Polyetheretherketone as a Biomaterial for Spinal Applications

Threaded lumbar interbody spinal fusion devices (TIBFD) made from titanium have been reported to be 90% effective for single-level lumbar interbody fusion, although radiographic determination of fusion has been intensely debated in the literature. Using blinded radiographic, biomechanic, histologic, and statistical measures, we evaluated a radiolucent polyetheretherketone (PEEK)-threaded interbody fusion device packed with autograft or rhBMP-2 on an absorbable collagen sponge in 13 sheep at 6 months. Radiographic fusion, increased spinal level biomechanical stiffness, and histologic fusion were demonstrated for the PEEK cages filled with autograft or rhBMP-2 on a collagen sponge. No device degradation or wear debris was observed. Only mild chronic inflammation consisting of a few macrophages was observed in peri-implant tissues. Based on these results, the polymeric biomaterial PEEK may be a useful biomaterial for interbody fusion cages due to the polymer\u27s increased radiolucency and decreased stiffness

Primary stability of cementless threaded acetabular cups at first implantation and in the case of revision regarding micromotions as indicators

The primary stability of cementless total hip endoprosthesis is of vital importance for proximate, long-term osteointegration. The extent of micromotions between implant and acetabulum is an indicator of primary stability. Based on this hypothesis, different cementless hip joint endoprosthesis were studied with regard to their micromotions. The primary stability of nine different cementless threaded acetabular cups was studied in an experimental setup with blocks of rigid foam. The micromotions between implant and implant bearing were therefore evaluated under cyclic, sinusoidal exposure. The blocks of polymer foam were prepared according to the Paprosky defect classifications. The micromotions increased with the increasing degree of the defect with all acetabuli tested. Occasionally coefficients of over 200 mu m were measured. From a defect degree of 3b according to Paprosky, the implants could no longer be appropriately placed. The exterior form of the spherical implants tended to exhibit better coefficients than the conical/parabolic implants

Histologic Evaluation of the Efficacy of rhBMP-2 Compared With Autograft Bone in Sheep Spinal Anterior Interbody Fusion

Study Design. The sheep anterior lumbar spinal fusion model was used to study the efficacy of recombinant human bone morphogenetic protein-2 (rhBMP-2)–collagen composite in comparison with autograft to enhance spinal interbody fusion. Comparisons were drawn from temporal radiographic and end-point biomechanical and histologic data. Objective. To analyze histologically the ability of rhBMP-2 to achieve complete arthrodesis between vertebral bodies. Summary of Background Data. Studies using rhBMP for enhancement of anterior interbody fusion have used numerous endpoints. However, systematic histologic evaluation of the fusion has not been conducted. Methods. Twelve sheep underwent single-level anterior lumbar interbody fusion performed with a cylindrical fenestrated titanium interbody fusion device (INTER FIX, Medtronic Sofamor Danek, Inc., Memphis, TN). The device was filled either with rhBMP-2–collagen (n = 6) or autogenous iliac crest bone graft (n = 6). Radiologic evaluation was carried out at 2-month intervals, and all sheep were killed 6 months after surgery. Nondestructive biomechanical testing for stiffness to flexion, extension, and lateral bending moments, un-decalcified histology, and qualitative and quantitative histologic evaluation were performed. Results. Radiographs revealed a bony bridge anterior to the cage in five of six rhBMP-2-treated animals, whereas it was present only in one of five in the autogenous bone graft group. Segments treated with rhBMP-2 were 20% stiffer in flexion than autograft-treated segments at 6 months. Six of six in the rhBMP-2 group and two of six in the autograft group showed complete fusion. There was a significantly higher rate of bony continuity observed at the fenestrations of the rhBMP-2 group. Three times more number of cage fenestrations in the rhBMP-2 group demonstrated “all-bone” when compared with the autograft group (P \u3c 0.001). Further, the scar tissue in and around the autograft-treated cages was 16-fold more (P \u3c 0.01) than that seen for rhBMP-2-treated cages. Conclusions. The study demonstrates that rhBMP-2 can lead to earlier radiologic fusion and a more consistent increased stiffness of the segments when compared with autograft in sheep anterior lumbar interbody fusion. Furthermore, a three times higher histologic fusion rate is attainable with significantly reduced fibrous tissue around the implant when rhBMP-2 is used

Turbulence in Global Simulations of Magnetized Thin Accretion Disks

We use a global magnetohydrodynamic simulation of a geometrically thin accretion disk to investigate the locality and detailed structure of turbulence driven by the magnetorotational instability (MRI). The model disk has an aspect ratio $H / R \simeq 0.07$, and is computed using a higher-order Godunov MHD scheme with accurate fluxes. We focus the analysis on late times after the system has lost direct memory of its initial magnetic flux state. The disk enters a saturated turbulent state in which the fastest growing modes of the MRI are well-resolved, with a relatively high efficiency of angular momentum transport $> \approx 2.5 \times 10^{-2}$. The accretion stress peaks at the disk midplane, above and below which exists a moderately magnetized corona with patches of superthermal field. By analyzing the spatial and temporal correlations of the turbulent fields, we find that the spatial structure of the magnetic and kinetic energy is moderately well-localized (with correlation lengths along the major axis of $2.5H$ and $1.5H$ respectively), and generally consistent with that expected from homogenous incompressible turbulence. The density field, conversely, exhibits both a longer correlation length and a long correlation time, results which we ascribe to the importance of spiral density waves within the flow. Consistent with prior results, we show that the mean local stress displays a well-defined correlation with the local vertical flux, and that this relation is apparently causal (in the sense of the flux stimulating the stress) during portions of a global dynamo cycle. We argue that the observed flux-stress relation supports dynamo models in which the structure of coronal magnetic fields plays a central role in determining the dynamics of thin-disk accretion.Comment: 24 pages and 25 figures. MNRAS in press. Version with high resolution figures available from http://jila.colorado.edu/~krb3u/Thin_Disk/thin_disk_turbulence.pd

Event Stream Processing with Multiple Threads

Current runtime verification tools seldom make use of multi-threading to speed up the evaluation of a property on a large event trace. In this paper, we present an extension to the BeepBeep 3 event stream engine that allows the use of multiple threads during the evaluation of a query. Various parallelization strategies are presented and described on simple examples. The implementation of these strategies is then evaluated empirically on a sample of problems. Compared to the previous, single-threaded version of the BeepBeep engine, the allocation of just a few threads to specific portions of a query provides dramatic improvement in terms of running time

On the Impact of Memory Allocation on High-Performance Query Processing

Somewhat surprisingly, the behavior of analytical query engines is crucially affected by the dynamic memory allocator used. Memory allocators highly influence performance, scalability, memory efficiency and memory fairness to other processes. In this work, we provide the first comprehensive experimental analysis on the impact of memory allocation for high-performance query engines. We test five state-of-the-art dynamic memory allocators and discuss their strengths and weaknesses within our DBMS. The right allocator can increase the performance of TPC-DS (SF 100) by 2.7x on a 4-socket Intel Xeon server