Axial Neck Pain after Cervical Laminoplasty with Preserving C7 Spinous Process Using C7 Arcocristectomy: A Prospective Study.

STUDY DESIGN: Single-blinded, randomized, single-center, prospective study. PURPOSE: This study aims to compare the radiographical and clinical outcomes between C7 laminoplasty and C7 arcocristectomy, which preserves the C7 spinous process. OVERVIEW OF LITERATURE: Laminoplasty is a widely used surgical method that decompresses the cervical spinal cord. However, axial neck pain is one of the major factors of dissatisfaction, and still, it is not clearly solved the reduction method of postoperative axial neck pain. METHODS: Thirty-one patients with multilevel cervical spondylotic myelopathy who required C6-C7 level decompression surgery were operated and followed up for 24 months. One group (15 patients) received C7 arcocristectomy without laminoplasty, and the other group (16 patients) received C7 laminoplasty. Flexion, neutral, and extension angles were measured using the Cobb method at C2-C7 to evaluate preoperative and postoperative radiographic parameters. Range of motion (ROM), ROM preservation rate of the cervical spine, C2-C7 sagittal vertical axis (SVA), and T1 slope were measured using C-spine lateral X-ray. The Visual Analog Scale (VAS) and modified Japanese Orthopedic Association (JOA) score were used to compare preoperative and postoperative clinical symptoms. RESULTS: Flexion, neutral, extension angles of the cervical spine, C2-C7 SVA, T1 slope, ROM, ROM preservation rate, and modified JOA score were not significantly different between the two groups (p>0.05). In the C7 arcocristectomy group, the average postoperative VAS for axial neck pain was increased in 13.3% (2/15) of the patients, whereas in the C7 laminoplasty group, the average postoperative VAS was increased in 43.8% (7/16) of the patients (p=0.018). CONCLUSIONS: C7 arcocristectomy, which preserves the C7 spinous process and posterior structures, is a useful technique for relieving axial neck pain.

Pathological-Gait Recognition Using Spatiotemporal Graph Convolutional Networks and Attention Model.

Walking is an exercise that uses muscles and joints of the human body and is essential for understanding body condition. Analyzing body movements through gait has been studied and applied in human identification, sports science, and medicine. This study investigated a spatiotemporal graph convolutional network model (ST-GCN), using attention techniques applied to pathological-gait classification from the collected skeletal information. The focus of this study was twofold. The first objective was extracting spatiotemporal features from skeletal information presented by joint connections and applying these features to graph convolutional neural networks. The second objective was developing an attention mechanism for spatiotemporal graph convolutional neural networks, to focus on important joints in the current gait. This model establishes a pathological-gait-classification system for diagnosing sarcopenia. Experiments on three datasets, namely NTU RGB+D, pathological gait of GIST, and multimodal-gait symmetry (MMGS), validate that the proposed model outperforms existing models in gait classification.

Periimplant osteolysis does not affect the outcome of rotator cuff repair: a systematic review and meta-analysis.

PURPOSE: The goal of this study was to perform a systematic review and meta-analysis to compare the clinical and radiologic outcomes of rotator cuff repair, depending on the presence of developed periimplant osteolysis (PIO) after using suture anchors. METHODS: The electronic databases of MEDLINE, EMBASE, and the Cochrane Central Register of Controlled Trials were searched for articles published up until October 2019 to find relevant articles comparing the outcomes of rotator cuff repair between the periimplant osteolysis group and non-periimplant osteolysis group. Data searching, extraction, analysis, and quality assessment were performed according to the Cochrane Collaboration guidelines. The results are presented as risk ratio (RR) for binary outcomes and standardised mean difference (SMD) for continuous outcomes with 95% confidence intervals (CI). RESULTS: Six clinical studies were included. No significant differences were found between the group with periimplant osteolysis and the group without periimplant osteolysis regarding retear rate (RR = 1.34; 95% CI 0.93-1.94; I2 = 28%), postoperative clinical scores (SMD = 0.29; 95% CI - 0.26 to 0.83; I2 = 80%) and range of motion (ROM); forward flexion (SMD = 0.39; 95% CI - 0.16 to 0.93; I2 = 0%), external rotation (SMD = - 0.10; 95% CI - 0.64 to 0.45; I2 = 0%) and internal rotation (SMD = - 0.37; 95% CI - 0.92 to 0.17; I2 = 0%). CONCLUSION: The presence of periimplant osteolysis after rotator cuff repair with suture anchor does not affect the clinical outcomes such as retear rate, clinical scoring, and ROM. However, as there was no standard consensus on the criteria for evaluating periimplant osteolysis, this result may not fully reflect the effect of periimplant osteolysis depending on its severity. LEVEL OF EVIDENCE: Level IV.

Fully Differential Touch Screen Controller with Wide Input Dynamic Range for Thin Displays.

As today's smartphone displays become thinner, the coupling capacitance between the display electrodes and touch screen panel (TSP) electrodes is increasing significantly. The increased capacitance easily introduces time-varying display signals into the TSP, deteriorating the touch performance. In this research, we demonstrate that the maximum peak display noise in the time domain is approximately 30% of the maximum voltage difference of the display grayscale through analysis of the structure and operation of displays. Then, to mitigate display noise, we propose a circuit solution that uses a fully differential charge amplifier with an input dynamic range wider than the maximum peak of the display noise. A test chip was fabricated using a 0.35 µm CMOS process and achieved a signal-to-noise ratio of 41 dB for a 6-mm-diameter metal pillar touch when display pulses with 5-V swing were driven at 100 kHz.

Mutual Capacitive Sensing Touch Screen Controller for Ultrathin Display with Extended Signal Passband Using Negative Capacitance.

Flexible and thin displays for smart devices have a large coupling capacitance between the sensor electrode of the touch screen panel (TSP) and the display electrode. This increased coupling capacitance limits the signal passband to less than 100 kHz, resulting in a significant reduction in the received signal, with a driving frequency of several hundred kilohertz used for noise avoidance. To overcome this problem, we reduced the effective capacitance at the analog front-end by connecting a circuit with a negative capacitance in parallel with the coupling capacitance of the TSP. In addition, the in-phase and quadrature demodulation scheme was used to address the phase fluctuation between the signal and the clock during demodulation. We fabricated a test chip using the 0.35 µm CMOS process and obtained a signal-to-noise ratio of 43.2 dB for a 6 mm diameter metal pillar touch input.