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Jo DJ, Kim YS, Kim SM, Kim KT, Seo EM. Clinical and radiological outcomes of modified posterior closing wedge osteotomy for the treatment of posttraumatic thoracolumbar kyphosis. J Neurosurg Spine 2015; 23:510-7. [DOI: 10.3171/2015.1.spine131011] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
OBJECT
Most thoracolumbar fractures have a good healing outcome with adequate treatment. However, posttraumatic thoracolumbar kyphosis can occur in a proportion of thoracolumbar fractures after inappropriate treatment, osteoporosis, or osteonecrosis of the vertebral body. There are several surgical options to correct posttraumatic thoracolumbar kyphosis, including anterior, posterior, and combined approaches, which are associated with varying degrees of success. The aim of this study was to assess the use of a modified closing wedge osteotomy for the treatment of posttraumatic thoracolumbar kyphosis and to evaluate the radiographic findings and clinical outcomes of patients treated using this technique.
METHODS
Thirteen consecutive patients with symptomatic posttraumatic thoracolumbar kyphosis were treated using a modified closing wedge osteotomy. The mean patient age was 62 years. The kyphosis apex ranged from T-10 to L-2. The sagittal alignment, kyphotic angle, neurological function, visual analog scale for back pain, and Oswestry Disability Index were evaluated before surgery and at follow-up.
RESULTS
The mean preoperative regional angle was 27. 4°, and the mean correction angle was 29. 6°. Sagittal alignment improved with a mean correction rate of 58. 3%. The mean surgical time was 275 minutes, and the mean intraoperative blood loss was 1585 ml. The intraoperative complications included 2 dural tears, 1 nerve root injury, and 1 superficial wound infection. The mean visual analog scale score for back pain improved from 6. 6 to 2, and the Oswestry Disability Index score decreased from 55. 4 to 22. 6 at the last follow-up. All patients achieved bony anterior fusion based on the presence of trabecular bone bridging at the osteotomy site.
CONCLUTIONS
The modified posterior closing wedge osteotomy technique achieves satisfactory kyphosis correction with direct visualization of the circumferentially decompressed spinal cord, as well as good fusion with less blood loss and fewer complications. It is an alternative method for treating patients with posttraumatic thoracolumbar kyphosis.
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Abdesselam A, Adachi I, Adametz A, Adye T, Ahmed H, Aihara H, Akar S, Alam MS, Albert J, Al Said S, Andreassen R, Angelini C, Anulli F, Arinstein K, Arnaud N, Asner DM, Aston D, Aulchenko V, Aushev T, Ayad R, Babu V, Badhrees I, Bahinipati S, Bakich AM, Band HR, Banerjee S, Barberio E, Bard DJ, Barlow RJ, Batignani G, Beaulieu A, Bellis M, Ben-Haim E, Bernard D, Bernlochner FU, Bettarini S, Bettoni D, Bevan AJ, Bhardwaj V, Bhuyan B, Bianchi F, Biasini M, Biswal J, Blinov VE, Bloom PC, Bobrov A, Bomben M, Bondar A, Bonneaud GR, Bonvicini G, Bozek A, Bozzi C, Bračko M, Briand H, Browder TE, Brown DN, Brown DN, Bünger C, Burchat PR, Buzykaev AR, Calabrese R, Calcaterra A, Calderini G, Carpinelli M, Cartaro C, Casarosa G, Cenci R, Červenkov D, Chang P, Chao DS, Chauveau J, Cheaib R, Chekelian V, Chen A, Chen C, Cheng CH, Cheon BG, Chilikin K, Chistov R, Cho K, Chobanova V, Choi HHF, Choi SK, Chrzaszcz M, Cibinetto G, Cinabro D, Cochran J, Coleman JP, Contri R, Convery MR, Cowan G, Cowan R, Cremaldi L, Dalseno J, Dasu S, Davier M, Davis CL, De Mori F, De Nardo G, Denig AG, Derkach D, de Sangro R, Dey B, Di Lodovico F, Dingfelder J, Dittrich S, Doležal Z, Dorfan J, Drásal Z, Drutskoy A, Druzhinin VP, Dubois-Felsmann GP, Dunwoodie W, Dutta D, Ebert M, Echenard B, Eidelman S, Eigen G, Eisner AM, Emery S, Ernst JA, Faccini R, Farhat H, Fast JE, Feindt M, Ferber T, Ferrarotto F, Ferroni F, Field RC, Filippi A, Finocchiaro G, Fioravanti E, Flood KT, Ford WT, Forti F, Franco Sevilla M, Fritsch M, Fry JR, Fulsom BG, Gabathuler E, Gabyshev N, Gamba D, Garmash A, Gary JW, Garzia I, Gaspero M, Gaur V, Gaz A, Gershon TJ, Getzkow D, Gillard R, Li Gioi L, Giorgi MA, Glattauer R, Godang R, Goh YM, Goldenzweig P, Golob B, Golubev VB, Gorodeisky R, Gradl W, Graham MT, Grauges E, Griessinger K, Gritsan AV, Grosdidier G, Grünberg O, Guttman N, Haba J, Hafner A, Hamilton B, Hara T, Harrison PF, Hast C, Hayasaka K, Hayashii H, Hearty C, He XH, Hess M, Hitlin DG, Hong TM, Honscheid K, Hou WS, Hsiung YB, Huard Z, Hutchcroft DE, Iijima T, Inguglia G, Innes WR, Ishikawa A, Itoh R, Iwasaki Y, Izen JM, Jaegle I, Jawahery A, Jessop CP, Joffe D, Joo KK, Julius T, Kang KH, Kass R, Kawasaki T, Kerth LT, Khan A, Kiesling C, Kim DY, Kim JB, Kim JH, Kim KT, Kim P, Kim SH, Kim YJ, King GJ, Kinoshita K, Ko BR, Koch H, Kodyš P, Kolomensky YG, Korpar S, Kovalskyi D, Kowalewski R, Kravchenko EA, Križan P, Krokovny P, Kuhr T, Kumar R, Kuzmin A, Kwon YJ, Lacker HM, Lafferty GD, Lanceri L, Lange DJ, Lankford AJ, Latham TE, Leddig T, Le Diberder F, Lee DH, Lee IS, Lee MJ, Lees JP, Leith DWGS, Leruste P, Lewczuk MJ, Lewis P, Libby J, Lockman WS, Long O, Lopes Pegna D, LoSecco JM, Lou XC, Lueck T, Luitz S, Lukin P, Luppi E, Lusiani A, Luth V, Lutz AM, Lynch G, MacFarlane DB, Malaescu B, Mallik U, Manoni E, Marchiori G, Margoni M, Martellotti S, Martinez-Vidal F, Masuda M, Mattison TS, Matvienko D, McKenna JA, Meadows BT, Miyabayashi K, Miyashita TS, Miyata H, Mizuk R, Mohanty GB, Moll A, Monge MR, Moon HK, Morandin M, Muller DR, Mussa R, Nakano E, Nakazawa H, Nakao M, Nanut T, Nayak M, Neal H, Neri N, Nisar NK, Nishida S, Nugent IM, Oberhof B, Ocariz J, Ogawa S, Okuno S, Olaiya EO, Olsen J, Ongmongkolkul P, Onorato G, Onuchin AP, Onuki Y, Ostrowicz W, Oyanguren A, Pakhlova G, Pakhlov P, Palano A, Pal B, Palombo F, Pan Y, Panduro Vazquez W, Paoloni E, Park CW, Park H, Passaggio S, Patel PM, Patrignani C, Patteri P, Payne DJ, Pedlar TK, Peimer DR, Peruzzi IM, Pesántez L, Pestotnik R, Petrič M, Piccolo M, Piemontese L, Piilonen LE, Pilloni A, Piredda G, Playfer S, Poireau V, Porter FC, Posocco M, Prasad V, Prell S, Prepost R, Puccio EMT, Pulliam T, Purohit MV, Pushpawela BG, Rama M, Randle-Conde A, Ratcliff BN, Raven G, Ribežl E, Richman JD, Ritchie JL, Rizzo G, Roberts DA, Robertson SH, Röhrken M, Roney JM, Roodman A, Rossi A, Rostomyan A, Rotondo M, Roudeau P, Sacco R, Sakai Y, Sandilya S, Santelj L, Santoro V, Sanuki T, Sato Y, Savinov V, Schindler RH, Schneider O, Schnell G, Schroeder T, Schubert KR, Schumm BA, Schwanda C, Schwartz AJ, Schwitters RF, Sciacca C, Seiden A, Sekula SJ, Senyo K, Seon O, Serednyakov SI, Sevior ME, Shapkin M, Shebalin V, Shen CP, Shibata TA, Shiu JG, Simard M, Simi G, Simon F, Simonetto F, Skovpen YI, Smith AJS, Smith JG, Snyder A, So RY, Sobie RJ, Soffer A, Sohn YS, Sokoloff MD, Sokolov A, Solodov EP, Solovieva E, Spaan B, Spanier SM, Starič M, Stocchi A, Stroili R, Stugu B, Su D, Sullivan MK, Sumihama M, Sumisawa K, Sumiyoshi T, Summers DJ, Sun L, Tamponi U, Taras P, Tasneem N, Teramoto Y, Tisserand V, Todyshev KY, Toki WH, Touramanis C, Trabelsi K, Tsuboyama T, Uchida M, Uglov T, Unno Y, Uno S, Usov Y, Uwer U, Vahsen SE, Van Hulse C, Vanhoefer P, Varner G, Vasseur G, Va'vra J, Verderi M, Vinokurova A, Vitale L, Vorobyev V, Voß C, Wagner MN, Wagner SR, Waldi R, Walsh JJ, Wang CH, Wang MZ, Wang P, Watanabe Y, West CA, Williams KM, Wilson FF, Wilson JR, Wisniewski WJ, Won E, Wormser G, Wright DM, Wu SL, Wulsin HW, Yamamoto H, Yamaoka J, Yashchenko S, Yuan CZ, Yusa Y, Zallo A, Zhang CC, Zhang ZP, Zhilich V, Zhulanov V, Zupanc A. First Observation of CP Violation in B[over ¯]^{0}→D_{CP}^{(*)}h^{0} Decays by a Combined Time-Dependent Analysis of BABAR and Belle Data. PHYSICAL REVIEW LETTERS 2015; 115:121604. [PMID: 26430984 DOI: 10.1103/physrevlett.115.121604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/14/2015] [Indexed: 06/05/2023]
Abstract
We report a measurement of the time-dependent CP asymmetry of B[over ¯]^{0}→D_{CP}^{(*)}h^{0} decays, where the light neutral hadron h^{0} is a π^{0}, η, or ω meson, and the neutral D meson is reconstructed in the CP eigenstates K^{+}K^{-}, K_{S}^{0}π^{0}, or K_{S}^{0}ω. The measurement is performed combining the final data samples collected at the ϒ(4S) resonance by the BABAR and Belle experiments at the asymmetric-energy B factories PEP-II at SLAC and KEKB at KEK, respectively. The data samples contain (471±3)×10^{6} BB[over ¯] pairs recorded by the BABAR detector and (772±11)×10^{6} BB[over ¯] pairs recorded by the Belle detector. We measure the CP asymmetry parameters -η_{f}S=+0.66±0.10(stat)±0.06(syst) and C=-0.02±0.07(stat)±0.03(syst). These results correspond to the first observation of CP violation in B[over ¯]^{0}→D_{CP}^{(*)}h^{0} decays. The hypothesis of no mixing-induced CP violation is excluded in these decays at the level of 5.4 standard deviations.
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Lee CS, Kang KC, Chung SS, Kim KT, Shin SK. Incidence of microbiological contamination of local bone autograft used in posterior lumbar interbody fusion and its association with postoperative spinal infection. J Neurosurg Spine 2015; 24:20-4. [PMID: 26360142 DOI: 10.3171/2015.3.spine14578] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
OBJECTIVE The aim of this study was to examine the results of microbiological cultures from local bone autografts used in posterior lumbar interbody fusion (PLIF) and to identify their association with postoperative spinal infection. METHODS The authors retrospectively evaluated cases involving 328 patients who had no previous spinal surgeries and underwent PLIF for degenerative diseases with a minimum 1-year follow-up. Local bone was obtained during laminectomy, and microbiological culture was performed immediately prior to bone grafting. The associations between culture results from local bone autografts and postoperative spinal infections were evaluated. RESULTS The contamination rate of local bone was 4.3% (14 of 328 cases). Coagulase-negative Staphylococcus (29%) was the most common contaminant isolated, followed by Streptococcus species and methicillin-sensitive Staphylococcus aureus. Of 14 patients with positive culture results, 5 (35.7%) had postoperative spinal infections and were treated with intravenous antibiotics for a minimum of 4 weeks. One of these 5 patients also underwent reoperation for debridement during this 4-week period. Regardless of the microbiological culture results, the infection rate after PLIF with local bone autograft was 2.4% (8 of 328 cases), with 5 (62.5%) of 8 patients showing positive results on autograft culture. CONCLUSIONS The incidence of contamination of local bone autograft during PLIF was considerable, and positive culture results were significantly associated with postoperative spinal infection. Special attention focused on the preparation of local bone for autograft and its microbiological culture will be helpful for the control of postoperative spinal infection.
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Kim KT, Park DH, Lee SH, Lee JH. Results of Corrective Osteotomy and Treatment Strategy for Ankylosing Spondylitis with Kyphotic Deformity. Clin Orthop Surg 2015; 7:330-6. [PMID: 26330955 PMCID: PMC4553281 DOI: 10.4055/cios.2015.7.3.330] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/09/2015] [Accepted: 05/04/2015] [Indexed: 11/06/2022] Open
Abstract
Background To report the radiological and clinical results after corrective osteotomy in ankylosing spondylitis patients. Furthermore, this study intended to classify the types of deformity and to suggest appropriate surgical treatment options. Methods We retrospectively analyzed ankylosing spondylitis patients who underwent corrective osteotomy between 1996 and 2009. The radiographic assessments included the sagittal vertical axis (SVA), spinopelvic alignment parameters, correction angle, correction loss, type of deformity related to the location of the apex, and the craniocervical range of motion (CCROM). The clinical outcomes were assessed by the Oswestry Disability Index (ODI) scores. Results A total of 292 corrective osteotomies were performed in 248 patients with a mean follow-up of 40.1 months (range, 24 to 78 months). There were 183 cases of single pedicle subtraction osteotomy (PSO), 19 cases of multiple Smith-Petersen osteotomy (SPO), 17 cases of PSO + SPO, 14 cases of single SPO, six cases of posterior vertebral column resection (PVCR), five cases of PSO + partial pedicle subtraction osteotomy (PPSO), and four cases of PPSO. The mean correction angles were 31.9° ± 11.7° with PSO, 14.3° ± 8.4° with SPO, 38.3° ± 12.7° with PVCR, and 19.3° ± 7.1° with PPSO. The thoracolumbar type was the most common. The outcome analysis showed a significant improvement in the ODI score (p < 0.05). Statistical analysis revealed that the ODI score improvements correlated significantly with the postoperative SVA and CCROM (p < 0.05). There was no correlation between the clinical outcomes and spinopelvic parameters. There were 38 surgery-related complications in 25 patients (10.1%). Conclusions Corrective osteotomy is an effective method for treating a fixed kyphotic deformity occurring in ankylosing spondylitis, resulting in satisfactory outcomes with acceptable complications. The CCROM and postoperative SVA were important factors in determining the outcome.
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Jo DJ, Kim KT, Lee SH, Cho MG, Seo EM. The Incidence and Management of Dural Tears and Cerebrospinal Fluid Leakage during Corrective Osteotomy for Ankylosing Spondylitis with Kyphotic Deformity. J Korean Neurosurg Soc 2015; 58:60-4. [PMID: 26279815 PMCID: PMC4534741 DOI: 10.3340/jkns.2015.58.1.60] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2014] [Revised: 05/18/2015] [Accepted: 05/20/2015] [Indexed: 11/27/2022] Open
Abstract
OBJECTIVE To present the incidence and management of dural tears and cerebrospinal fluid leakage during corrective osteotomy [Pedicle Subtraction Osteotomy (PSO) or Smith-Petersen Osteotomy (SPO)] for ankylosing spondylitis with kyphotic deformity. METHODS A retrospective study was performed for ankylosing spondylitis patients with fixed sagittal imbalance, who had undergone corrective osteotomy (PSO or SPO) at lumbar level. 87 patients were included in this study. 55 patients underwent PSO, 32 patients underwent SPO. The mean age of the patients at the time of surgery was 41.7 years (21-70 years). Of the 87 patients, 15 patients had intraoperative dural tears. RESULTS The overall incidence of dural tears was 17.2%. The incidence of dural tears during PSO was 20.0%, SPO was 12.5%. There was significant difference in the incidence of dural tears based on surgical procedures (PSO vs. SPO) (p<0.05). The dural tears ranged in size from 12 to 221 mm(2). A nine of 15 patients had the relatively small dural tears, underwent direct repair via watertight closure. The remaining 6 patients had the large dural tears, consequently direct repair was impossible. The large dural tears were repaired with an on-lay graft of muscle, fascia or fat harvested from the adjacent operation site. All patients had a successful repair with no patient requiring reoperation for the cerebrospinal fluid leak. CONCLUSION The overall incidence of dural tears during PSO or SPO for ankylosing spondylitis with kyphotic deformity was 17.2%. The risk factor of dural tears was complexity of surgery. All dural tears were repaired primarily using direct suture, muscle, fascia or fat graft.
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Ji GY, Oh CH, Moon BG, Yi S, Han IB, Heo DH, Kim KT, Shin DA, Kim KN. Efficacy and Safety of Sodium Hyaluronate with 1,4-Butanediol Diglycidyl Ether Compared to Sodium Carboxymethylcellulose in Preventing Adhesion Formation after Lumbar Discectomy. KOREAN JOURNAL OF SPINE 2015. [PMID: 26217381 PMCID: PMC4513167 DOI: 10.14245/kjs.2015.12.2.41] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
OBJECTIVE Epidural injection of hyaluronic acid may prevent adhesion formation after spine surgery, but the compounds used to stabilize hyaluronidase could interfere with its anti-adhesion effects. The present study was conducted as a clinical trial to evaluate the efficacy and safety of an experimental medical gel in preventing adhesion formation. METHODS This study was designed as a multicenter, randomized, double-blind, and comparative controlled clinical trial with an observation period of 6 weeks. Subjects were randomly assigned into two groups: group A with sodium hyaluronate + 1,4-butanediol diglycidyl ether (BDDE) and group B with sodium hyaluronate + sodium carboxymethylcellulose (CMC). Visual analogue scale (VAS) of back and leg pain and the Oswestry disability index (ODI) and scar score ratings were assessed after surgery. RESULTS Mean scar grade was 2.37±1.13 in group A and 2.75±0.97 in group B, a statistically significant difference (p=0.012). VAS of back and leg pain and ODI scores decreased significantly from baseline to 3 and 6 weeks postoperatively in both groups (p<0.001). However, VAS and ODI scores were not statistically different between groups A and B at baseline or at 3 and 6 weeks after operation (p>0.3). The number of adverse reactions related to the anti-adhesion gels was not statistically different (p=0.569), but subsequent analysis of nervous adverse reactions showed group B was superior with a statistically difference (p=0.027). CONCLUSION Sodium hyaluronate with BDDE demonstrated similar anti-adhesion properties to sodium hyaluronate with CMC. But, care should be used to nervous adverse reactions by using sodium hyaluronate with BDDE.
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Pesántez L, Urquijo P, Dingfelder J, Abdesselam A, Adachi I, Adamczyk K, Aihara H, Al Said S, Arinstein K, Asner DM, Aulchenko V, Aushev T, Ayad R, Bahinipati S, Bakich AM, Bansal V, Barberio E, Bhardwaj V, Bhuyan B, Bobrov A, Bondar A, Bonvicini G, Bozek A, Bračko M, Browder TE, Červenkov D, Chekelian V, Chen A, Cheon BG, Chilikin K, Chistov R, Cho K, Chobanova V, Choi Y, Cinabro D, Dalseno J, Doležal Z, Drásal Z, Drutskoy A, Dutta D, Eidelman S, Farhat H, Fast JE, Ferber T, Frost O, Gaur V, Gabyshev N, Ganguly S, Garmash A, Getzkow D, Gillard R, Goh YM, Golob B, Haba J, Hasenbusch J, Hayashii H, He XH, Heller A, Horiguchi T, Hou WS, Huschle M, Iijima T, Inami K, Ishikawa A, Itoh R, Iwasaki Y, Jaegle I, Joffe D, Julius T, Kang KH, Kato E, Kawasaki T, Kiesling C, Kim DY, Kim JB, Kim JH, Kim KT, Kim MJ, Kim SH, Kim YJ, Ko BR, Kodyš P, Korpar S, Križan P, Krokovny P, Kronenbitter B, Kuhr T, Kumita T, Kuzmin A, Kwon YJ, Lange JS, Lee IS, Li Y, Li Gioi L, Libby J, Liventsev D, Lukin P, Matvienko D, Miyabayashi K, Miyata H, Mizuk R, Mohanty GB, Moll A, Moon HK, Nakano E, Nakao M, Nanut T, Natkaniec Z, Nayak M, Ng C, Nisar NK, Nishida S, Ogawa S, Okuno S, Olsen SL, Oswald C, Pakhlov P, Pakhlova G, Park CW, Park H, Pedlar TK, Pestotnik R, Petrič M, Piilonen LE, Ribežl E, Ritter M, Rostomyan A, Rozanska M, Sakai Y, Sandilya S, Santelj L, Sanuki T, Sato Y, Savinov V, Schneider O, Schnell G, Schwanda C, Schwartz AJ, Senyo K, Seon O, Sevior ME, Shebalin V, Shen CP, Shibata TA, Shiu JG, Shwartz B, Sibidanov A, Simon F, Sohn YS, Sokolov A, Solovieva E, Starič M, Steder M, Sumiyoshi T, Tamponi U, Taniguchi N, Tatishvili G, Teramoto Y, Trabelsi K, Uchida M, Uglov T, Unno Y, Uno S, Usov Y, Van Hulse C, Vanhoefer P, Varner G, Vinokurova A, Vorobyev V, Wagner MN, Wang B, Wang CH, Wang MZ, Wang P, Watanabe Y, Williams KM, Won E, Yamaoka J, Yashchenko S, Yook Y, Zhang ZP, Zhilich V, Zhulanov V, Zupanc A. Measurement of the Direct CP Asymmetry in B¯→X(s+dγ) Decays with a Lepton Tag. PHYSICAL REVIEW LETTERS 2015; 114:151601. [PMID: 25933306 DOI: 10.1103/physrevlett.114.151601] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/07/2015] [Indexed: 06/04/2023]
Abstract
We report the measurement of the direct CP asymmetry in the radiative B¯→X(s+dγ) decay using a data sample of (772 ± 11)×10(6) BB[over ¯] pairs collected at the ϒ(4S) resonance with the Belle detector at the KEKB asymmetric-energy e(+)e(-) collider. The CP asymmetry is measured as a function of the photon energy threshold. For Eγ*≥2.1 GeV, where Eγ* is the photon energy in the center-of-mass frame, we obtain A(CP)(B¯→X(s+dγ))=(2.2±3.9±0.9)%, consistent with the standard model prediction.
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Lee SH, Son ES, Seo EM, Suk KS, Kim KT. Factors determining cervical spine sagittal balance in asymptomatic adults: correlation with spinopelvic balance and thoracic inlet alignment. Spine J 2015; 15:705-12. [PMID: 24021619 DOI: 10.1016/j.spinee.2013.06.059] [Citation(s) in RCA: 143] [Impact Index Per Article: 15.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/26/2012] [Revised: 05/08/2013] [Accepted: 06/17/2013] [Indexed: 02/03/2023]
Abstract
BACKGROUND CONTEXT Based on the previous studies, cervical lordosis (CL) is a parameter influenced by thoracic kyphosis (TK); however, the correlations still remain unclear. Few studies have analyzed the correlations between the cervical spine lordosis and global spinopelvic balance. To date, there has been no study focused on the factors determining cervical spine sagittal balance. PATIENT SAMPLE Seventy-seven asymptomatic volunteers without the history of symptoms related to whole spine. OUTCOME MEASURES Statistical significance of correlations of radiographic parameters on cervical spine and whole-spine standing lateral radiograph. PURPOSE To analyze the factors determining cervical spine sagittal balance, including global spinopelvic balance and thoracic inlet (TI) alignment in asymptomatic adults. STUDY DESIGN A prospective radiographic study. METHODS Cervical and whole-spine standing lateral radiographs were taken to analyze the following parameters: spinopelvic parameters pelvic incidence (PI), sacral slope (SS), lumbar lordosis (LL), and TK; TI parameters thoracic inlet angle (TIA) and T1 slope; and cervical spine parameters C0-C2, C2-C7, and C0-C7 angles and cervical tilting. Statistical analysis was performed using the Pearson correlation coefficients and multiple regression analysis. RESULTS All the parameters showed a normal distribution. There was a significant sequential linkage between PI and SS (r=0.653), SS and LL (r=0.807), LL and TK (r=-0.516), and TK and C0-C7 angle (r=-0.322). There was a significant relationship between TK and T1 slope (r=0.351) but no significant relationship between TK and TIA. There were significant sequential relationships between TIA and T1 slope (r=0.694), T1 slope and C2-C7 angle (r=-0.624), and C2-C7 and C0-C2 angles (r=-0.547). T1 slope was the only parameter that demonstrated a significant correlation with both SP and TI parameters. A linear regression model showed that T1 slope had a stronger relationship with TIA (r=0.694) than TK (r=0.351). CONCLUSIONS T1 slope was a key factor determining cervical spine sagittal balance. Both spinopelvic balance and TI alignment have a significant influence on cervical spine sagittal balance via T1 slope, but TIA had a stronger effect than TK. An individual with large T1 slope required large CL to preserve physiologic sagittal balance of the cervical spine. The results of the present study could serve as baseline data for further studies on the cervical spine sagittal balance in various clinical conditions including the surgical reconstruction of lordosis.
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Oh JK, Kim KT, Yoon SJ, Kim SW, Kim TB. Second to fourth digit ratio: a predictor of adult testicular volume. Andrology 2014; 2:862-7. [PMID: 25116409 DOI: 10.1111/j.2047-2927.2014.00256.x] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2013] [Revised: 07/02/2014] [Accepted: 07/11/2014] [Indexed: 11/30/2022]
Abstract
It has been suggested that second to fourth digit ratio (digit ratio) may correlate with male reproductive system function or disorders. This hypothesis is based on finding that the Hox genes control finger development and differentiation of the genital bud during embryogenesis. Thus, we investigated the association between digit ratio and adult testicular volume. A total of 172 Korean men (aged 20-69 years) hospitalized for urological surgery were prospectively enrolled. Patients with conditions known to strongly influence testicular volume were excluded. Before determining testicular volume, the lengths of the second and fourth digits of the right hand were measured by a single investigator using a digital vernier calliper. Using orchidometry, the testes were measured by an experienced urologist who had no information about the patient's digit ratio. To identify the independent predictive factors influencing testicular volume, univariate and multivariate analyses were performed using linear regression models. Age, height, serum testosterone and free testosterone level were not correlated with testicular volume. Digit ratio, along with weight, was significantly correlated with testicular volume (right testicular volume: r = -0.185, p = 0.015; left testicular volume: r = -0.193, p = 0.011; total testicular volume: r = -0.198, p = 0.009). Multivariate analysis using linear regression models showed that only digit ratio was the independent factor to predict all (right, left and total) testicular volumes (right testicular volume: β = -0.174, p = 0.023; left testicular volume: β = -0.181, p = 0.017; total testicular volume: β = -0.185, p = 0.014). Our findings demonstrated that digit ratio is negatively associated with adult testicular volume. This means that men with a higher digit ratio may be more likely to have smaller testis compared to those with a lower digit ratio.
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Lee SH, Park DH, Kim SD, Huh DS, Kim KT. Analysis of 3-dimensional course of the intra-axial vertebral artery for C2 pedicle screw trajectory: a computed tomographic study. Spine (Phila Pa 1976) 2014; 39:E1010-4. [PMID: 24859580 DOI: 10.1097/brs.0000000000000418] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
STUDY DESIGN A retrospective radiological study. OBJECTIVE To analyze the course of intra-axial vertebral artery (IAVA) and evaluate the relationship between the 3-dimensional (3D) courses for IAVA with respect to safe trajectory for C2 pedicle screw (C2PS). SUMMARY OF BACKGROUND DATA The VA at the level of C2 has a distinct 3D course. The traditional concept of "high riding (HR)" VA was based on sagittal plane but does not provide all the 3D course of IAVA for safe C2PS placement. However, 3D course of IAVA has not been previously analyzed. METHODS Three-dimensional, vascular-enhanced computed tomographic scans on the cervical spine of 100 patients, 200 IAVA (male to female ratio = 50:50; mean age, 58.4 yr) were analyzed. (1) The arterial parameters including (1) "medial-shifting (MS)" (A: lateral, B: neutral, C: medial to C3 transverse foramen [TF]) and (2) "HR" (0: below C2TF, 1 within C2TF, 2: above C2TF) of IAVA was measured. (2) The bony parameters including pedicle diameter, medial convergence angle, and sagittal angle of C2PS were measured. Correlation between the arterial and bony parameters, differences between sex, laterality, dominance of VA, and age were analyzed. RESULTS MS (grade A, 37.5%; B, 37%; and C, 25.5%) and HR (grade 0 in 34%, 1 in 42%, and 2 in 24%) showed significant correlation with each other (P < 0.001). The main patterns of IAVA were A-0 (26%), B-1 (26.5%), and C-2 (18.5%). Higher grade of MS and HR showed significantly smaller pedicle diameter, larger medial convergence angle, and smaller sagittal angle (P < 0.001). Female sex and older age are factors that showed significantly higher grade of MS and HR (P < 0.001). CONCLUSION Tortuosity of IAVA was greater in the female sex and it also increased with aging. The different IAVA courses significantly influenced the pedicle diameter and the safe trajectory for C2PS; therefore, these factors should be considered before planning C2 pedicle screw placement. LEVEL OF EVIDENCE 3.
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Kim DH, Yun DH, Kim HS, Min SK, Yoo SD, Lee KH, Kim KT, Jo DJ, Kim SK, Chung JH, Ban JY, Lee SY. The Insertion/Deletion Polymorphism of Angiotensin I Converting Enzyme Gene is Associated With Ossification of the Posterior Longitudinal Ligament in the Korean Population. Ann Rehabil Med 2014; 38:1-5. [PMID: 24639919 PMCID: PMC3953350 DOI: 10.5535/arm.2014.38.1.1] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2013] [Accepted: 08/21/2013] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVE To determine whether ACE insertion/deletion (I/D) polymorphism is associated with the ossification of the posterior longitudinal ligament (OPLL) of the spine in the Korean population. METHODS A case-control study was conducted to investigate the association between I/D polymorphism of the angiotensin I converting enzyme (peptidyl-dipeptidase A) 1 (ACE) gene and OPLL. The 95 OPLL patients and 274 control subjects were recruited. Polymerase chain reaction for the genotyping of ACE I/D polymorphism was performed. The difference between the OPLL patients and the control subjects was compared using the contingency χ(2) test and the logistic regression analysis. For statistical analysis, SPSS, SNPStats, SNPAnalyzer, and Helixtree programs were used. RESULTS The genotype and allele frequencies of ACE I/D polymorphism showed significant differences between the OPLL patients and the control subjects (genotype, p<0.001; allele, p=0.009). The frequencies of D/D genotype and D allele in the OPLL group were higher than those in the control group. In logistic regression analysis, ACE I/D polymorphism was associated with OPLL (dominant model; p=0.002; odd ratio, 2.20; 95% confidence interval, 1.33-3.65). CONCLUSION These results suggest that the deletion polymorphism of the ACE gene may be a risk factor for the development of OPLL in the Korean population.
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Jung JM, Lee DH, Kim KT, Choi MS, Cho YG, Lee HS, Choi SI, Lee SR, Kim DS. Reference intervals for whole blood viscosity using the analytical performance-evaluated scanning capillary tube viscometer. Clin Biochem 2014; 47:489-93. [PMID: 24503006 DOI: 10.1016/j.clinbiochem.2014.01.021] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2013] [Revised: 01/14/2014] [Accepted: 01/18/2014] [Indexed: 10/25/2022]
Abstract
OBJECTIVES This study was performed to establish the reference intervals for whole blood viscosity (WBV) using the analytical performance-evaluated scanning capillary tube viscometer (SCTV). DESIGN AND METHODS The analytical performance of the SCTV was evaluated using three different levels of QC materials and sixty human EDTA-blood samples. To establish the reference intervals for WBV, 297 healthy individuals (123 men and 174 women) were selected from 1083 subjects. RESULTS Within-day precisions with QC materials and human whole blood and between-day precisions with QC materials were below 5.0%, 6.6% and 8.0% in CVs at all shear rates, respectively. Comparison tests between the SCTV and the Brookfield viscometer showed a significant correlation (R(2)=0.972, p<0.001). The reference intervals for WBV in healthy men were 3.66-5.41cP at 300s(-1) and 23.15-36.45cP at 1s(-1) while those in women were 3.27-4.32cP at 300s(-1) and 18.20-27.36cP at 1s(-1), respectively. CONCLUSIONS Using the analytical performance-evaluated SCTV, the reference intervals for WBV were established in healthy adults, which could be beneficial to the clinical utility of WBV in the aspect of appropriate modalities for the improvement of blood viscosity.
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Son KH, Jeong HW, Jung WW, Kim HS, Lee SK, Kim KT, Ahn CB, Park KY, Kim BM, Lee SH. The use of collagen content as determined by spectral domain polarization-sensitive optical coherence tomography to assess colon anastomosis healing in a rat model. Eur Surg Res 2014; 52:32-40. [PMID: 24480934 DOI: 10.1159/000358057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2013] [Accepted: 12/17/2013] [Indexed: 11/19/2022]
Abstract
BACKGROUND/PURPOSE Many studies have been undertaken to prevent anastomosis leakage of the colon, and several methods have been used to assess anastomosis healing, such as measurement of bursting pressure or hydroxyproline (a marker of collagen) content at the anastomosis site. However, these methods are inappropriate for comparing anastomosis healing at two time points in the same animals. In the present study, we measured the collagen level by spectral domain polarization-sensitive optical coherence tomography (SD-PS-OCT) to assess anastomosis healing. METHODS Sprague-Dawley rats were divided into groups C (saline-administered controls; study group) and M [a 5-fluorouracil (5-FU)-administered experimental group]. Immediately after end-to-end anastomosis of the colon, SD-PS-OCT images of anastomoses were taken (baseline). Animals were administered saline or 5-FU for 7 days. On the 7th postoperative day, SD-PS-OCT images were acquired, a histopathologic exam was performed, and hydroxyproline levels as well as mRNA expressions of collagen-1 and collagen-3 were measured at the anastomosis site. RESULTS Fibroblast proliferation and inflammatory cell infiltration were greater in group C than in group M. The mRNA expressions of collagen-1 and collagen-3 were substantially higher in group C. Hydroxyproline levels were higher in group M than in group C. Though collagen levels measured by SD-PS-OCT at 7 days were elevated compared with baseline in group C, no such changes were observed for group M. CONCLUSION Collagen levels at the colon anastomosis site, measured with SD-PS-OCT, were not increased at 7 days postoperatively versus baseline when 5-FU was injected, but were increased in saline-treated controls. The measurement of collagen content by SD-PS-OCT was found to provide a good means of assessing anastomosis healing, because it allows in situ assessment of collagen contents at baseline and during the postoperative period.
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Cho JH, Nam DH, Kim KT, Lee JH. Acupuncture with non-steroidal anti-inflammatory drugs (NSAIDs) versus acupuncture or NSAIDs alone for the treatment of chronic neck pain: an assessor-blinded randomised controlled pilot study. Acupunct Med 2013; 32:17-23. [PMID: 24171895 PMCID: PMC3932742 DOI: 10.1136/acupmed-2013-010410] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Objective To investigate the feasibility and sample size required for a full-scale randomised controlled trial of the effectiveness of acupuncture with non-steroidal anti-inflammatory drugs (NSAIDs) for chronic neck pain compared with acupuncture or NSAID treatment alone. Methods A total of 45 patients with chronic neck pain participated in the study. For 3 weeks the acupuncture with NSAIDs treatment group took NSAIDs (zaltoprofen, 80 mg) daily while receiving acupuncture treatment three times a week. The acupuncture treatment group received treatment three times a week and the NSAID treatment group took NSAIDs daily. The primary outcomes were to determine the feasibility and to calculate the sample size. As secondary outcomes, pain intensity and pain-related symptoms for chronic neck pain were measured. Results With regard to enrolment and dropout rates, 88.2% of patients consented to be recruited to the trial and 15.6% of participants were lost to follow-up. The sample size for a full-scale trial was estimated to be 120 patients. Although preliminary, there was a significant change in the visual analogue scale (VAS) for neck pain intensity between the baseline measurement and each point of assessment in all groups. However, there was no difference in VAS scores between the three groups. Conclusions This pilot study has provided the feasibility and sample size for a full-scale trial of acupuncture with NSAIDs for chronic neck pain compared with acupuncture or NSAID treatment alone. Further research is needed to validate the effects of acupuncture with NSAIDs. Clinical Trial Registration NIH ClinicalTrials.gov NCT01205958.
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Bhardwaj V, Miyabayashi K, Adachi I, Aihara H, Asner DM, Aulchenko V, Aushev T, Aziz T, Bakich AM, Bala A, Bhuyan B, Bischofberger M, Bondar A, Bonvicini G, Bozek A, Bračko M, Brodzicka J, Browder TE, Chekelian V, Chen A, Cheon BG, Chilikin K, Chistov R, Cho K, Chobanova V, Choi SK, Choi Y, Cinabro D, Dalseno J, Danilov M, Doležal Z, Drásal Z, Drutskoy A, Dutta D, Dutta K, Eidelman S, Epifanov D, Farhat H, Fast JE, Ferber T, Frey A, Gaur V, Gabyshev N, Ganguly S, Gillard R, Goh YM, Golob B, Haba J, Hara T, Hayashii H, Horii Y, Hoshi Y, Hou WS, Hsiung YB, Hyun HJ, Iijima T, Inami K, Ishikawa A, Itoh R, Iwashita T, Julius T, Kah DH, Kang JH, Kato E, Kawasaki T, Kichimi H, Kiesling C, Kim DY, Kim JB, Kim JH, Kim KT, Kim MJ, Kim YJ, Kinoshita K, Klucar J, Ko BR, Kodyš P, Korpar S, Križan P, Krokovny P, Kumar R, Kumita T, Kuzmin A, Kwon YJ, Lange JS, Lee SH, Li J, Li Y, Liu C, Liu ZQ, Liventsev D, Lukin P, Matvienko D, Miyata H, Mizuk R, Mohanty GB, Moll A, Mussa R, Nakano E, Nakao M, Natkaniec Z, Nayak M, Nedelkovska E, Nisar NK, Nishida S, Nitoh O, Ogawa S, Okuno S, Olsen SL, Pakhlov P, Pakhlova G, Panzenböck E, Park H, Park HK, Pedlar TK, Pestotnik R, Petrič M, Piilonen LE, Ritter M, Röhrken M, Rostomyan A, Sahoo H, Saito T, Sakai K, Sakai Y, Sandilya S, Santel D, Santelj L, Sanuki T, Sato Y, Savinov V, Schneider O, Schnell G, Schwanda C, Seidl R, Semmler D, Senyo K, Seon O, Sevior ME, Shapkin M, Shen CP, Shibata TA, Shiu JG, Shwartz B, Simon F, Singh JB, Smerkol P, Sohn YS, Sokolov A, Solovieva E, Starič M, Steder M, Sumihama M, Sumiyoshi T, Tamponi U, Tanida K, Tatishvili G, Teramoto Y, Trabelsi K, Tsuboyama T, Uchida M, Uehara S, Uglov T, Unno Y, Urquijo P, Usov Y, Vahsen SE, Van Hulse C, Vanhoefer P, Varner G, Varvell KE, Vinokurova A, Wagner MN, Wang CH, Wang MZ, Wang P, Watanabe M, Watanabe Y, Won E, Yabsley BD, Yamaoka J, Yamashita Y, Yashchenko S, Yook Y, Yuan CZ, Zhang CC, Zhang ZP, Zhilich V, Zhulanov V, Zupanc A. Evidence of a new narrow resonance decaying to χ(c1)γ in B→χ(c1)γK. PHYSICAL REVIEW LETTERS 2013; 111:032001. [PMID: 23909309 DOI: 10.1103/physrevlett.111.032001] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/15/2013] [Indexed: 06/02/2023]
Abstract
We report measurements of B→χ(c1)γK and χ(c2)γK decays using 772×10(6) BB[over ¯] events collected at the Υ(4S) resonance with the Belle detector at the KEKB asymmetric-energy e(+)e(-) collider. Evidence of a new resonance in the χ(c1)γ final state is found with a statistical significance of 3.8σ. This state has a mass of 3823.1±1.8(stat)±0.7(syst) MeV/c(2), a value that is consistent with theoretical expectations for the previously unseen 1(3)D(2) cc[over ¯] meson. We find no other narrow resonance and set upper limits on the branching fractions of the X(3872)→χ(c1)γ and χ(c2)γ decays.
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Liu ZQ, Shen CP, Yuan CZ, Adachi I, Aihara H, Asner DM, Aulchenko V, Aushev T, Aziz T, Bakich AM, Bala A, Belous K, Bhardwaj V, Bhuyan B, Bischofberger M, Bondar A, Bonvicini G, Bozek A, Bračko M, Brodzicka J, Browder TE, Chang P, Chekelian V, Chen A, Chen P, Cheon BG, Chistov R, Cho K, Chobanova V, Choi SK, Choi Y, Cinabro D, Dalseno J, Danilov M, Doležal Z, Drásal Z, Drutskoy A, Dutta D, Dutta K, Eidelman S, Epifanov D, Farhat H, Fast JE, Feindt M, Ferber T, Frey A, Gaur V, Gabyshev N, Ganguly S, Gillard R, Goh YM, Golob B, Haba J, Hayasaka K, Hayashii H, Horii Y, Hoshi Y, Hou WS, Hsiung YB, Hyun HJ, Iijima T, Inami K, Ishikawa A, Itoh R, Iwasaki Y, Joffe D, Julius T, Kah DH, Kang JH, Kawasaki T, Kiesling C, Kim HJ, Kim JB, Kim JH, Kim KT, Kim MJ, Kim YJ, Kinoshita K, Klucar J, Ko BR, Kodyš P, Korpar S, Križan P, Krokovny P, Kuhr T, Kwon YJ, Lange JS, Lee SH, Li J, Li Y, Libby J, Liu C, Lukin P, Matvienko D, Miyabayashi K, Miyata H, Mizuk R, Mohanty GB, Moll A, Mussa R, Nakano E, Nakao M, Nakazawa H, Natkaniec Z, Nayak M, Nedelkovska E, Nisar NK, Nishida S, Nitoh O, Ogawa S, Okuno S, Olsen SL, Onuki Y, Ostrowicz W, Oswald C, Pakhlov P, Pakhlova G, Park H, Park HK, Pedlar TK, Pestotnik R, Petrič M, Piilonen LE, Ritter M, Röhrken M, Rostomyan A, Sahoo H, Saito T, Sakai Y, Sandilya S, Santel D, Sanuki T, Sato Y, Savinov V, Schneider O, Schnell G, Schwanda C, Seidl R, Semmler D, Senyo K, Seon O, Sevior ME, Shapkin M, Shibata TA, Shiu JG, Shwartz B, Sibidanov A, Simon F, Smerkol P, Sohn YS, Sokolov A, Solovieva E, Starič M, Steder M, Sumihama M, Sumiyoshi T, Tamponi U, Tanida K, Tatishvili G, Teramoto Y, Trabelsi K, Tsuboyama T, Uchida M, Uehara S, Uglov T, Unno Y, Uno S, Vahsen SE, Van Hulse C, Vanhoefer P, Varner G, Varvell KE, Vorobyev V, Wagner MN, Wang CH, Wang MZ, Wang P, Wang XL, Watanabe M, Watanabe Y, Won E, Yabsley BD, Yamaoka J, Yamashita Y, Yashchenko S, Yook Y, Yusa Y, Zhang CC, Zhang ZP, Zhilich V, Zupanc A. Study of e+ e- → π+ π- J/ψ and observation of a charged charmoniumlike state at Belle. PHYSICAL REVIEW LETTERS 2013; 110:252002. [PMID: 23829730 DOI: 10.1103/physrevlett.110.252002] [Citation(s) in RCA: 50] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/30/2013] [Indexed: 06/02/2023]
Abstract
The cross section for ee+ e- → π+ π- J/ψ between 3.8 and 5.5 GeV is measured with a 967 fb(-1) data sample collected by the Belle detector at or near the Υ(nS) (n = 1,2,…,5) resonances. The Y(4260) state is observed, and its resonance parameters are determined. In addition, an excess of π+ π- J/ψ production around 4 GeV is observed. This feature can be described by a Breit-Wigner parametrization with properties that are consistent with the Y(4008) state that was previously reported by Belle. In a study of Y(4260) → π+ π- J/ψ decays, a structure is observed in the M(π(±)J/ψ) mass spectrum with 5.2σ significance, with mass M = (3894.5 ± 6.6 ± 4.5) MeV/c2 and width Γ = (63 ± 24 ± 26) MeV/c2, where the errors are statistical and systematic, respectively. This structure can be interpreted as a new charged charmoniumlike state.
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Kim BH, Olsen SL, Adachi I, Aihara H, Asner DM, Aulchenko V, Bay A, Belous K, Bhuyan B, Bonvicini G, Bozek A, Bračko M, Browder TE, Chekelian V, Chen A, Cheon BG, Chilikin K, Chistov R, Cho IS, Cho K, Chobanova V, Choi SK, Choi Y, Cinabro D, Dalseno J, Doležal Z, Eidelman S, Epifanov D, Esen S, Farhat H, Fast JE, Gaur V, Ganguly S, Gillard R, Goh YM, Hayasaka K, Hayashii H, Hoshi Y, Hou WS, Hsiung YB, Hyun HJ, Inami K, Ishikawa A, Itoh R, Iwasaki Y, Julius T, Kah DH, Kang JH, Kapusta P, Kato E, Kichimi H, Kim HJ, Kim HO, Kim JH, Kim KT, Kim MJ, Kim SK, Kim YJ, Kinoshita K, Klucar J, Ko BR, Kodyš P, Korpar S, Kouzes RT, Križan P, Krokovny P, Kumita T, Kuzmin A, Kwon YJ, Lange JS, Lee SH, Li J, Li X, Li Y, Libby J, Liventsev D, Matvienko D, Miyabayashi K, Miyata H, Mizuk R, Mohanty GB, Moll A, Muramatsu N, Mussa R, Nakano E, Nakao M, Nedelkovska E, Ng C, Nisar NK, Nishida S, Nishimura K, Ohshima T, Okuno S, Pakhlov P, Pakhlova G, Park H, Park HK, Peters M, Petrič M, Piilonen LE, Ritter M, Ryu S, Sahoo H, Sakai Y, Sandilya S, Sanuki T, Savinov V, Schneider O, Schnell G, Schwanda C, Schwartz AJ, Semmler D, Senyo K, Seon O, Sevior ME, Shapkin M, Shebalin V, Shen CP, Shibata TA, Shiu JG, Shwartz B, Simon F, Smerkol P, Sohn YS, Sokolov A, Solovieva E, Stanič S, Starič M, Sumihama M, Sumiyoshi T, Tamponi U, Tanida K, Tatishvili G, Teramoto Y, Trabelsi K, Uchida M, Uehara S, Uglov T, Unno Y, Uno S, Usov Y, Van Hulse C, Varner G, Vorobyev V, Wagner MN, Wang CH, Wang P, Watanabe Y, Williams KM, Won E, Yamashita Y, Zhilich V, Zupanc A. Search for an H-dibaryon with a mass near 2mΛ in Υ(1S) and Υ(2S) decays. PHYSICAL REVIEW LETTERS 2013; 110:222002. [PMID: 23767713 DOI: 10.1103/physrevlett.110.222002] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/16/2013] [Revised: 05/03/2013] [Indexed: 06/02/2023]
Abstract
We report the results of a high-statistics search for H dibaryon production in inclusive Υ(1S) and Υ(2S) decays. No indication of an H dibaryon with a mass near the M(H)=2m(Λ) threshold is seen in either the H→Λpπ(-) or ΛΛ decay channels and 90% confidence level branching-fraction upper limits are set that are between one and two orders of magnitude below the measured branching fractions for inclusive Υ(1S) and Υ(2S) decays to antideuterons. Since Υ(1S,2S) decays produce flavor-SU(3)-symmetric final states, these results put stringent constraints on H dibaryon properties. The results are based on analyses of 102 million Υ(1S) and 158 million Υ(2S) events collected with the Belle detector at the KEKB e(+)e(-) collider.
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Lee JH, Kim KT, Suk KS, Lee SH, Jeong BO, Oh HS, Lee CH, Kim MS. Extradural cyst causing spinal cord compression in osteoporotic compression fracture. J Neurosurg Spine 2013; 19:133-7. [PMID: 23662886 DOI: 10.3171/2013.4.spine121101] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Intraspinal cystic lesions with different pathogeneses have been reported to cause neurological deficits; however, no one has focused on the intraspinal extradural cysts that develop after osteoporotic compression fracture. The reported case features a 66-year-old woman presenting with progressive neurological deficit, back pain, and no history of additional trauma after undergoing conservative treatment for an osteoporotic fracture of L-1. The authors present serial radiographs and MR images demonstrating an epidural cyst successfully treated via a single posterior approach. This appears to be the first such case reported in the literature.
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Kim KT, Lee JS, Lee BW, Seok H, Jeon HS, Kim JH, Chung JH. Association between regulating synaptic membrane exocytosis 2 gene polymorphisms and degenerative lumbar scoliosis. Biomed Rep 2013; 1:619-623. [PMID: 24648997 DOI: 10.3892/br.2013.101] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2013] [Accepted: 04/18/2013] [Indexed: 11/06/2022] Open
Abstract
Degenerative lumbar scoliosis (DLS) is a spinal deformity that develops after skeletal maturity and progresses with age. In contrast to adolescent idiopathic scoliosis, the genetic association of DLS has not yet been elucidated. The purpose of this study was to investigate the association between regulating synaptic membrane exocytosis 2 (RIMS2, OBOE) gene polymorphisms and DLS. Two coding single-nucleotide polymorphisms [rs2028945 (Gln1200Gln) and rs10461 (Ala1327Ala)] of RIMS2 were selected and genotyped by direct sequencing. As a result, the rs10461 was associated with DLS in allele frequencies (P=0.008) and genotype distributions (P=0.006 in the codominant model, 0.018 in the dominant model and 0.029 in the recessive model). In the analysis of haplotypes, two haplotypes exhibited significant differences between the control and DLS groups (CC haplotype, P=0.009 in the codominant model, 0.038 in the dominant model and 0.030 in the recessive model; CT haplotype, P=0.041 in the codominant model and 0.021 in the dominant model). These findings suggest that RIMS2 may be associated with the development of DLS.
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Hara K, Horii Y, Iijima T, Adachi I, Aihara H, Asner DM, Aushev T, Aziz T, Bakich AM, Barrett M, Bhardwaj V, Bhuyan B, Bondar A, Bonvicini G, Bozek A, Bračko M, Browder TE, Chekelian V, Chen A, Chen P, Cheon BG, Chilikin K, Cho IS, Cho K, Choi Y, Cinabro D, Dalseno J, Dingfelder J, Doležal Z, Drásal Z, Drutskoy A, Dutta D, Eidelman S, Epifanov D, Esen S, Farhat H, Frey A, Gaur V, Gabyshev N, Ganguly S, Gillard R, Goh YM, Golob B, Haba J, Hara T, Hayasaka K, Hayashii H, Higuchi T, Hoshi Y, Inami K, Ishikawa A, Itoh R, Iwasaki Y, Iwashita T, Julius T, Kang JH, Kawasaki T, Kiesling C, Kim HO, Kim JB, Kim JH, Kim KT, Kim MJ, Kim YJ, Kinoshita K, Klucar J, Ko BR, Kodyš P, Korpar S, Kouzes RT, Križan P, Krokovny P, Kronenbitter B, Kuhr T, Kumita T, Kuzmin A, Kwon YJ, Lange JS, Lee SH, Li J, Li Y, Libby J, Liu C, Liu Y, Liu ZQ, Liventsev D, Matvienko D, Miyabayashi K, Miyata H, Mizuk R, Mohanty GB, Moll A, Mori T, Muramatsu N, Nakano E, Nakao M, Nakazawa H, Natkaniec Z, Nayak M, Ng C, Nisar NK, Nishida S, Nishimura K, Nitoh O, Nozaki T, Ohshima T, Okuno S, Olsen SL, Oswald C, Ozaki H, Pakhlov P, Pakhlova G, Park CW, Park HK, Pedlar TK, Pestotnik R, Petrič M, Piilonen LE, Prim M, Röhrken M, Ryu S, Sahoo H, Sakai K, Sakai Y, Sandilya S, Santel D, Sanuki T, Sato Y, Schneider O, Schnell G, Schwanda C, Schwartz AJ, Senyo K, Seon O, Sevior ME, Shapkin M, Shen CP, Shibata TA, Shiu JG, Shwartz B, Sibidanov A, Simon F, Smerkol P, Sohn YS, Sokolov A, Solovieva E, Starič M, Sumihama M, Sumiyoshi T, Tatishvili G, Teramoto Y, Trabelsi K, Tsuboyama T, Uchida M, Uehara S, Unno Y, Uno S, Urquijo P, Ushiroda Y, Usov Y, Van Hulse C, Vanhoefer P, Varner G, Varvell KE, Vorobyev V, Wagner MN, Wang CH, Wang MZ, Wang P, Watanabe M, Watanabe Y, Williams KM, Won E, Yabsley BD, Yamamoto H, Yamashita Y, Yusa Y, Zhang ZP, Zhilich V, Zhulanov V, Zupanc A. Evidence for B- → τ- ν(τ) with a hadronic tagging method using the full data sample of Belle. PHYSICAL REVIEW LETTERS 2013; 110:131801. [PMID: 23581309 DOI: 10.1103/physrevlett.110.131801] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/16/2012] [Indexed: 06/02/2023]
Abstract
We measure the branching fraction of B- → τ- ν(τ) using the full Υ(4S) data sample containing 772×10(6) BB pairs collected with the Belle detector at the KEKB asymmetric-energy e+ e- collider. Events with BB pairs are tagged by reconstructing one of the B mesons decaying into hadronic final states, and B- → τ- ν(τ) candidates are detected in the recoil. We find evidence for B- → τ- ν(τ) with a significance of 3.0 standard deviations including systematic errors and measure a branching fraction B(B- → τ- ν(τ))=[0.72(-0.25)(+0.27)(stat)±0.11(syst)]×10(-4).
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Kim KT, Kim J, Han YJ, Kim JH, Lee JS, Chung JH. Assessment of NMDA receptor genes (GRIN2A, GRIN2B and GRIN2C) as candidate genes in the development of degenerative lumbar scoliosis. Exp Ther Med 2013; 5:977-981. [PMID: 23408766 PMCID: PMC3570245 DOI: 10.3892/etm.2013.910] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2012] [Accepted: 01/16/2013] [Indexed: 11/17/2022] Open
Abstract
Degenerative lumbar scoliosis (DLS) progresses with aging after 50–60 years. The genetic association of DLS remains largely unclear. In this study, the genetic association between glutamate receptor, ionotropic, N-methyl D-aspartate (NMDA, GRIN) receptor genes and DLS was investigated. A total of 9 coding single nucleotide polymorphisms (cSNPs) in NMDA receptor genes [GRIN2A (rs8049651, Leu425Leu; rs9806806, Tyr730Tyr); GRIN2B (rs7301328, Pro122Pro; rs35025065, Asp447Asp; rs1805522, Ile602Ile; rs1806201, Thr888Thr; rs1805247, His1399His); and GRIN2C (rs689730, Ala33Ala; rs3744215, Arg1209Ser)] were selected and genotyped using direct sequencing in 70 patients with DLS and 141 healthy controls. Multiple logistic models (codominant, dominant and recessive) were calculated for the odds ratio (OR), 95% confidence interval (CI) and corresponding P-values. The SNPStats, SNPAnalyzer and HelixTree programs were used for the evaluation of the genetic data. Among the SNPs examined, no significant associations were observed between the NMDA receptor genes and DLS. When the patients were divided into two groups according to clinical characteristics based on Cobb’s angle (<20° or ≥20°) and lateral listhesis (<6 mm or ≥6 mm), associations were observed between rs689730 of GRIN2C and Cobb’s angle (codominant, P=0.038; dominant, P=0.022) and between rs7301328 of GRIN2B and lateral listhesis (codominant, P=0.003; dominant, P=0.015; recessive, P=0.015). These results indicate that the GRIN2A, GRIN2B and GRIN2C genes do not affect the development of DLS. However, the GRIN2C gene may be associated with Cobb’s angle, while the GRIN2B gene may be associated with lateral listhesis.
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Mizuk R, Asner DM, Bondar A, Pedlar TK, Adachi I, Aihara H, Arinstein K, Aulchenko V, Aushev T, Aziz T, Bakich AM, Bay A, Belous K, Bhardwaj V, Bhuyan B, Bischofberger M, Bonvicini G, Bozek A, Bračko M, Brodzicka J, Browder TE, Chekelian V, Chen A, Chen P, Cheon BG, Chilikin K, Chistov R, Cho IS, Cho K, Choi SK, Choi Y, Dalseno J, Danilov M, Doležal Z, Drásal Z, Drutskoy A, Eidelman S, Epifanov D, Fast JE, Gaur V, Gabyshev N, Garmash A, Golob B, Haba J, Hara T, Hayasaka K, Hayashii H, Horii Y, Hoshi Y, Hou WS, Hsiung YB, Hyun HJ, Iijima T, Ishikawa A, Itoh R, Iwabuchi M, Iwasaki Y, Iwashita T, Jaegle I, Julius T, Kang JH, Kapusta P, Kawasaki T, Kim HJ, Kim HO, Kim JH, Kim KT, Kim MJ, Kim YJ, Kinoshita K, Ko BR, Koblitz S, Kodyš P, Korpar S, Kouzes RT, Križan P, Krokovny P, Kuhr T, Kumita T, Kuzmin A, Kwon YJ, Lange JS, Lee SH, Li J, Libby J, Liu C, Liu Y, Liu ZQ, Liventsev D, Louvot R, Matvienko D, McOnie S, Miyabayashi K, Miyata H, Mohanty GB, Mohapatra D, Moll A, Muramatsu N, Mussa R, Nakao M, Natkaniec Z, Ng C, Nishida S, Nishimura K, Nitoh O, Nozaki T, Ohshima T, Okuno S, Olsen SL, Onuki Y, Pakhlov P, Pakhlova G, Park CW, Park H, Pestotnik R, Petrič M, Piilonen LE, Poluektov A, Röhrken M, Sakai Y, Sandilya S, Santel D, Sanuki T, Sato Y, Schneider O, Schwanda C, Senyo K, Seon O, Sevior ME, Shapkin M, Shen CP, Shibata TA, Shiu JG, Shwartz B, Sibidanov A, Simon F, Smerkol P, Sohn YS, Sokolov A, Solovieva E, Stanič S, Starič M, Sumihama M, Sumiyoshi T, Tanida K, Tatishvili G, Teramoto Y, Tikhomirov I, Trabelsi K, Tsuboyama T, Uchida M, Uehara S, Uglov T, Unno Y, Uno S, Vanhoefer P, Varner G, Varvell KE, Vinokurova A, Vorobyev V, Wang CH, Wang MZ, Wang P, Wang XL, Watanabe M, Watanabe Y, Williams KM, Won E, Yabsley BD, Yamaoka J, Yamashita Y, Yuan CZ, Zhang ZP, Zhilich V. Evidence for the η(b)(2S) and observation of h(b)(1P)→η(b)(1S)γ and h(b)(2P)→η(b)(1S)γ. PHYSICAL REVIEW LETTERS 2012; 109:232002. [PMID: 23368184 DOI: 10.1103/physrevlett.109.232002] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/29/2012] [Indexed: 06/01/2023]
Abstract
We report the first evidence for the η(b)(2S) using the h(b)(2P)→η(b)(2S)γ transition and the first observation of the h(b)(1P)→η(b)(1S)γ and h(b)(2P)→η(b)(1S)γ transitions. The mass and width of the η(b)(1S) and η(b)(2S) are measured to be m(η(b)(1S))=(9402.4±1.5±1.8) MeV/c(2), m(η(b)(2S))=(9999.0±3.5(-1.9)(+2.8)) MeV/c(2), and Γ(η(b)(1S))=(10.8(-3.7-2.0)(+4.0+4.5)) MeV. We also update the h(b)(1P) and h(b)(2P) mass measurements. We use a 133.4 fb(-1) data sample collected at energies near the Υ(5S) resonance with the Belle detector at the KEKB asymmetric-energy e(+)e(-) collider.
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Lee SH, Kim KT, Abumi K, Suk KS, Lee JH, Park KJ. Cervical Pedicle Screw Placement Using the “Key Slot Technique”. ACTA ACUST UNITED AC 2012; 25:415-21. [DOI: 10.1097/bsd.0b013e3182309657] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Jo DJ, Seo EM, Kim KT, Kim SM, Lee SH. Cervical pedicle screw insertion using the technique with direct exposure of the pedicle by laminoforaminotomy. J Korean Neurosurg Soc 2012; 52:459-65. [PMID: 23323166 PMCID: PMC3539080 DOI: 10.3340/jkns.2012.52.5.459] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2012] [Revised: 08/01/2012] [Accepted: 11/22/2012] [Indexed: 11/27/2022] Open
Abstract
Objective To present the accuracy and safety of cervical pedicle screw insertion using the technique with direct exposure of the pedicle by laminoforaminotomy. Methods We retrospectively reviewed 12 consecutive patients. A total of 104 subaxial cervical pedicle screws in 12 patients had been inserted. We also assessed the clinical and radiological outcomes and analyzed the direction and grade of pedicle perforation (grade 0: no perforation, 1: <25%, 2: 20% to 50%, 3: >50% of screw diameter) on the postoperative vascular-enhanced computed tomography scans. Grade 2 and 3 were considered as incorrect position. Results The correct position was found in 95 screws (91.3%); grade 0-75 screws, grade 1-20 screws and the incorrect position in 9 screws (8.7%); grade 2-6 screws, grade 3-3 screws. There was no neurovascular complication related with cervical pedicle screw insertion. Conclusion This technique (technique with direct exposure of the pedicle by laminoforaminotomy) could be considered relatively safe and easy method to insert cervical pedicle screw.
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Ko BR, Won E, Adachi I, Aihara H, Asner DM, Aulchenko V, Aushev T, Aziz T, Bakich AM, Belous K, Bhardwaj V, Bhuyan B, Bischofberger M, Bondar A, Bonvicini G, Bozek A, Bračko M, Browder TE, Chang MC, Chen A, Chen P, Cheon BG, Chilikin K, Cho IS, Cho K, Choi Y, Doležal Z, Drásal Z, Eidelman S, Fast JE, Gaur V, Gabyshev N, Garmash A, Goh YM, Golob B, Haba J, Hayasaka K, Hayashii H, Horii Y, Hoshi Y, Hou WS, Hsiung YB, Hyun HJ, Iijima T, Ishikawa A, Itoh R, Iwabuchi M, Iwasaki Y, Iwashita T, Julius T, Kang JH, Kawasaki T, Kiesling C, Kim HO, Kim JB, Kim KT, Kim MJ, Kim YJ, Kinoshita K, Koblitz S, Kodyš P, Korpar S, Križan P, Krokovny P, Kuhr T, Kuzmin A, Kwon YJ, Lange JS, Lee SH, Li J, Li Y, Libby J, Lim CL, Liu C, Liu Y, Liu ZQ, Liventsev D, Louvot R, Matvienko D, Miyazaki Y, Mizuk R, Mohanty GB, Moll A, Mori T, Muramatsu N, Nagasaka Y, Nakano E, Nakao M, Nakazawa H, Natkaniec Z, Nishida S, Nishimura K, Nitoh O, Ogawa S, Ohshima T, Okuno S, Olsen SL, Onuki Y, Ostrowicz W, Pakhlov P, Pakhlova G, Park CW, Park HK, Park KS, Pedlar TK, Pestotnik R, Petrič M, Piilonen LE, Poluektov A, Ritter M, Röhrken M, Ryu S, Sahoo H, Sakai K, Sakai Y, Sanuki T, Sato Y, Schneider O, Schwanda C, Schwartz AJ, Seidl R, Senyo K, Sevior ME, Shapkin M, Shebalin V, Shen CP, Shibata TA, Shiu JG, Shwartz B, Sibidanov A, Simon F, Smerkol P, Sohn YS, Sokolov A, Solovieva E, Stanič S, Starič M, Sumiyoshi T, Tanaka S, Tatishvili G, Teramoto Y, Trabelsi K, Tsuboyama T, Uchida M, Uehara S, Unno Y, Uno S, Varner G, Varvell KE, Vinokurova A, Vorobyev V, Wang CH, Wang P, Wang XL, Watanabe M, Watanabe Y, Yamamoto H, Yamashita Y, Yuan CZ, Zhang CC, Zhang ZP, Zhilich V, Zhulanov V, Zupanc A. Evidence for CP violation in the decay D+ → K(S)(0)π+. PHYSICAL REVIEW LETTERS 2012; 109:021601. [PMID: 23030153 DOI: 10.1103/physrevlett.109.021601] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/28/2012] [Indexed: 06/01/2023]
Abstract
We observe evidence for CP violation in the decay D+ → K(S)(0)π+ using a data sample with an integrated luminosity of 977 fb(-1) collected by the Belle detector at the KEKB e+ e- asymmetric-energy collider. The CP asymmetry in the decay is measured to be (-0.363±0.094±0.067)%, which is 3.2 standard deviations away from zero, and is consistent with the expected CP violation due to the neutral kaon in the final state.
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