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척추강 협착증 환자의 척추의 미란이 동반된 부골화된 요추 추간판 탈출증 : 증례 보고 Case Report
송경진,송경진 의과학연구소 1990 全北醫大論文集 Vol.14 No.3
We experienced 47 years old female patient with 4 years low back pain with sciatica and abnormal slow shuffling gait. On myelograghy we diagnosed as spinal stenosis induced by degenerative spondylosis and disc hemiation. But on C-T we could find vertebral erosion with abnormal shifting of theral sac by soft tissue mass. With fenestration, adhesiolysis and mass removal partent became pain free and normal gait.
송경진,송광훈,박용근,이광복,김상림 대한척추외과학회 2008 대한척추외과학회지 Vol.15 No.3
Study Design: This is a retrospective analysis Objectives: We wanted to analyze the risk factors related to deep infection and removing an implant after thoracic and lumbar spinal arthrodesis. Summary of literature reviews: The relationship between deep infection and implant removal is controversial. Materials and Methods: We retrospectively compared the infection group with the non-infection group for the rates of deep infection, the preoperative diagnosis, the number of fused segments, the operative methods, the graft materials, the operating time and the blood loss. Moreover, we classified the deep infection patients into two groups: those who underwent implant removal and those who did not, and we compared the microorganisms that were cultured out of the patients. We also compared the relationship of deep infection with the risk factors, the mean hospital stay and the mean number of operations. Results: There were 18 cases (2.46%) of deep infection. The factors that did not show a significant difference were the preoperative diagnosis, the graft material, the increased number of fused segments, age, gender and BMI. The factors that were significant were the operating time (p=0.001), the amount of blood loss (p<0.000), DM (p=0.021), and PLF (p=0.054). The incidence of implant removal was higher for the cases with deep infection caused by MRSA. We were able to see a significant difference of between the group that had undergone implant removal and the group that had not undergone implant removal. Conclusions: The incidence of deep infection after thoracic and lumbar spinal athrodesis increased as the operating time and blood loss increased, and it was also higher when either PLF or DM were present. Implant removal causes bad clinical results, so physicians should be very cautious when operating on a case of implant removal.
Current Concepts of Anterior Cervical Discectomy and Fusion: A Review of Literature
송경진,최병열 대한척추외과학회 2014 Asian Spine Journal Vol.8 No.4
Anterior cervical discectomy and fusion (ACDF) is a safe and effective procedure for degenerative cervical spinal disease unresponsive to conservative management and its outstanding results have been reported. To increase fusion rates and decrease complications, numerous graft materials, cage, anterior plating and total disc replacement have been developed, and better results were reported from those, but still there are areas that have not been established. Therefore, we are going to analyze the treatment outcome with the various procedure through the literature review and determine the efficacy of ACDF.
송경진,최상순 의과학연구소 1991 全北醫大論文集 Vol.15 No.2
The recently developed Association for Study of Internal Fixation(ASIF) compression plating apparatus seems to satisfy the basic objectives of internal fixations. Sometimes, however, We have been found metal failures after compression plate fixations. In view of these considerations, the 18 cases of metal failure after compression plate fixation which were found and treated at Department of Orthopaedic surgery, Chonbuk National University Hospital were analysed clinically during the period September 1986 December 1990. And following results were obtained: 1. The causes of fracture were traffic accidents(11 cases), fail down (6 cases) and blunt treauma(1 case). The sites of fracture were femur in 13 cases, tibia in 4 cases and humerus in 1 case. 2. The average interval between initial operation and metal failure was 6.8 months, ranged from one to fifteen months. The 50% of the metal fialure occurred within 5 months. 3. The causes of metal failure were empty plate hole, remaining defect, inadequate reduction, inadequate postoperative treatment, etc. 4. Treatments of metal failure were compression plate fixation with bone grafting in 15 cases and IM nailing with bone grafting in 3 cases. In one case, metal failure occurred again and the others accomplished successful bone union. 5. Accurate preoperative evaluation of facture site, patterns and appropriate selection of internal fixatives will be necessary for the prevention of metal failure.
송경진,Song, Kyeong-Jin 한국비블리아학회 2016 한국비블리아학회지 Vol.27 No.4
본 연구는 국제성인역량조사(PIAAC)에서 측정하는 스킬을 토대로 성인의 일상적인 삶에 필수적인 기본 리터러시를 도출하고, 국내 공공도서관의 성인 리터러시 프로그램 실태를 조사한 결과를 바탕으로 기본 리터러시의 습득을 지원하는 공공도서관의 리터러시 프로그램 모델을 구안하여 계획서와 함께 예시하였다. 본 연구에서 제안한 모델은 하나의 프로그램을 통해 네 가지 기본 리터러시를 습득할 수 있는 통합된 프로그램으로 이용자의 자기주도적인 학습을 통해 이루어지는 것을 특징으로 하며 대상과 주제에 따라 자유롭게 적용할 수 있다는 장점이 있다. 모델은 대상, 주제, 실행전략, 도구, 자료, 평가의 여섯 가지 요소와 대상의 선정, 대상의 분석, 주제 선정, 실행전략 수립, 계획의 성문화, 실행, 평가하기라는 일곱 단계로 이루어져 $6{\times}7$모델로 명명하였다. This study drew four essential literacies for adult's daily life through analyzing the concepts of the 'skill' in PIAAC, and also investigated current literacy programs for adult users in Korean public libraries. Finally on those results, this study suggested a literacy program model with an illustrated action plan for adult users of pubic libraries. A suggested model is planed an intergrated program that make users can acquire four essential literacies through participating in a single program. This model is characterized by self-directed learning by the users and can be applied freely to various subjects and user groups. The model consists of six components and seven steps. Six components are target, theme, strategy, tool, material, assessment. Seven steps are targeting, selecting theme, strategy planning, documentation, action, assessing. This model is named $6{\times}7$ model on the basis of components and steps.
개에서 척골의 원위 성장판 조기 폐쇄증에 대한 방사선학적 평가
송경진,이희천,이기창,권정국,최민철 한국임상수의학회 2003 한국임상수의학회지 Vol.20 No.3
A 11 month-old Shihtzu was referred to the Veterinary Medical Teaching Hospital, Seoul National University. Clinical signs of this patient were lameness, shortening limb, angular deformity, rotation of foot, subluxaion of elbow joint and restricted range of movement of left forelimb. For the evaluation of the abnormalities of left forelimb, radiographic examination was carried out. Radiographic findings were characteristics of premature closure of distal ulna such as closure of distal ulna growth plate and cranial bowing of radius. With radiographic signs and physical examination, it was diagnosed as premature closure of growth plate of the left forelimb. After osteotomy of the radius and ostectomy of the ulna, radiographic evaluation of limb about angulation of elbow joint was performed every 2-3 weeks for 3 months. In case of premature closure of distal growth plate of ulna, radiography was very useful for diagnositic method of premature closure of distal ulna and monitoring of healing process.