[Treatment of severe spinal deformity with 3D printing models]. / Tratamiento de deformidad severa de la columna vertebral con modelos de impresión 3D.

INTRODUCTION: Scoliosis is a complex deformity that affects all three planes of the axis of the spine. The association between neuromuscular pathology and vertebral alignment was initially described in 1960. Neuromuscular pathology is progressive and results in postural abnormalities. Surgical goals in patients with neuromuscular deformity include anatomical correction for sedation and ambulation, as well as functional improvement. The gold standard of treatment is by posterior approach with transpedicular screws. The "hands-free" technique saves surgical time, decreases radiation by reducing the use of fluoroscopy. The advent of 3D printing technology allows precise study of the anatomical area and detail of the deformity in its three planes. This model can be sterilized for transoperative guidance. A 13-year-old female patient who develops thoracolumbar neuromuscular scoliosis secondary to spastic cerebral palsy (CP), with previous instrumentation T11-L3 of which he develops severe proximal curve. After the segmentation of the three-dimensional model, pedicle violation greater than 2 mm towards bilateral medullary canal was detected in the pedicles of L1 and L2 of previous instrumentation, pedicle dysplasia and the morphological characteristics of the pedicles were observed. Three-dimensional planning and the use of surgical guides represent a tool for surgical planning, especially in severe cases and with pedicle dysplasia. It helps as a surgical guide for the placement of hands-free transpedicular screws with possible reduction of radiation and anesthetic time.

INTRODUCCIÓN: La escoliosis es una deformidad compleja que afecta los tres planos del eje de la columna vertebral. La asociación entre patología neuromuscular y la alineación vertebral fue descrita inicialmente en 1960. La patología neuromuscular es progresiva y resulta en anormalidades posturales. Las metas quirúrgicas en pacientes con deformidad neuromuscular engloban la corrección anatómica para la sedestación y deambulación, así como mejoría funcional. El estándar de oro de tratamiento es por vía posterior con tornillos transpediculares. La técnica de "manos libres" ahorra tiempo quirúrgico, disminuye la radiación al reducir el uso de fluoroscopía. El advenimiento de la tecnología de impresión 3D permite estudio preciso del área anatómica y detalle de la deformidad en sus tres planos. Este modelo puede ser esterilizado para guía transoperatoria. Paciente femenino de 13 años de edad que desarrolla escoliosis neuromuscular toracolumbar secundario a parálisis cerebral infantil (PCI) espástica, con instrumentación previa T11-L3 de la cual desarrolla curva severa proximal. Finalizada la segmentación del modelo tridimensional se detectó violación pedicular mayor a 2 mm hacia canal medular bilateral en los pedículos de L1 y L2 de instrumentación previa, displasia pedicular y se observaron las características morfológicas de los pedículos. La planeación tridimensional y el uso de guías quirúrgicas representan una herramienta para la planeación quirúrgica, sobre todo en casos severos y con displasia pedicular. Ayuda como guía quirúrgica para la colocación de tornillos transpediculares a manos libres con posible reducción de radiación y tiempo anestésico.

Predicting colostrum quality from performance in the previous lactation and environmental changes.

Nine New Hampshire Holstein dairies contributed to a study to investigate if colostrum quality could be predicted by cow performance in the previous lactation and by environmental factors during the 21-d prepartum period. The numbers of days below 5°C (D<), days above 23°C (D>), and days between 5 and 23°C (D) were used in the development of the regression equation. Between 2011 and 2014, 111 colostrum samples were obtained and analyzed for IgG. Producers recorded cow identification number, calf date of birth, sex of the calf, colostrum yield, hours from parturition to colostrum harvest, and weeks on pasture during the dry period (if any). Dairy Herd Improvement data from each cow and weather data were compiled for analysis. Information accessed was predicted transmitting abilities for milk, fat (PTAF), protein (PTAP), and dollars; previous lactation: milk yield, fat yield, fat percent, protein percent, protein yield, somatic cell score, days open, days dry, days in milk, and previous parity (PAR). Colostrum yield was negatively correlated with IgG concentration (r=-0.42) and D (r=-0.2). It was positively correlated with D> (r=0.30), predicted transmitting ability for milk (r=0.26), PTAF (r=0.21), and PTAP (r=0.22). Immunoglobulin G concentration (g/L) was positively correlated with days in milk (r=0.21), milk yield (r=0.30), fat yield (r=0.34), protein yield (r=0.26), days open (r=0.21), PAR (r=0.22), and tended to be positively correlated with DD (r=0.17). Immunoglobulin G concentration (g/L) was negatively correlated with D> (r=-0.24) and PTAF (r=-0.21) and tended to be negatively correlated with PTAP (r=-0.18). To determine the best fit, values >0 were transformed to natural logarithm. All nontransformed variables were also used to develop the model. A variance inflation factor analysis was conducted, followed by a backward elimination procedure. The resulting regression model indicated that changes in Ln fat yield (ß=2.29), Ln fat percent (ß=2.15), Ln protein yield (ß=-2.25), and Ln protein percent (ß=2.1) had largest effect on LnIgG. This model was validated using 27 colostrum samples from 9 different farms not used in the model. The difference between means for actual and predicted colostrum quality (IgG, g/L) was 13.6g/L. Previous lactation DHI data and weather data can be used to predict the IgG concentration of colostrum.

Short communication: Cinnamaldehyde taste preferences of weaned dairy heifers.

Within a dairy enterprise, one major cost is raising young calves. Optimizing the feeding programs of dairy calves is imperative for the sustainability and profitability of dairy operations. Essential oils appear to be natural alternatives to antibiotics and function similarly to ionophores. Supplemental antibiotic ionophores have been very successful in improving feed efficiency and rate of gain in calves, as well as decreasing disease incidences; however, calves may be developing resistance to ionophores and the use of antibiotics in animal feeds has been a major concern for consumers. No current research has examined the value or palatability of supplementing essential oils to dairy heifers. The purpose of this sequential elimination experiment was to evaluate the taste preferences of 6 weaned dairy heifers [approximately 3mo old; 95±10.8kg of body weight (BW)] provided with 0 (control), 1, 2, 3, or 4mg/kg of BW of cinnamaldehyde daily. Heifers had 2 d of adaptation to the new feeding regimen before the experiment started and were then offered the 5 experimental diets for 5 d. The most preferred diet was removed and the study continued with the 4 remaining diets. The most preferred diets were again eliminated sequentially, so that only 2 diets remained on d 13 and 14. Each diet was ranked based on the weight of feed refused at the end of each feeding segment. Overall ranking of the 5 treatments were control, 2, 1, 3, and 4mg/kg of BW of cinnamaldehyde. Results indicated that heifers preferred diets without cinnamaldehyde; however, when only cinnamaldehyde diets remained, dry matter intake was not negatively affected regardless of the concentration of cinnamaldehyde provided.

Prepartum supplementation of nicotinic acid: Effects on health of the dam, colostrum quality, and acquisition of immunity in the calf.

Nicotinic acid (NA) has been shown to reduce lipolysis, alter milk components and the ruminal environment, and increase blood flow. Increased blood flow to the mammary gland during colostrogenesis might increase nutrients and immunoglobulin concentration of colostrum. Twenty-six multiparous Holstein cows were housed in a tiestall barn. Cows were blocked by expected calving date and randomly assigned to 1 of 2 treatments 4 wk prepartum: (1) 0g/d of NA (control, CON) or (2) 48g/d of NA (NA). Total mixed ration amounts fed and refused were measured daily to determine dry matter intake. Blood samples were collected from dams every Monday, Wednesday, and Friday from the coccygeal vein or artery and were analyzed for glucose, nonesterified fatty acids (NEFA), and ß-hydroxybutyrate (BHB). Colostrum was collected and weighed within 90 min of parturition. Colostral immunoglobulin G (IgG) concentration was analyzed using radial immunodiffusion assay. Calves were removed from their dams before suckling and weighed within 30 min after birth. Calves received 3 L of a lacteal-based colostrum replacer that provided a total of 225.8g of IgG within 2h of birth. Calf blood samples were collected via jugular venipuncture at 0 and 24h of age and analyzed for IgG concentration and determination of apparent efficiency of absorption. Colostrum yield, dry matter intake, IgG yield, and fat and solids percentage of colostrum did not differ between treatments. Serum concentrations of glucose and BHB were not affected by treatment. We detected an effect of week on serum glucose concentrations at calving and on serum BHB concentrations at 1 wk postpartum. There was a treatment by week effect for serum NEFA concentrations at 1 wk postpartum, where cows that received NA prepartum had higher serum NEFA concentration than CON cows, indicating that a NEFA rebound occurred. No differences were observed for calf body weight, 0- or 24-h serum IgG concentration, or apparent efficiency of absorption. Supplementation of NA increased IgG concentration in colostrum from 73.8 to 86.8g/L. Results indicate that 48g/d of supplemental NA during the prepartum period improved colostrum quality.

Effects of human visitation on calf growth and performance of calves fed different milk replacer feeding levels.

Twenty-eight newborn Holstein heifer calves from the university herd and 8 newborn Holstein heifer calves from a commercial herd were blocked by birth and herd into 1 of 4 treatments: conventional [20% crude protein (CP), 20% fat] milk replacer (MR; treatment C) with (1) or without (0) human visitation, or a higher plane of MR nutrition (28% CP, 20% fat) regimen (treatment A) with (1) or (0) without human visitation. Calves on C MR treatments received 454g of MR from d 2 to 41. Calves on A MR received 916g of MR from d 2 to 8 and 1134g of MR from d 9 to 41. Visitation with calves occurred at 1030 and 1430h daily from d 1 to 56 and comprised verbal stimulation and stirring of starter grain. An opaque curtain divided the calf nursery, with calves in the front half assigned to visitation treatments and those in the rear half not assigned to visitation treatments. Calves were fed their MR treatment until d 43 (preweaning), after which all calves received half of their allotment of MR until d 49 (weaning). Calves were tracked for the next week until d 56 (postweaning). Starter grain and MR intakes were measured daily along with weekly body weight and skeletal measurements. One half of the calves on each treatment had blood samples taken via jugular venipuncture on d 41 (preweaning), 43, 45, 47, 49, and 51 (postweaning) to evaluate blood glucose, urea, nonesterified fatty acids, and cortisol concentrations. During the preweaning and weaning phases, calves on A0 and A1 treatments consumed more MR, less starter, and weighed more than the C0 and C1 calves. Calves on A0 and A1 had greater average daily gain (ADG), hip and withers gain, were taller at the hip, and had larger girths during the preweaning phase. Overall, body weight, withers and hip heights, and heart girths were greater in A0 andA1 calves during the weaning week. Efficiency of utilization of estimated metabolizable energy (ME) intake (ADG/ME) were similar. Glucose and nonesterified fatty acids concentrations were greater in visited calves preweaning. An interaction for glucose was observed during weaning, with A1 calves having the highest concentration and A0 calves having the lowest concentrations during weaning. Cortisol tended to be higher in visited calves during weaning. Postweaning, calves formerly fed A0 and A1 treatments had lower blood glucose and tended to have higher urea and cortisol concentrations than C0 and C1 treatments. The higher plane of nutrition fed calves tended to have higher cortisol concentrations indicating that they experienced more stress due to the removal of MR more than calves fed conventionally. Calves fed the higher plane of MR nutrition consumed more dry matter, ME, and water weighed more, had a greater ADG, and were taller than calves fed the conventional MR. These calves were more efficient (ADG/dry matter intake) when expressed on a dry matter basis, but had similar efficiency when expressed on an ME basis (ADG/ME). Visiting calves did little to reduce the stress of weaning when calves are fed the higher plane of nutrition MR feeding regimen.

Colostrum replacer feeding regimen, addition of sodium bicarbonate, and milk replacer: the combined effects on absorptive efficiency of immunoglobulin G in neonatal calves.

Eighty Holstein and Holstein cross dairy calves were blocked by birth date and randomly assigned to 1 of 8 treatments within each block to examine the effect of a colostrum replacer (CR) feeding regimen, supplementation of CR with sodium bicarbonate (NaHCO3), and provision of a milk replacer (MR) feeding on IgG absorption. Calves were offered a CR containing 184.5g/L of IgG in either 1 feeding at 0h (within 30 min of birth), with or without 30g of NaHCO3, with or without a feeding of MR at 6h of age, or 2 feedings of CR (123g of IgG at 0h with or without 20g of NaHCO3 and 61.5g of IgG at 6h with or without 10g of NaHCO3), with or without a MR feeding at 12h. Therefore, treatments were (1) 1 feeding of CR; (2) 2 feedings of CR; (3) 1 feeding of CR + 30g of NaHCO3; (4) 2 feedings of CR + 30g of NaHCO3; (5) 1 feeding of CR + MR feeding; (6) 2 feedings of CR + MR feeding; (7) 1 feeding of CR + 30g NaHCO3 + MR feeding; and (8) 2 feedings of CR + 30g NaHCO3 + MR feeding. Blood samples were obtained at 0, 6, 12, 18, and 24h after birth and were analyzed for IgG via radial immunoassay. Results indicated that CR feeding schedule, MR feeding, and the interactions CR × Na, CR × MR, and CR × Na × MR were similar for 24-h serum IgG, apparent efficiency of absorption, or area under the curve. Serum IgG at 24h, apparent efficiency of absorption, and area under the curve were decreased with addition of NaHCO3 compared with calves not supplemented with NaHCO3. These data indicate that supplementation of CR with NaHCO3 is not beneficial to IgG absorption and feeding MR within 6h of CR feeding does not affect IgG absorption.

Effects of lasalocid and intermittent feeding of chlortetracycline on the growth of prepubertal dairy heifers.

Forty Holstein heifers entered the 12-wk study at approximately 12 wk of age. At enrollment, heifers were blocked by birth date and assigned to 1 of 4 treatments: (1) carrier (30 g; control); (2) lasalocid + carrier (1 mg/kg of body weight; L); (3) chlortetracycline + carrier (22 mg/kg of body weight; CTC); (4) L + CTC + carrier (CTCL). Heifers on CTC and CTCL were provided treatment Monday through Friday and carrier only on Saturday and Sunday. These heifers were provided their respective treatment during wk 1 to 4, 6, and 10; wk 5, 7 to 9, and 11 to 12 heifers were provided the nonmedicated carrier. Heifers were individually fed a total mixed ration with treatments top-dressed at 1200 h daily. Dry matter intake was monitored for each heifer and feed provided was adjusted according to individual intakes. Skeletal measurements were taken weekly and blood samples were obtained every Monday, Wednesday, and Friday. Blood samples were analyzed for thyroxine concentration via radial immunoassay. Heifers supplemented with L had lower average daily gain , overall body weight gain, and trends for lower daily body length gain and overall girth gain compared with CTC heifers, but similar to control and CTCL heifers. Heifers fed L had lower hip height gain and overall hip height gain compared with CTCL heifers, but similar to control and CTC heifers. Heifers fed L had lower overall withers height gain compared with control heifers, but similar to CTC and CTCL heifers. No treatment effect on thyroxine concentrations was observed. These data indicate that L did not increase growth. Results from this experiment indicate that supplementing heifers with L was not beneficial and no benefits to supplementing heifers with CTC or the combination of CTC and L were evident compared with control heifers. Heifers in this study experienced minimal health problems and were regarded to be under low stress levels. Supplementing CTC and L may be beneficial to growing heifers under conditions where disease exposure and stressors are greater.

Short communication: addition of sodium bicarbonate to maternal colostrum: effects on immunoglobulin G absorption and hematocrit in neonatal calves.

Twenty-six Holstein bull calves born from primiparous and multiparous cows without dystocia were assigned in a randomized complete block design to 1 of 2 treatments: pooled maternal colostrum (PMC) or PMC supplemented with 30 g of sodium bicarbonate (NaHCO(3)). Calves were fed PMC from 9 different batches containing (mean ± SD) 82.05±8.45 g/L of IgG. Calves were fed 2.68 L of PMC at birth (referred to as 0 h) and 1.32 L of PMC 6h later. The total amount of IgG fed was 329.89±34.56 g. Calves were fed 2L of milk replacer at 24, 36, and 48 h postpartum. The addition of NaHCO(3) had no effect on IgG absorption. Serum IgG concentrations at 0, 6, 12, 24, and 48 h postpartum were not different between calves supplemented with or without 30 g of NaHCO(3) to colostrum. Area under the curve, apparent efficiency of absorption, and hematocrit were not affected by the NaHCO(3) treatment.

Addition of sodium bicarbonate to either 1 or 2 feedings of colostrum replacer: effect on uptake and rate of absorption of immunoglobulin G in neonatal calves.

Forty Holstein dairy calves were blocked by birth date and sex, and randomly assigned to 1 of 4 treatments within each block to elucidate the effect of feeding regimen and sodium bicarbonate (NaHCO3) supplementation on absorption of IgG from colostrum replacer (CR). Calves received CR containing 191.4 g of IgG fed either in 1 feeding at 0 h (within 45 min of birth), with or without 30 g of NaHCO3, or in 2 feedings (127.6 g of IgG at 0 h, with or without 20 g of NaHCO3, and 63.8 g of IgG at 6 h, with or without 10 g of NaHCO3). The treatments were (1) 1 feeding of CR+0 g of NaHCO3; (2) 1 feeding of CR+30 g of NaHCO3; (3) 2 feedings of CR+0 g of NaHCO3; and (4) 2 feedings of CR+30 g total of NaHCO3. Only calves born with no dystocia were used on this study. Blood samples were taken at 0, 6, 12, 18, and 24h postpartum and were analyzed for IgG using a radial immunoassay. Results indicated that, individually, feeding regimen and NaHCO3 treatments had no effect. However, the interaction was significant for 24-h IgG and area under the curve, and showed a trend for apparent efficiency of absorption. Absorption rate data indicated that, for calves fed within 45 min of birth, most IgG absorption occurred in the first 6 h after birth. From 6 to 12 h postpartum, IgG absorption started to decrease; however, IgG absorption remained higher for calves fed in a single feeding than in 2 feedings. These data indicated that NaHCO3 may increase IgG absorption when calves are fed colostrum in a single feeding but is not beneficial when colostrum is fed in 2 feedings.

Short communication: Kelp taste preferences by dairy calves.

Kelp is a common feed additive used on many dairy farms in the United States. However, few data are available supporting the efficacy of its addition to cattle feed. The purpose of this study was to evaluate the taste preferences of calves provided with 0, 30, or 60 g of kelp daily in a sequential elimination experiment. Calves in this study always ranked the control treatment first when given a choice and consumed 34.5% more dry matter from the control treatment in the first 3-d segment of the experiment. During the second feeding segment (d 4 and 5), when the control treatment was removed, daily dry matter consumption was reduced in 4 out of 6 calves compared with control calves when this treatment was available (first feeding segment). However, calves did not differentiate between the 2 amounts of kelp. Results indicated that calves preferred calf starter grains without kelp.

Short communication: Addition of varying amounts of sodium bicarbonate to colostrum replacer: effects on immunoglobulin G absorption and serum bicarbonate in neonatal calves.

Fifty-two dairy calves were blocked by birth date and, within each block, randomly assigned to 1 of 4 treatments to investigate the effects of incremental levels of sodium bicarbonate (NaHCO(3)) on IgG metabolism. Treatments were (1) colostrum replacer (CR)+0 g of NaHCO(3) (control); (2) CR+15 g of NaHCO(3); (3) CR+30 g of NaHCO(3); or (4) CR+45 g of NaHCO(3). Calves were fed colostrum replacer (>200 g of IgG) in one feeding within 45 min of birth (0 h) and 2 L of milk replacer at 12, 24, 36, and 48 h. Only calves born in calving pens from multiparous cows with no dystocia were used in this study. Blood samples were taken at 0, 6, 12, 24, and 48 h postpartum, and serum was analyzed for IgG using radial immunoassay and bicarbonate using spectrophotometry. Feeding increasing levels of sodium bicarbonate had negative linear effects on IgG concentration, IgG apparent efficiency of absorption, and IgG area under the curve, primarily due to the effect of the highest dose of NaHCO(3) (45 g). Sodium bicarbonate treatments had no effect on serum bicarbonate concentration. However, area under the curve of serum bicarbonate increased linearly with the amount of NaHCO(3) fed.