Successful outcome of six-level cervicothoracic corpectomy and circumferential reconstruction: case report and review of literature on multilevel cervicothoracic corpectomy

The authors report the successful outcome of a six-level corpectomy across the cervico-thoracic spine with circumferential reconstruction in a patient with extensive osteomyelitis of the cervical and upper thoracic spine. To the authors’ knowledge, this is the first report of a corpectomy extending across six levels of the cervico-thoracic spine. Clinical relevance: the authors recommend anterior cage and plate-assisted reconstruction and additional posterior instrumentation using modern spinal surgical techniques and implants

Reconstruction of northeast Asia spring temperature 1784–1990

We describe a first attempt of wide-area dendroclimatic reconstruction, based upon seven spring temperaturesensitive chronologies from the ring widths of living trees, in Japan and Korea. Mean March–May temperature derived from a gridded land air temperature dataset (CRUTEM4) between 35–40; N and 125–140; E was reconstructed for the period of AD1784–1990. Of the seven, two Japanese chronologies were eliminated during the calibration trials. The reconstruction accounted for 19.4% of the temperature variance in the calibration period, and is considered to be skillful for estimating interannual-to-interdecadal variations and not for long-term change. This reconstruction showed remarkably similar fluctuations to regional dendroclimatic reconstructions in Japan and Korea, indicating the past spatial coherency of spring temperatures in the region. The reconstruction was validated against other climate proxies. A fairly good agreement was found with cold periods as estimated from documentary records in southeast China and Japan. The west Japan temperature series recovered from instrumental records also showed a reasonable agreement with the reconstruction. On the other hand, the reconstruction did not show clear abrupt depressions after the Laki and the Tambora eruptions. These comparisons revealed that dendroclimatic spatial reconstruction in this area offers a good potential for reconstructing long-term and large-scale past temperature patterns for northeast Asia

New 14C Determinations from Lake Suigetsu, Japan:12,000 to 0 Cal BP

Calibration is a fundamental stage of the radiocarbon (14C) dating process if one is to derive meaningful calendar ages from samples’ 14C measurements. For the first time, the IntCal09 calibration curve (Reimer et al. 2009) provided an internationally ratified calibration data set across almost the complete range (0 to 50,000 cal BP) of the 14C timescale. However, only the last 12,550 cal yr of this record are composed of terrestrial data, leaving approximately three quarters of the 14C timescale necessarily calibrated via less secure, marine records (incorporating assumptions pertaining to the temporally variable “marine reservoir effect”). The predominantly annually laminated (varved) sediment profile of Lake Suigetsu, central Japan, offers an ideal opportunity to derive an extended terrestrial record of atmospheric 14C across the entire range of the method, through pairing of 14C measurements of terrestrial plant macrofossil samples (extracted from the sediment) with the independent chronology provided through counting of its annual laminations. This paper presents new data (182 14C determinations) from the upper (largely non-varved) 15 m of the Lake Suigetsu (SG06) sediment strata. These measurements provide evidence of excellent coherence between the Suigetsu 14C data and the IntCal09 calibration curve across the last ~12,000 cal yr (i.e. the portion of IntCal based entirely on terrestrial data). Such agreement demonstrates that terrestrial plant material picked from the Lake Suigetsu sediment provides a reliable archive of atmospheric 14C, and therefore supports the site as being capable of providing a high-resolution extension to the “wholly terrestrial” (i.e. non-reservoir-corrected) calibration curve beyond its present 12,550 cal BP limit

A Complete Terrestrial Radiocarbon Record for 11.2 to 52.8 kyr B.P.

Radiocarbon (14C) provides a way to date material that contains carbon with an age up to ~50,000 years and is also an important tracer of the global carbon cycle. However, the lack of a comprehensive record reflecting atmospheric 14C prior to 12.5 thousand years before the present (kyr B.P.) has limited the application of radiocarbon dating of samples from the Last Glacial period. Here, we report 14C results from Lake Suigetsu, Japan (35°35′N, 135°53′E), which provide a comprehensive record of terrestrial radiocarbon to the present limit of the 14C method. The time scale we present in this work allows direct comparison of Lake Suigetsu paleoclimatic data with other terrestrial climatic records and gives information on the connection between global atmospheric and regional marine radiocarbon levels

Contributing factors affecting the prognosis surgical outcome for thoracic OLF

The thoracic ossification of ligamentum flavum (OLF) is a disease that produces spastic paraparesis, and there are various factors that may affect the surgical outcome of thoracic OLF patients. The authors of this study treated 19 of these thoracic OLF patients from 1998 to 2002, and retrospectively reviewed the patients′ age, sex, symptom duration, involved disease level, preoperative clinical features, neurological findings, radiological findings, the other combined spinal diseases and the surgical outcomes. There were excellent or good surgical outcomes in 16 patients, but 3 patients did not improve after thoracic OLF surgery: this included 1 patient, whose motor function worsened after decompressive thoracic OLF surgery. The favorable contributing factors of surgical outcome in thoracic OLF are a short preoperative symptom duration, single-level lesion, and unilateral lesion type on CT axial scan. On the contrary, the poor prognostic factors are beak type lesion and intramedullary signal changes on T2-weighted sagittal MRI. The complete preoperative evaluation including radiologic findings will provide valuable aid in presuming the surgical outcome for the thoracic OLF patients.ope