM. The visual analog pain scale score results were correlated better with changes of the grades on CTM than those on MRI (p=0.0007). Conclusion : The present study demonstrates that CTM could better define the pathology of degenerative lumbar spine diseases with radiculopathy than MRI. CTM can be considered as a useful confirmative diagnostic tool when the exact cause of radicular pain in a patient with lumbar radiculopathy cannot be identified by using MRI. However, the invasiveness and potential complications of CTM are still considered to be pending questions to settle.

논토양에서 해가림 피복물 종류별 6년생 인삼의 생육과 진세노사이드 함량 (Growth Characteristics and Ginsenoside Contents of 6-Year-Old Ginseng (Panax ginseng C. A. Meyer) by Shade Materials in Paddy Field)

  • 이성우;박기춘;이승호;김금숙;장인복;김용범;차선우
    • 한국약용작물학회지
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    • 제21권2호
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    • pp.118-123
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    • 2013
  • This study was carried out to select optimal shade materials among four-layered polyethylene (PE) net (FLPN), aluminium-coated PE sheet (APSS), and blue PE sheet (BPSS) in condition of paddy field cultivated 6-year-old ginseng. The order of light-penetrated ratio and air temperature by shade materials was BPSS > APSS > FLPN. Light-penetrated ratio of BPSS before two fold shade was more 3 times and 2 times than that of FLPN and APSS, respectively. Air temperature of BPSS was also higher $1.6^{\circ}C$ and $1.4^{\circ}C$ than that of FLPN and APSS, respectively. BPSS showed good cultural environment because all of light-penetrated ratio and air temperature were become higher in spring and fall season but lower in summer season by additional shade with two-layered PE net. Survived-leaf ratio was highest in BPSS and lowest in FLPN causing a little water leak on a rainy day. Rusty-root ratio was also highest in FLPN because soil moisture content was increased by water leak. The order of root yield was BPSS > APSS > FLPN, and the cause of highest yield in BPSS was higher light-penetrated ratio during spring and fall season, higher survived-leaf ratio, and lower rusty-root ratio than that of APSS and FLPN. BPSS showed highest total ginsenoside content because of high light-penetrated ratio, blue light effect, and the difference in dry matter partitioning ratio such as low taproot ratio, and high lateral root ratio.

상악 구개측 매복 견치의 교정적 치료 (ORTHODONTIC TREATMENT OF PALATALLY IMPACTED GAMINE)

  • 장영일;손영화;김태우
    • 대한치과교정학회지
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    • 제24권3호
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    • pp.509-519
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    • 1994
  • Upper canine is described as 'cornerstone' of maxilla, and its importance is implicated by long root and good alveolar support. The incidence of impaction of upper canine is the second most frequent next to the third molar because it takes a long period of time to develop, and has a complicated path of eruption, and erupts lately. Generally, the patient who has a palatally impacted canine visit the clinic primarily due to a missing of canine after 12-13 years old. Palatally impacted canine is different from labially impacted canine in its cause and treatment process. It is due to malposition or anomalous lateral incisor rather than arch length deficiency. Once the impaction is identified, the first stage of the treatment is to localiz the lesion by radiographic examinations or others and according to severity, orthodontic traction, or transplantation should be considered, and comprehensive diagnosis and treatment plan of malocclusion should be estsblished. Properly managed impacted canine can provide funtion and esthetic through proper diagnosis and treatment of extraction of canine is not indicated.

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Seismic evaluation of soil-foundation-structure interaction: Direct and Cone model

  • Khazaei, Jahangir;Amiri, Azadeh;Khalilpour, Mehrdad
    • Earthquakes and Structures
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    • 제12권2호
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    • pp.251-262
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    • 2017
  • The present research intends to study the effects of the seismic soil-foundation-structure interaction (SFSI) on the dynamic response of various buildings. Two methods including direct and Cone model were studied through 3D finite element method using ABAQUS software. Cone model as an approximate method to consider the SFSI phenomenon was developed and evaluated for both high and low rise buildings. Effect of soil nonlinearity, foundation rigidity and embedment as well as friction coefficient between soil-foundation interfaces during seismic excitation are investigated. Validity and performance of both approaches are evaluated as reference graphs for Cone model and infinite boundary condition, soil nonlinearity and amplification factor for direct method. A series of calculations by DeepSoil for inverse earthquake record modification was conducted. A comparison of the two methods was carried out by root-mean-square-deviation (RMSD) tool for maximum lateral displacement and story shear forces which verifies that Cone model results have good agreement with direct method. It was concluded that Cone method is a convenient, fast and rather accurate method as an approximate way to count for soil media.