Search Results (4)

The restoration of sagittal alignment is fundamental to the surgical correction of adolescent idiopathic scoliosis (AIS). Despite established techniques, some patients present with inadequate postoperative thoracic kyphosis (TK), which may increase the risk of proximal junctional kyphosis (PJK) and imbalance. There is a lack of knowledge concerning the effectiveness of patient-specific rods (PSR) with measured sagittal curves in achieving a TK similar to that planned in AIS surgery, the factors influencing this congruence, and the incidence of PJK after PSR use. This is a systematic review of all types of studies reporting on the PSR surgical correction of AIS, including research articles, proceedings, and gray literature between 2013 and December 2023. From the 28,459 titles identified in the literature search, 81 were assessed for full-text reading, and 7 studies were selected. These included six cohort studies and a comparative study versus standard rods, six monocentric and one multicentric, three prospective and four retrospective studies, all with a scientific evidence level of 4 or 3. They reported a combined total of 355 AIS patients treated with PSR. The minimum follow-up was between 4 and 24 months. These studies all reported a good match between predicted and achieved TK, with the main difference ranging from 0 to 5 degrees, p > 0.05, despite the variability in surgical techniques and the rods’ properties. There was no proximal junctional kyphosis, whereas the current rate from the literature is between 15 and 46% with standard rods. There are no specific complications related to PSR. The exact role of the type of implants is still unknown. The preliminary results are, therefore, encouraging and support the use of PSR in AIS surgery. Full article

Adolescent idiopathic scoliosis (AIS), the most common pediatric musculoskeletal disorder, causes a three-dimensional spine deformity. Lenke type 5 AIS is defined as a structural thoracolumbar/lumbar curve with nonstructural thoracic curves. Although a rod curvature will affect clinical outcomes, intraoperative contouring of the straight rod depends on the surgeon’s knowledge and experience. This study aimed to determine the optimum rod geometries to provide a pre-bent rod system for posterior spinal surgery in patients with Lenke type 5 AIS. These pre-bent rods will be beneficial for achieving proper postoperative outcomes without rod contouring based on surgeon experience. We investigated 20 rod geometries traced in posterior spinal reconstruction in patients with Lenke type 5 AIS. The differences between the center point clouds in each cluster were evaluated using the iterative closest point (ICP) method with modification. Before the evaluation using the ICP method, the point clouds were divided into four clusters based on the rod length using a hierarchical cluster analysis. Because the differences in the values derived from the ICP method were <5 mm for each length-based cluster, four representative rod shapes were generated from the length-based clusters. We identified four optimized rod shapes that will reduce operation time, leading to a decreased patient and surgeon burden. Full article

The article presents the testing designating the impact of structural non-uniformity on the effectiveness of reinforcing bent wooden beams reinforced with basalt fibre (BFRP—Basalt Fibre Reinforced Polymers) rods. The obtained results demonstrate a positive impact of the strengthening in improving the bearing capacity and rigidness of the wooden beams. The article presents the impact of selected physical and chemical properties of wooden elements on the achieved strengthening reliability, increase in bearing capacity and the estimation of the reduction of deflections and stresses of bent beams, made from various wood quality classes and reinforced using BFRP rods. The conducted testing featured an analysis of the ability of using lower quality class lumber to strengthen the beams with pre-stressed basalt fibre rods. This solution allows for reducing the cross-section or lower the class of used wood with simultaneous maintenance of comparable rigidity and bending strength of beams, as in the non-strengthened beams. Full article

As the high value and the scarcity of large-flake graphite ore resources, it is in the best interest to maximize the amount of large flakes and minimize any processing that will reduce flake sizes. In the study, the mineralogy of an African graphite ore was estimated using X-ray diffraction (XRD), X-ray fluorescence (XRF), and optical microscope analyses. The results indicated that it was a heavily weathered large flake graphite ore and the main gangue minerals were quartz and kaolinite. The graphite flakes were thick, bent, and fractured, and some clay minerals were embedded into the graphite interlayer, which made it difficult to prevent the large flakes from being destroyed using mechanical grinding methods. An approach of steel rod coarse grinding and pebble regrinding effectively reduced the destruction of graphite flakes and improved the grinding efficiency. In addition, comparing with the conventional process, a pre-screening process was applied and the content of large flakes in the final concentrate was significantly improved. Full article