Efficacy and safety of interspinous process device compared with alone decompression for lumbar spinal stenosis: A systematic review and meta-analysis.

STUDY DESIGN: Systematic review and meta-analysis. BACKGROUND: Interspinous process devices (IPD) were used as a treatment in selected patients with lumbar spinal stenosis (LSS). However, the use of IPD was still debated that it had significantly higher reoperation rates compared to traditional decompression. Therefore, the purpose of the meta-analysis was to evaluate the effectiveness and safety of IPD treatment in comparison to traditional treatment. METHODS: The databases were searched of PubMed, Embase and the Cochrane, Chinese National Knowledge Infrastructure, Chongqing VIP Database and Wan Fang Database up to January 2024. Relevant studies were identified by using specific eligibility criteria and data was extracted and analyzed based on primary and secondary endpoints. RESULTS: A total of 13 studies were included (5 RCTs and 8 retrospective studies). There was no significant difference of Oswestey Disability Index (ODI) score in the last follow-up (MD = -3.81, 95% CI: -8.91-1.28, P = .14). There was significant difference of Visual Analog Scale (VAS) back pain scoring in the last follow-up (MD = -1.59, 95% CI: -3.09--0.09, P = .04), but there existed no significant difference of leg pain in the last follow-up (MD = -2.35, 95% CI: -6.15-1.45, P = .23). What's more, operation time, bleeding loss, total complications and reoperation rate had no significant difference. However, IPD had higher device problems (odds ratio [OR] = 9.00, 95% CI: 2.39-33.91, P = .001) and lesser dural tears (OR = 0.32, 95% CI: 0.15-0.67, P = .002) compared to traditional decompression. CONCLUSION: Although IPD had lower back pain score and lower dural tears compared with traditional decompression, current evidence indicated no superiority for patient-reported outcomes for IPD compared with alone decompression treatment. However, these findings needed to be verified in further by multicenter, double-blind and large sample RCTs.

Magnetic properties and phase diagram of quasi-two-dimensional Na2Co2TeO6single crystal under high magnetic field.

We investigated the magnetic characteristics of Na2Co2TeO6at different temperatures and magnetic field. The experimental results indicated that the magnetic field can disturb the antiferromagnetic interaction and lead to the disorder. Magnetization curves measured with different anglesθ(θis between the magnetic field direction andcaxis) express the magnetocrystalline anisotropy in this system. When the angleθ= 0 (magnetic field parallel tocaxis), two continuous magnetic phase transitions at critical temperatureTN1andTN3were observed. Asθchanges,TN1is almost independent onθ, indicating the magnetic ordering atTN1was a spontaneous behavior with a robust AFM characteristic. On the other hand, asθincreases from 0 to 180,TN3presents extreme value atθ= 90 (magnetic field perpendicular tocaxis). It indicates thatTN3were sensitive to temperature and magnetic fields. At some angles closing toabplane, an additional phase transition was observed atTN2.This phase transition atTN2may mainly result from the long range antiferromagnetic ordering withinab-plane. Furthermore, the magnetization measurement up to 50 T revealed the strong antiferromagnetic coupling in the system, and in which the magnetic coupling within the honeycomb layers is strong and the magnetic coupling interaction between honeycomb layers is weaker. Based on the experimental results, we have obtained the complete magnetic phase diagram.

Syntheses, Structure, and 2/5 Magnetization Plateau of a 2D Layered Fluorophosphate Na3Cu5(PO4)4F·4H2O.

A new two-dimensional (2D) fluorophosphate compound Na3Cu5(PO4)4F·4H2O with a Cu5 cluster has been synthesized using a conventional hydrothermal method. The compound crystallizes in the orthorhombic crystal system with space group Pnma. The 2D layered structure is formed by cap-like {Cu5(PO4)4F} building units consisting of a Cu4O12F cluster plus a residual cap Cu2+ ion. Magnetic susceptibility exhibits a broad maximum at T2 = 19.2 K due to low-dimensional character followed by a long-range antiferromagnetic ordering at T1 = 11.5 K, which is further confirmed by the specific heat data. High-field magnetization measurement demonstrates a 2/5 quantum magnetization plateau above 40 T. The ESR data indicate the presence of magnetic anisotropy, in accordance with the 2D structure of the system.

Topological Phase Transition-Induced Triaxial Vector Magnetoresistance in (Bi1-xInx)2Se3 Nanodevices.

We report the study of a triaxial vector magnetoresistance (MR) in nonmagnetic (Bi1-xInx)2Se3 nanodevices at the composition of x = 0.08. We show a dumbbell-shaped in-plane negative MR up to room temperature as well as a large out-of-plane positive MR. MR at three directions is about in a -3%:-1%:225% ratio at 2 K. Through both the thickness and composition-dependent magnetotransport measurements, we show that the in-plane negative MR is due to the topological phase transition enhanced intersurface coupling near the topological critical point. Our devices suggest the great potential for room-temperature spintronic applications in, for example, vector magnetic sensors.