Unilateral C-1 posterior arch screws and C-2 laminar screws combined with a 1-side C1-2 pedicle screw system as salvage fixation for atlantoaxial instability.

OBJECT Atlantoaxial instability often requires surgery, and the current methods for fixation pose some risk to vascular and neurological tissues. Thus, new effective and safer methods are needed for salvage operations. This study sought to assess unilateral C-1 posterior arch screws (PASs) and C-2 laminar screws (LSs) combined with 1-side C1-2 pedicle screws (PSs) for posterior C1-2 fixation using biomechanical testing with bilateral C1-2 PSs in a cadaveric model. METHODS Six fresh ligamentous human cervical spines were evaluated for their biomechanics. The cadaveric specimens were tested in their intact condition, stabilization after injury, and after injury at 1.5 Nm of pure moment in 6 directions. The 3 groups tested were bilateral C1-2 PSs (Group A); left side C1-2 PSs with an ipsilateral C-1 PAS + C-2 laminar screw (Group B); and left side C1-2 PSs with a contralateral C-1 PAS + C-2 LS (Group C). During the testing, angular motion was measured using a motion capture platform. Data were recorded, and statistical analyses were performed. RESULTS Biomechanical testing showed that there was no significant difference among the stabilities of these fixation systems in flexion-extension and rotation control. In left lateral bending, the bilateral C1-2 PS group decreased flexibility by 71.9% compared with the intact condition, the unilateral C1-2 PS and ipsilateral PAS+LS group decreased flexibility by 77.6%, and the unilateral C1-2 PS and contralateral PAS+LS group by 70.0%. Each method significantly decreased C1-2 movements in right lateral bending compared with the intact condition, and the bilateral C1-2 PS system was more stable than the C1-2 PS and contralateral PAS+LS system (p = 0.036). CONCLUSIONS A unilateral C-1 PAS + C-2 LS combined with 1-side C-1 PSs provided the same acute stability as the PS, and no statistically significant difference in acute stability was found between the 2 screw techniques. These methods may constitute an alternative method for posterior atlantoaxial fixation.

Preparation of the traditional Chinese medicine compound recipe Shuxiong sustained-release capsules by multiparticulate time-controlled explosion technology.

In this study the traditional Chinese medicine compound recipe (TCMCR) Shuxiong sustained-release capsules (SXSRC) were prepared by multiparticulate time-controlled explosion technology. First, Shuxiong pellets were prepared with the refined medicinal materials containing in the recipe of Shuxiong tablets. Then, the pellets were coated sequentially with an inner swelling layer containing low-substituted hydroxypropylcellulose as the swelling agent and an outer rupturable layer of ethylcellulose. Finally, SXSRC were developed by encapsulating five kinds of pellets whose respective coating level of outer layer was 0%, 9%, 15%, 18% and 20% at equivalent ratio in hard gelatin capsules. Under the simulated gastrointestinal pH conditions, the in vitro release test of SXSRC was carried out. The value of similarity factor (f2) of hydroxysafflor yellow A and Panax notoginseng saponins, hydroxysafflor yellow A and ferulic acid, Panax notoginseng saponins and ferulic acid was 90.1, 77.3, 87.0, respectively. The release profiles of these three compositions from SXSRC showed a characteristic of obvious sustained-release and no significant difference between them. The results indicated that using multiparticulate time-controlled explosion technology various components in TCMCR with vastly different physicochemical properties could be released synchronously while sustained-releasing. That complies with the organic whole conception of compound compatibility of TCMCR.

Selective oxygenation of amphiphilic thiacalix[3]pyridine Rh(I) diene complexes in both water and organic solvents.

Thiacalix[3]pyridine (Py3S3) reacted with [Rh(diene)(mu-Cl)]2(diene = 1,5-cyclooctadiene (cod), 2,5-norbornadiene (nbd)) to give amphiphilic trigonal bipyramidal complexes, [Rh(Py3S3)(diene)]Cl. Sulfur bridges of the Py3S3 ligand in these complexes were selectively oxygenated by m-chloroperoxybenzoic acid in dichloromethane to give sulfinylcalix[3]pyridine complexes, [Rh(Py3(SO)3)(diene)]+, in which all three oxygen atoms of the SO groups occupy the equatorial positions. Structures of the complexes were analysed by X-ray crystallography and the oxidation reaction was investigated using 1H NMR spectroscopy and electrospray ionisation mass spectrometry showing that the oxygenation of the sulfur atoms in the ligand proceeded stepwise and further oxygenation of the SO moiety occurred only for the nbd complex having the smaller diene ligand resulting in [Rh(Py3(SO)2(SO2))(nbd)]+. On the other hand, the oxidation of [Rh(Py3S3)(cod)]+ by H2O2 in water did not result in oxygenation of the sulfur bridges but the cod ligand is hydroxygenated to give 1,4,5,6-eta4-2-hydroxycycloocta-4-ene-1,6-di-yl.