Journal of Korean Society of Spine Surgery Motor Weakness of Right Ankle Dorsiflexion Caused by Increasing Size of Sacroiliac Joint Cyst after Posteri

Size: px
Start display at page:

Download "Journal of Korean Society of Spine Surgery Motor Weakness of Right Ankle Dorsiflexion Caused by Increasing Size of Sacroiliac Joint Cyst after Posteri"

Transcription

1 Journal of Korean Society of Spine Surgery Motor Weakness of Right Ankle Dorsiflexion Caused by Increasing Size of Sacroiliac Joint Cyst after Posterior Lumbar Interbody Fusion in a Patient with Spinal Stenosis - A Case Report - Ji-Eun Kwon, M.D., Young-Joon Ahn, M.D., Bo-Kyu Yang, M.D., Seung-Rim Yi, M.D., Se-Hyuk Lim, M.D.,Ye-Hyun Lee, M.D., Hae-Min Kim, M.D. J Korean Soc Spine Surg 2015 Dec;22(4): Originally published online December 31, 2015; Korean Society of Spine Surgery Department of Orthopedic Surgery, Gangnam Severance Spine Hospital, Yonsei University College of Medicine, 211 Eunju-ro, Gangnam-gu, Seoul, 06273, Korea Tel: Fax: Copyright 2015 Korean Society of Spine Surgery pissn eissn The online version of this article, along with updated information and services, is located on the World Wide Web at: This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

2 Case Report pissn eissn J Korean Soc Spine Surg Dec;22(4): Motor Weakness of Right Ankle Dorsiflexion Caused by Increasing Size of Sacroiliac Joint Cyst after Posterior Lumbar Interbody Fusion in a Patient with Spinal Stenosis - A Case Report - Ji-Eun Kwon, M.D., Young-Joon Ahn, M.D., Bo-Kyu Yang, M.D., Seung-Rim Yi, M.D., Se-Hyuk Lim, M.D.,Ye-Hyun Lee, M.D., Hae-Min Kim, M.D. Department of Orthopeadic Surgery, National Police Hospital, Seoul, Korea Study Design: Case report Objectives: To report a case of motor weakness caused by the increasing size of a sacroiliac joint cyst after spinal fusion. Summary of Literature Review: There have been no reports on the increased size of a sacroiliac joint cyst and motor weakness after spinal fusion. Materials and Methods: A 63-year-old female was admitted with low back pain and right sciatica. Magnetic resonance imaging (MRI) findings showed the spinal canal narrowing at L4 5 and a cystic lesion on the right sacroiliac joint. After surgery, the symptoms were relieved. Results: One month after the operation, motor function had worsened to grade 4. Follow-up MRI revealed an increase in the size of the cystic lesion. Selective nerve root blocks were performed. There was gradual improvement, and the motor grade reached grade 5 seven months after the operation. Conclusions: We recommend that surgeons evaluate the adjacent segmental lesion by MRI before performing spinal fusion. Key Words: Sacroiliac joint, Cyst, Muscle weakness, Spinal stenosis, Spinal fusion 서론 요추부질환의수술적치료방법으로흔히사용되는후방추체간유합술은고정기기의발전으로높은유합성공율및임상결과의향상을보이고있으나시행후발생하는합병증인인접분절질환에대한연구및보고가점차증가하고있다. 인접분절질환의발생원인으로유합술후가동분절이감소되어발생하는인접분절의운동성증가및생역학적변화가주된원인으로보고되고있다. 인접분절질환의대표적증상으로디스크퇴행성변화, 전후방전위증, 불안정성, 협착증, 후관절비후성관절염, 추간판탈출증및압박골절등이지속적으로보고되고있다. 1-3) 저자들은후방추체간유합술시행전천장관절부위에서관찰되었던낭종이유합술시행후크기가증가하며우측족관절배측굴곡근력의약화를유발한증례에대하여, 수술후인접분 절의운동성증가및생역학적변화에의해인접분절질환으로 진행하는과정에서나타날수있는증상으로보고하고자한다. 증례보고 63 세여자환자가 8 년전부터시작된요통및우측하지방사 통, 신경인성간헐파행을주소로내원하였다. 우측하지방사통 Received: July 22, 2015 Revised: August 18, 2015 Accepted: October 20, 2015 Published Online: December 31, 2015 Corresponding author: Young-Joon Ahn, M.D. 123, Songi-ro, Songpa-gu, Seoul, National Police Hospital TEL: , FAX: Copyright 2015 Korean Society of Spine Surgery

3 Journal of Korean Society of Spine Surgery Motor Weakness of Ankle after Spinal Fusion A B C Fig. 1. Initial magnetic resonance imaging (MRI) reveals spinal stenosis at L4 5 in the sagittal (A) and the axial (B) images, and a cystic lesion measuring 1.6 cm 1.0 cm at the inferior surface of the right sacroiliac joint in the coronal (C) image. A B Fig. 2. Posterior decompression and posterior lumbar interbody fusion with a cage was performed at L4 5 (A, B). 은우측둔부에서대퇴부를거쳐가측장딴지로방사되는양상 이었다. 3 개월전부터우측족관절의힘이빠지는증상이있었다 고하였으며내원당시신경학적검사에서우측족관절배측굴 곡근력은 5- 로감소된상태였으며감각의저하는보이지않았 다. 단순방사선검사상특이소견은관찰되지않았으며, 자기공 명영상검사상제 4-5 요추부척추관협착증소견및우측천장 관절부위에서하측, 배측으로천추제 2 번높이까지요천골신 경총부위에 cm 크기의낭종이관찰되었다 (Fig. 1). 경막외신경차단술을통한보존적치료를시행하였으나증 상의호전이없어제 4-5 요추간후방감압술및케이지를이용 한후방추체간유합술을시행하였다 (Fig. 2). 환자는수술후요 통과간헐적파행및우측좌골신경통의호전을보였으나우측 족관절배측굴곡근력은 5- 로감소된양상이지속되었다. 수술 후 1개월에특별한외상없이동일부위의근력이 4로악화되는경과를보였으며, 우측제 1족지배측굴곡근력은건측에비해거의차이는없었으나미세한근력약화를보였고 2주뒤외래추시상정상으로회복되었다. 자기공명영상검사를재시행하였으며, 낭종의크기가 cm으로증가되어우측천장관절부위에서하측, 배측으로천추제 3번부근까지요천골신경총을압박하고있는소견이관찰되었다 (Fig. 3). 천추제 2, 3번에대한선택적신경근차단술 (dexamethasone 2.0 mg+bupivacaine mg) 을근력이 4로악화된지 1개월및 2개월에각각한차례씩총 2회시행하며경과관찰하였다. 근력이 4로악화된지 3개월이지난시점에서근력약화는서서히호전되기시작하여, 수술후 7개월이되자정상으로회복되는경과를보였으며, 간헐파행및우측하지방사통의호전역시지속되었다. 수술 3년후재시행한자기공명영상검사상낭종의크기는 cm으로더증가한소견을보이고있었으나, 우측족관절배측굴곡근력은정상범위를유지하고있었다 (Fig. 4). 고찰 요추부후방추체간유합술시행후발생하는합병증인인접분절의변화와유발인자및치료에대한연구가지속적으로이루어지고있다. Park 등 4) 에의한문헌고찰연구에따르면, 방사선학적으로진단되는인접분절질환의유병율은연구에따라 8-100% 에이르며, 증상이있는인접분절질환은 % 에이른다고보고되고있다. 주로보고되는증상은추간판의퇴행성변화가가장흔했으며, 전후방전위증, 불안정성, 인접분절의협착증, 후관절의비대성관절염, 측만증등역시자주보고되었 179

4 Ji-Eun Kwon et al Volume 22 Number 4 December 2015 A B Fig. 3. Follow-up MRI revealed the increased size of the cystic lesion measuring 3.3 cm 2.2 cm 1.6 cm in coronal (A) and axial (B) images (inferior and ventral aspects of the sacroiliac joint, S2 3 level). B A Fig. 4. Follow-up MRI taken after three years of the operation showed a further increase in the lesion size to 4.9 cm 2.6 cm 1.8 cm in the coronal (A) and axial (B) images. 다. 많은연구에서후관절이나추간판등에가해지는응력의증가와인접분절의가동성증가등의생역학적변화를인접분절질환의주된원인으로보고하였다. Bastian 등 3) 은흉요추부유합술시행이후인접분절의가동성을카데바를사용하여측정한생역학적연구에서인접분절이수술부위보다더가동성이적을때퇴행성변화의위험성은더높아진다고언급하였다. Ha 등 5) 은후방유합술시행이후발생한천장관절부위의퇴행성변화에대한전향적코호트연구에서기존의인접분절질환에대한연구는대부분유합술을시행한분절의근위분절에초점이맞추어져있었다고언급하며, 척추의축의하부분절을구성하여상부로부터전해지는힘을분산시키는데중요한역할을하며요천추부의움직임에의해영향을받는천장관절에대하여주목해야함을강조하였다. 이에따라유합술시행후발생 하는퇴행성변화에대한연구를진행하였다. 천장관절의퇴행성변화는컴퓨터단층촬영검사소견을통해진단하였으며유병율은 75% 로대조군 (38.2%) 에비하여유의미하게높다고보고하여유합술시행과천장관절의퇴행성변화사이의인과관계가있다고언급하였다. Ha 등 1) 은인접분절의퇴행성변화에대한수술적치료에대한연구에서유합술시행후인접분절의퇴행성변화에대한치료는보존적치료가우선이며, 수술적치료는비수술적치료가실패할경우제한적으로시행되어야한다고언급하였다. 본증례에서요추제 4-5번에대하여후방추체간유합술을시행하였으며, 인접부위인제 5요추- 제 1천추간분절및천장관절은골반내에안정적으로위치하며장요인대와장천골인대에의해견고하게고정되어있는부분으로, Bastian 등 3) 이수술부위보다인접분절의가동성이더적을경우퇴행성변화의위 180

5 Journal of Korean Society of Spine Surgery Motor Weakness of Ankle after Spinal Fusion 험성이더높다고언급한바에따라유합술시행이후생역학적변화에의한응력증가에취약한부위가될수있을것으로사료된다. 또한천장관절은유합부위와떨어져있으나 Ha 등 5) 이언급한대로요천추부에가해지는힘을분산시키며요천추부의움직임에영향을받는중요한관절이므로마찬가지로생역학적변화에의한영향을쉽게받을수있을것으로사료된다. 수술시행전우측천장관절부위의하측, 배측으로천추제 2 번높이까지존재하던낭종의크기는 cm로요천골신경총기시부에존재하였다. 수술이전에주증상이었던요통및우측하지방사통은수술이후호전되었으므로주로요추제 4-5번간협착증에의한증상이었을가능성이크다고사료된다. 그러나우측족관절배측굴곡근력약화증상은지속되었으므로, 협착증과천장관절부위낭종에의한증상일가능성모두를고려해야할것이다. 수술후 1개월에증상이악화되며근력이 4로감소하여재시행한자기공명영상검사상천장관절부위낭종의크기가증가되어있었고, 수술부위및인접분절인요추제 5번-천추제 1번간에는다른퇴행성변화의증거가없었으므로수술후악화된근력약화는천장관절부위낭종의크기증가에따른결과라고해석할수있을것이다. 수술이후천장관절부위에가해지는생역학적부하의변화로인해관절내변화가유발되고이로인해낭종의크기가증가했을것으로추정할수있을것이다. 자기공명영상검사이후크기가증가한낭종에대해수술적제거가필요할지에대해외과, 산부인과전문의와상의하였으나, 낭종이존재하는후복강부위로의수술적접근이어렵다고판단되어증상악화시수술적치료를시행하기로하고보존적치료를시행하며경과를관찰하였으며점차근력약화가호전되는양상을보였다. Shinichi 등 6) 은만성적으로압박된신경이추가적인급성압박에의한손상에더강한저항력을나타낼수있다는실험적논문에서, 이러한저항력을가지는원인으로대사과정이나혈관생성등에의한적응에의한가능성을언급하였다. 수술전존재하던낭종에의해압박된요천골신경총이수술후낭종의크기가급격히증가하여유발된급성압박에의해근력의약화를유발하였으나적응과정을거치며점차회복되었을것이며, 신경근차단술 (dexametasone 2.0 mg+bupivacaine mg) 역시회복과정에관여했을것으로추정할수있을것이다. 최종추시자기공명영상검사상낭종의크기는더증가하였으나근력약화가완전히호전된것으로미루어볼때, 수술이후천장관절부위의생역학적변화가급격히이루어져낭종의크기역시급격하게변화되어근력약화가진행되었으나가역적인변화였을것으로생각된다. 이에대하여저자들은두가지가능성을고려하였는데, 첫째는낭종의크기가커지기는하였으나, 실 제로요천골신경총을압박하는방향이아닌다른방향으로크기가증가하였을가능성과, 두번째는낭종의성격상고형병변이아니기때문에크기가증가하였더라도실제로신경을압박하는부분이미약했을가능성이다. 결론 후방추체간유합술시행후천장관절부위에운동성의증가및생역학적변화가발생하며이미존재하던낭종의크기가증가하고, 이로인해근력의약화를유발하는경우는기존의인접분절질환에대한연구에서는보고되지않았던드문경우라고판단된다. 후방추체간유합술시행시인접분절의퇴행성변화를유발하는생역학적변화가발생하고, 이로인한증상이발생할수있으므로, 수술시행전수술부위이외의분절에존재하는병변을평가하기위해컴퓨터단층촬영및자기공명영상검사를통해충분히확인하는것이수술후결과예측에도움이될것으로사료된다. 본증례처럼작은낭종의경우에도수술후생역학적변화에의해크기의변화가발생할수있으므로, 증상발생시추시자기공명영상검사를통해먼저병변을확인하는것이필요하며, 적극적인수술적치료의필요성여부에대하여서는다른인접분절질환에서와마찬가지로보존적치료를먼저시행한이후판단하는것이좋을것으로사료된다. REFERENCES 1. Ha KY, Kim YH, Kang KS. Surgery for Adjacent Segment Changes after Lumbosacral Fusion. J Korean Soc Spine Surg. 2002;9: Hwang CJ, Lee SW, Ahn YJ, et al. Risk Factors for Adjacent Segment Disease After Lumbar Fusion. J Korean Soc Spine Surg. 2008;15: Bastian L, Lange U, Knop C, et al. Evaluation of The Mobility of Adjacent Segments after Posterior Thoracolumbar Fixation: A Biomechanical Study. Eur Spine J. 2001;10: Park P, Garton HJ, Gala VC, et al. Adjacent Segment Disease after Lumbar or Lumbosacral Fusion: Review of the Literature. Spine (Phila Pa 1976).2004;29: Ha KY, Lee JS, Kim KW. Degeneration of Sacroiliac Joint After Instrumented Lumbar or Lumbosacral Fusion: A Prospective Cohort Study over Five-Year Follow-up. Spine (Phila Pa 1976). 2008;33: Kikuchi S, Konno S, Kayama S, et al. Increased Resistance 181

6 Ji-Eun Kwon et al Volume 22 Number 4 December 2015 to Acute Compression Injury in Chronically Compressed Spinal Nerve Roots: An Experimental Study. Spine (Phila Pa 1976).1996;21: 척추관협착증에서후방유합술시행후우측천장관절부위낭종크기증가로인한우측족관절배측굴곡근력약화 - 증례보고 - 권지은 안영준 양보규 이승림 임세혁 이예현 김해민국립경찰병원정형외과 연구계획 : 증례보고목적 : 후방추체간유합술후우측천장관절부위낭종크기증가에의한우측족관절근력약화의증례를보고한다. 선행문헌의요약 : 후방추체간유합술후천장관절부위낭종크기증가에의한족관절근력약화는보고된바없다. 대상및방법 : 63세여자환자가요통및우하지방사통으로내원하여제 4-5 요추부척추관협착증으로진단받았으며, 자기공명영상검사상우측천장관절부위하측, 배측방향으로낭종이관찰되었다. 수술후요통과우하지방사통은호전되었다. 결과 : 수술 1개월후족관절배측굴곡근력이 4로감소되어재시행한자기공명영상검사상낭종의크기가증가된소견관찰되었다. 신경근차단술시행하였고이후 3개월지난시점부터근력약화는호전되기시작하여수술후 7개월에근력이정상으로회복되었다. 결론 : 수술전영상검사를통해수술후결과에영향을줄수있는인접부위병변을미리평가하는것이도움이될것으로사료된다. 색인단어 : 천장관절부위, 낭종, 근력약화, 척추관협착증, 후방요추체간유합술 약칭제목 : 유합술시행후족관절근력약화 182

KISEP Clinical Article J Korean Neurosurg Soc , 2002 퇴행성요추질환환자에서척추유합술후발생한인접분절의퇴행성변화에대한수술적치료 * 김영수 구성욱 조용은 진병호 윤영설 진동규 Surgical Treatment of

KISEP Clinical Article J Korean Neurosurg Soc , 2002 퇴행성요추질환환자에서척추유합술후발생한인접분절의퇴행성변화에대한수술적치료 * 김영수 구성욱 조용은 진병호 윤영설 진동규 Surgical Treatment of KISEP Clinical Article J Korean Neurosurg Soc 32323-328, 2002 퇴행성요추질환환자에서척추유합술후발생한인접분절의퇴행성변화에대한수술적치료 * 김영수 구성욱 조용은 진병호 윤영설 진동규 Surgical Treatment of Adjacent Segment Degeneration after Spinal Fusion in

More information

Lumbar spine

Lumbar spine Lumbar spine CT 32 111 DOI : 10.3831/KPI.2010.13.2.111 Lumbar Spine CT 32 Received : 10. 05. 23 Revised : 10. 06. 04 Accepted : 10. 06. 11 Key Words: Disc herniation, CT scan, Clinical analysis The Clinical

More information

012임수진

012임수진 Received : 2012. 11. 27 Reviewed : 2012. 12. 10 Accepted : 2012. 12. 12 A Clinical Study on Effect of Electro-acupuncture Treatment for Low Back Pain and Radicular Pain in Patients Diagnosed with Lumbar

More information

Journal of Korean Society of Spine Surgery Loss of Disc Height after Spontaneous Regression of a Herniated Lumbar Disc - A Case Report - Hyoung Bok Ki

Journal of Korean Society of Spine Surgery Loss of Disc Height after Spontaneous Regression of a Herniated Lumbar Disc - A Case Report - Hyoung Bok Ki Journal of Korean Society of Spine Surgery Loss of Disc Height after Spontaneous Regression of a Herniated Lumbar Disc - A Case Report - Hyoung Bok Kim, M.D., Hoon-Jae Chung, M.D. J Korean Soc Spine Surg

More information

09-이재철

09-이재철 대한척추외과학회지제 14 권제 2 호 Journal of Korean Spine Surg. Vol. 14, No. 2, pp 115~119, 2007 척추관협착증환자에서발견된제 4 요추부선천성편측척추경결손 - 증례보고 - 김연일 이재철 최우석 신병준 순천향대학교의과대학정형외과학교실, 척추센터 Congenital Absence of a Pedicle of L4

More information

제5회 가톨릭대학교 의과대학 마취통증의학교실 심포지엄 Program 1 ANESTHESIA (Room 2층 대강당) >> Session 4 Updates on PNB Techniques PNB Techniques for shoulder surgery: continuou

제5회 가톨릭대학교 의과대학 마취통증의학교실 심포지엄 Program 1 ANESTHESIA (Room 2층 대강당) >> Session 4 Updates on PNB Techniques PNB Techniques for shoulder surgery: continuou 제5회 가톨릭대학교 의과대학 마취통증의학교실 심포지엄 (Room 2층 대강당) >> Session 4 Updates on PNB Techniques PNB Techniques for shoulder surgery: continuous vs single injection, interscalene vs supraclavicular approach 의정부성모병원

More information

<283732372D3733312920B4D9C3CAC1A120BCD2C7C1C6AEC4DCC5C3C6AEB7BBC1EEC0C720B3EBBEC8C0C720BDC3B7C2BAB8C1A4BFA120B4EBC7D120C0AFBFEBBCBA20C6F2B0A1283035292E687770>

<283732372D3733312920B4D9C3CAC1A120BCD2C7C1C6AEC4DCC5C3C6AEB7BBC1EEC0C720B3EBBEC8C0C720BDC3B7C2BAB8C1A4BFA120B4EBC7D120C0AFBFEBBCBA20C6F2B0A1283035292E687770> 대한안과학회지 제 49 권 제 5 호 2008 J Korean Ophthalmol Soc 49(5):727-731, 2008 DOI : 10.3341/jkos.2008.49.5.727 다초점 소프트콘택트렌즈의 노안의 시력보정에 대한 유용성 평가 김현경 1 김효명 2 정성근 1 가톨릭대학교 의과대학 성모병원 안과학교실 1, 고려대학교 의과대학 안암병원 안과학교실

More information

<30312DC1A4BAB8C5EBBDC5C7E0C1A4B9D7C1A4C3A52DC1A4BFB5C3B62E687770>

<30312DC1A4BAB8C5EBBDC5C7E0C1A4B9D7C1A4C3A52DC1A4BFB5C3B62E687770> Journal of the Korea Institute of Information and Communication Engineering 한국정보통신학회논문지(J. Korea Inst. Inf. Commun. Eng.) Vol. 19, No. 2 : 258~264 Feb. 2015 ID3 알고리즘 기반의 귀납적 추론을 활용한 모바일 OS의 성공과 실패에 대한

More information

(

( 317 318 319 320 1 3 5 5 5 5 2 321 : 1.,,,,, 06 2. X-ray beam penetration (density) (contrast) 03 3. patch coating, precipitation, flaking 03 4. centering 03 5. Esophagus, cardia, fundus, body, angle, antrum,

More information

005송영일

005송영일 Received : 2015. 12. 09 Reviewed : 2015. 12. 16 Accepted : 2015. 12. 16 Sternal Fracture occurred after Thai Massage : A Case Report Young-Il Song, K.M.D. 1, Dong-Eun Kim, K.M.D. 1 1 Department of Rehabilitation

More information

Kbcs002.hwp

Kbcs002.hwp Does Real-time Compound Imaging Improve Evaluation of reast Cancer Compared to Conventional Sonography? o Kyoung Seo, M.D., Yu Whan Oh, M.D., Kyu Ran Cho, M.D., Young Hen Lee, M.D., Hyung Joon Noh, M.D.,

More information

Journal of Korean Society of Spine Surgery Unilateral Biportal Endoscopy as a Treatment for Acute Radiculopathy after Osteoporotic Lumbar Compression

Journal of Korean Society of Spine Surgery Unilateral Biportal Endoscopy as a Treatment for Acute Radiculopathy after Osteoporotic Lumbar Compression Journal of Korean Society of Spine Surgery Unilateral Biportal Endoscopy as a Treatment for Acute Radiculopathy after Osteoporotic Lumbar Compression Fracture - A Case Report - Hyoung Bok Kim, M.D., Hoon-Jae

More information

<30345F283439372D353034295F313135375FC0CCB5BFC8F15FB5B5B7CEC5CDB3CEC0C720B0BBB1B8BACE20B0E6B0FCBCB3B0E8B0A120C5CDB3CE20B3BBBACEC1B6B8ED2E687770>

<30345F283439372D353034295F313135375FC0CCB5BFC8F15FB5B5B7CEC5CDB3CEC0C720B0BBB1B8BACE20B0E6B0FCBCB3B0E8B0A120C5CDB3CE20B3BBBACEC1B6B8ED2E687770> J of Korean Tunn Undergr Sp Assoc 15(5)497-504(2013) eissn: 2287-4747 http://dx.doi.org/10.9711/ktaj.2013.15.5.497 pissn: 2233-8292 도로터널의 갱구부 경관설계가 터널 내부조명에 미치는 영향에 관한 연구 이미애 1 ㆍ이동희 2 * 1 아이라이트 대표이사 2

More information

Journal of Korean Society of Spine Surgery Old and New Fashion: Minimally Invasive Spine Surgery for Adjacent Segmental Spinal Stenosis after Luque Su

Journal of Korean Society of Spine Surgery Old and New Fashion: Minimally Invasive Spine Surgery for Adjacent Segmental Spinal Stenosis after Luque Su Journal of Korean Society of Spine Surgery Old and New Fashion: Minimally Invasive Spine Surgery for Adjacent Segmental Spinal Stenosis after Luque Sublaminar Wiring and Posterolateral Fusion - Case Report

More information

KISEP Clinical Research J Korean Neurosurg Soc , 1998 다발성요추간반탈출증에서의컴퓨터적외선전신체열촬영의진단적가치 * 조용은 김영수 장호열 = Abstract = Clinical Efficacy of Digita

KISEP Clinical Research J Korean Neurosurg Soc , 1998 다발성요추간반탈출증에서의컴퓨터적외선전신체열촬영의진단적가치 * 조용은 김영수 장호열 = Abstract = Clinical Efficacy of Digita KISEP Clinical Research J Korean Neurosurg Soc 27237-245, 1998 다발성요추간반탈출증에서의컴퓨터적외선전신체열촬영의진단적가치 * = Abstract = Clinical Efficacy of Digital Infrared Thermographic Imaging in Multiple Lumbar Disc Herniations

More information

03-서연옥.hwp

03-서연옥.hwp 농업생명과학연구 49(4) pp.31-37 Journal of Agriculture & Life Science 49(4) pp.31-37 Print ISSN 1598-5504 Online ISSN 2383-8272 http://dx.doi.org/10.14397/jals.2015.49.4.31 국가산림자원조사 자료를 적용한 충남지역 사유림경영율 추정 서연옥

More information

( ) Jkra076.hwp

( ) Jkra076.hwp Vol. 11, No. 4, December, 2004 Objective: Ultrasonography (USG) of joints has a unique position for the diagnosis of joint diseases. Bone surface, cartilage, periarticular soft tissue and their pathologic

More information

DBPIA-NURIMEDIA

DBPIA-NURIMEDIA The e-business Studies Volume 17, Number 4, August, 30, 2016:319~332 Received: 2016/07/28, Accepted: 2016/08/28 Revised: 2016/08/27, Published: 2016/08/30 [ABSTRACT] This paper examined what determina

More information

( )Jksc057.hwp

( )Jksc057.hwp 직장암환자의전직장간막절제술의 예측인자분석 : 불완전절제와절제시간에영향을미치는인자에관한연구 Analysis of Factors Affecting the Degree of Difficulty in Total Mesorectal Excision for Rectal Cancer: Investigation of the Factors Affecting Incomplete

More information

139~144 ¿À°ø¾àħ

139~144 ¿À°ø¾àħ 2 139 DOI : 10.3831/KPI.2010.13.2.139 2 Received : 10. 04. 08 Revised : 10. 04. 26 Two Case Report on Wrist Ganglion Treated with Scolopendrid Pharmacopuncture Accepted : 10. 05. 04 Key Words: Wrist Ganglion,

More information

Journal of Educational Innovation Research 2017, Vol. 27, No. 2, pp DOI: : Researc

Journal of Educational Innovation Research 2017, Vol. 27, No. 2, pp DOI:   : Researc Journal of Educational Innovation Research 2017, Vol. 27, No. 2, pp.251-273 DOI: http://dx.doi.org/10.21024/pnuedi.27.2.201706.251 : 1997 2005 Research Trend Analysis on the Korean Alternative Education

More information

06-04-이규열

06-04-이규열 대한척추외과학회지제 15 권제 3 호 Journal of Korean Spine Surg. Vol. 15, No. 3, pp 174~182, 2008 요추부후외방유합술후발생하는인접분절질환에관여하는위험인자 이규열 손성근 이명진 왕왕립 동아대학교의과대학정형외과학교실 Risk Factors for Adjacent Segment Disease after Posterolateral

More information

한국성인에서초기황반변성질환과 연관된위험요인연구

한국성인에서초기황반변성질환과 연관된위험요인연구 한국성인에서초기황반변성질환과 연관된위험요인연구 한국성인에서초기황반변성질환과 연관된위험요인연구 - - i - - i - - ii - - iii - - iv - χ - v - - vi - - 1 - - 2 - - 3 - - 4 - 그림 1. 연구대상자선정도표 - 5 - - 6 - - 7 - - 8 - 그림 2. 연구의틀 χ - 9 - - 10 - - 11 -

More information

Journal of Korean Society of Spine Surgery ailure of Long Spinal Construct and Pseudarthrosis in a Patient with Parkinson Disease for the Treatment of

Journal of Korean Society of Spine Surgery ailure of Long Spinal Construct and Pseudarthrosis in a Patient with Parkinson Disease for the Treatment of Journal of Korean Society of Spine Surgery ailure of Long Spinal Construct and Pseudarthrosis in a Patient with Parkinson Disease for the Treatment of Degenerative Lumbar Spinal Disorder - Case Report

More information

07-황창주

07-황창주 대한척추외과학회지제 15 권제 1 호 Journal of Korean Spine Surg. Vol. 15, No. 1, pp 44~53, 2008 요추유합술후발생한인접분절질환의위험인자 황창주 이성우 안영준 # 김영태 이동호 이춘성 울산대학교의과대학서울아산병원정형외과학교실, 국립경찰병원정형외과 # Risk Factors for Adjacent Segment Disease

More information

442 pissn : , eissn : Original Article J Korean Orthop Assoc 2017; 52:

442 pissn : , eissn : Original Article J Korean Orthop Assoc 2017; 52: 442 pissn : 1226-2102, eissn : 2005-8918 Original Article J Korean Orthop Assoc 2017; 52: 442-447 https://doi.org/10.4055/jkoa.2017.52.5.442 www.jkoa.org 요추극외측추간판탈출증과후외측추간판탈출증의수술에대한상대위험도 : 후향적코호트연구 하대호

More information

ECG & EP CASES Young-Keun On, MD, PhD Division of Cardiology, Department of Medicine Cardiac & Vascular Center, Samsung Medical Center Sungkyunkwan University School of Medicine, Seoul, Korea A case of

More information

07-김진수

07-김진수 대한척추외과학회지제 15 권제 2 호 Journal of Korean Spine Surg. Vol. 15, No. 2, pp 106~110, 2008 척추경나사못을이용하여골유합을얻은척추경단열 - 증례보고 - 김진수 # 김기택 석경수 이정희 이상훈 어재형 서울의료원정형외과학교실 #, 경희대학교의과대학정형외과학교실 Fusion of Pedicular Cleft

More information

THE JOURNAL OF KOREAN INSTITUTE OF ELECTROMAGNETIC ENGINEERING AND SCIENCE. vol. 29, no. 10, Oct ,,. 0.5 %.., cm mm FR4 (ε r =4.4)

THE JOURNAL OF KOREAN INSTITUTE OF ELECTROMAGNETIC ENGINEERING AND SCIENCE. vol. 29, no. 10, Oct ,,. 0.5 %.., cm mm FR4 (ε r =4.4) THE JOURNAL OF KOREAN INSTITUTE OF ELECTROMAGNETIC ENGINEERING AND SCIENCE. 2018 Oct.; 29(10), 799 804. http://dx.doi.org/10.5515/kjkiees.2018.29.10.799 ISSN 1226-3133 (Print) ISSN 2288-226X (Online) Method

More information

2 1896 2 26 ( ) 2 7-20 2) 1897 1898 ( )3) 6 1902 8 1904 10 10 (19 05-1914 ) ( ) ( ) 4) 1915 ( ) ( ) 1917 2) 3) 4) 285

2 1896 2 26 ( ) 2 7-20 2) 1897 1898 ( )3) 6 1902 8 1904 10 10 (19 05-1914 ) ( ) ( ) 4) 1915 ( ) ( ) 1917 2) 3) 4) 285 13 2 ( 25 ) 2004 12 Korean J Med Hist 13 284 296 Dec 2004 ISSN 1225 505X 1) * ** ** 1 1920 1930 40 ( 1896-1973) 80 * ** 1) 2003 284 2 1896 2 26 ( ) 2 7-20 2) 1897 1898 ( )3) 6 1902 8 1904 10 10 (19 05-1914

More information

03-송경진

03-송경진 대한척추외과학회지제 15 권제 4 호 Journal of Korean Spine Surg. Vol. 15, No. 4, pp 230~235, 2008 퇴행성요추질환에대한요천추부유합술후인접분절의퇴행성변화에대한재유합술의원인 송경진 최병완 # 송지훈 김규형 전북대학교의학전문대학원정형외과학교실, 임상의학연구소, 광주보훈병원정형외과학교실 # The Causes of

More information

Jkcs022(89-113).hwp

Jkcs022(89-113).hwp 대한배뇨장애 및 요실금 학회지 J. Korean Continence Society 2004;8:89-113 Bristol Female Lower Urinary Tract Symptom 설문지의 한국어 번역 및 번역본의 언어 타당도 Seung-June Oh*, Hyung Geun Park*, Sung Hyun Paick, Won Hee Park and Myung-Soo

More information

원위부요척골관절질환에서의초음파 유도하스테로이드주사치료의효과 - 후향적 1 년경과관찰연구 - 연세대학교대학원 의학과 남상현

원위부요척골관절질환에서의초음파 유도하스테로이드주사치료의효과 - 후향적 1 년경과관찰연구 - 연세대학교대학원 의학과 남상현 원위부요척골관절질환에서의초음파 유도하스테로이드주사치료의효과 - 후향적 1 년경과관찰연구 - 연세대학교대학원 의학과 남상현 원위부요척골관절질환에서의초음파 유도하스테로이드주사치료의효과 - 후향적 1 년경과관찰연구 - 연세대학교대학원 의학과 남상현 원위부요척골관절질환에서의초음파 유도하스테로이드주사치료의효과 - 후향적 1 년경과관찰연구 - 지도김석원교수 이논문을석사학위논문으로제출함

More information

untitled

untitled Case Report J Korean Orthop Assoc 2011; 46: 438-442 http://dx.doi.org/10.4055/jkoa.2011.46.5.438 www.jkoa.org Far-out Stenosis by the Lumbosacral Transitional Vertebrae 김영훈 윤기식가톨릭대학교서울성모병원정형외과 요천추이행성척추의만성요통과인접분절추간판의퇴행성변화에대한임상적의미에대하여는이견이많다.

More information

Journal of Korean Society of Spine Surgery Acute Epidural Hematoma Following Cervical Spinal Fracture in a Patient with Ankylosing Spondylitis Sang Bu

Journal of Korean Society of Spine Surgery Acute Epidural Hematoma Following Cervical Spinal Fracture in a Patient with Ankylosing Spondylitis Sang Bu Journal of Korean Society of Spine Surgery Acute Epidural Hematoma Following Cervical Spinal Fracture in a Patient with Ankylosing Spondylitis Sang Bum Kim, M.D., Youn Moo Heo, M.D., Byung Hak Oh, M.D.,

More information

Can032.hwp

Can032.hwp Chromosomal Alterations in Hepatocellular Carcinoma Cell Lines Detected by Comparative Genomic Hybridization Sang Jin Park 1, Mahn Joon Ha, Ph.D. 1, Hugh Chul Kim, M.D. 2 and Hyon Ju Kim, M.D. 1 1 Laboratory

More information

untitled

untitled ISSN 1225-1682 (Print) ISSN 2287-9293 (Online) 대한골절학회지제 27 권, 제 2 호, 2014 년 4 월 J Korean Fract Soc 2014;27(2):157-161 http://dx.doi.org/10.12671/jkfs.2014.27.2.157 Case Report 후궁성형술을이용한천골횡골절의치료 - 증례보고

More information

1..

1.. Volume 12, Number 1, 6~16, Factors influencing consultation time and waiting time of ambulatory patients in a tertiary teaching hospital Jee-In Hwang College of Nursing Science, Kyung Hee University :

More information

12.077~081(A12_이종국).fm

12.077~081(A12_이종국).fm J. of Advanced Engineering and Technology Vol. 1, No. 1 (2008) pp. 77-81 y w» e wx Á w œw Fabrication of Ceramic Batch Composition for Porcelain by Using Recycled Waste Ceramic Powder Hyun Guen Han, and

More information

16_이주용_155~163.hwp

16_이주용_155~163.hwp 사상체질의학회지 2008;20(2):155-163 J of Sasang Constitutional Medicine Vol. 20, No. 2, 2008:155-163 http://www.esasang.com 腦 梗 塞 으로 발생한 少 陽 人 半 身 舞 蹈 病 患 者 치험 1례 이주용 이한얼 한경수 안택원 Abstract 대전대학교 한의과대학 사상체질과 A Soyangin

More information

(JBE Vol. 21, No. 1, January 2016) (Regular Paper) 21 1, (JBE Vol. 21, No. 1, January 2016) ISSN 228

(JBE Vol. 21, No. 1, January 2016) (Regular Paper) 21 1, (JBE Vol. 21, No. 1, January 2016)   ISSN 228 (JBE Vol. 1, No. 1, January 016) (Regular Paper) 1 1, 016 1 (JBE Vol. 1, No. 1, January 016) http://dx.doi.org/10.5909/jbe.016.1.1.60 ISSN 87-9137 (Online) ISSN 16-7953 (Print) a), a) An Efficient Method

More information

05-김정래

05-김정래 대한척추외과학회지제 14 권제 4 호 Journal of Korean Spine Surg. Vol. 14, No. 4, pp 249~255, 2007 요추부퇴행성병변에서통증그림을이용한신경근압박위치확인 김정래 박철현 안종철 안면환 윤현국 영남대학교의과대학정형외과학교실 Pain Drawing in the Assessment of Nerve Root Compression

More information

Journal of Soonchunhyang Medical Science 14(2) p.179~186 December 요추척추관협착증에대한자기공명영상의진단가치 이경석, 심재준, 윤석만, 도재원, 윤일규, 배학근 순천향대학교천안병원신경외과학교실 Diagn

Journal of Soonchunhyang Medical Science 14(2) p.179~186 December 요추척추관협착증에대한자기공명영상의진단가치 이경석, 심재준, 윤석만, 도재원, 윤일규, 배학근 순천향대학교천안병원신경외과학교실 Diagn Journal of Soonchunhyang Medical Science 14(2) p.179~186 December 2008 179 요추척추관협착증에대한자기공명영상의진단가치 이경석, 심재준, 윤석만, 도재원, 윤일규, 배학근 순천향대학교천안병원신경외과학교실 Diagnostic Value of the MRI on the Lumbar Spinal Stenosis

More information

Case Report J Korean Bone Joint Tumor Soc 2011; 17: 요추부척추관협착증과동반된경막내신경초종 : 증례보고

Case Report J Korean Bone Joint Tumor Soc 2011; 17: 요추부척추관협착증과동반된경막내신경초종 : 증례보고 Case Report J Korean Bone Joint Tumor Soc 2011; 17: 106-110 http://dx.doi.org/10.5292/jkbjts.2011.17.2.106 www.kbjts.or.kr Intradural Schwannoma Associated with Lumbar Spinal Stenosis: A Cese Report 소재완

More information

246 pissn : , eissn : Case Report J Korean Orthop Assoc 2013; 48:

246 pissn : , eissn : Case Report J Korean Orthop Assoc 2013; 48: 246 pissn : 1226-2102, eissn : 2005-8918 Case Report J Korean Orthop Assoc 2013; 48: 246-250 http://dx.doi.org/10.4055/jkoa.2013.48.3.246 www.jkoa.org 민상혁 윤성현 이준열 단국대학교의과대학정형외과학교실 Intervertebral Foraminal

More information

THE JOURNAL OF KOREAN INSTITUTE OF ELECTROMAGNETIC ENGINEERING AND SCIENCE Nov.; 26(11),

THE JOURNAL OF KOREAN INSTITUTE OF ELECTROMAGNETIC ENGINEERING AND SCIENCE Nov.; 26(11), THE JOURNAL OF KOREAN INSTITUTE OF ELECTROMAGNETIC ENGINEERING AND SCIENCE. 2015 Nov.; 26(11), 985991. http://dx.doi.org/10.5515/kjkiees.2015.26.11.985 ISSN 1226-3133 (Print)ISSN 2288-226X (Online) Analysis

More information

Original Article pissn eissn J Korean Soc Spine Surg Jun;20(2): Restoratio

Original Article pissn eissn J Korean Soc Spine Surg Jun;20(2): Restoratio Journal of Korean Society of Spine Surgery Restoration of Lumbar Lordosis After Posterior Lumbar Interbody Fusion with 4 Degree Cage in Degenerative Spinal Disease Kyu-Jung Cho, M.D., Young-Tae Kim, M.D.,

More information

12이문규

12이문규 Review on Conservative Treatment of Spinal Scoliosis Moon-kyu Lee, O.M.D., Gil-jae Lee, O.M.D., Yun-kyung Song, O.M.D., Hyung-ho Lim, O.M.D. Dept. of Oriental Rehabilitation Medicine College of Oriental

More information

KIM Sook Young : Lee Jungsook, a Korean Independence Activist and a Nurse during the 이며 나름 의식이 깨어있던 지식인들이라 할 수 있을 것이다. 교육을 받은 간 호부들은 환자를 돌보는 그들의 직업적 소

KIM Sook Young : Lee Jungsook, a Korean Independence Activist and a Nurse during the 이며 나름 의식이 깨어있던 지식인들이라 할 수 있을 것이다. 교육을 받은 간 호부들은 환자를 돌보는 그들의 직업적 소 1 의사학 제24권 제1호(통권 제49호) 2015년 4월 Korean J Med Hist 24 ː1-34 Apr 2015 c대한의사학회 http://dx.doi.org/10.13081/kjmh.2015.24.1 pissn 1225-505X, eissn 2093-5609 간호부 이정숙의 독립운동 김숙영* 1. 서론 2. 본론 1) 출생에서 정신여학교 수학시절까지

More information

Kor. J. Aesthet. Cosmetol., 및 자아존중감과 스트레스와도 밀접한 관계가 있고, 만족 정도 에 따라 전반적인 생활에도 영향을 미치므로 신체는 갈수록 개 인적, 사회적 차원에서 중요해지고 있다(안희진, 2010). 따라서 외모만족도는 개인의 신체는 타

Kor. J. Aesthet. Cosmetol., 및 자아존중감과 스트레스와도 밀접한 관계가 있고, 만족 정도 에 따라 전반적인 생활에도 영향을 미치므로 신체는 갈수록 개 인적, 사회적 차원에서 중요해지고 있다(안희진, 2010). 따라서 외모만족도는 개인의 신체는 타 RESEARCH ARTICLE Kor. J. Aesthet. Cosmetol., 20-40대 여성의 외모만족도가 미용관리태도에 미치는 영향 홍수남 1, 김효숙 2 * 1 건국대학교 뷰티사이언스디자인학과, 2 건국대학교 의상디자인과 Effects of Extrinsic Body Satisfaction on Beauty Management Behavior of

More information

<4D F736F F F696E74202D20C1F7C0E5C7D7B9AEB1E2C7FC20C8AFBEC6BFA1BCAD20B5BFB9DDC7CFB4C220C0CCBAD0C3B4C3DFC1F52E707074>

<4D F736F F F696E74202D20C1F7C0E5C7D7B9AEB1E2C7FC20C8AFBEC6BFA1BCAD20B5BFB9DDC7CFB4C220C0CCBAD0C3B4C3DFC1F52E707074> 직장항문기형환아에서동반하는이분척추증 -12 예환아에대한전향적연구 김성민 1, 장혜경 2, 심규원 3, 김동석 3, 오정탁 2, 최승훈 4, 한석주 2 연세대학교의과대학외과학교실, 용인세브란스병원외과 1 연세대학교의과대학외과학교실, 세브란스어린이병원소아외과 2 연세대학교의과대학신경외과학교실, 세브란스어린이병원소아신경외과 3 연세대학교의과대학외과학교실, 강남세브란스병원소아외과

More information

DBPIA-NURIMEDIA

DBPIA-NURIMEDIA The e-business Studies Volume 17, Number 6, December, 30, 2016:275~289 Received: 2016/12/02, Accepted: 2016/12/22 Revised: 2016/12/20, Published: 2016/12/30 [ABSTRACT] SNS is used in various fields. Although

More information

KISEP Case Reports J Korean Neurosurg Soc , 1998 척추불안정을동반한척추후관절근접낭종 (Juxtafacet Cyst) 의수술치험례 최찬영 민병국 권정택 석종식 = Abstract = A Case of Juxtafac

KISEP Case Reports J Korean Neurosurg Soc , 1998 척추불안정을동반한척추후관절근접낭종 (Juxtafacet Cyst) 의수술치험례 최찬영 민병국 권정택 석종식 = Abstract = A Case of Juxtafac KISEP ase Reports J Korean Neurosurg Soc 27530-534, 1998 척추불안정을동반한척추후관절근접낭종 (Juxtafacet yst) 의수술치험례 = bstract = ase of Juxtafacet yst of the Lumbar Spine ccompanied by Spinal Instability han Young hoi,

More information

04_이근원_21~27.hwp

04_이근원_21~27.hwp 1) KIGAS Vol. 16, No. 5, pp 21~27, 2012 (Journal of the Korean Institute of Gas) http://dx.doi.org/10.7842/kigas.2012.16.5.21 실험실의 사례 분석에 관한 연구 이근원 이정석 한국산업안전보건공단 산업안전보건연구원 (2012년 9월 5일 투고, 2012년 10월 19일

More information

03-13-이강윤

03-13-이강윤 대한척추외과학회지제 14 권제 3 호 Journal of Korean Spine Surg. Vol. 14, No. 3, pp 144~150, 2007 요추추간판제거술후발생한추궁절제술후척추관협착증 이강윤 조규정 박승림 김명구 이 @ 문 강석봉 인하대학교의과대학정형외과학교실 Postlaminectomy Spinal Stenosis after Lumbar Discectomy

More information

Original Article pissn eissn J Korean Soc Spine Surg Sep;21(3): Effecti

Original Article pissn eissn J Korean Soc Spine Surg Sep;21(3): Effecti Journal of Korean Society of Spine Surgery Effectiveness of Selective Nerve Root Block for the Patient with a Single Level Lumbar Spinal Stenosis who is on the Operation Schedule Dae Ho Ha, M.D., Dae Moo

More information

09권오설_ok.hwp

09권오설_ok.hwp (JBE Vol. 19, No. 5, September 2014) (Regular Paper) 19 5, 2014 9 (JBE Vol. 19, No. 5, September 2014) http://dx.doi.org/10.5909/jbe.2014.19.5.656 ISSN 2287-9137 (Online) ISSN 1226-7953 (Print) a) Reduction

More information

202 Original Article J Korean Orthop Assoc 2014; 49: 신경성파행을보이는척추관협착증을동반한골다공증성척추체압박골절

202 Original Article J Korean Orthop Assoc 2014; 49: 신경성파행을보이는척추관협착증을동반한골다공증성척추체압박골절 202 Original Article J Korean Orthop Assoc 2014; 49: 202-208 http://dx.doi.org/10.4055/jkoa.2014.49.3.202 www.jkoa.org 신경성파행을보이는척추관협착증을동반한골다공증성척추체압박골절환자의치료시척추체성형술에추가로시행한선택적신경차단술의임상결과및효용성 민상혁 윤성현 단국대학교의과대학정형외과학교실

More information

A 617

A 617 Special Issue Diabetic Retinopathy Won Ki Lee, M.D. Department of Ophthalmology The Catholic University of Korea College of Medicine Kangnam St. Mary s Hospital E mail : wklee@catholic.ac.kr Abstract R

More information

세라뉴스-2011내지도큐

세라뉴스-2011내지도큐 2 2 8 17 18 22 23 24 Heinrich Wecker 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 예정된 이벤트 증례2 : 세라믹-폴리에틸렌 고관절 치환술후 발생한 비구-대퇴 해리로 세라믹-세라믹 관절면을 사용하여 재수술 진단 : 고관절 통증으로 내원한 65세 여자환자, 20년전 세라믹-폴리에틸

More information

歯1.PDF

歯1.PDF 200176 .,.,.,. 5... 1/2. /. / 2. . 293.33 (54.32%), 65.54(12.13%), / 53.80(9.96%), 25.60(4.74%), 5.22(0.97%). / 3 S (1997)14.59% (1971) 10%, (1977).5%~11.5%, (1986)

More information

04조남훈

04조남훈 Received : 2011. 11. 16 Reviewed : 2011. 11. 25 Accpeted : 2011. 12. 5 A Case Report of Prescribing Yanghyeolgeopung-tang(yangxuequfeng-tang) to Two Patients with Cervical Disc Herniation and Headache

More information

자기공명영상장치(MRI) 자장세기에 따른 MRI 품질관리 영상검사의 개별항목점수 실태조사 A B Fig. 1. High-contrast spatial resolution in phantom test. A. Slice 1 with three sets of hole arr

자기공명영상장치(MRI) 자장세기에 따른 MRI 품질관리 영상검사의 개별항목점수 실태조사 A B Fig. 1. High-contrast spatial resolution in phantom test. A. Slice 1 with three sets of hole arr Original Article pissn 1738-2637 J Korean Soc Radiol 2012;67(2):129-134 The Survey of Magnetic Resonance Imaging Quality according to in Korea 1 자기공명영상장치(MRI) 자장세기에 따른 MRI 품질관리 영상검사의 개별항목점수 실태조사 1 Hyun-Hae

More information

Journal of Korean Society of Spine Surgery Efficacy of Posterior Lumbar Interbody Fusion using PEEK Cage and Pedicle Screw Stabilization in Degenerati

Journal of Korean Society of Spine Surgery Efficacy of Posterior Lumbar Interbody Fusion using PEEK Cage and Pedicle Screw Stabilization in Degenerati Journal of Korean Society of Spine Surgery Efficacy of Posterior Lumbar Interbody Fusion using PEEK Cage and Pedicle Screw Stabilization in Degenerative Lumbar Spinal Disorders - Minimum 3 Years Follow

More information

386-390.hwp

386-390.hwp 386 HANYANG MEDICAL REVIEWS Vol. 29 No. 4, 2009 우리나라 미숙아의 통계와 의료비용 Statistics and Medical Cost of Preterm in Korea 윤혜선 을지대학교 노원을지병원 소아청소년과학교실 Hye Sun Yoon, M.D., Ph.D., Department of Pediatrics, Nowon

More information

???? 1

???? 1 The Korean Journal of Applied Statistics (2014) 27(1), 13 20 DOI: http://dx.doi.org/10.5351/kjas.2014.27.1.013 Maximum Tolerated Dose Estimation by Stopping Rule and SM3 Design in a Phase I Clinical Trial

More information

THE JOURNAL OF KOREAN INSTITUTE OF ELECTROMAGNETIC ENGINEERING AND SCIENCE Dec.; 27(12),

THE JOURNAL OF KOREAN INSTITUTE OF ELECTROMAGNETIC ENGINEERING AND SCIENCE Dec.; 27(12), THE JOURNAL OF KOREAN INSTITUTE OF ELECTROMAGNETIC ENGINEERING AND SCIENCE. 2016 Dec.; 27(12), 1036 1043. http://dx.doi.org/10.5515/kjkiees.2016.27.12.1036 ISSN 1226-3133 (Print) ISSN 2288-226X (Online)

More information

online ML Comm CLINICAL ARTICLE J Kor Neurotraumatol Soc 2010;6: ISSN 고령의척추관협착증환자에대한수술적치료의합병증및결과 한림대학교의과대학강남성심병원신경외과교실 김세훈. 최종훈. 이호국.

online ML Comm CLINICAL ARTICLE J Kor Neurotraumatol Soc 2010;6: ISSN 고령의척추관협착증환자에대한수술적치료의합병증및결과 한림대학교의과대학강남성심병원신경외과교실 김세훈. 최종훈. 이호국. online ML Comm CLINICAL ARTICLE J Kor Neurotraumatol Soc 2010;6:138-142 ISSN 1738-8708 고령의척추관협착증환자에대한수술적치료의합병증및결과 한림대학교의과대학강남성심병원신경외과교실 김세훈. 최종훈. 이호국. 문재곤. 김창현 Complications and Surgical Results of Operative

More information

- iii - - i - - ii - - iii - 국문요약 종합병원남자간호사가지각하는조직공정성 사회정체성과 조직시민행동과의관계 - iv - - v - - 1 - - 2 - - 3 - - 4 - - 5 - - 6 - - 7 - - 8 - - 9 - - 10 - - 11 - - 12 - - 13 - - 14 - α α α α - 15 - α α α α α α

More information

DBPIA-NURIMEDIA

DBPIA-NURIMEDIA Journal of the Korea Institute of Information and Communication Engineering 한국정보통신학회논문지(J. Korea Inst. Inf. Commun. Eng.) Vol. 19, No. 5 : 1031~1039 May. 2015 정보보호 산업의 경제적 파급효과 및 기여도 분석 김방룡 1 홍재표 2* Economic

More information

Jkss hwp

Jkss hwp 급성복증을보이는감염성요막관기형 Infected Urachal Remnants with Symtoms of the Acute Abdomen: The Differential Diagnosis & Proper Management Jan Dy Lee, M.D., Chee Young Lim, M.D. 1, Hyoung Il Kim, M.D. 1, Chul Woon Chung,

More information

Original Article pissn eissn J Korean Soc Spine Surg Jun;19(2): Is It Nece

Original Article pissn eissn J Korean Soc Spine Surg Jun;19(2): Is It Nece Journal of Korean Society of Spine Surgery Is It Necessary to Add Anterior Decompression after Posterior Decompression for Thoracolumbar and Lumbar Fractures with Neurologic Deficit? Jae-Won You, M.D.,

More information

<35335FBCDBC7D1C1A42DB8E2B8AEBDBAC5CDC0C720C0FCB1E2C0FB20C6AFBCBA20BAD0BCAE2E687770>

<35335FBCDBC7D1C1A42DB8E2B8AEBDBAC5CDC0C720C0FCB1E2C0FB20C6AFBCBA20BAD0BCAE2E687770> Journal of the Korea Academia-Industrial cooperation Society Vol. 15, No. 2 pp. 1051-1058, 2014 http://dx.doi.org/10.5762/kais.2014.15.2.1051 멤리스터의 전기적 특성 분석을 위한 PSPICE 회로 해석 김부강 1, 박호종 2, 박용수 3, 송한정 1*

More information

°í¼®ÁÖ Ãâ·Â

°í¼®ÁÖ Ãâ·Â Performance Optimization of SCTP in Wireless Internet Environments The existing works on Stream Control Transmission Protocol (SCTP) was focused on the fixed network environment. However, the number of

More information

Journal of Korean Society of Spine Surgery Usefulness of Minimally Invasive Posterior Foraminotomy using Tubular Retractor for Lumbar Spinal Stenosis

Journal of Korean Society of Spine Surgery Usefulness of Minimally Invasive Posterior Foraminotomy using Tubular Retractor for Lumbar Spinal Stenosis Journal of Korean Society of Spine Surgery Usefulness of Minimally Invasive Posterior Foraminotomy using Tubular Retractor for Lumbar Spinal Stenosis with Foraminal Stenosis Hun-Kyu Shin, M.D., Jae-Yeol

More information

227-233Â÷¼øÁÖ

227-233Â÷¼øÁÖ 227 228 Table 1. The Results of PSNR (db) for Various Compression Rate Modality Case 5:1 10:1 20:1 40:1 80:1 MR 9 71.68 2.37 60.54 2.51 52.85 2.53 48.54 2.29 44.09 2.47 CT 9 51.90 1.67 63.70 2.02 57.32

More information

14.531~539(08-037).fm

14.531~539(08-037).fm G Journal of the Korea Concrete Institute Vol. 20, No. 4, pp. 531~539, August, 2008 š x y w m š gj p { sƒ z 1) * 1) w w Evaluation of Flexural Strength for Normal and High Strength Concrete with Hooked

More information

- i - - ii - - iii - - iv - - v - - vi - - 1 - - 2 - - 3 - 1) 통계청고시제 2010-150 호 (2010.7.6 개정, 2011.1.1 시행 ) - 4 - 요양급여의적용기준및방법에관한세부사항에따른골밀도검사기준 (2007 년 11 월 1 일시행 ) - 5 - - 6 - - 7 - - 8 - - 9 - - 10 -

More information

untitled

untitled 대한마취과학회지 2008; 55: 190~6 Korean J Anesthesiol Vol. 55, No. 2, August, 2008 임상연구 대한민국의 마취통증의학 임상실습 현황 연세대학교 의과대학 마취통증의학교실 및 마취통증의학연구소 장동진ㆍ안소운ㆍ안지원ㆍ김종훈 The current status of anesthesiology clerkship in Korea

More information

Journal of Educational Innovation Research 2017, Vol. 27, No. 3, pp DOI: (NCS) Method of Con

Journal of Educational Innovation Research 2017, Vol. 27, No. 3, pp DOI:   (NCS) Method of Con Journal of Educational Innovation Research 2017, Vol. 27, No. 3, pp.181-212 DOI: http://dx.doi.org/10.21024/pnuedi.27.3.201709.181 (NCS) Method of Constructing and Using the Differentiated National Competency

More information

디지털포렌식학회 논문양식

디지털포렌식학회 논문양식 ISSN : 1976-5304 http://www.kdfs.or.kr Virtual Online Game(VOG) 환경에서의 디지털 증거수집 방법 연구 이 흥 복, 정 관 모, 김 선 영 * 대전지방경찰청 Evidence Collection Process According to the Way VOG Configuration Heung-Bok Lee, Kwan-Mo

More information

Journal of Educational Innovation Research 2018, Vol. 28, No. 4, pp DOI: A Study on Organizi

Journal of Educational Innovation Research 2018, Vol. 28, No. 4, pp DOI:   A Study on Organizi Journal of Educational Innovation Research 2018, Vol. 28, No. 4, pp.441-460 DOI: http://dx.doi.org/10.21024/pnuedi.28.4.201812.441 A Study on Organizing Software Education of Special Education Curriculum

More information

DBPIA-NURIMEDIA

DBPIA-NURIMEDIA The e-business Studies Volume 17, Number 6, December, 30, 2016:237~251 Received: 2016/11/20, Accepted: 2016/12/24 Revised: 2016/12/21, Published: 2016/12/30 [ABSTRACT] Recently, there is an increasing

More information

05-10-김명호

05-10-김명호 대한척추외과학회지제 15 권제 3 호 Journal of Korean Spine Surg. Vol. 15, No. 3, pp 165~173, 2008 추간공및추간공외추간판탈출증의진단에서자기공명영상중관상면의유용성 김명호 서경진 # 이지영 # 민상혁 유현열 단국대학교의과대학정형외과학교실, 영상의학과교실 # Usefulness of Coronal MR Image

More information

09구자용(489~500)

09구자용(489~500) The Study on the Grid Size Regarding Spatial Interpolation for Local Climate Maps* Cha Yong Ku** Young Ho Shin*** Jae-Won Lee**** Hee-Soo Kim*****.,...,,,, Abstract : Recent global warming and abnormal

More information

975_983 특집-한규철, 정원호

975_983 특집-한규철, 정원호 Focused Issue of This Month Gyu Cheol an, MD Department of Otolaryngology ead & Neck Surgery, Gachon University of College Medicine E - mail : han@gilhospital.com Won-o Jung, MD Department of Otolaryngology

More information

Kinematic analysis of success strategy of YANG Hak Seon technique Joo-Ho Song 1, Jong-Hoon Park 2, & Jin-Sun Kim 3 * 1 Korea Institute of Sport Scienc

Kinematic analysis of success strategy of YANG Hak Seon technique Joo-Ho Song 1, Jong-Hoon Park 2, & Jin-Sun Kim 3 * 1 Korea Institute of Sport Scienc Kinematic analysis of success strategy of technique JooHo Song 1, JongHoon Park 2, & JinSun Kim 3 * 1 Korea Institute of Sport Science, 2 Catholic Kwandong University, 3 Yonsei University [Purpose] [Methods]

More information

Journal of Korean Society of Spine Surgery Change of Lumbar Isometric Extensor Strengths after Posterior Lumbar Interbody Fusion in Patients with Lumb

Journal of Korean Society of Spine Surgery Change of Lumbar Isometric Extensor Strengths after Posterior Lumbar Interbody Fusion in Patients with Lumb Journal of Korean Society of Spine Surgery Change of Lumbar Isometric Extensor Strengths after Posterior Lumbar Interbody Fusion in Patients with Lumbar Degenerative Disease Yong Gon Seo, M.S., Chong Suh

More information

untitled

untitled 대한정형외과학회지 : 제 43 권제 5 호 2008 J Korean Orthop Assoc 2008; 43: 588-594 자기공명영상을이용한요추부척추관면적계측방법및분석 심대무ㆍ최윤홍ㆍ양정환ㆍ오성균ㆍ김채근ㆍ박정현 원광대학교의과대학정형외과학교실 Analysis and Measurement of the Lumbar Spinal Canal Dimension using

More information

Journal of Educational Innovation Research 2018, Vol. 28, No. 1, pp DOI: * A Study on the Pe

Journal of Educational Innovation Research 2018, Vol. 28, No. 1, pp DOI:   * A Study on the Pe Journal of Educational Innovation Research 2018, Vol. 28, No. 1, pp.405-425 DOI: http://dx.doi.org/10.21024/pnuedi.28.1.201803.405 * A Study on the Perceptions and Factors of Immigrant Background Youth

More information

Journal of Korean Society of Spine Surgery Kyphotic Deformity after Spinal Fusion in a Patient with Diffuse Idiopathic Skeletal Hyperostosis - A Case

Journal of Korean Society of Spine Surgery Kyphotic Deformity after Spinal Fusion in a Patient with Diffuse Idiopathic Skeletal Hyperostosis - A Case Journal of Korean Society of Spine Surgery Kyphotic Deformity after Spinal Fusion in a Patient with Diffuse Idiopathic Skeletal Hyperostosis - A Case Report - Jaedong Kim, M.D., Jaewon Lee, M.D., Ye-Soo

More information

Journal of Korean Society of Spine Surgery Factors Associated with Conversion from Conservative to Surgical Treatment in Single-Level Lumbar Spinal St

Journal of Korean Society of Spine Surgery Factors Associated with Conversion from Conservative to Surgical Treatment in Single-Level Lumbar Spinal St Journal of Korean Society of Spine Surgery Factors Associated with Conversion from Conservative to Surgical Treatment in Single-Level Lumbar Spinal Stenosis Patients Young-Joon Ahn, M.D., Se-Hyuk Im, M.D.,

More information

Case Report pissn eissn J Korean Soc Spine Surg Sep;22(3): Posterior Ri

Case Report pissn eissn J Korean Soc Spine Surg Sep;22(3): Posterior Ri Case Report pissn 2093-4378 eissn 2093-4386 J Korean Soc Spine Surg. 2015 Sep;22(3):118-122. http://dx.doi.org/10.4184/jkss.2015.22.3.118 Posterior Ring pophysis Fracture ssociated with Lumbar Disc Herniation

More information

<30312DC1A4BAB8C5EBBDC5C7E0C1A4B9D7C1A4C3A528B1E8C1BEB9E8292E687770>

<30312DC1A4BAB8C5EBBDC5C7E0C1A4B9D7C1A4C3A528B1E8C1BEB9E8292E687770> Journal of the Korea Institute of Information and Communication Engineering 한국정보통신학회논문지(J. Korea Inst. Inf. Commun. Eng.) Vol. 18, No. 11 : 2593~2599 Nov. 2014 오픈소스 모바일 UI컴포넌트 선정 절차 프레임워크 손효정 1 이민규 2 성백민

More information

<30342E20B1E8C7F6BFEC2C20B1E8C8A3C1D82C20B9DABFB5C8B82E687770>

<30342E20B1E8C7F6BFEC2C20B1E8C8A3C1D82C20B9DABFB5C8B82E687770> 교통사고환자에서의외상후스트레스장애에대한문헌고찰 東醫寶鑑을중심으로 Review of Post Traumatic Stress Disorder(PTSD) Symptoms in Traffic Accident Patients. Hyun-Woo Kim, O.M.D., Ho-Jun Kim, O.M.D., Young-Hoi Park, O.M.D., Dong-Ho Keum,

More information

433대지05박창용

433대지05박창용 Recent Changes in Summer Precipitation Characteristics over South Korea Changyong Park* JaYeon Moon** Eun-Jeong Cha*** Won-Tae Yun**** Youngeun Choi***** 1958 2007 6 9 6 9 10 10 10 10 10 Abstract This

More information

Crt114( ).hwp

Crt114( ).hwp cdna Microarray Experiment: Design Issues in Early Stage and the Need of Normalization Byung Soo Kim, Ph.D. 1, Sunho Lee, Ph.D. 2, Sun Young Rha, M.D., Ph.D. 3,4 and Hyun Cheol Chung, M.D., Ph.D. 3,4 1

More information

A Study on the Relationships between Self-Differentiation and Adaptability Factors for Senior Dementia Patients Care Givers Department of Social Welfare, Seoul Welfare Graduate University Full-time Lecturer

More information

Journal of Educational Innovation Research 2017, Vol. 27, No. 2, pp DOI: * Review of Research

Journal of Educational Innovation Research 2017, Vol. 27, No. 2, pp DOI:   * Review of Research Journal of Educational Innovation Research 2017, Vol. 27, No. 2, pp.79-102 DOI: http://dx.doi.org/10.21024/pnuedi.27.2.201706.79 * Review of Research Trends on Curriculum for Students with Severe and multiple

More information

Technical Note J. of Advanced Spine Surgery Volume 5, Number 2, pp 65~69 Journal of Advanced Spine Surgery JASS Simple Neurolysis Technique of Adhesio

Technical Note J. of Advanced Spine Surgery Volume 5, Number 2, pp 65~69 Journal of Advanced Spine Surgery JASS Simple Neurolysis Technique of Adhesio Technical Note J. of Advanced Spine Surgery Volume 5, Number 2, pp 65~69 JASS Simple Neurolysis Technique of Adhesiolysis and Direct Drug Injection to Root and Intervertebral Disc Lesion at Anterior Dural

More information