781 results match your criteria: "Southwest Spine & Pain Center[Affiliation]"

Background: Peripheral artery disease (PAD) patients after endovascular treatment (EVT) have a relatively high restenosis rate. However, this risk can be mitigated through precise risk assessment and individualized self-management intervention plans. Moreover, the number of predictive models for restenosis risk in PAD patients after EVT is gradually increasing, yet these results of study exhibit certain discrepancies, raising uncertainties regarding the quality and applicability in clinical practice and future research.

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Study Design: Retrospective analysis of prospectively collected data.

Objective: This study evaluates the impact of knee osteoarthritis (OA) and knee arthroplasty on alignments and patient-reported outcomes measures (PROMS) of patients undergoing adult spinal deformity (ASD) corrective surgery.

Background: The relationship between knee OA and spinal alignment in patients with ASD is incompletely understood.

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Purpose: Porcine cervical spines are commonly used as a surrogate for human lumbar spines due to their similar anatomic and mechanical characteristics. Despite their use in spinal biomechanics research, porcine annulus fibrosus (AF) yield and ultimate properties have not been fully evaluated. This study sought to provide a novel dataset of elastic, yield, and ultimate properties of the porcine AF loaded in the circumferential direction.

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Purpose: To investigate the impact of the Global Alignment and Proportion (GAP) score components on patient outcomes in Adult Spine Deformity (ASD) surgery.

Methods: Patients included underwent assessment via the GAP score and its individual components: pelvic version (GAP PV), lumbar lordosis (GAP LL), lumbar distribution index (GAP LDI) and spinopelvic component (GAP SP). Multivariable analyses assessed the association between alignment in these components and clinical outcomes in ASD patients.

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Dorvilleidae Chamberlin, 1919 is a family of Annelida containing some of the smallest 'polychaetes' species, being poorly studied worldwide, and with little knowledge regarding its diversity and occurrence. Samples obtained in oceanographic campaigns performed in the Southwest Atlantic Ocean (Brazilian coast) revealed a high number of specimens of dorvilleids, adding to our knowledge of the family's biodiversity. A detailed morphological analysis of these organisms has revealed a new genus, , with two new species.

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Purpose: Understanding how spinal orientation affects injury outcome is essential to understand lumbar injury biomechanics associated with high-rate vertical loading.

Methods: Whole-column human lumbar spines (T12-L5) were dynamically loaded using a drop tower to simulate peak axial forces associated with high-speed aircraft ejections and helicopter crashes. Spines were allowed to maintain natural lordotic curvature for loading, resulting in a range of orientations.

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Article Synopsis
  • Understanding preoperative deformity in lumbar spine revisions can help improve outcomes and prevent failures in future surgeries.
  • A study compared patients with no prior surgery (PRIMARY) and those with short (SHORT) or long (LONG) fusions, highlighting how different failure modes correlate with shorter fusions.
  • Results showed that revision patients experienced significant alignment issues and often required more invasive correction techniques, indicating a need for better alignment strategies in future operations.
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Article Synopsis
  • The study is a retrospective cohort analysis aimed at assessing the surgical outcomes of adult spinal deformity using AI-based clustering to categorize patients into different deformity types, including Moderate Sagittal, Severe Sagittal, Coronal, and Hyper-Thoracic Kyphosis.
  • A total of 1062 patients were analyzed, showing that while all deformity clusters experienced similar improvements in health-related quality of life after surgery, those in the Severe Sagittal cluster had notably higher complication rates, especially regarding major complications, reoperations, and implant failures.
  • Despite varying complication rates among clusters, the types of complications did not show significant differences, indicating that all clusters benefit equally from surgical interventions, achieving comparable rates of minimal clinically important difference in quality
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Larval and transforming stages of smallscale weakfish Cynoscion microlepidotus (Sciaenidae) are described and illustrated based on samples obtained in three different sites along the Brazilian coast: São Marcos Bay (Maranhão state), Camamu Bay (Bahia state), and the Cananéia-Iguape Estuarine System (São Paulo state). Identification of early stages of C. microlepidotus was based on meristic counts, such as number of myomeres (22), number of fin spines and rays (dorsal XI, 24, anal II, 9 and pectoral 19), morphological features (presence of supraoccipital crest in larvae from flexion to transformation stages, branched anal fin spines) and pigmentation pattern.

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Background: Intervertebral disc degeneration (IVDD) is an age-related orthopedic degenerative disease characterized by recurrent episodes of lower back pain, the pathogenesis of which is not fully understood. This study aimed to identify key biomarkers of IVDD and its causes.

Methods: We acquired three gene expression profiles from the Gene Expression Omnibus (GEO) database, GSE56081, GSE124272, and GSE153761, and used limma fast differential analysis to identify differentially expressed genes (DEGs) between normal and IVDD samples after removing batch effects.

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Article Synopsis
  • Oesophagomediastinal fistula is a rare condition that can lead to significant health issues like recurrent pneumonia and pulmonary artery pseudoaneurysms (PAPs), which are serious vascular complications.
  • A 45-year-old male experienced sudden symptoms including cough, difficulty breathing, and severe hemoptysis, which required emergency interventions like bronchoscopy and embolization.
  • Treatment involved antifungal therapy and closure of the fistula, resulting in the resolution of symptoms and the need for ongoing medication to ensure recovery, underlining the critical need for quick diagnosis and aggressive management in such complex cases.
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Background: Lower back pain, as a typical clinical symptom of spinal degenerative diseases, is emerging as a major social problem. According to recent researches, the primary cause of this problem is intervertebral disc degeneration (IVDD). IVDD is closely associated with factors such as age, genetics, mechanical stimulation (MS), and inadequate nutrition.

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Article Synopsis
  • A study compared the effectiveness of percutaneous kyphoplasty combined with pediculoplasty (PKCPP) versus simple percutaneous kyphoplasty in treating severe osteoporotic vertebral fractures, finding that PKCPP offered better pain relief and spinal stability.
  • The purpose was to evaluate PKCPP’s ability to address complex fractures, reduce refracture risks, and maintain vertebral stability.
  • The study involved 96 patients and tracked clinical outcomes over a year, showing that while simple kyphoplasty had quicker surgeries and less cement used, PKCPP had superior therapeutic benefits.
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Article Synopsis
  • This multicentric retrospective study aimed to establish normative values for proximal junctional angles (PJA) in adult spinal deformity (ASD) surgery patients, using data from healthy volunteers for comparison.
  • The study analyzed data from 721 healthy individuals and 824 ASD surgery patients, assessing the rates of abnormal PJA values and comparing them with the rates of proximal junctional kyphosis (PJK) using different definitions.
  • Findings revealed significant differences in PJK rates based on the criteria used, highlighting the need for more precise level-adjusted assessments of PJA values to better define abnormalities and challenge traditional definitions of PJK.
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Contact between leaked cement and adjacent vertebral endplate induces a greater risk of adjacent vertebral fracture with vertebral bone cement augmentation biomechanically.

Spine J

February 2025

Department of Orthopedics, Luzhou Key Laboratory of Orthopedic Disorders, The Affiliated Traditional Chinese Medicine Hospital, Southwest Medical University, Luzhou 646000, Sichuan Province, PR China. Electronic address:

Background Context: Adjacent vertebral fracture (AVF) is a frequently observed complication after percutaneous vertebroplasty in patients with osteoporotic vertebral compressive fracture (OVCF). Studies have demonstrated that intervertebral cement leakage (ICL) can increase the incidence of AVF, but others have reached opposite conclusions. The stress concentration initially increases the risk of AVF, and dispersive concentrated stress is the main biomechanical function of the intervertebral disc (IVD).

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Obesity is an independent risk factor for postoperative pulmonary embolism after anterior cervical discectomy and fusion.

Spine J

February 2025

Virginia Tech Carilion School of Medicine, 2 Riverside Circle, Roanoke, VA 24016, USA; Department of Orthopaedic Surgery, Institute for Orthopaedics & Neurosciences, Carilion Clinic, 2331 Franklin Road Southwest, Roanoke, VA 24014, USA. Electronic address:

Article Synopsis
  • The study investigates the impact of different obesity levels on complication rates for patients undergoing anterior cervical discectomy with fusion (ACDF), using a large national database from 2011 to 2020.
  • It categorizes patients into four BMI groups (nonobese and three obesity classes) and assesses various demographic and health-related risk factors for perioperative complications.
  • The analysis involved over 64,000 patients, aiming to better understand how obesity correlates to surgical outcomes in a diverse patient population.
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Profound cellular defects attribute to muscular pathogenesis in the rhesus monkey model of Duchenne muscular dystrophy.

Cell

November 2024

State Key Laboratory of Primate Biomedical Research Institute of Primate Translational Medicine, Kunming University of Science and Technology, 650500 Kunming, China; Faculty of Life Science and Technology, Kunming University of Science and Technology, 650500 Kunming, China; Yunnan Key Laboratory of Primate Biomedical Research, 650500 Kunming, China; Southwest United Graduate School, 650092 Kunming, China. Electronic address:

Article Synopsis
  • * Researchers created a rhesus monkey model for DMD that closely resembles human DMD symptoms, allowing for an in-depth study of muscle tissue changes using single-cell RNA sequencing (scRNA-seq).
  • * The study found alterations in immune cells, abnormalities in specific fibro-adipogenic progenitors, and issues in muscle stem cells that could hinder potential therapies, providing insights into DMD's underlying mechanisms.
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Article Synopsis
  • Study Focus
  • : The research investigates how effectively adolescent men who have sex with men (MSM) clear human papillomavirus (HPV) DNA and antibodies, aiming to fill the gap in understanding this demographic’s HPV clearance.
  • Methodology Overview
  • : 183 MSM participants were enrolled, and HPV DNA and antibody tests were conducted at multiple intervals over 12 months to determine rates of definite and possible clearance for various HPV genotypes (6, 11, 16, and 18).
  • Key Findings
  • : The results showed varying clearance rates for HPV DNA across anal and penile sites, with clear discrepancies in the clearance of antibodies, indicating low agreement between the two clearance methods.
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Adolescent idiopathic scoliosis (AIS) is the most common type of scoliosis in children older than 10 years in the United States. AIS is defined as a lateral spine curvature of 10° or more in the coronal plane, without congenital or neuromuscular comorbidities. The U.

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Low-Mineral Water Diminishes the Bone Benefits of Boron.

Nutrients

August 2024

Department of Environmental Hygiene, College of Preventive Medicine, Army Medical University, Chongqing 400038, China.

Article Synopsis
  • This study investigated the effects of desalinated seawater, which contains low minerals and high boron levels, on bone health in mice, since previous research shows mixed results.
  • Mice were divided into groups and given water with different boron concentrations while living in a warm, humid environment and exercising, allowing researchers to evaluate changes over 13 weeks.
  • Results indicated that while low to moderate boron levels initially improved bone health, high levels were detrimental, and co-exposure to purified water reduced boron's positive effects, highlighting the need to consider water's mineral content in health studies related to boron.
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Intervertebral disc degeneration (IDD) is a major cause of discogenic pain, and is attributed to the dysfunction of nucleus pulposus, annulus fibrosus, and cartilaginous endplate (CEP). Osteopontin (OPN), a glycoprotein, is highly expressed in the CEP. However, little is known on how OPN regulates CEP homeostasis and degeneration, contributing to the pathogenesis of IDD.

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Value Defects in Spine Surgery: How to Reduce Wasteful Care and Improve Value.

J Am Acad Orthop Surg

September 2024

From the Department of Pharmaceutical and Health Economics, Mann School of Pharmacy & Pharmaceutical Sciences, Leonard D. Schaeffer Center for Health Policy and Economics, University of Southern California, Los Angeles, CA (Padula), Division Chief of Neurosurgery, University Hospitals, St. John and Southwest General Medical Centers, Cleveland, OH (Smith), Department of Neurosurgery, Case Western Reserve University, Cleveland, OH (Smith), Department of Orthopaedic Surgery, University Hospitals Cleveland Medical Center, Cleveland, OH (Gordon), Department of Orthopaedic Surgery, Case Western Reserve University School of Medicine, Cleveland, OH (Gordon), and Schools of Medicine, Nursing, and Management, Case Western Reserve University, Cleveland, OH (Pronovost).

Technological innovation has advanced the efficacy of spine surgery for patients; however, these advances do not consistently translate into clinical effectiveness. Some patients who undergo spine surgery experience continued chronic back pain and other complications that were not present before the procedure. Defects in healthcare value, such as the lack of clinical benefit from spine surgery, are, unfortunately, common, and the US healthcare system spends $1.

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Study Design: Retrospective Cohort Study.

Objectives: Length of Stay (LOS) and resource utilization are of primary importance for hospital administration. This study aimed to understand the incremental effect of having a specific complication on LOS among ASD patients.

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Cu-MOFs@AuPtNPs nanozyme-based immunosorbent assay for colorimetric detection of alpha-fetoprotein.

Anal Methods

September 2024

Department of Clinical Laboratory Medicine, The People's Hospital of Chongqing Liangjiang New Area, No. 199 Ren Xing Road, Yubei, Chongqing, 401121, PR China.

Accurate detection of tumor biomarkers in blood is crucial for diagnosing and treating tumor disease. In this study, a metal enzyme-linked immunosorbent assay (MeLISA) was fabricated for the ultrasensitive and naked-eye detection of tumor biomarker alpha-fetoprotein (AFP) in clinical serum samples. Herein, novel copper metal-organic frameworks and gold platinum nanoparticle composites (Cu-MOFs@AuPtNPs) were synthesized for the first time by an method, which showed an enormous specific surface area and excellent peroxidase (POx) mimicking properties.

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Introduction: Spontaneous intracerebral haemorrhage (sICH) is a major cause of morbidity and mortality. Large-scale trials have shown neutral outcomes for surgical interventions. The recent trial suggested functional benefits from surgical intervention.

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