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ÆǸŰ¡°Ý  104,500¿ø
ISBN  9791159432101
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¹ßÇàÀÏ  2020³â 07¿ù 20ÀÏ
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- ôÃßÅëÁõ ȯÀÚÀÇ ÀÓ»óÀû Áø´Ü¹ý, ôÃ߹迭Àå¾Ö, ôÃ߿¿ä¹ý µîÀº ½Å°æ¿Ü°ú, Á¤Çü¿Ü°ú, ÀçÈ°ÀÇÇаú ±³¼ö´ÔµéÀÌ ÁýÇÊ¿¡ Âü¿©ÇÏ¿© ¿µ»óÀÇÇаú ÀÇ»çÀÇ ½Ã°¢¿¡ ±¹ÇѵÇÁö ¾Ê´Â ´Ù¾çÇÑ ºÐ¾ßÀÇ ÀÓ»ó ÀÇ»çÀÇ °üÁ¡ÀÌ ´ëÆø Ãß°¡µÇ¾úÀ½



- ¼±Ãµ¼º ôÃß ÁúȯÀº ¾î¸¥¿¡¼­ ÈçÈ÷ °üÂûµÉ ¼ö ÀÖ´Â Áúȯ Áß½ÉÀ¸·Î ½ÇÁ¦ ÀÓ»ó ÇöÀå¿¡¼­ µµ¿òÀÌ µÉ ¸¸ÇÑ ³»¿ëÀ¸·Î ±â¼úÇÏ¿´À½



- ÃÖ±Ù ºñÁßÀÌ Áõ°¡ÇÏ´Â Ãß¼¼¸¦ ¹Ý¿µÇÏ¿© °ñ´Ù°øÁõ, °ñ¼ö Áúȯ, ºñÁ¾¾ç¼º ô¼ö Áúȯ°ú »ó¿Ï½Å°æÃÑ Áúȯ µîÀº º°µµÀÇ chapter·Î ºÐ¸®ÇÏ¿© ±íÀÌ ÀÖ°Ô ´Ù·ç¾úÀ½



- ¸¶Áö¸· chapter·Î´Â ÁÖ¿ä ôÃß ÁúȯÀÇ ¿µ»óÁø´Ü tipÀ̶ó´Â chapter¸¦ ½Å¼³ÇÏ¿©, ±×µ¿¾È ÀúÀÚ°¡ ¼ö³â°£ ÀüÀÓÀÇ¿Í Àü°øÀǵ鿡°Ô ±¸µÎ·Î ¾Ë·ÁÁÖ¾ú´ø ôÃß¿µ»ó Æǵ¶ ½Ã °í·ÁÇØ¾ß ÇÒ »çÇ×, Æǵ¶ÇÏ´Â ¼ø¼­, ³õÄ¡±â ½¬¿î º´º¯ µîÀ» Áõ·Ê¿Í ÇÔ²² ÀÌÇØÇϱ⠽±°Ô ±â¼úÇÏ¿´À½



ÀúÀÚ ¼­¹®

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À̹ø °³Á¤ÆÇ¿¡¼­´Â ÀÌÀü¿¡ ±íÀÌ ´Ù·çÁö ¸øÇß´ø ¼±Ãµ¼º ôÃß Áúȯ, ôÃßÅëÁõ ȯÀÚÀÇ ÀÓ»óÀû Áø´Ü¹ý, °ñ´Ù°øÁõ, °ñ¼öÁúȯ, ôÃ߹迭Àå¾Ö, ºñÁ¾¾ç¼º ô¼öÁúȯ, ôÃ߿¿ä¹ý, »ó¿Ï½Å°æÃÑ Áúȯ, ÁÖ¿ä ôÃß ÁúȯÀÇ ¿µ»óÁø´Ü tip µî 8 chapter¸¦ Ãß°¡ÇÏ¿´´Ù.

ôÃßÅëÁõ ȯÀÚÀÇ ÀÓ»óÀû Áø´Ü¹ý, ôÃ߹迭Àå¾Ö, ôÃ߿¿ä¹ý µîÀº ½Å°æ¿Ü°ú, Á¤Çü¿Ü°ú, ÀçÈ°ÀÇÇаú ±³¼ö´ÔµéÀÌ ÁýÇÊ¿¡ Âü¿©ÇÏ¿© ¿µ»óÀÇÇаú ÀÇ»çÀÇ ½Ã°¢¿¡ ±¹ÇѵÇÁö ¾Ê´Â ´Ù¾çÇÑ ºÐ¾ßÀÇ ÀÓ»ó ÀÇ»çÀÇ °üÁ¡ÀÌ ´ëÆø Ãß°¡µÇ¾ú´Ù.

¼±Ãµ¼º ôÃß ÁúȯÀº ¾î¸¥¿¡¼­ ÈçÈ÷ °üÂûµÉ ¼ö ÀÖ´Â Áúȯ Áß½ÉÀ¸·Î ½ÇÁ¦ ÀÓ»ó ÇöÀå¿¡¼­ µµ¿òÀÌ µÉ ¸¸ÇÑ ³»¿ëÀ¸·Î ±â¼úÇÏ¿´´Ù. ¶ÇÇÑ, ÀÌÀü¿¡ ±íÀÌ ´Ù·çÁö ¸øÇß´ø °ñ´Ù°øÁõ, °ñ¼ö Áúȯ, ºñÁ¾¾ç¼º ô¼ö Áúȯ°ú »ó¿Ï½Å°æÃÑ Áúȯ µîÀº ÃÖ±Ù ±× ºñÁßÀÌ ³¯·Î Áõ°¡ÇÏ´Â Ãß¼¼¸¦ ¹Ý¿µÇÏ¿© º°µµÀÇ chapter·Î ºÐ¸®ÇÏ¿© ±íÀÌ ÀÖ°Ô ´Ù·ç¾ú´Ù.

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ÀÌ Ã¥Àº ¿ì¸®±Û ±³°ú¼­·Î¼­ ÀÇÇпë¾î¸¦ °¡±ÞÀû Çѱ۷Πǥ±âÇÏ°í ÇÊ¿ä¿¡ µû¶ó ¿µ¾î¸¦ º´±âÇÏ°íÀÚ ÇÏ¿´À¸¸ç, ÀÌÀü Ã¥°ú µ¿ÀÏÇÏ°Ô ½ÇÁ¦ ÀÓ»óÇöÀå¿¡¼­ ¸¹ÀÌ »ç¿ëÇÏ´Â ¿ë¾îµéÀº È¥¶õÀ» ÁÙÀ̱â À§ÇØ ¿ø¾î¸¦ ±×´ë·Î »ç¿ëÇÏ¿´´Ù.

ÁýÇÊ¿¡ Âü¿©ÇØ ÁֽŠ19¸íÀÇ ÀúÀڵ鿡°Ô ±íÀº °¨»çÀÇ ¸»¾¸À» µå¸°´Ù. ¶ÇÇÑ À̹ø °³Á¤ÆÇ ÃâÆÇ¿¡µµ ÇÔ²²Çؼ­ ÁÁÀº Ã¥À» ¸¸µé¾î ÁֽŠ¹ü¹®¿¡µàÄÉÀ̼ÇÀÇ À¯¼º±Ç ´ëÇ¥¸¦ ºñ·ÔÇÑ ÀÓÁ÷¿ø ¿©·¯ºÐ²² ±íÀº °¨»ç¸¦ µå¸°´Ù.

¾Æ¹«ÂÉ·Ï ¡®Ã´Ãß¿µ»óÁø´Ü¡¯ °³Á¤ÆÇÀÌ Ã´Ãß ÁúȯÀ» ´Ù·ç´Â ¸ðµç ÀÇ»ç ¼±»ý´Ôµé¿¡°Ô ôÃß¿µ»óÀ» ÀÌÇØÇÏ´Â µ¥ µµ¿òÀÌ µÇ±â¸¦ °£ÀýÈ÷ ¹Ù¶õ´Ù.



°­Èï½Ä¡¤ÀÌÁØ¿ì

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CHAPTER 01 ôÃß ÇغÎÇС¤Á¤Áؿ롦 ¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦1

I. Osseous anatomy 2

1. Cervical spine 3

2. Thoracolumbar spine 4

3. Bone marrow 6

II. °üÀý ¹× ¿¬ºÎÁ¶Á÷ 6

1. Discovertebral joint and surrounding

ligaments 6

2. Facet joint and ligaments of posterior

element 8

3. Paraspinal muscles 8

III. ô¼ö ¹× ôÃ߽Űæ 9

1. Spinal cord 9

2. Nerve roots 11

Âü°í¹®Çå 14



CHAPTER 02 ôÃß ÅëÁõ ȯÀÚ¿¡¼­ÀÇ ÀÓ»óÀû Áø´Ü¹ý¡¤ÀÌÁØÈ£¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦15

I. ¼­·Ð 16

II. ±Ù°ñ°Ý°è, ôÃß °ü·Ã ÅëÁõÀÇ

¿ë¾îÀû Á¤¸® ¹× ºÐ·ù 16

III. ôÃß °ü·Ã ÅëÁõÀÇ

ÀÌÇÐÀû Æò°¡ Àü ¹®Áø 16

IV. ÀÌÇÐÀû °Ë»ç 17

1. ½ÃÁø 17

2. ÃËÁø 18

3. ŸÁø, ½ÉºÎ °Ç ¹Ý»ç 20

4. ½Å°æÇÐÀû °Ë»ç ¹× À¯¹ß °Ë»ç 21

V. ¿ä¾à 25

Âü°í¹®Çå 26



CHAPTER 03 ôÃß ÀÚ±â°ø¸í¿µ»óÀ» À§ÇÑ ¿µ»ó±â¹ý¡¤·ù°æ³²¡¤·ùÇýÁø¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦ 27

I. ôÃß ÀÚ±â°ø¸í¿µ»ó¿¡¼­ »ç¿ëµÇ´Â

¿µ»ó±â¹ý 28

1. °í¼Ó½ºÇÉ¿¡ÄÚ 28

2. Áö¹æ¾ïÁ¦¿µ»ó 28

3. 3Â÷¿ø °íÇØ»óµµ T2 °­Á¶¿µ»ó 29

4. È®»ê°­Á¶¿µ»ó 30

5. È®»êÅÙ¼­¿µ»ó 32

II. ôÃß ÀÚ±â°ø¸í¿µ»óÀÇ ÃÖÀûÈ­ ¿µ»ó±â¹ý 33

1. T1 °­Á¶¿µ»ó 33

2. T2 °­Á¶¿µ»ó 33

III. Á¶¿µÁõ°­ ¿µ»óÀÇ È°¿ë 33

1. ô¼ö³» ºÎºÐ 33

2. °æ¸·³»Ã´¼ö¿Ü ºÎºÐ 33

3. °æ¸·¿Ü ºÎºÐ 34

4. ôÃß»À Áúȯ 35

IV. ÀÚ±â°ø¸í¿µ»ó Àΰø¹° 35

1. Àåºñ °ü·Ã Àΰø¹° 35

2. ȯÀÚ °ü·Ã Àΰø¹° 36

V. 3T imaging 38

Âü°í¹®Çå 38



CHAPTER 04 ¼Ò¾Æ Á¤»ó ôÃßÀÇ ¹ß´Þ°ú ¼±Ãµ¼º ôÃß ¹× ô¼ö Áú¡¤È¯±èÁö¿µ¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦41

I. Á¤»ó ôÃßÀÇ ¹ß´Þ 42

1. ¼Ò¾Æ ôÃßÀÇ Á¤»ó ÇüÅ 42

2. Á¤»ó ôÃßÀÇ °ñÈ­ 42

3. ¼Ò¾Æ ôÃßÀÇ ÀÚ±â°ø¸í¿µ»ó 45

II. ¼Ò¾Æ ôÃßÀÇ Á¤»ó ÇغÎÇÐÀû º¯ÀÌ 45

1. °¡¼º Jefferson °ñÀý 45

2. High anterior arch of C1 45

3. Exaggerated C1-2 interspinous distance 45

4. °æÃßÀÇ °¡¼º ¾ÆÅ»±¸ 45

5. Anterior vertebral wedging 46

III. ¼ºÀο¡¼­ ÈçÈ÷ Á¢ÇÏ´Â ¼±Ãµ¼º ôÃß ¹×

ô¼ö Áúȯ 47

1. ºÐ¿­ ÀÌ»ó 47

2. Chiari ÀÌÇü¼ºÁõ 48

3. ô¼öÀ̺ÐÁõ 49

4. ¹ÌºÎ ÅðÇà ÁõÈıº 50

5. Tight filum terminale ÁõÈıº 50

6. Á¾¸»²öÀÇ ¼¶À¯Áö¹æÁ¾ 50

Âü°í¹®Çå 52



CHAPTER 05 ÅðÇàôÃßÁúȯ¡¤ÀÌÁؿ졦 ¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦ 53

I. Lumbosacral spine 54

1. ÇغÎÇÐ 54

2. Intervertebral disc degeneration 56

3. Internal disc disruption 58

4. Disc herniation 60

5. Segmental instability¿Í alignment disorder 65

6. Spinal stenosis 66

7. ÈĹæ Á¶Á÷ º¯¼º 70

II. Thoracic spine 71

1. ÇغÎÇÐ 71

2. DISH 72

3. Ossification of ligamentum flavum 73

III. Cervical spine 74

1. ÇغÎÇÐ 74

2. Cervical spondylotic myelopathy 74

3. Cervical spondylotic radiculopathy 76

4. Disc herniation 76

5. Ossification of posterior longitudinal

ligament (OPLL) 78

Âü°í¹®Çå 79



CHAPTER 06 °¨¿°¼º ôÃß¿°¡¤±è¿ÏÅ¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦ 83

I. È­³ó¼º ôÃß¿° 84

1. ¹ß»ýºóµµ 84

2. ¿øÀÎ±Õ 84

3. ¹ß»ý±âÀü ¹× º´¸® 84

4. ÀÓ»óÁõ»ó 84

5. ÀÓ»ó°Ë»ç ¹× Áø´Ü¹æ¹ý 85

6. ¿µ»óÁø´Ü 85

7. Ä¡·á 88

II. °æ¸·¿Ü ³ó¾ç 88

1. ¹ß»ýºóµµ 88

2. ¿øÀÎ±Õ 89

3. ¹ß»ý±âÀü 89

4. ÀÓ»óÁõ»ó 90

5. ÀÓ»ó°Ë»ç ¹× Áø´Ü¹æ¹ý 90

6. ¿µ»óÁø´Ü 90

7. Ä¡·á 90

III. °áÇÙ¼º ôÃß¿° 90

1. ¹ß»ýºóµµ 90

2. ¿øÀÎ±Õ 90

3. ¹ß»ý±âÀü 90

4. ÀÓ»óÁõ»ó 92

5. ÀÓ»ó°Ë»ç ¹× Áø´Ü¹æ¹ý 92

6. ¿µ»óÁø´Ü 92

IV. Áø±Õ¼º ôÃß¿° 94

1. ¹ß»ýºóµµ 94

2. ¿øÀÎ±Õ 95

3. ¹ß»ý±âÀü 95

4. ÀÓ»óÁõ»ó 95

5. ¿µ»óÁø´Ü 95

V. ºê·ç¼¿¶ó ôÃß¿° 96

1. ¹ß»ýºóµµ 96

2. ¿øÀÎ±Õ 97

3. ¹ß»ý±âÀü 97

4. ÀÓ»óÁõ»ó 97

5. ÀÓ»ó°Ë»ç ¹× Áø´Ü¹æ¹ý 98

6. ¿µ»óÁø´Ü 98

VI. ¼Ò¾ÆÀÇ °¨¿°¼º ôÃß¿° 99

VII. °¨º°Áúȯ 99

1. Á¾¾ç 99

2. ¾Ð¹Ú°ñÀý 99

3. ÅðÇ༺ Ãß°£ÆÇÁúȯ 100

4. Schmorl¡¯s node 100

5. °­Á÷¼º ôÃß¿° 101

6. ½Å°æº´¼º °üÀý¿° 102

Âü°í¹®Çå 102



CHAPTER 07 ôÃß°üÀý¿°¡¤À̽ÂÈÆ¡¦ ¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦ 105

I. ôÃß°üÀý¿°ÀÇ °³·Ð/¼­·Ð 106

1. ôÃß°üÀý¿°ÀÇ ºÐ·ù±âÁØ 106

2. ôÃß°üÀý¿°ÀÇ ÀÓ»ó¼Ò°ß 107

3. Ã༺ ôÃß°üÀý¿°ÀÇ ¿µ»ó¼Ò°ß 108

4. ¸»ÃÊ Ã´Ãß°üÀý¿°ÀÇ ¿µ»ó¼Ò°ß 113

5. ôÃß°üÀý¿°ÀÇ ¹ßº´±âÀü, º´ÀÎ 113

II. ôÃß°üÀý¿°ÀÇ °¢·Ð/°³·Ð 114

1. Ankylosing spondylitis 114

2. Psoriatic arthritis 126

3. Reactive arthritis 130

4. ¿°ÁõÀåÁúȯ¿¬°ü °üÀý¿° 133

5. ¹ÌºÐȭôÃß°üÀý¿° 134

Âü°í¹®Çå 134



CHAPTER 08 ôÃ߿ܻ󡤱輺ÁØ¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦ 137

I. »óÀ§°æÃß 138

1. ÇØºÎ¿Í »ý¿ªÇÐ 138

2. »óÀ§°æÃß ¼Õ»óÀÇ ºÎÀ§º° ¿µ»ó¼Ò°ß 138

II. ÇÏÀ§°æÃß 149

1. ÇØºÎ¿Í »ý¿ªÇÐ 150

2. ¿µ»ó±â±âº° Àû¿ë°ú Æǵ¶ÀÇ ±âº» 152

3. ÇÏÀ§°æÃß ¼Õ»óÀÇ ºÐ·ù¹ý°ú ¿µ»ó¼Ò°ß 155

III. Èä¿äÃß 164

1. ÇØºÎ¿Í »ý¿ªÇÐ 164

2. ¿µ»ó±â±âº° Àû¿ë°ú Æǵ¶ÀÇ ±âº» 165

3. ¼Õ»ó ºÐ·ù¹ý°ú ¿µ»ó¼Ò°ß 167

Âü°í¹®Çå 182



CHAPTER 09 °ñ´Ù°øÁõ¡¤Ã¤Áö¿ø¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦ 187

I. °ñ´Ù°øÁõÀÇ °³³ä°ú Á߿伺 188

II. °ñ´Ù°øÁõÀÇ Áø´Ü, DXA¸¦ Áß½ÉÀ¸·Î 188

1. DXA ÃÔ¿µºÎÀ§¿Í Çؼ® 188

2. T-score 192

III. °ñ´Ù°øÁõÀÇ ¿µ»ó¼Ò°ß, ´Ù¸¥ ¿µ»ó±â¹ýÀ» Áß½É

À¸·Î 192

1. ´Ü¼øÃÔ¿µ 192

2. CT 193

3. MRI 195

IV. °á·Ð 197

Âü°í¹®Çå 198



CHAPTER 10 °ñ¼öÁúȯ¡¤¹ÚÁ¤¹Ì¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦ 199

I. Á¤»ó°ñ¼öÀÇ ÇغΠ¹× »ý¸® 200

II. ÀÚ±â°ø¸í¿µ»ó ¼Ò°ß ¹× ±â¹ý 201

1. ½ºÇÉ¿¡ÄÚ¿µ»ó 201

2. Áö¹æ½ÅÈ£¾ïÁ¦¿µ»ó 202

3. È­ÇÐÀû º¯ÀÌ¿µ»ó 203

4. Á¶¿µÁ¦ 204

5. È®»ê°­Á¶¿µ»ó 204

6. Àü½Å ÀÚ±â°ø¸í¿µ»ó 204

7. Á¤·®Àû ÃøÁ¤ 204

III. Á¤»ó°ñ¼öÀÇ ÀÚ±â°ø¸í¿µ»ó ¼Ò°ß 205

IV. °ñ¼öÁúȯ 206

1. ÀçÀüȯ 206

2. °ñ¼ö °í°¥ 207

3. ´Ù¹ß°ñ¼öÁ¾ 209

4. ¹éÇ÷º´ 210

5. ¸²ÇÁÁ¾ 212

6. °ñ¼ö¼¶À¯Áõ 214

7. °ñ¼öÀÌ½Ä 214

Âü°í¹®Çå 216



CHAPTER 11 ôÃß ¹× ô¼ö Á¾¾ç¡¤ÀÌ¿µÁØ¡¦ ¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦ 221

Á¦1Àå ôÃß ¹× ô¼ö Á¾¾çÀÇ Áø´Ü¹ý 222

I. Á¾¾çÀÇ ±¸È¹Àû Á¢±Ù 222

II. Extradural vs intradural tumor 222

III. Intradural extramedullary vs

intramedullary tumor 222

IV. º´¸®ÇÐÀû Á¢±Ù 224

1. Fatty component 224

2. Red marrow component 225

3. Vascular component 225

4. High cellularity 225

5. Hemorrhagic component 225

6. Calcification/Ossification 225

Á¦2Àå Osseous Tumor 228

I. ¿µ»ó Áø´Ü ¹æ¹ý 228

1. ´Ü¼øÃÔ¿µ 228

2. Àü»êÈ­ ´ÜÃþÃÔ¿µ 228

3. »À ½ºÄµ 228

4. ÀÚ±â°ø¸í¿µ»ó 228

II. °¡Àå ÈçÇÑ Ã´Ãß osseous tumor 228

1. Hemangioma 228

2. Metastasis 229

3. Multiple myeloma 230

III. ̧̫ primary benign osseous

tumor 233

1. Bone island 233

2. Osteoid osteoma 234

3. Osteoblastoma 235

4. Aneurysmal bone cyst 237

5. Benign notochordal cell tumor 238

6. Giant cell tumor 239

7. Osteochondroma 240

IV. ̧̫ primary malignant osseous

tumor 240

1. Chordoma 240

2. Chondrosarcoma 241

3. Osteosarcoma 242

4. Ewing sarcoma¿Í primitive neuroectodermal

tumor 243

Á¦3Àå Extradural Non - osseous Tumor 245

I. Common extradural non-osseous

tumor 245

1. Peripheral nerve sheath tumor 245

II. Other extradural non-osseous

tumor 245

1. Angiolipoma 245

Á¦4Àå Intradural Extramedullary

Tumor 246

I. Common intradural extramedullary

tumor 246

1. Peripheral nerve sheath tumor 246

2. Meningioma 247

II. Other intradural extramedullary

tumor 250

1. Intradural lipoma 250

2. Myxopapillary ependymoma 251

3. Paraganglioma 252

Á¦5Àå Intramedullary Tumor 253

I. Common intramedullary tumor 253

1. Ependymoma 253

2. Astrocytoma 253

3. Hemangioblastoma 254

II. Other intramedullary tumor 256

1. Cavernous hemangioma 256

2. Ganglioglioma 257

Âü°í¹®Çå 259



CHAPTER 12 ºñÁ¾¾ç¼º ô¼öÁúȯ¡¤À̱ٿµ¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦ 261

I. ºñÁ¾¾ç¼º ô¼öÁúȯÀÇ °¨º° 262

II. ¿°Áõ¼º Áúȯ 262

1. ±Þ¼º Ⱦ´Üô¼ö¿° 262

2. ´Ù¹ß¼º °æÈ­Áõ 263

3. ½Ã½Å°æô¼ö¿° 265

4. »ç¸£ÄÚÀ̵åÁõ 267

5. Myelin oligodendrocyte glycoprotein antibody

(MOG-IgG) associated CNS demyelinating

disease 267

6. Acute disseminated encephalomyelitis 267

7. ±æ·©-¹Ù·¹ ÁõÈıº 268

8. Àü½Å¼º ¿°ÁõÁúȯ°ú °ü°èµÈ ô¼öÁúȯ 270

III. °¨¿°¼º ô¼öÁúȯ 271

IV. ´ë»ç¼º Áúȯ 272

1. ¾Æ±Þ¼º ¿¬ÇÕº¯¼º 272

2. ±¸¸® °áÇÌ Ã´¼öÁúȯ 273

V. Ç÷°ü¼º Áúȯ 274

1. ô¼ö ÇãÇ÷, °æ»ö 274

2. ôÃß Ç÷°ü º´º¯ 276

Âü°í¹®Çå 280



CHAPTER 13 ôÃ߹迭Áúȯ¡¤±èÈ£Áß¡¦ ¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦ 283

I. General concept 284

II. Sagittal imbalance – kyphosis 284

1. Spinopelvic parameter 285

2. Body compensation 286

3. ÀÚ¿¬°æ°ú ¹× Ä¡·áÀÇ ¼±Åà 287

4. Lumbar degenerative kyphosis 288

III. Coronal imbalance–scoliosis 289

1. Degenerative lumbar scoliosis 289

Âü°í¹®Çå 292



CHAPTER 14 ôÃ߿¿ä¹ý¡¤·ùÁÖ¼®¡¦ ¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦ 293

I. ¼­·Ð 294

1. ôÃßÀÇ ÅëÁõÀ» ¹ß»ý½Ãų ¼ö ÀÖ´Â ±¸Á¶¹° 294

2. ¿îµ¿Ä¡·áÀÇ Á߿伺 294

3. ¿îµ¿Ä¡·áÀÇ Á¾·ù 295

4. ±Ù°Å Áß½É Ã´ÃßÀÇ ¿îµ¿Ä¡·á 296

II. New concept of exercise therapy 297

1. ôÃßÀÇ ¿îµ¿¿¡ ´ëÇÑ ³í¸®Àû Á¢±Ù¹ý: anatomy,

physiology, movement based approach 297

III. SNUBH exercise protocol for

back pain 298

1. Individualized graded stabilization exercise¸¦

µµÀÔÇÑ ¹è°æ 298

2. º¸Çà¿îµ¿À» µµÀÔÇÑ ¹è°æ 300

3. º¹´ë¿îµ¿À» µµÀÔÇÑ ¹è°æ 300

4. ÀÚ¼¼±³Á¤À» µµÀÔÇÑ ¹è°æ 300

IV. SNUBH exercise protocolÀÇ ¿Ï¼º 302

V. ¸¶¹«¸® 302

Âü°í¹®Çå 303



CHAPTER 15 ôÃßÀÎÅͺ¥¼Ç¡¤±ÇÁ¾¿ø¡¤ÀÌ¿µÁØ¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦ 307

I. Epidural steroid injection 308

1. ÇغÎÇÐ 308

2. ÀÛ¿ë ±âÀü ¹× È¿°ú 308

3. ÀûÀÀÁõ°ú ±Ý±âÁõ 309

4. ½Ã¼ú ¹æ¹ý 309

5. ÇÕº´Áõ 315

II. Facet joint injection/sacroiliac joint

injection 317

1. Lumbar facet joint injection 318

2. Cervical facet joint injection 318

3. Sacroiliac joint injection 319

4. Spondylolysis injection 319

III. Vertebroplasty 321

1. ÀûÀÀÁõ°ú ±Ý±âÁõ 321

2. ½Ã¼ú Àü °í·Á»çÇ× 321

3. ½Ã¼ú ¹æ¹ý 324

4. ÇÕº´Áõ 325

5. Kyphoplasty 327

6. Sacroplasty 327

IV. Discography 328

1. Discogenic pain 329

2. ÀûÀÀÁõ°ú ±Ý±âÁõ 329

3. ½Ã¼ú Àü °í·Á»çÇ× 329

4. ½Ã¼ú ¹æ¹ý 330

5. ¿µ»ó¼Ò°ß 333

6. ½Ã¼ú ÈÄ °ü¸® 333

7. ÇÕº´Áõ 333

V. Spinal biopsy 334

1. ÀûÀÀÁõ 334

2. ±Ý±âÁõ 334

3. ½Ã¼ú Àü °í·Á»çÇ× 334

4. ¿µ»óÀåºñ 334

5. Biopsy °æ·Î 336

6. Biopsy needle 336

7. ÇÕº´Áõ 337

Âü°í¹®Çå 337



CHAPTER 16 ¼ö¼ú ÈÄ Ã´ÃßÀÇ ¿µ»óÆò°¡¡¤È«¼®ÁÖ¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦ 339

I. ôÃßÀÇ ¼ö¼ú¹ý 340

1. ôÃß ¼ö¼úÀÇ ±âº» ¿ø¸®¿Í ±â±¸ 340

2. ¼ö¼úÀû Á¢±Ù¹ý ¹× ÀϹÝÀûÀÎ ¼ö¼ú¹ý 345

II. ¼ö¼ú ÈÄ Ã´Ãß ¿µ»ó 349

1. ´Ü¼øÃÔ¿µ 349

2. CT 349

3. MR 350

4. ±âŸ 351

III. ôÃß ¼ö¼ú ÈÄ ¿µ»ó¼Ò°ß°ú ÇÕº´Áõ 351

1. ¼ö¼ú ÈÄ ¿µ»ó¼Ò°ß 351

2. Spinal fusion, instrumentation µî

¼ö¼ú°ú °ü·ÃµÈ ÇÕº´Áõ 353

3. ÁöÁÖ¸·¿° 354

4. ôÃßÇùÂøÁõ 355

5. Epidural fibrosis¿Í recurrent disc

herniation 355

6. Pseudomeningocele 357

7. Infection 358



CHAPTER 17 »ó¿Ï½Å°æÃÑ Áúȯ¡¤ÀÌÀμ÷¡¦ ¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦ 361

I. °³¿ä 362

II. »ó¿Ï½Å°æÃÑÀÇ ÇغÎÇÐÀû °íÂû 362

1. Root, trunk, division, ±×¸®°í cord 362

2. »ó¿Ï½Å°æÃÑÀÇ ¸»´Ü ºÐÁöµé°ú ½Å°æºÐÆ÷ 363

3. Èä°ûÃⱸÀÇ ÇغÎÇÐ 367

III. Practical MR imaging protocol 367

1. ÀϹÝÀûÀÎ MR protocol 367

2. Advanced MRI 368

IV. »ó¿Ï½Å°æÃÑ MRIÀÇ Æò°¡ ¾ç½Ä ¹× ÀÌ»ó¼Ò°ßÀÇ

ÆÇ´Ü 369

1. »ó¿Ï½Å°æÃÑ MRIÀÇ Æò°¡ ¾ç½Ä 369

2. MRI¿¡¼­ ½Å°æÀÇ ÀÌ»ó¼Ò°ß 370

V. ÈçÇÑ ÀÓ»óÁõ»ó 370

VI. º´ÀûÀÎ »óȲ 370

1. ¼â°ñÀ» Áß½ÉÀ¸·Î À§Ä¡¿¡ µû¸¥ ºÐ·ù 370

2. °¢ ÀÓ»óÀû ¼³Á¤¿¡ µû¸¥ ºÐ·ù 371

VII. ¿ä¾à 381

Âü°í¹®Çå 382



CHAPTER 18 ÁÖ¿ä ôÃß ÁúȯÀÇ ¿µ»ó Áø´Ü ipt s¡¤ÀÌÁؿ졦 ¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦385



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