Alternate levels versus all levels mini-plate fixation in C3-6 cervical laminoplasty: a retrospective comparative study.

OBJECTIVE: The purpose of this study is to compare radiological and clinical outcomes between alternate levels (C4 and C6) and all levels mini-plate fixation in C3-6 unilateral open-door laminoplasty. METHODS: Ninety-six patients who underwent C3-6 unilateral open-door laminoplasty with alternate levels mini-plate fixation (54 patients in group A) or all levels mini-plate fixation (42 patients in group B) between September 2014 and September 2019 were reviewed in this study. Radiologic and clinical outcomes were assessed. Clinical results included Visual Analogue Scale (VAS) of axial neck pain and Japanese Orthopedic Association (JOA) score. Radiographic results included cervical range of motion (ROM), cervical curvature index (CCI), and the spinal canal expansive parameters including open angle, anteroposterior diameter (APD), and Pavlov`s ratio. RESULTS: There was no significant difference in VAS, JOA score, ROM, and CCI between two groups. There was no significant difference in canal expansion postoperatively between two groups. However, open angle, APD, and Pavlov`s ratio in group A decreased significantly during the follow-up. In group B, APD, Pavlov`s ratio, and open angle were maintained until the final follow-up. There was no hardware failure or lamina reclosure occurred in both groups during the follow-up. The mean cost of group B was higher than that of group A. CONCLUSIONS: Despite the differences in the maintenance of canal expansion, alternate levels mini-plate fixation can achieve similar clinical outcomes as all levels mini-plate fixation in C3-6 unilateral open-door laminoplasty. As evidenced in this study, we believe C3-6 laminoplasty with alternate levels (C4 and C6) mini-plate fixation is an economical, effective, and safe treatment method.

Recent Advances in Low-Temperature Liquid Electrolyte for Supercapacitors.

As one of the key components of supercapacitors, electrolyte is intensively investigated to promote the fast development of the energy supply system under extremely cold conditions. However, high freezing point and sluggish ion transport kinetics for routine electrolytes hinder the application of supercapacitors at low temperatures. Resultantly, the liquid electrolyte should be oriented to reduce the freezing point, accompanied by other superior characteristics, such as large ionic conductivity, low viscosity and outstanding chemical stability. In this review, the intrinsically physical parameters and microscopic structure of low-temperature electrolytes are discussed thoroughly, then the previously reported strategies that are used to address the associated issues are summarized subsequently from the aspects of aqueous and non-aqueous electrolytes (organic electrolyte and ionic liquid electrolyte). In addition, some advanced spectroscopy techniques and theoretical simulation to better decouple the solvation structure of electrolytes and reveal the link between the key physical parameters and microscopic structure are briefly presented. Finally, the further improvement direction is put forward to provide a reference and guidance for the follow-up research.

A Ferricyanide Anion-Philic Interface Induced by Boron Species within Carbon Framework for Efficient Charge Storage in Supercapacitors.

Carbon materials with hierarchical porous structures hold great potential for redox electrolyte-enhanced supercapacitors. However, restricted by the intrinsic inert and nonpolar characteristics of carbon, the energy barrier of anchoring redox electrolytes on the pore walls is relatively high. As such, the redox process at the interface less occurs, and the rate of mass transfer is impaired, further leading to a poor electrochemical performance. Here, a ferricyanide anion-philic interface made of in situ inserted boron species into carbon rings is constructed for enhanced charge storage in supercapacitors. Profiting from the unique component-driven effects, the polar anchoring sites on the pore wall can be built to grasp the charged redox ferricyanide anion from the bulk electrolyte and promote the redox process; the dynamics process is fastened correspondingly. Especially, the boron atoms in BC2O and BCO2 units with higher positive natural bond orbital values in the carbon skeleton are pinpointed as intrinsic active sites to bind the negatively charged nitrogen atoms in the ferricyanide anion via electrostatic interaction, confirmed by density functional theoretical calculations. This will suppress the shuttle and diffusion effects of the ferricyanide anion from the surface of the electrode to the bulk electrolyte. Finally, the well-designed PC-3 with high content of BC2O and BCO2 units can reach 1099 F g-1 at 2 mV s-1, which is a more than 2-fold increase over boron-free units of carbon (428 F g-1). The work offers a novel version for designing high-performance carbon materials with unique yet reaction species-philic effects.

Processable Hydroxide Ink with Oriented Microstructure.

The intrinsic poor processability of hydroxide originating from the structural property greatly hinders their practical applications. Here, a processable highly-concentrated nickel/cobalt double hydroxide ink is reported to meet the practical demand. The inner nanoflakes in ink possess a high width/thickness ratio (>100), which endows the highly-concentrated ink (60 mg mL-1 ) with liquid-like rheology properties. Further, the elliptical diffusive arc in small-angle X-ray scattering pattern and porous and ordered alignment morphology in cryogenic temperature scanning electron microscopy confirms the locally oriented arrangement of nanoflakes in the ink. Benefiting from this interior-ordered structure, the ink can be processed into meter-level film, continuous yarn, and rigid and free-standing aerogel, respectively. In particular, the films can be used as electrodes directly in aqueous zinc ion batteries and deliver a favorable capacity (382 mAh g-1 @ 200 mA g-1 ) as well as long cycle stability (capacity retention rate of 88% @ 1000 mA g-1 after 400 cycles). Moreover, the enlarged-batched fabrication with the introduction of efficient thermal conduction in a 10 L reactor is also carried out successfully. These results clarify the inner relationship between microstructure-rheology and mechanical engineering for hydroxides, thus paving the way to develop hydroxide-based products for future practical applications.

Microscopic-Level Insights into Solvation Chemistry for Nonsolvating Diluents Enabling High-Voltage/Rate Aqueous Supercapacitors.

Localized "water-in-salt" (LWIS) electrolytes are promising candidates for the next generation of high-voltage aqueous electrolytes with low viscosity/salt beyond high-salt electrolytes. An effective yet high-function diluent mainly determines the properties of LWIS electrolytes, being a key issue. Herein, the donor number of solvents is identified to serve as a descriptor of interaction intensity between solvents and salts to screen the organic diluents having few impacts on the solvation microenvironment and intrinsic properties of the original high-salt electrolyte, further leading to the construction of a novel low-viscosity electrolyte with a low dosage of the LiNO3 salt and well-kept intrinsic Li+-NO3--H2O clusters. Nonsolvating diluents, especially acetonitrile (AN) that has never been reported previously, are presented with the capability of constructing a LWIS electrolyte with nonflammability, electrode-philic features, lower viscosity, decreased salt dosage, and a greatly enhanced ion diffusion coefficient by about 280 times. This strongly relies on a huge difference of about 5000 times in coordination and solubility between AN and H2O toward LiNO3 (0.05 vs 25 mol kgsolvent-1) and the moderate interaction between AN and H2O. Multi-spectroscopic techniques and molecular dynamics simulations uncover the solvation chemistry at the microscopic level and the interplay among cations, anions, and H2O without/with AN. The identified unique diluting and nonsolvating effects of AN reveal well-maintained cation-anion-H2O clusters and enhanced intermolecular hydrogen bonding between AN and H2O, further reinforcing the H2O stability and expanding the voltage window up to 3.28 V. This is a breakthrough that is far beyond high-viscosity/salt electrolytes for high-voltage and high-rate aqueous supercapacitors.

Carbon-Hybridized Hydroxides for Energy Conversion and Storage: Interface Chemistry and Manufacturing.

Carbon-hybridized hydroxides (CHHs) have been intensively investigated for uses in the energy conversion/storage fields. Nevertheless, the intrinsic structure-activity relationships between carbon and hydroxides within CHHs are still blurry, which hinders the fine modulation of CHHs in terms of practical applications to some degree. This review aims to figure out the intrinsic role of carbon materials in CHHs with a focus on the interface chemistry and the engineering strategy in-between two components. The fundamental effects of the carbon materials in enhancing the charge/mass transfer kinetics are first analyzed, particularly the extra electron pathways for fast charge transfer and the anchoring sites for boosting the mass transfer. Subsequently, the surface-guided/confined effects of carbon materials in CHHs to modify the morphology and tailor the hydroxides, and functional heterojunction for regulating the inner electronic structure are decoupled. The methods to efficiently construct a stable yet robust solid-solid heterointerface are summarized, including oxygen functional groups engrafting, topological defective sites construction and heteroatom incorporation to activate the inert carbon surface. The smart CHHs in some typical energy applications are demonstrated. Additionally, the methodologies that can reveal the hybridization electron configuration between two components are summed up. At last, the perspective and challenges faced by the CHHs for energy-related applications are outlined.

Jacobians of single-scattering optical properties of super-spheroids computed using neural networks.

In atmospheric aerosol remote sensing and data assimilation studies, the Jacobians of the optical properties of non-spherical aerosol particles are required. Specifically, the partial derivatives of the extinction efficiency factor, single-scattering albedo, asymmetry factor, and scattering matrix should be obtained with respect to microphysical parameters, such as complex refractive indices, shape parameters and size parameters. When a look-up table (LUT) of optical properties of particles is available, the Jacobians traditionally can be calculated using the finite difference method (FDM), but the accuracy of the process depends on the resolution of microphysical parameters. In this paper, a deep learning scheme was proposed for computing Jacobians of the optical properties of super-spheroids, which is a flexible model of non-spherical atmospheric particles. Using the neural networks (NN), the error of the Jacobians in the FDM can be reduced by more than 60%, and the error reduction rate of the Jacobians of the scattering matrix elements can be more than 90%. We also tested the efficiency of the NN for computing the Jacobians. The computation takes 30 seconds for one million samples on a host with an NVIDIA GeForce RTX 3070 GPU. The accuracy and efficiency of the present NN scheme proves it is promising for applications in remote sensing and data assimilation studies.

Mismatching integration-enabled strains and defects engineering in LDH microstructure for high-rate and long-life charge storage.

Layered double hydroxides (LDH) have been extensively investigated for charge storage, however, their development is hampered by the sluggish reaction dynamics. Herein, triggered by mismatching integration of Mn sites, we configured wrinkled Mn/NiCo-LDH with strains and defects, where promoted mass & charge transport behaviors were realized. The well-tailored Mn/NiCo-LDH displays a capacity up to 518 C g-1 (1 A g-1), a remarkable rate performance (78%@100 A g-1) and a long cycle life (without capacity decay after 10,000 cycles). We clarified that the moderate electron transfer between the released Mn species and Co2+ serves as the pre-step, while the compressive strain induces structural deformation with promoted reaction dynamics. Theoretical and operando investigations further demonstrate that the Mn sites boost ion adsorption/transport and electron transfer, and the Mn-induced effect remains active after multiple charge/discharge processes. This contribution provides some insights for controllable structure design and modulation toward high-efficient energy storage.

Recognition of Water-Induced Effects toward Enhanced Interaction between Catalyst and Reactant in Alcohol Oxidation.

Pickering emulsion stabilized by solid nanoparticles provides a diverse solvent microenvironment and enables to promote the phase transfer of reaction substrates/products in catalytic reactions, but the intrinsic role of solvent is still not clear. Herein, using benzyl alcohol (BA) as a model reactant, we demonstrate the nature of the water-promoted activity for alcohol oxidation over the Pd/MgAl-LDO catalyst. Depending on the water in the solvent, we observe different reactivities regarding the proportion of the water in the system. Kinetic isotope effects confirm the participation and positive effects of water for oxidation of BA. The water promotion effects are recognized and identified by the water vapor pulse adsorption coupled with temperature program desorption. Moreover, the adsorption behavior of BA or benzaldehyde at the interface of water and Pd/MgAl-LDO is also investigated by quasi-in-situ Raman spectroscopy. In addition, the mechanism of water-promoted alcohol oxidation is rationally proposed based on the Langmuir-Hinshelwood mechanism. The general applicability of the water promotion effects is further demonstrated over different supports and substrates, which well achieves excellent catalytic activity and selectivity in Pickering emulsion compared to that in the pure toluene system.

Interface Inversion: A Promising Strategy to Configure Ultrafine Nanoparticles over Graphene for Fast Sodium Storage.

Due to the merits of high activity and rapid reaction kinetics, ultrafine nanoparticles loaded on conductive scaffolds are of great potential in energy-related fields. Usually, the nucleation and uniform growth of these active nanoparticles in high density on scaffolds is governed by the local ion concentration gradient and nucleation sites at the interfaces. On account of this, a novel interface-inverting strategy is developed to modulate the diffusion of metal ions toward the nucleation sites, leading to the tuned growth of ultrafine nanoparticles anchored on graphene. Typically, the Ni(OH)2 deposited on graphene initially enables the interface inverting from oil-water-solid consisting of liquid paraffin (LP), water, and GO to water-oil-solid, finally resulting in LP-enveloped Ni(OH)2 /GO structure. In response, the inert-infiltrated LP layer inhibits the solubility and diffusion of nickel ions, which functions to modulate the growth and aggregation of adjacent nanoparticles. As a demonstration, the phosphorized Ni2 P@C/G as anode in sodium-ion capacitor can deliver a high energy density of 54 Wh kg-1 at a high power density of 23 kW kg-1 yet with a remarkable rate performance due to the surface-enhanced energy storage and fast Na+ transport enabled by the tuned surface/interface.

Modified grade 4 osteotomy for the correction of post-traumatic thoracolumbar kyphosis: A retrospective study of 42 patients.

Many surgical procedures have been developed for the treatment of post-traumatic thoracolumbar kyphosis. But there is a significant controversy over the ideal management. The aim of this study was to illustrate the technique of modified grade 4 osteotomy for the treatment of post-traumatic thoracolumbar kyphosis and to evaluate clinical and radiographic results of patients treated with this technique.From May 2013 to May 2018, 42 consecutive patients experiencing post-traumatic thoracolumbar kyphosis underwent the technique of modified grade 4 osteotomy, and their medical records were retrospectively collected. Preoperative and postoperative sagittal Cobb angle, visual analog scale (VAS), Oswestry disability index (ODI), and American Spinal Injury Association (ASIA) were recorded. The average follow-up period was 29.7 ±â€Š14.2 months.The operation time was 185.5 ±â€Š26.8 minutes, the intraoperative blood loss was 545.2 ±â€Š150.1 mL. The Cobb angles decreased from 38.5 ±â€Š3.8 degree preoperatively to 4.2 ±â€Š2.6 degree 2 weeks after surgery (P < .001). The VAS reduced from 6.5 ±â€Š1.1 preoperatively to 1.5 ±â€Š0.9 at final follow-up (P < .001), and the ODI reduced from 59.5 ±â€Š15.7 preoperatively to 15.9 ±â€Š5.8 at final follow-up (P < .001). Kyphotic deformity was successfully corrected and bony fusion was achieved in all patients. Neurologic function of 7 cases was improved to various degrees.Modified grade 4 osteotomy, upper disc, and upper one-third to half of pedicle are resected, is an effective treatment option for post-traumatic thoracolumbar kyphosis. However, the long-term clinical effect still needs further studies.

Effective Fixation of Carbon in g-C3 N4 Enabled by Mg-Induced Selective Reconstruction.

The methodology of metal-involved preparation for carbon materials is favored by researchers and has attracted tremendous attention. Decoupling this process and the underlying mechanism in detail are highly required. Herein, the intrinsic mechanism of carbon fixation in graphitic carbon nitride (g-C3 N4 ) via the magnesium-involved carbonization process is reported and clarified. Magnesium can induce the displacement reaction with the small carbon nitride molecule generated by the pyrolysis of g-C3 N4 , thus efficiently fixing the carbon onto the in situ template of Mg3 N2 product to avoid the direct volatilization. As a result, the N-doped carbon nanosheet frameworks with interconnected porous structure and suitable N content are constructed by reconstruction of carbon and nitrogen species, which exhibit a comparable photoelectric conversion efficiency (8.59%) and electrocatalytic performances to that of Pt (8.40%) for dye-sensitized solar cells.

A Universal Converse Voltage Process for Triggering Transition Metal Hybrids In Situ Phase Restruction toward Ultrahigh-Rate Supercapacitors.

Defect engineering holds great promise for precise configuration of electrode materials for dramatically enhanced performance in the field of energy storage, but the high energy/large time cost and lack of control involved in this process represent a serious limit to its use. In response, a low-energy-cost and ultrafast universal converse voltage process is developed to effectively activate the capacitive performance of transition metal compounds integrated on carbon fiber paper, including Co-, Ni-, Mn-, Fe-, and Cr-based hybrids. As a representative example, this process triggers a phase conversion from cobalt hydroxide to electric-field-activated CoOOH (EA-CoOOH), leading to the formation of molecular structure with abundant defects, lattice disorders, and connecting holes, responsible for an enhanced performance within 10 min at room temperature. Moreover, the retained Co2+ in EA-CoOOH results in increased activity, confirmed by density functional theory calculations. Consequently, these EA-CoOOH hybrids deliver a capacitance value of 832 F g-1 at a current density of 1 A g-1 and exhibit a retention rate up to 78% (649 F g-1 ) at a super-large current density of 200 A g-1 . This technology paves a way for ultrafast configuration/modulation of defects on advanced materials toward application in the fields of energy and catalysis.

Contralateral radiculopathy after transforaminal lumbar interbody fusion in the treatment of lumbar degenerative diseases: A Case Series.

RATIONALE: Transforaminal lumbar interbody fusion (TLIF) is an effective treatment for patients with degenerative lumbar disc disorder. Contralateral radiculopathy, as a complication of TLIF, has been recognized in this institution, but is rarely reported in the literature. PATIENT CONCERNS: In this article, we report 2 cases of contralateral radiculopathy after TLIF in our institution and its associated complications. DIAGNOSES: In the 2 cases, the postoperative computed tomography (CT) and magnetic resonance image (MRI) showed obvious upward movement of the superior articular process, leading to contralateral foraminal stenosis. INTERVENTIONS: Revision surgery was done at once to partially resect the opposite superior facet and to relieve nerve root compression. OUTCOMES: After revision surgery, the contralateral radiculopathy disappeared. LESSONS: Contralateral radiculopathy is an avoidable potential complication. It is very important to create careful preoperative plans and to conscientiously plan the use of intraoperative techniques. In case of postoperative contralateral leg pain, the patients should be examined by CT and MRI. If CT and MRI show that the superior articular process significantly migrated upwards, which leads to contralateral foraminal stenosis, revision surgery should be done at once to partially resect the contralateral superior facet so as to relieve nerve root compression and avoid possible long-term impairment.

Vertebral column decortication for the management of sharp angular spinal deformity in Pott disease: Case report.

RATIONALE: Extremely sharp angular spinal deformity of healed tuberculosis can be corrected by vertebral column resection (VCR). However, the VCR techniques have many limitations including spinal column instability, greater blood loss, and greater risk of neurologic deficit. PATIENT CONCERNS: We described a new spinal osteotomy technique to collect sharp angular spinal deformity in Pott disease. A 52-year-old woman presented with back pain and gait imbalance. DIAGNOSIS: The kyphosis of healed tuberculosis was diagnosed based on history and imaging examinations. INTERVENTION: A new posterior VCR was designed to treat this disease. OUTCOMES: The neurological function improved from Japanese Orthopedic Association scale 3 to 7. The back pain and neurological function were significantly improved. The Oswestry Disability Index decreased from 92 to 34. There was also a significant decrease in back pain visual analog scale from 9 to 2. LESSONS: For cases with extremely severe Pott kyphotic deformity, the technology of modified VCR offers excellent clinical and radiographic results.