[Clinical practice guideline of integrated traditional Chinese and western medicine：atlantoaxial dislocation (AAD) (2019)].

Editor's Note: EDITOR'S NOTE In 2019, the clinical practice guideline of integrated traditional Chinese and western medicine atlantoaxial dislocation (ADD) was developed by the professional committee of spine medicine of the Chinese Association for Integration of Chinese and Western medicine, aiming at the major clinical problems of atlantoaxial dislocation (AAD) endangering the life center of the medulla oblongata in the field of spine surgery. More than 40 experts at home and abroad in the field of cervical spine surgery organized the first guide for the diagnosis and treatment of AAD. Guided by the principles of evidence based medicine and the consensus of experts, this guideline is based on the theory of "combination of disease and syndrome, from supervision to treatment" for the diagnosis and treatment of AAD；based on the treatment principles of "spinal cord decompression, reconstruction of atlantoaxial stability"；based on Tan technology, Goel technology, Abumi technology and other core technologies for surgical treatment.

[Case-control study on Pi needle for the treatment of the cutaneous nerve entrapment low back pain].

Objective: To explore a safe and effective method for the treatment of low back pain in the cutaneous nerve, and to clarify the indication of Pi needle to treat it.

Methods: From January 2003 to December 2004, 278 patients with cutaneous nerve entrapment low back pain were divided into two groups: Pi needle group and electrical stimulation group. In the Pi needle group, there were 68 males and 70 females, ranging in age from 20 to 60 years old, with an average of(41.

[Clinical results of needle Dao for the treatment of subacromial impingement syndrome].

Objective: To study the clinical results of needle Dao for the treatment of subacromial impingement syndrome.

Methods: From September 2013 to August 2014, 90 patients with subacromial impingement syndrome were treated, including 61 females and 29 males, with the average age of (55.21±8.

[Precise application of Traditional Chinese Medicine in minimally-invasive techniques].

The miminally-invasive techniques of traditional Chinese medicine(TCM) uses different types of acupuncture needles to treat diseased locations with special techniques. These techniques include different methods of insertion and closed incision (press cutting, sliding cutting, scrape cutting, etc.).

[Stiletto needle and needle-knife for influence of gravity index in treating knee osteoarthritis].

Objective: To explore stiletto needle and needle-knife for influence of double sufficient weight in treating knee osteoarthritis patients.

Methods: One hundred and thirteen early and medium term knee osteoarthritis patients were randomly divided into three groups, including stiletto needle group(38 cases), needle-knife group (38 cases) and voltaren group (37 cases). In stiletto needle group, there were 13 males and 25 females with an average of(55.

[Analysis of the axial stretching force of the small splint fixation system].

Objective: To measure the axial stretching force produced by the small splint fixation system in the treatment of the fracture.

Methods: Dumbbell shaped plexiglass was machined to model the bone shaft with expanded two ends. Force transducer was set at the model fracture site to measure the stretching force produced by fracture fixation of the small splint with cloth aqueous bag that simulated the muscles and other soft tissue underneath.

[The causes and prevention of C₅ nerve root palsy after anterior cervical decompression and fusion].

Objective: To analyze the causes of muscular paralysis due to C₅ nerve root injury after anterior cervical decompression and fusion (ACDF) and explore its prevention way.

Methods: From January 2005 to December 2015, 310 patients underwent ACDF in our hospital. Of them, 9 cases occurred muscular paralysis due to C₅ nerve root injury after operation.

[Factor analysis of muscular paralysis due to nerve root injury after posterior lumbar interbody fusion (PLIF)].

Objective: To analyze the reasons of muscular paralysis due to nerve root injury after PLIF.

Methods: From January 2001 to January 2012, 1 250 cases underwent PLIF in our hospital, after operation, 29 cases occurred muscular paralysis due to nerve root injury. There were 10 males and 19 females with an average age of 61 years, 12 cases with one-segment, 14 cases with two-segment, 3 cases with three-segment.

[Case-control study on stiletto needle and Dichofenac Diethylammon for the treatment of knee osteoarthritis pain].

Objective: To investigate therapeutic effects of stiletto needle and Dichofenac Diethylammon in treating knee osteoarthritis pain at early and medium-term.

Methods: Sixty-seven patients with early and medium-term knee osteoarthritis were randomly divided into two groups, 34 cases in stiletto needle group (treatment group) and 33 cases in Dichofenac Diethylammon (control group). Among them, 60 patients finished treatment and followed-up for 1 months (7 cases fall off totally, 4 cases in treatment group and 3 cases in control group).

[Analysis of curative effect of the intervertebral space lavaging for the treatment of incisions deep infections at early stage after posterior lumber internal fixation].

Objective: To explore the reason,diagnose outline,therapeutic tool of the incisions deep infections at early stage after lumber internal fixation.

Methods: From January 2001 to December 2011, 10 patients with incisions deep infections at the early stage after the posterior lumber internal fixation were treated with intervertebral space lavaging. There were 1 male and 9 females with an average age of 63 years, and an average infection started at the 6th day after operation.

[Effects of acupotomy lysis on local soft tissue tension in patients with the third lumbar vertebrae transverse process syndrome].

Objective: To explore the mechanism of acupotomy lysis in treatment of the third lumbar vertebrae transverse process syndrome.

Methods: One hundred and eighty patients were randomly assigned into an acupotomy group and an electroacupuncture (EA) group, 90 cases in each group. The acupotomy group was treated with acupotomy on the tip of the 3rd lumbar vertebrae transverse process (tender point) combination with massage manipulation of hyperflexion and hyperextension on the waist, once a week for 3 weeks.

[Effects of tension relaxation by small needle knife on muscle tension and nerve endings after compression of gracilis muscle in rats].

Objective: To determine the effect of tension relaxation by small needle knife on the muscle tension and morphology changes of nerve terminals when sustained pressure was applied to muscular tissue.

Methods: Rat gracilis muscles were exposed to pressure in vivo at 70 kPa for 2 hours. Sixty rats were divided into three groups: normal, control and experiment group respectively.

[Influence of aqueous extract of Aralia echinocaulis Hand.-Mazz on the expression of fracture healing-related factor receptors].

Objective: To investigate the influence of aqueous extract of Aralia echinocaulis Hand.-Mazz on the expression of fracture healing-ralated factor receptors.

Methods: Single factor model was set up in SD rat.

[Effects of small needle knife on the substance P in the dorsal root ganglion and spinal cord of rats].

Objective: To study the mechanism of synthesis of substance P (SP) in the dorsal root ganglion (DRG) and the release of it in the dorsal horn of the spinal cord of rats after compression of skeletal muscle, and to observe the influence of small needle knife.

Methods: Sustained pressure of 70 kPa was applied to rats, muscular tissues for 2 hours. The rats were divided into three groups: normal, control and experiment group respectively.

[Vertebra morphology measurement in adolescent idiopathic scoliosis population].

Objective: To measurement the vertebra morphology using multi-planar reformations method of multi-slice spiral CT (MSCT) in AIS girls, and To compare with age and gender-matched controls in order to affirm the morphology results of abnormal development of the anterior and posterior elements in AIS.

Methods: Thoracic and lumbar spine multi-slice spiral CT was undertaken on 52 girls with AIS between the age of 10 and 18 years from June 2004 to May 2008 in Peking Union Medical College Hospital and Beijing Shijitan Hospital, and 54 age and gender-matched non-IS controls. Multiple measurements (including the anterior column and posterior column) of each thoracic and lumbar vertebra were obtained using the 3D-MPR technique.

[Assessment of flexibility in adolescent idiopathic scoliosis by curved planar reformation using multi-slice spiral CT scanning].

Objective: To investigate the role of curved planar reformation (CPR) using multi-slice spiral CT scanning to evaluate the coronal and sagittal plane in scoliosis so as to affirm the features of supine coronal and sagittal plane in idiopathic scoliosis.

Methods: Thoracic and lumbar spine multi-slice spiral CT scanning was undertaken on 45 patients with adolescent idiopathic scoliosis (AIS), all female, age 10 - 18. CPR was used to reconstruct the spine coronal and sagittal planes respectively.

[Randomized control clinical study on third lumbar transverse process syndrome treated by knife needle].

Objective: To evaluate the therapeutic effects of knife needle on third lumbar transverse process syndrome.

Methods: From 2007.3 to 2007.

[In vivo effects of Qizheng-xiaotong plaster on soft tissue injury of rabbit ears].

Objective: To explore in vivo effects of Qizheng-xiaotong plaster on soft tissue injury in rabbit ears at different periods and to offer theoretical bases for clinical application.

Methods: The experimental models of soft tissue injury in ears were produced in 10 New Zealand white rabbits, and the ears were divided into three groups at the 1st, 2nd, 3rd week. The normal group and treatment group were given the Qizheng-xiaotong plaster extract, and the model group with normal saline.

[Influence of canthaxanthin on D-galactose induced osseous changes of rat].

Objective: To study the influence of canthaxanthin on D-galactose induced osseous changes of rat.

Methods: Forty-five six-week-old Wistar male rats were randomly divided into model group, canthaxanthin group and young control group. In addition, 15 sixteen-month-old Wistar male rats were used as old control group.

[Relationship between the gray level of X-ray photograph and the cortical thickness].

Objective: In order to get three dimensional measurements simply an plain X-ray photographs.

Methods: The multi-layers of bone pieces were made by use of bone saw, and piled up to spiral ladder, which was used as a calibrating module for to living bone in clinics. The relationship between the cortical thickness and gray level of the X-ray photographs was obtained.

[Effects of Astaxanthin on the damage of osteoblast induced by H2O2].

Objective: To investigate the effect of Astaxanthin on enhancing the function of anti-oxidative damage in osteoblast.

Methods: MC3T3-E1 osteoblasts were randomly divided into five groups, including control group, model group, Astaxanthin group [low-dose (1 x 10(-7) mol/L), middle-dose (1 x 10(-6) mol/L), high-dose (1 x 10(-5) mol/L)], in which the activity of cells, activity of superoxide dismutase (SOD), the content of reactive oxygen species (ROS), lipid oxygen (LPO) and membrane fluidity were tested and compared.

Results: Compared with Astaxanthin groups, the activity of cells, SOD activity and membrane fluidity in the model group were significantly decreased (P < 0.