A newly designed anatomical plate for the therapy of posterolateral tibial plateau fracture via a supra-fibular-head approach: a retrospective study.

The posterolateral tibial plateau fracture is a special type of intra-articular fracture, for which there is no simple, safe, and effective standardized procedure. In this paper, we evaluate the clinical efficacy and the advantages of the treatment of posterolateral tibial plateau fracture by using our designed proximal lateral tibial rim plate for the posterolateral condyle of the tibial plateau via the space above the fibula head. Thirty-eight patients with posterolateral tibial plateau fractures from June 2018 to June 2021 were retrospectively analyzed. CT scans were used to classify the degree of injury in the included patients. All of them were fixed with reduction using an approach above the fibula head combined with a homemade anatomical plate. The regular postoperative review was performed to instruct functional knee exercises. Postoperative complications were observed and follow-up visits were performed to assess the functional outcome. A total of 38 patients with posterolateral tibial plateau fractures, 13 males and 25 females were included in the study. All patients were followed up for 13-26 months, with a mean of 15.3 months. There were no postoperative complications such as numbness of the limb, knee joint instability, etc. X-ray review showed that the fractures were all healed, and the healing time was 10-16 weeks, with an average of 12.1 weeks; none of the internal fixation loosening and loss of articular surface occurred during the follow-up period. At the last follow-up, according to the HSS knee function score criteria, the scores were 79-98, with an average of 91.3. The HSS score presented excellent in 34 cases (89%) and good in 4 cases (11%). The Rasmussen score was graded as excellent in 29 cases (76%) and good in 9 cases (24%). In conclusion, The treatment of posterolateral tibial plateau fractures by an approach above the fibula head has the advantages of simplicity and safety, small trauma, and no risk of vascular and nerve injuries, and the anatomical proximal lateral tibial rim plate can play a direct and effective supporting role for the bone fragments of the posterolateral condyle, and the combination of both of them has obvious advantages in the treatment of posterolateral condylar fracture of the tibial plateau, and it is a method worth borrowing and popularizing.

An imageology-based feasibility study of plating posterolateral tibial plateau fractures via an anterolateral trans-fibular-head approach.

BACKGROUND: There are many difficulties in the reduction and fixation of the tibial plateau fractures involving posterolateral quadrant using general plates via traditional approaches. By imaging the area above the fibulae capitulum, this study was performed to investigate the feasibility of the trans-fibular-head approach and to design an ideal anatomical plate. METHODS: MRI and CT scans of the knee joint were collected from 205 healthy volunteers (103 males, 102 females). Gender and height were used to divide the volunteers into groups separately: (1) A1 group and A2 group according to gender, (2) B1 group and B2 group according to height. Based on the images, several parameters were defined and measured to describe the space above the head of the fibula. In addition, differences in these parameters between genders and height were compared. RESULTS: The narrowest distance in the bony region was (10.96 ± 1.39) mm, (5.41 ± 0.97 mm) in the bone-ligament region. The narrowest distance of bony region in the A1 group was more than that in the A2 group (11.21 ± 1.62 mm, 10.85 ± 1.47 mm, p = 0.029). The narrowest distance of the bony region was (10.21 ± 1.42) mm and (11.65 ± 1.39) mm in the B1 group and B2 group, respectively (p = 0.002). The narrowest distance of the bone-ligament region was (5.39 ± 0.78) mm and (5.22 ± 1.21) mm in the A1 group and A2 group, respectively. No statistically significant differences were observed between the A1 group and the A2 group in terms of the narrowest distance of the bone-ligament region. In the B1 group, the narrowest distance of the bone-ligament region (5.18 ± 0.71 mm) was not significantly less than that (5.31 ± 0.91 mm) in the B2 group. CONCLUSION: The space above the fibular capitellum was ample enough to place the plate for treating tibial plateau fractures involving posterolateral quadrant. The divisions of the lateral tibial plateau by 3-dimensional CT and the parameters of each region were crucial for providing guidance for designing the anatomical plate for the trans-fibular-head approach.

Robust shortcut for controlling Bloch states in optical lattices.

The ability to manipulate quantum states with robustness is crucial for various quantum applications, including quantum computation, quantum simulation, and quantum precision measurement. While pulsed shortcut techniques have proven effective for controlling bands and orbits in optical lattices, their robustness has not been extensively studied. In this paper, we present an improved shortcut design scheme that retains the advantages of high speed and high fidelity, while ensuring exceptional robustness. We conduct comprehensive experimental verifications to demonstrate the effectiveness of this new robust shortcut and its application in quantum gate design. The proposed scheme is expected to enhance the robustness of optical lattice orbit-based interferometry, quantum gates, and other processes.

All-fiber laser system for all-optical 87Rb Bose Einstein condensate to space application.

In the development of the Cold Atom Physics Research Rack (CAPR) on board the Chinese Space Station, the laser system plays a critical role in preparing the all-optical 87 R b Bose-Einstein condensates (BECs). An all-fiber laser system has been developed for CAPR to provide the required optical fields for atom interaction and to maintain the beam pointing in long-term operation. The laser system integrates a 780 nm fiber laser system and an all-fiber optical control module for sub-Doppler cooling, as well as an all-fiber 1064 nm laser system for evaporative cooling. The high-power, single-frequency 780 nm lasers are achieved through rare-Earth doped fiber amplification, fiber frequency-doubling, and frequency stabilization technology. The all-fiber optical control module divides the output of the 780 nm laser system into 15 channels and regulates them for cooling, trapping, and probing atoms. Moreover, the power consistency of each pair of cooling beams is ensured by three power tracking modules, which is a prerequisite for maintaining stable MOT and molasses. A high-power, compact, controlled-flexible, and highly stable l064 nm all-fiber laser system employing two-stage ytterbium-doped fiber amplifier (YDFA) technology has been designed for evaporative cooling in the optical dipole trap (ODT). Finally, an all-optical 87 R b BEC is realized with this all-fiber laser system, which provides an alternative solution for trapping and manipulating ultra-cold atoms in challenging environmental conditions.

Optimal lattice depth on lifetime of D-band ultracold atoms in a triangular optical lattice.

Ultracold atoms in optical lattices are a flexible and effective platform for quantum precision measurement, and the lifetime of high-band atoms is an essential parameter for the performance of quantum sensors. In this work, we investigate the relationship between the lattice depth and the lifetime of D-band atoms in a triangular optical lattice and show that there is an optimal lattice depth for the maximum lifetime. After loading the Bose-Einstein condensate into D band of optical lattice by shortcut method, we observe the atomic distribution in quasi-momentum space for the different evolution time, and measure the atomic lifetime at D band with different lattice depths. The lifetime is maximized at an optimal lattice depth, where the overlaps between the wave function of D band and other bands (mainly S band) are minimized. Additionally, we discuss the influence of atomic temperature on lifetime. These experimental results are in agreement with our numerical simulations. This work paves the way to improve coherence properties of optical lattices, and contributes to the implications for the development of quantum precision measurement, quantum communication, and quantum computing.

The feasibility of a new self-guided pedicle tap for pedicle screw placement: an anatomical study.

PURPOSE: To investigate the safety and accuracy of applying a new self-guided pedicle tap to assist pedicle screw placement. METHODS: A new self-guided pedicle tap was developed based on the anatomical and biomechanical characteristics of the pedicle. Eight adult spine specimens, four males and four females, were selected and tapped on the left and right sides of each pair of T1-L5 segments using conventional taps (control group) and new self-guided pedicle taps (experimental group), respectively, and pedicle screws were inserted. The screw placement time of the two groups were recorded and compared using a stopwatch. The safety and accuracy of screw placement were observed by CT scanning of the spine specimens and their imaging results were graded according to the Heary grading criteria. RESULTS: Screw placement time of the experimental group were (5. 73 ± 1. 18) min in thoracic vertebrae and (5. 09 ± 1. 31) min in lumbar vertebrae respectively. Screw placement time of the control group were respectively (6. 02 ± 1. 54) min in thoracic vertebrae and (5.51 ± 1.42) min in lumbar vertebrae. The difference between the two groups was not statistically significant (P > 0. 05). The Heary grading of pedicle screws showed 112 (82.35%) Heary grade I screws and 126 (92.65%) Heary grade I + II screws in the experimental group, while 96 (70.59%) Heary grade I screws and 112 (82.35%) Heary grade I + II screws in the control group.The difference between the two groups was statistically significant (P < 0.05). CONCLUSION: The new self-guided pedicle tap can safely and accurately place thoracic and lumbar pedicle screws with low-cost and convenient procedure,which indicates a good clinical application value.

Optomechanics and quantum phase of the Bose-Einstein condensate with the cavity mediated spin-orbit coupling.

We investigated the optomechanical dynamics and explored the quantum phase of a Bose-Einstein condensate in a ring cavity. The interaction between the atoms and the cavity field in the running wave mode induces a semiquantized spin-orbit coupling (SOC) for the atoms. We found that the evolution of the magnetic excitations of the matter field resembles that of an optomechanical oscillator moving in a viscous optical medium, with very good integrability and traceability, regardless of the atomic interaction. Moreover, the light-atom coupling induces a sign-changeable long-range interatomic interaction, which reshapes the typical energy spectrum of the system in a drastic manner. As a result, a new quantum phase featuring a high quantum degeneracy was found in the transitional area for SOC. Our scheme is immediately realizable and the results are measurable in experiments.

Comparison of a directional cement delivery device versus conventional device in unilateral percutaneous kyphoplasty for the therapy of osteoporotic thoracolumbar fracture in the elderly.

BACKGROUND: Percutaneous kyphoplasty (PKP) has been demonstrated to be effective in the treatment of osteoporotic vertebral compression fractures (OVCF). However, bilateral puncture techniques take more time to accept more X-ray radiation; some spinal surgeons apply unilateral puncture PKP, but the cement cannot be symmetrically distributed in the vertebral body, so we apply a directional bone cement delivery device that undergoes PKP through the unilateral pedicle puncture. This research aims to compare the clinical and radiological results of PKP via unilateral pedicle approach using a traditional bone cement delivery device and a directional bone cement delivery device and determine the value of a directional delivery device for the therapy of thoracolumbar compression fracture in the elderly. METHODS: We undertook a retrospective analysis of patients with single-level OVCF treated with unilateral pedicle puncture PKP from Jan 2018 to Jan 2020. Operation time, radiation exposure, bone cement injection volume, and the incidence of bone cement leakage were recorded for presentation, and the cement leakage and bone cement distribution were measured by X-ray and computed tomography scan. The patients were followed up postoperatively and were assessed mainly with regard to clinical and radiological outcomes. RESULTS: There was no significant difference in the operation time, radiation exposure time, and incidence of bone cement leakage between the two groups. A significant difference was observed in the volume of bone cement injection between the two groups. All patients in both groups had significantly less pain after the procedures, compared with their preoperative period pain. There were no significant differences in Visual Analogue Scale, the relative height of the vertebral body, Cobb angle, and Quality of Life Questionnaire of the European Foundation for Osteoporosis between the two groups at 1 week after PKP, significant difference was observed only 12 months after operation. CONCLUSION: Application of directional bone cement delivery device is safe and feasible, compared with the application of traditional bone cement delivery device, without prolonging the operative time, radiation exposure time, and the incidence of bone cement leakage. It has the advantages of good short- and medium-term effect, excellent bone cement distribution, and low incidence of kyphosis recurrence.

Quantum precision measurement of two-dimensional forces with 10-28-Newton stability.

High-precision sensing of vectorial forces has broad impact on both fundamental research and technological applications such as the examination of vacuum fluctuations and the detection of surface roughness of nanostructures. Recent years have witnessed much progress on sensing alternating electromagnetic forces for the rapidly advancing quantum technology-orders of magnitude improvement has been accomplished on the detection sensitivity with atomic sensors, whereas such high-precision measurements for static electromagnetic forces have rarely been demonstrated. Here, based on quantum atomic matter waves confined by a two-dimensional optical lattice, we perform precision measurement of static electromagnetic forces by imaging coherent wave mechanics in the reciprocal space. The lattice confinement causes a decoupling between real-space and reciprocal dynamics, and provides a rigid coordinate frame for calibrating the wavevector accumulation of the matter wave. With that we achieve a state-of-the-art sensitivity of 2.30(8)×10-26 N/Hz. Long-term stabilities on the order of 10-28 N are observed in the two spatial components of a force, which allows probing atomic Van der Waals forces at one millimeter distance. As a further illustrative application, we use our atomic sensor to calibrate the control precision of an alternating electromagnetic force applied in the experiment. Future developments of this method hold promise for delivering unprecedented atom-based quantum force sensing technologies.

Atomic Ramsey interferometry with S- and D-band in a triangular optical lattice.

Ramsey interferometers have wide applications in science and engineering. Compared with the traditional interferometer based on internal states, the interferometer with external quantum states has advantages in some applications for quantum simulation and precision measurement. Here, we develop a Ramsey interferometry with Bloch states in S- and D-band of a triangular optical lattice for the first time. The key to realizing this interferometer in two-dimensionally coupled lattice is that we use the shortcut method to construct π/2 pulse. We observe clear Ramsey fringes and analyze the decoherence mechanism of fringes. Further, we design an echo π pulse between S- and D-band, which significantly improves the coherence time. This Ramsey interferometer in the dimensionally coupled lattice has potential applications in the quantum simulations of topological physics, frustrated effects, and motional qubits manipulation.

Probing quantum many-body correlations by universal ramping dynamics.

Ramping a physical parameter is one of the most common experimental protocols in studying a quantum system, and ramping dynamics has been widely used in preparing a quantum state and probing physical properties. Here, we present a novel method of probing quantum many-body correlation by ramping dynamics. We ramp a Hamiltonian parameter to the same target value from different initial values and with different velocities, and we show that the first-order correction on the finite ramping velocity is universal and path-independent, revealing a novel quantum many-body correlation function of the equilibrium phases at the target values. We term this method as the non-adiabatic linear response since this is the leading order correction beyond the adiabatic limit. We demonstrate this method experimentally by studying the Bose-Hubbard model with ultracold atoms in three-dimensional optical lattices. Unlike the conventional linear response that reveals whether the quasi-particle dispersion of a quantum phase is gapped or gapless, this probe is more sensitive to whether the quasi-particle lifetime is long enough such that the quantum phase possesses a well-defined quasi-particle description. In the Bose-Hubbard model, this non-adiabatic linear response is significant in the quantum critical regime where well-defined quasi-particles are absent. And in contrast, this response is vanishingly small in both superfluid and Mott insulators which possess well-defined quasi-particles. Because our proposal uses the most common experimental protocol, we envision that our method can find broad applications in probing various quantum systems.

Highly Effective Anti-Organic Fouling Performance of a Modified PVDF Membrane Using a Triple-Component Copolymer of P(Stx-co-MAAy)-g-fPEGz as the Additive.

In this study, a triple-component copolymer of P(Stx-co-MAAy)-g-fPEGz containing hydrophobic (styrene, St), hydrophilic (methacrylic acid, MAA), and oleophobic (perfluoroalkyl polyethylene glycol, fPEG) segments was synthesized and used as an additive polymer to prepare modified PVDF membrane for enhanced anti-fouling performance. Two compositions of St:MAA at 4:1 and 1:1 for the additive and two blending ratios of the additive:PVDF at 1:9 and 3:7 for the modified membranes were specifically examined. The results showed that the presence of the copolymer additive greatly affected the morphology and performance of the modified PVDF membranes. Especially, in a lower ratio of St to MAA (e.g., St:MAA at 1:1 versus 4:1), the additive polymer and therefore the modified PVDF membrane exhibited both better hydrophilic as well as oleophobic surface property. The prepared membrane can achieve a water contact angle at as low as 48.80° and display an underwater oil contact angle at as high as 160°. Adsorption experiments showed that BSA adsorption (in the concentration range of 0.8 to 2 g/L) on the modified PVDF membrane can be reduced by as much as 93%. From the filtration of BSA solution, HA solution, and oil/water emulsion, it was confirmed that the obtained membrane showed excellent resistance to these organic foulants that are often considered challenging in membrane water treatment. The performance displayed slow flux decay during filtration and high flux recovery after simple water cleaning. The developed membrane can therefore have a good potential to be used in such applications as water and wastewater treatment where protein and other organic pollutants (including oils) may cause severe fouling problems to conventional polymeric membranes.

Observation of Many-Body Quantum Phase Transitions beyond the Kibble-Zurek Mechanism.

Quantum critical behavior of many-body phase transitions is one of the most fascinating yet challenging questions in quantum physics. Here, we improved the band-mapping method to investigate the quantum phase transition from superfluid to Mott insulators, and we observed the critical behaviors of quantum phase transitions in both the dynamical steady-state-relaxation region and the phase-oscillation region. Based on various observables, two different values for the same quantum critical parameter are observed. This result is beyond a universal-scaling-law description of quantum phase transitions known as the Kibble-Zurek mechanism, and suggests that multiple quantum critical mechanisms are competing in many-body quantum phase transition experiments in inhomogeneous systems.

Smart Self-Cleaning Membrane via the Blending of an Upper Critical Solution Temperature Diblock Copolymer with PVDF.

Poly(2,2,2-trifluoroethyl methacrylate)-b-poly(imidazoled glycidyl methacrylate-co-diethylene glycol methyl ether methacrylate) (PTFEMA-b-P(iGMA-co-MEO2MA)) containing an upper critical solution temperature (UCST) polymer chain was prepared and blended with poly(vinylidene fluoride) (PVDF) to produce a thermoresponsive membrane with smart self-cleaning performance. The successful preparation of the membrane was demonstrated by attenuated total reflection-Fourier-transform infrared spectroscopy, X-ray photoelectron spectroscopy, and scanning electron microscopy characterization. The membrane shows UCST performance, and its flux changes with the filtrate temperature as the UCST polymer chain stretches out and contracts in response to various temperatures. In addition, the UCST polymer chain can disrupt the foulant and push it away from the membrane when the temperature is above the UCST and thus enables membranes to exhibit a smart self-cleaning behavior. To the best of our knowledge, this work is the first report of a smart self-cleaning membrane based on the blending of a diblock copolymer containing a UCST polymer chain with PVDF.

Anticorrosion Performance of PVDF Membranes Modified by Blending PTFE Nanoemulsion and Prepared through Usual Non-Solvent-Induced Phase Inversion Method.

In this study, PVDF/PTFE composite membranes were prepared by adding a PTFE nanoemulsion to a PVDF solution and casting it through the conventional non-solvent-induced phase separation method. The objective was to explore the effectiveness of using a simple and economical method to modify PVDF membranes with PTFE to enhance their anticorrosion performance, especially under highly acidic or alkaline conditions. PTFE nanoparticles (of around 200 nm in size) in nanoemulsion form were blended with PVDF at a mass ratio of PTFE:PVDF in the range of 0-0.3:1. The obtained membranes were examined to determine the effect of the added PTFE nanoparticles on the structure of the modified PVDF membranes as well as on their mechanical strength and surface characteristics. The membranes were then immersed in various concentrations of acidic or alkaline solutions for varied durations ranging from a few days up to as long as 180 days (6 months). The impacts of by the corrosive solutions on the tensile strength, surface roughness, and water flux of the membranes with different exposure times were quantified. The results showed that although a certain extent of change may occur with extended immersion times, greatly enhanced anticorrosion performance was obtained with the prepared PVDF/PTFE membranes compared with the unmodified PVDF membrane. For example, after being immersed in 5 mol-H+··L-1 H2SO4, HCl, and HNO3 solutions for 6 months, the tensile strength at breaking point remained at up to 69.70, 74.07, and 71.38%, respectively, of the initial strength for the PVDF/PTFE (M30) membrane. This was in contrast to values of only 55.77, 70.43, and 61.78% for the unmodified PVDF membrane (M0). Although the water flux and surface roughness showed a change trends to the tensile strength, the PVDF/PTFE (M30) membrane had much higher stability than the PVDF (M0) membrane. In a continuous filtration experiment containing H2SO4 at 0.01 mol-H+·L-1 for 336 h (14 days), the PVDF/PTFE membrane showed a maximum flux change of less than 30%. This was in comparison with a change of up to 50% for the PVDF membrane. However, the PVDF/PTFE membranes did not seem to have a greatly enhanced anticorrosion performance in the alkaline solution environment tested.

Evidence of Potts-Nematic Superfluidity in a Hexagonal sp

As in between liquid and crystal phases lies a nematic liquid crystal, which breaks rotation with preservation of translation symmetry, there is a nematic superfluid phase bridging a superfluid and a supersolid. The nematic order also emerges in interacting electrons and has been found to largely intertwine with multiorbital correlation in high-temperature superconductivity, where Ising nematicity arises from a four-fold rotation symmetry C_{4} broken down to C_{2}. Here, we report an observation of a three-state (Z_{3}) quantum nematic order, dubbed "Potts-nematicity", in a system of cold atoms loaded in an excited band of a hexagonal optical lattice described by an sp^{2}-orbital hybridized model. This Potts-nematic quantum state spontaneously breaks a three-fold rotation symmetry of the lattice, qualitatively distinct from the Ising nematicity. Our field theory analysis shows that the Potts-nematic order is stabilized by intricate renormalization effects enabled by strong interorbital mixing present in the hexagonal lattice. This discovery paves a way to investigate quantum vestigial orders in multiorbital atomic superfluids.

[Anatomical study on the feasibility of a new self-guided pedicle tap].

OBJECTIVE: To evaluate the accuracy and safety of pedicle screw placement using a new self-guided pedicle tap. METHODS: According to the anatomical characteristics of the pedicle, a new self-guided pedicle tap was developed. Six adult spinal specimens including 4 males and 2 females were selected and tapped thread on the right and left sides of each pair of pedicles from the same segment T1 to L5 with traditional taps (control group) and new self-guided pedicle taps (experimental group), respectively. And the pedicle screws were placed. The screwing time was recorded and compared between two groups. CT scanning was completed to observe the accuracy and safety of the screw placement according to the Heary classification of imaging results. RESULTS: The screwing time of thoracic and lumbar vertebrae in the experimental group were (5.87±1.25) min and(5.45±1.67) min, respectively. While those in the control group were (6.12±1.69) min and (6.22±2.13) min, respectively. Then there was no significant difference in screwing time of thoracic and lumbar vertebrae between two groups (P>0.05). The Heary grade of the pedicle screw showed that Heary gradeⅠand Heary gradeⅠ+Ⅱwere respectively 86 (84.31%) and 96 (94.12%) in the experimental group, 72 (71.29%) and 84 (83.17%) in control group, and the difference between two groups was statistically significant (P<0.05). CONCLUSION: The new self-guided pedicle tap can accurately and safely insert the thoracolumbar pedicle screw, with low cost, easy operation, and good clinical application value.

Asymmetric population of momentum distribution by quasi-periodically driving a triangular optical lattice.

Ultracold atoms in periodical-driven optical lattices enable us to investigate novel band structures and explore the topology of the bands. In this work, we investigate the impact of the ramping process of the driving signal and propose a simple but effective method to realize desired asymmetric population in momentum distribution by controlling the initial phase of the driving signal. A quasi-momentum oscillation along the shaking direction in the frame of reference co-moving with the lattice is formed, causing the formation of the mix of ground energy band and first excited band in laboratory frame, within the regime that the driving frequency is far less than the coupling frequency between ground band and higher energy bands. This method avoids the construction of intricate lattices or complex control sequence. With a triangular lattice, we experimentally investigate the influence of the initial phase, frequency, amplitude of the driving signal on the population difference and observe good agreement with our theoretical model. This provides guidance on how to load a driving signal in driven optical lattice experiment and also potentially supplies a useful tool to form a qubit that can be used in quantum computation.

Facile Synthesis of Thiol-Functionalized Magnetic Activated Carbon and Application for the Removal of Mercury(II) from Aqueous Solution.

To improve the adsorption capacity, reduce the disposal cost, and enhance the separation efficiency of common activated carbon as an adsorbent in wastewater treatment, a novel thiol-modified magnetic activated carbon adsorbent of NiFe2O4-PAC-SH was successfully synthesized with a facile and safe hydrothermal method without any toxic and harmful reaction media. The as-prepared NiFe2O4-PAC-SH can effectively remove mercury(II) ions from aqueous solution. The maximal adsorption capacities from the experiment and Langmuir fitting achieve 298.8 and 366.3 mg/g at pH 7, respectively, exceeding most of adsorptive materials. The as-prepared NiFe2O4-PAC-SH has an outstanding regeneration performance, remarkable hydrothermal stability, and efficient separation efficiency. The data of kinetics, isotherms, and thermodynamics show that the adsorption of mercury(II) ions is spontaneous and exothermic. Ion exchange and electrostatic attraction are the main adsorption factors. The experimental results exhibit that the NiFe2O4-PAC-SH can be a prominent substitute for conventional activated carbon as an adsorbent.

[Therapeutic effect and imaging study of directional bone cement guide for the treatment of thoracolumbar vertebral compression fractures].

OBJECTIVE: To evaluate the therapeutic effects and bone cement distribution of unilateral percutaneous kyphoplasty (PKP) with oriented bone cement injector for thoracolumbar osteoporotic vertebral compression fractures (OVCFs). METHODS: The clinical data of 211 patients (211 vertebrae) with thoracolumbar osteoporotic compression fractures underwent PKP between July 2016 to July 2018 were retrospectively analyzed. All punctures were performed unilaterally:102 patients in observation group used oriented bone cement injector including 30 males and 72 females with an average age of (68.4±8.9)years old; 109 patients in regular group used traditional bone cement injector including 32 males and 77 females with an average age of (70.4±9.2) years old. The two groups were compared in terms of duration of operation, cement volume, visual analogue scale(VAS), Oswestry Disability Index(ODI), distribution of bone cement, bone cement leakage and Cobb angle modified rate. RESULTS: There were no significant difference in gender, age and fracture vertebra between the two groups(P>0.05). No significant difference was found between two groups in duration of operation, cement volume, VAS, ODI and Cobb angle(P>0.05). In observation group, 10 cases occurred cement leakages, with leakage rate of 9.80%; and in regular group, 11 cases occurred cement leakage, with leakage rate of 10.09%. There was no significant difference in the cement leakage rate between two groups(P>0.05). In observation group, proportion rate of I-IV degree in cement distribution was 60.78%, 19.61%, 9.80%, 9.80%, respectively; while 39.45%, 22.93%, 22.93%, 14.68% in regular group. The I degree of cement cross-filling rate was better in observation group than in regular group(P<0.05). There was no significant difference between two groups in II degree distribution rate of bone cement(P>0.05). From T10 to L5, I degree bone cement distribution rate of both groups showed decline trend. The I degree cement cross-filling rate in L1-L5 was 50% in observation group and 30.23% in regular group(P<0.05). CONCLUSIONS: Oriented bone cement injector can control the direction of bone cement dispersion and achieve effective distribution of bilateral bone cement using unilateral puncture and satisfactory surgical results. It is feasible and effective for unilateral PKP treatment of OVCFs.