The association of rod curvature with postoperative outcomes in patients undergoing posterior lumbar interbody fusion for spinal stenosis: a retrospective case–control study

Abstract Background Restoration of sagittal balance is a crucial consideration in posterior lumbar interbody fusion (PLIF) surgery and adverse postoperative outcomes are associated with inadequate restoration of sagittal alignment. However, there remains a shortage of substantial evidence regarding the effect of rod curvature on both sagittal spinopelvic radiographic parameters and clinical outcomes. Method A retrospective case–control study was conducted in this study. Patient demographics (age, gender, height, weight and BMI), surgical characteristics (number of fused levels, surgical time, blood loss and hospital stay) and radiographic parameters (lumbar lordosis [LL], sacral slope [SS], pelvic incidence [PI], pelvic tilt [PT], PI-LL, Cobb angle of fused segments [Cobb], rod curvature [RC], Posterior tangent angle of fused segments [PTA] and RC-PTA) were analyzed. Results Patients in the abnormal group had older mean age and suffered more blood loss than those in the normal group. In addition, RC and RC-PTA were significantly lower in the abnormal group compared to the normal group. Multivariate regression analysis revealed that lower age (OR = 0.94; 95% CI: 0.89–0.99; P = 0.0187), lower PTA (OR = 0.91; 95% CI: 0.85–0.96; P = 0.0015) and higher RC (OR = 1.35; 95% CI: 1.20–1.51; P < 0.0001) were related to higher odds of better surgical outcomes. The receiver operating characteristic curve analysis showed that the ROC curve (AUC) for predicting outcomes of surgery by RC classifier was 0.851 (0.769–0.932). Conclusions In patients who underwent PLIF surgery for lumbar spinal stenosis, those who had a satisfactory postoperative outcome tended to be younger, had lower blood loss, and higher values of RC and RC-PTA compared to those who had poor recovery and required revision surgery. Additionally, RC was found to be a reliable predictor of postoperative outcomes

Additional file 1 of The association of rod curvature with postoperative outcomes in patients undergoing posterior lumbar interbody fusion for spinal stenosis: a retrospective case–control study

Additional file 1: Supplement Digital Content 1. Summary receiver operating characteristic curvesfor RC for predicting postoperative outcomes. Supplement Digital Content 2. Summary receiver operatingcharacteristic curves for RC-PTA for predicting postoperative outcomes

Effects of Extraction Methods on Structure and Valorization of Corn Stover Lignin by a Pd/C Catalyst

With the significant development of efficient pretreatments of lignocellulosic biomass towards using carbohydrate compositions for biofuel production, the valorization of associated lignin products into valuable chemicals has gained much attention. Four lignins obtained by pretreatment of corn stover with emerging ionic liquid-based mixed organic electrolytes (ILOE) and alkaline twin-screw extrusion (ATSE) pretreatment technologies were characterized by gel permeation chromatography (GPC), FTIR, HSQC, P-31 NMR spectroscopy, and SEM. These lignins were valorized by using Pd/C under various conditions, followed by an elucidation of the relationship between the lignin structure and valorization efficiency and selectivity. The pretreatment/separation methods have a significant effect on lignin structure and subsequent valorization efficiency. HSQC spectra revealed that corn stover lignin consisted of beta-O-4, beta-5, beta-1 linkages, and cinnamyl alcohol end groups. The extracted lignins (EL) showed less carbohydrates and beta-O-4 units than those of enzymatic hydrolytic lignins (EHL). The yields of bio-oils were 61.7% and 57.9% for ATSE-EL and ILOE-EL, and 34.2% and 45.1% for ATSE-EHL and ILOE-EHL under optimal and comparative conditions, respectively. Part of the syringyl (S) units were converted into guaiacyl or p-hydroxyphenyl (H) units by release of methoxyl groups on the aromatic ring through hydrogenolysis, which led to a decreased proportion of S units and an increased proportion of H units in oil compared with in lignin

Ultrathin LayCoOx Nanosheets with High Porosity Featuring Boosted Catalytic Oxidation of Benzene: Mechanism Elucidation via an Experiment–Theory Combined Paradigm

Designing transition-metal oxides for catalytically removing the highly toxic benzene holds significance in addressing indoor/outdoor environmental pollution issues. Herein, we successfully synthesized ultrathin LayCoOx nanosheets (thickness of ∼1.8 nm) with high porosity, using a straightforward coprecipitation method. Comprehensive characterization techniques were employed to analyze the synthesized LayCoOx catalysts, revealing their low crystallinity, high surface area, and abundant porosity. Catalytic benzene oxidation tests demonstrated that the La0.029CoOx-300 nanosheet exhibited the most optimal performance. This catalyst enabled complete benzene degradation at a relatively low temperature of 220 °C, even under a high space velocity (SV) of 20,000 h–1, and displayed remarkable durability throughout various catalytic assessments, including SV variations, exposure to water vapor, recycling, and long time-on-stream tests. Characterization analyses confirmed the enhanced interactions between Co and doped La, the presence of abundant adsorbed oxygen, and the extensive exposure of Co3+ species in La0.029CoOx-300 nanosheets. Theoretical calculations further revealed that La doping was beneficial for the formation of oxygen vacancies and the adsorption of more hydroxyl groups. These features strongly promoted the adsorption and activation of oxygen, thereby accelerating the benzene oxidation processes. This work underscores the advantages of doping rare-earth elements into transition-metal oxides as a cost-effective yet efficient strategy for purifying industrial exhausts

Maternal uniparental disomy 14 and mosaic trisomy 14 in a Chinese boy with moderate to severe intellectual disability

Background: Both maternal uniparental disomy 14 (UPD(14)mat) and mosaic trisomy 14 are rare events in live individuals. A combination of the two events in one individual is rarely encountered. Only six live-born cases have so far been reported. Case presentation: Here we reported a case of concomitant UPD(14)mat and mosaic trisomy 14 in a 10-year-old Chinese patient. Most clinical features of our patient were consistent with those previous reported for UPD(14)mat cases, which include prenatal and postnatal growth retardation, neonatal hypotonia, feeding difficulty, intellectual disability, truncal obesity, small hands and feet, short stature, and mild facial dysmorphism, but our patient showed more severe intellectual disability and no sign of precocious puberty. SNP array analysis revealed a mixture of chromosome 14 maternal isodisomy with heterodisomy and a low level trisomy mosaicism of whole chromsome 14 in blood and hyperpigmented skin samples, whereas only UPD(14)mat was detected in normal skin sample. Cytogenetic analysis identified one trisomy 14 cell in 100 metaphase of peripheral blood lymphocytes (47,XX, +14[1]/46,XX[99]). Conclusions: To our knowledge, this is the first case of a patient with UPD(14)mat and mosaic trisomy 14 reported in a Chinese patient. The definitive genetic diagnosis is beneficial for genetic counseling and clinical management of our patient, and for improving our understanding of the genotype-phenotype correlations of concomitant UPD(14)mat and mosaic trisomy 14. Electronic supplementary material The online version of this article (doi:10.1186/s13039-016-0274-4) contains supplementary material, which is available to authorized users

Additional file 1: of Maternal uniparental disomy 14 and mosaic trisomy 14 in a Chinese boy with moderate to severe intellectual disability

SNP array raw data for chromosome 14 of the family trio. (XLS 1028 kb