Genetic and serum markers in adult degenerative scoliosis: a literature review.

STUDY DESIGN: Literature review. OBJECTIVE: Adult degenerative scoliosis (ADS) is becoming a more prevalent diagnosis with an increasing elderly population. Our objective is to provide a literature review of genetic and serum markers in ADS. METHODS: A literature review was conducted in the various databases from their inception to July 2020. Studies that reviewed any genetic or serum markers of ADS whether in detection or progression were selected. Studies that reviewed congenital scoliosis or adolescent idiopathic scoliosis (AIS) were excluded. RESULTS: A total of 1447 titles were identified of which 14 were included in the final review. Two papers reported on serum markers pertaining to serum cartilage metabolites and pentosidine. Twelve studies reported on genetic markers including gene polymorphisms in estrogen receptors, parathyroid hormone receptors, interleukin 6, cyclooxygenase-2 (COX-2), COL2A1, GPRIN1, TRAIL, GRIN receptor, RIMS, LBX1 as well as copy number variations. CONCLUSIONS: Serum markers of osteoarthritis and sarcopenia have been found to be significantly elevated in ADS patients as well. Numerous polymorphisms have been found in a variety of genes playing key roles in bone formation and regulation. Further research is needed in validating previous studies as well as identifying other biomarkers for patients at risk for developing ADS.

Efficient, high-brightness wavelength-beam-combined commercial off-the-shelf diode stacks achieved by use of a wavelength-chirped volume Bragg grating.

We report a method of scaling the spatial brightness from commercial off-the-shelf diode laser stacks through wavelength beam combining, by use of a linearly wavelength-chirped volume Bragg grating (VBG). Using a three-bar commercial stack of broad-area lasers and a VBG, we demonstrate 89.5 W cw of beam-combined output with a beam-combining efficiency of 75%. The output beam has a propagation factor M2 approximately 26 on the slow axis and M2 approximately 21 on the fast axis. This corresponds to a brightness of approximately 20 MW/cm2 sr. To our knowledge, this is the highest brightness broad-area diode laser system. We achieve 81% coupling efficiency into a 100 microm, 0.22 N.A. fiber.

Wavelength stabilization and spectrum narrowing of high-power multimode laser diodes and arrays by use of volume Bragg gratings.

Spectral line narrowing (by a factor of 8) and stabilization of the emission wavelength (by a factor of 30) of multimode high-power laser diodes and arrays is demonstrated by use of volume Bragg gratings fabricated in high-stability inorganic photorefractive glasses. Applications include stabilization of pump laser diodes and arrays for solid-state lasers and metal-vapor lasers, spin hyperpolarization of noble gases used in medical imaging, and others.