Coexistence of Neck and Shoulder Disability: Results of a Population-Based Cross-Sectional Study on Normative Scores and Multifactorial Risk Factors for Neck and Shoulder Problems

Koller Juliane,Bismarck Carsten,Krebs Sona,Hitzl Wolfgang,Mayer Michael,Koller Heiko 대한척추외과학회 2021 Asian Spine Journal Vol.15 No.2

Study Design: Cross-sectional population-based study.Purpose: The study objective was to evaluate the coexistence of neck- and shoulder-disability, to establish normative scores for Neck Disability Index (NDI), Visual Analog Scale (VAS)-neck, VAS-arm, Quick Disability of Shoulder and Hand (Quick-DASH), and modified Constant score (mConstant score), and to determine the influence of psychological distress (Hospital Anxiety and Depression Scale [HADS]) on the disability measures. The authors also investigated the distribution of dysphagia across the population and its relation to the NDI scores.Overview of Literature: Several factors can adversely influence the clinical outcomes after cervical surgeries. The interaction of neck and shoulder disability in the perspective of psychological distress is not well understood.Methods: Prospective questionnaire-based assessment was performed for 1,000 participants. Questionnaires consisted of validated generic and disease-specific queries and specific questions. The survey included patients without pathologies of cervical spine/shoulders/upper extremities.Results: Mean age of participants was 39 years. The average neck VAS score was 1.2, NDI% was 7.3, arm VAS score was 0.8, QuickDASH was 6.2, mConstant score was 70.7, HADS-A score was 4.9, and HADS-D score was 3.2. The psychological scores showed a significant correlation with neck- and shoulder-disability (<i>p</i><0.0001, <i>r</i>=0.3 to <i>r</i>=0.5). However, correlations between neck (NDI%, neck VAS score) and shoulder disability (mConstant score, arm VAS score, Quick-DASH) were stronger (<i>p</i><0.0001, <i>r</i>=0.5 to <i>r</i>=0.6). A body mass index >35 kg/m² influenced shoulder-disability (<i>p</i><0.005) and psychological distress (HADS-D score, <i>p</i><0.00001). Limited neck rotation was present in those with higher age, psychological distress, neck and shoulder disability (<i>p</i><0.001).Conclusions: Normative scores for neck and shoulder disability were established. The outcomes of cervical spine surgery can be normalized to these results. A better understanding of the interdependencies of neck and shoulder disability and psychological distress would enable superior decision-making and patient counseling.

Warentest als sichernder und informierender Verbraucherschutz

Koller,Ingo 한독법률학회 1996 한독법학 Vol.- No.12

Recent Trends in Treatment of Gynecological Cancer

Koller, Oddmund 大韓産婦人科學會 1961 大韓産婦人科學會雜誌 Vol.4 No.3

Verbraucherkredite als Gegenstand des Verbraucherschutzes

Koller,Ingo 한독법률학회 1995 한독법학 Vol.- No.11

Untranslatable Words - Translatable Texts? Or, Translatable Words - Untranslatable Texts?

( Werner Koller ) 한국통역번역학회 2004 FORUM Vol.2 No.2

Cette contribution aborde le probleme suivant: Dans quelle mesure la question contenue dans le titre implique-t-elle un paradigme traductologique obsolete? (partie 1) Les parties 2- 4 essayent de preciser ce que l`on peut comprendre lorsqu`on affirme qu`on ne traduit pas des mots mais des textes; le tout dans la perspective de la traductibilite du texte. La partie 5 traite des exemples discutes par J.-R. Ladmiral concernant deux mots intraduisibles (ou du moins difficile a traduire). Pour finir, la notion - historiquement douteuse - de “mot intraduisible” est concretisee a partir d`un exemple. La contribution conclut qu`il est necessaire de replacer cette notion dans son contexte historique scientifique (partie 6).

DAS PROBLEM DER ÜBERSETZUNGSÄQUIVALENZ

Werner Koller 한독문학번역연구소 1994 번역연구 Vol.2 No.-

자궁암 환자의 치료의 최신 동향

(O Koller) 대한산부인과학회 1961 Obstetrics & Gynecology Science Vol.4 No.3

Frequency and Distribution of Genital Cancer In the last decades the relative importance of cancer on the mortality rate in western countries has been steadily increasing. Cancer in these countries nowadays matches with circulatory diseases as the most frequent cause of death. There are however still relatively few accurate figures on the occurence of cancer. In Norway, with a female population of about 1, 7 million, we have since 1954 a central Cancer Registry. Cancer is by law a reportable disease. Every physician, pathological institute and hospital have the duty to notify the Registry of all new cases of cancer. The informations to be given include martial status, occupation, residence, duration of the symptoms, type and localization of the neoplasm. It is hoped that this accumulation of data will be able to reveal valuable informations on the epidemiology of the cancerous disease useful to the planning of the cancer campaign-and perhaps also provide some evidence which could give a suggestion as to the etiology of cancer. The average number of new cases of primary gential cancer annually in Norway are as follows. Cancer of the vulva and cancer of the vagina, taken together..............................50 cases. Cancer of the uterine body..........150 cases. Cancer of the adnexae................250 cases. Cancer of the uterine cervix........350 cases. These figures refer to cases of invasive cancer only. Precancerous lesions are excluded.

Portland 주립대학의 건물설계 프로젝트

Mark O. Koller,박창용(번역자) 대한설비공학회 2013 설비저널 Vol.42 No.8

The Effect of Rod Pattern, Outrigger, and Multiple Screw-Rod Constructs for Surgical Stabilization of the 3-Column Destabilized Cervical Spine - A Biomechanical Analysis and Introduction of a Novel Technique

Sebastian Hartmann,Claudius Thomé,Anto Abramovic,Sara Lener,Werner Schmoelz,Juliane Koller,Heiko Koller 대한척추신경외과학회 2020 Neurospine Vol.17 No.3

Objective: Anterior-only reconstructions for cervical multilevel corpectomies are prone to fail under continuous mechanical loading. This study sought to define the mechanical characteristics of different constructs in reducing a range of motion (ROM) of the 3-column destabilized cervical spine, including posterior cobalt-chromium (CoCr)-rods, outrigger-rods (OGR), and a novel triple rod construct using lamina screws (6S3R). The clinical implications of biomechanical findings are discussed in depth from the perspective of the challenges surgeons face cervical deformity correction. Methods: Three-column deficient cervical spinal models were produced based on reconstructed computed tomography scans. The corpectomy defect between C3 and C7 end-level vertebrae was restored with anterior titanium (Ti) mesh-cage. The ROM was evaluated in a customized 6-degree of freedom spine tester. Tests were performed with different rod materials (Ti vs. CoCr), varying diameter rods (3.5 mm vs. 4.0 mm), with and without anterior plating, and using different construct patterns: bilateral rod fixation (standard-group), OGRgroup, and 6S3R-Group. Construct stability was expressed in changes and differences of ROM (°). Results: The largest reduction of ROM was noticed in the 6S3R-group compared to the standard- and the OGR-group. All differences observed were emphasized with an increasing number of corpectomy levels and if anterior plating was not added. For all simulated 1-, 2-, and 3-level corpectomy constructs, the OGR-group revealed decreased ROM for all motion directions compared to the standard-group. An increase of construct stiffness was also recorded for increased rod diameter (4.0 mm) and stiffer rod material (CoCr), though these effects lacked behind the more advanced construct pattern. Conclusion: A novel reconstructive technique, the 6S3R-construct, was shown to outperform all other constructs and might resemble a new standard of reference for advanced posterior fixation.

SOF System; A New Nomenclature System for the Surgical Techniques of Cervical Spine Deformity

홍재택,Heiko Koller,Kuniyoshi Abumi,Wen Yuan,Asdrubal Falavigna,이호진,이종범,Jean-Charles Le Huec,박종혁,김일섭 대한척추신경외과학회 2020 Neurospine Vol.17 No.3

Although cervical spinal deformity (CSD) can have a profoundly negative impact on an individual’s quality of life and there have been many advances in surgical treatment of CSD in recent years, there exists no comprehensive classification system of surgical treatment that categorizes anterior and posterior surgery separately according to the grade of surgery. The objective of this study is to introduce the new classification system of various surgical treatments for CSD. We developed a new classification system (SOF system) for CSD surgery that describes the sequence of surgical approach (S), the grade of osteotomy (O), and the information of fixation (F) using alphanumeric codes. This new classification system can provide a consistent description of the various osteotomies performed in CSD surgery. Especially, regarding research, there has been a clear benefit to this classification. Having a standardized classification that allows for common frame for cervical deformity correction surgery, communication between surgeons and the evaluation of the CSD surgeries make it possible to conduct global comparative research about surgical outcome.