Surgical management of facet cysts in the thoracic spine: Radiological manifestations and results of fenestration.

BACKGROUND: Facet cysts in the thoracic spine are a rare cause of thoracic myelopathy. We aimed to investigate the clinical/radiological features and surgical results of these lesions. METHODS: Nine thoracic facet cysts in eight patients (seven men, one woman) were diagnosed based on magnetic resonance imaging (MRI) and computed tomography (CT) with facet arthrography findings and surgically treated. The mean patient age was 71 (59-83) years. The cysts were distributed as follows: one each at T8-9 and T9-10, two each at T1-2 and T11-12, and three at T10-11. The mean follow-up period was 1.8 (1-5) years. Clinical and radiological features were retrospectively investigated, and surgical outcomes were evaluated according to modified Japanese Orthopaedic Association (JOA) scores for thoracic myelopathy (full score: 11). RESULTS: Neurological examination revealed progressive thoracic transverse myelopathy in all patients with a mean disease duration of 1.2 months (2 weeks-2 months). MRI revealed a total of nine cysts across the eight patients: four in the median region and five in the paramedian portion of the spinal canal. CT revealed degeneration in all involved facet joints. All the cysts were in communication with the neighboring facet joint confirmed by CT facet arthrography. All patients underwent bilateral fenestration, and the cysts were resected with the ligamentum flavum. The mean preoperative and postoperative modified JOA scores were 4.5 and 8.8, respectively. The mean recovery rate was 67.5%. Differences in the degree of local kyphosis were 2° or less between before and after surgery. On histopathology, synovial lining cells were not noted in any case. CONCLUSIONS: Decompression surgery is recommended for treating progressive myelopathy in patients with cystic lesions. Our study suggests that thoracic facet cyst resection with satisfactory surgical outcomes would be possible through fenestration.

Titanium Germylidenes.

Two novel 18-electron titanium germylene complexes, Cp2 Ti(L)=Ge[Si3 (SiMet Bu2 )4 ] 3 b (L=Me3 P) and 3 c (L=XylNC), were synthesized, isolated, and structurally characterized. The length of the titanium-germanium bonds of 2.5387(3) Šand 2.5276(3) Š(in 3 b and 3 c, respectively) well match those expected for the double bond, which was further supported by the DFT study. Based on their structural characteristics, as well as their atomic charges calculations which revealed Ti(δ+)=Ge(δ-) bond polarization, both 3 b and 3 c are classified as the Schrock-type titanium germylidenes, as the germanium analogues of the widely known titanium alkylidenes. By contrast, germylene complexes of the group 6 metals 8 a (M=Mo) and 8 b (M=W) are better described as Fischer-type germylene complexes.

From a (Silatrigerma)cyclobutenylium Ion to a (Silatrigerma)cyclobutenyl Radical and Back.

(Silatrigerma)cyclobutenylium ion salt 2+·[B(C6F5)4]- was readily prepared by the reaction of cyclotrigermene 1 with an equimolar amount of [Et3Si(benzene)]+·[B(C6F5)4]- in benzene. The homoaromatic nature of 2+ was firmly established by its crystallographic analysis, which revealed a highly folded SiGe3 four-membered ring (40.4°) and a remarkably short transannular Ge-Ge distance of 2.9346(3) Å. The homoaromaticity of 2+ was supported by DFT calculations, which confirmed an extensive transannular bonding orbital interaction. One-electron reduction of 2+·[B(C6F5)4]- with potassium graphite resulted in the selective formation of (silatrigerma)cyclobutenyl free radical 2·, which has an allylic-type structure as confirmed by its X-ray and EPR studies. Cation 2+ and free radical 2· can be readily interconverted, thus constituting a fully reversible redox pair.

From Borapyramidane to Borole Dianion.

Nonclassical pyramidanes with their inverted tetrahedral configuration of the apical atom are among the most challenging synthetic targets in cluster chemistry. In this Communication, we report on the synthesis and structure of the first representative of pyramidal compounds with the group 13 element at the apex, namely, chloroborapyramidane 2. Reduction of 2 with excess of lithium metal unexpectedly produced the cage-opening product, borole dianion derivative {32-·[Li(thf)+]2}, a 6π-electron aromatic system.

Rare-Earth Cyclobutadienyl Sandwich Complexes: Synthesis, Structure and Dynamic Magnetic Properties.

The potassium cyclobutadienyl [K2 {η4 -C4 (SiMe3 )4 }] (1) reacts with MCl3 (THF)3.5 (M=Y, Dy) to give the first rare-earth cyclobutadienyl complexes, that is, the complex anions [M{η4 -C4 (SiMe3 )4 }{η4 -C4 (SiMe3 )3 -κ-(CH2 SiMe2 }]2- , (2M ), as their dipotassium salts. The tuck-in alkyl ligand in 2M is thought to form through deprotonation of the "squarocene" complexes [M{η4 -C4 (SiMe3 )4 }2 ]- by 1. Complex 2Dy is a single-molecule magnet, but with prominent quantum tunneling. An anisotropy barrier of 323(22) cm-1 was determined for 2Dy in an applied field of 1 kOe, and magnetic hysteresis loops were observed up to 7 K.

Clinical features and radiological findings of 67 patients with SAPHO syndrome.

OBJECTIVES: The purpose of this study was to facilitate the understanding of the SAPHO (Synovitis, Acne, Pustulosis, Hyperostosis, and Osteitis) syndrome by analyzing the clinical and radiological features of 67 Japanese patients with SAPHO syndrome. METHODS: Sixty-seven Japanese patients (female/male: 44/23, mean age at onset: 48.5 years) were diagnosed with SAPHO syndrome from 2002 to 2013 at our hospital. Medical records and radiological imaging of these patients were retrospectively reviewed. RESULTS: Among the 67 patients, 41 had dermatological manifestations, such as palmoplantar pustulosis, acne, and psoriasis. Initial symptom was local pain in all patients, and the most common initial site of the symptom was the anterior chest. Bacterial and fungal cultures from 20 bone biopsies were all negative. Histopathological diagnosis of the specimens was non-specific inflammation in all cases. Bone lesions were observed in 65 patients (97.0%). On the other hand, articular lesions including enthesitis were found in 31 patients (46.2%). CONCLUSION: SAPHO syndrome had different clinical and radiological aspects. The clinical features were not remarkable, except the dermatological manifestations and the involvement of the anterior chest. Bone lesions including hyperostosis and osteitis were found radiographically in the majority of patients with SAPHO syndrome. These are the characteristics of the SAPHO syndrome, with the exclusion of other bone diseases.

Bis(stibahousene).

Strained hydrocarbons constitute one of the most prominent classes of organic compounds. Among them, bicyclo[2.1.0]pentene ("housene") derivatives represent a highly challenging and very attractive class. Although organic housenes have been known for more than five decades, there are still very few of them containing heavier main group elements. In this paper, we report on the two housene-type structures, novel monomeric stibahousene and dimeric bis(stibahousene). The bonding natures of both compounds were approached from both experimental and computational directions to reveal their peculiar structural features.

Spectroscopic Observation of the Triplet Diradical State of a Cyclobutadiene.

Tetrakis(trimethylsilyl)cyclobuta-1,3-diene (1) was subjected to a temperature-dependent EPR study to allow the first spectroscopic observation of a triplet diradical state of a cyclobutadiene (2). From the temperature dependent EPR absorption area we derive a singlet→triplet (1→2) energy gap, EST , of 13.9 kcal mol-1 , in agreement with calculated values. The zero-field splitting parameters D=0.171 cm-1 , E=0 cm-1 are accurately reproduced by DFT calculations. The triplet diradical 2 is thermally accessible at moderate temperatures. It is not an intermediate in the thermal cycloreversion of cyclobutadiene to two acetylene molecules.

Isolation of Hypervalent Group-16 Radicals and Their Application in Organic-Radical Batteries.

Using a newly prepared tridentate ligand, we isolated hypervalent sulfur and selenium radicals for the first time and characterized their structures. X-ray crystallography, electron spin resonance spectroscopy, and density functional theory calculations revealed a three-coordinate hypervalent structure. Utilizing the reversible redox reactions between hypervalent radicals and the corresponding anions bearing Li(+), we developed organic radical batteries with these compounds as cathode-active materials. Furthermore, an all-radical battery, with these compounds as the cathode and a silyl radical as the anode, was developed that exhibited a practical discharge potential of ∼ 1.8 V and stable cycle performance, demonstrating the potential of these materials for use in metal-free batteries that can replace conventional Li-ion batteries where Li is used in the metal form.

A Cationic Phosphapyramidane.

Pyramidanes C[C4 R4 ] constitute a novel class of highly strained and reactive polyhedral clusters that attracted a great deal of attention of both theoreticians and experimentalists. Although well-studied from the theoretical viewpoint, pyramidanes were synthetically inaccessible, and only very recently their very first isolable representatives have been described. In this Communication, we report on the synthesis and structural studies of the cationic pyramidane with the Group 15 element at the apex, namely, phosphapyramidane, an isoelectronic analogue of the neutral pyramidanes of the Group 14 elements.

Theoretical study on the relationship between diradical character and second hyperpolarizabilities of four-membered-ring diradicals involving heavy main-group elements.

By using spin-unrestricted density functional theory methods, the relationship between the diradical character y and the second hyperpolarizability γ (the third-order nonlinear optical (NLO) properties at the molecular scale) for four-membered-ring diradical compounds, that is, cyclobutane-1,3-diyl, Niecke-type diradicals, and Bertrand-type diradicals, were investigated by focusing on the substitution effects of heavy main-group elements as well as of donor/acceptor groups on the y and γ values. It has been found that i) γ is enhanced in the intermediate y region for these four-membered-ring diradicals, ii) Niecke-type diradicals with intermediate y values, which are realized by tuning the combination of the main-group elements involved, exhibit larger γ values than Bertrand-type diradicals, and iii) the y value and thus γ value can be controlled by modifying the both-end donor/acceptor substituents attached to carbon atoms in Nicke-type C2 P2 diradicals. These results demonstrate that four-membered-ring diradicals involving heavy main-group elements exhibit high controllability of the y and γ, which indicates the potential applications of four-membered-ring diradicals as a building block of highly efficient open-shell NLO materials.

Reoperation rates after fenestration for lumbar spinal canal stenosis: a 20-year period survival function method analysis.

PURPOSE: Fenestration is the gold standard surgery for lumbar spinal canal stenosis in Japan. Several previous studies have analyzed the reoperation rates in large numbers of patients undergoing several surgical procedures such as laminectomy with or without instrumented spinal fusion; however, there have been few studies focusing solely on fenestration. The purpose of this study was to calculate the reoperation rates after fenestration using the survival function method. METHODS: Form 1988-2007, 6,998 surgeries for lumbar spinal canal stenosis occurred in Miyagi prefecture, Japan, and these patients were enrolled by the spinal surgery registration system of the Department of Orthopaedic Surgery, Tohoku University. Among these, 5,835 surgeries involved fenestration as a primary surgery and for those who underwent ≥2 lumbar surgeries we analyzed the reoperation rates using the Kaplan-Meier method. RESULTS: Among the 5,835 patients undergoing primary fenestration, 215 patients underwent 221 revisions; 112 included the same spinal levels and 103 were revised only at other levels as primary fenestration. The overall reoperation rates were 0.8% at 1 year, 2.9% at 5 years, 5.2% at 10 years, 7.5% at 15 years and 8.6% at >17.7 years. Reoperation rates for those at the same spinal levels were 0.6% at 1 year, 1.7% at 5 years, 2.7% at 10 years, 3.8% at 15 years, and 4.1% at >17.0 years. CONCLUSIONS: Fenestration can be performed at low cost using standard spinal surgery equipments. The reoperation rates of this procedure were lower than previously reported for several other surgical procedures.

From a Si3-Cyclopropene to a Si3S-Bicyclo[1.1.0]butane to a Si3S-Cyclopropene to a Si3S2-Bicyclo[1.1.0]butane: Back-and-Forth, and In-Between.

Compact and highly reactive bicyclo[1.1.0]butanes constitute one of the most fascinating classes of organic compounds. Furthermore, interplay of bicyclo[1.1.0]butanes with their valence isomers, such as buta-1,3-dienes and cyclobutenes, is among the fundamental pericyclic transformations in organic chemistry. Herein we report the back-and-forth interconversion between the cyclotrisilenes and thiatrisilabicyclo[1.1.0]butanes, allowing for the synthesis of novel representatives of such classes of highly reactive organometallics. The peculiar structural and bonding features of the newly synthesized compounds, as well as the mechanism of their isomerization, were verified both experimentally and computationally.

Pentagermapyramidane: crystallizing the "transition-state" structure.

The first example of the homonuclear pyramidanes, pentagermapyramidane, was synthesized, fully characterized, and computationally studied to reveal its peculiar structural features and the nature of its apex-to-base bonding interactions. Both solid-state and solution structures of pentagermapyramidane are discussed based on the computed stabilities of its square-pyramidal and distorted forms.

Observation of a thermally accessible triplet state resulting from rotation around a main-group π†bond.

We report the first direct spectroscopic observation by electron paramagnetic resonance (EPR) spectroscopy of a triplet diradical that is formed in a thermally induced rotation around a main-group π bond, that is, the SiSi double bond of tetrakis(di-tert-butylmethylsilyl)disilene (1). The highly twisted ground-state geometry of singlet 1 allows access to the perpendicular triplet diradical 2 at moderate temperatures of 350-410 K. DFT-calculated zero-field splitting (ZFS) parameters of 2 accurately reproduce the experimentally observed half-field transition. Experiment and theory suggest a thermal equilibrium between 1 and 2 with a very low singlet-triplet energy gap of only 7.3 kcal mol(-1) .

Stibasilene Sb═Si and its lighter homologues: a comparative study.

The multiply bonded derivatives of the heavier main group elements are among the most challenging targets for synthetic pursuits. Those of them featuring a double bond between the silicon and group 15 element are represented mostly by the silaimines -N═Si< and phosphasilenes -P═Si< with a very few examples of arsasilenes -As═Si<. In this contribution, we report on the synthesis and structural elucidation of the first stable stibasilene and novel phosphasilene and arsasilene derivatives, featuring an identical substitution pattern. A systematic comparison within the series phosphasilene-arsasilene-stibasilene is made on the basis of their experimental and computational studies.

Isolable aryl-substituted silyl radicals: synthesis, characterization, and reactivity.

Isolable aryl-substituted silyl radicals (tBu2 MeSi)2(Ar)Si(·) (Ar = C6H5, 4-tBuC6H4, 4-PhC6H4, 3,5-tBu2C6H3) were synthesized by the reaction of the corresponding iodosilane with an equimolar amount of potassium graphite (KC8 ) in tetrahydrofuran (THF). The crystal structure of 3,5-tBu2C6H3 derivative, which was determined by X-ray crystallography, showed a planar geometry around the Si atom for the radical center. EPR studies of all four radicals revealed the lack of the delocalization of the unpaired electron over the aromatic ring. Reactivity and spectroscopic studies of the less-hindered phenyl-substituted silyl radical showed that it exists as an equilibrium mixture of the radical and its silene-type dimer in solution.

High-power electrochemical energy storage system employing stable radical pseudocapacitors.

The development of electrical energy storage devices that can operate at high charge and discharge rates is fundamentally important, however although electrochemical capacitors (ECs) can charge and discharge at high rates, their electrochemical storage capacity remains an order of magnitude lower than that of conventional lithium-ion batteries. Novel pseudocapasitors are developed, based on the stable persilyl-susbtituted free radicals of the heavy group 14 elements, (tBu2 MeSi)3 E(.) [E=Si (1), Ge (2), and Sn (3)], as anode materials for energy storage system. Such systems showed a remarkable cycle stability without significant loss of power density, in comparison with similar characteristics of the known organic radical batteries, the dual carbon cell, and the electrochemical capacitor. Particularly important is that these novel electrochemical energy storage systems employing stable heavy group 14 element radicals are lithium-free. The electrochemical properties and structures of the reduced and oxidized species were studied by the cyclic voltammetry (CV), electron paramagnetic resonance (EPR) spectroscopy, and X-ray diffraction (XRD).

Spirobis(pentagerma[1.1.1]propellane): a stable tetraradicaloid.

In this contribution, we report a spirobis(pentagerma[1.1.1]propellane) derivative as a novel type of molecular architecture in cluster chemistry that features two spiro-fused [1.1.1]propellane units and represents a stable tetraradicaloid species. The crucial issue of the nature of the interaction between the germanium bridgeheads was probed computationally, revealing weak bonding interactions between the formally unpaired electrons.