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Article ; Online: The clinical effect of unilateral decompressive laminectomy plus fusion with unilateral biportal endoscopic technique for single level lumbar spinal stenosis.

Xu, Dingli / Shu, Wubin / Lian, Leidong / Jiang, Weiyu / Hu, Xudong / Gan, Kaifeng / Ma, Weihu

2024

Abstract: Purpose: This study aimed to compare and analyze the effectiveness of unilateral biportal endoscopic (UBE) decompressive laminectomy plus fusion and microscope-assisted open decompressive laminectomy plus fusion.: Methods: A total of 143 patients ... ...

Abstract	Purpose: This study aimed to compare and analyze the effectiveness of unilateral biportal endoscopic (UBE) decompressive laminectomy plus fusion and microscope-assisted open decompressive laminectomy plus fusion. Methods: A total of 143 patients with lumbar spinal stenosis were enrolled in this study between March 2020 and February 2021 with a minimum 2 years follow-up visit to our hospital. Sixty-five patients underwent the unilateral biportal endoscopic technique and were assigned to the UBE group, and the remaining 78 patients with microscope assistant were assigned to the Microscope group. The baseline characteristics, clinical outcomes, and radiological data were retrospectively collected and analyzed, as well as Clinical outcomes, radiological data and complications. Results: There were no significant differences between the two groups in terms of baseline characteristics (P > 0.05). The UBE group was demonstrated to be significantly superior in CRP, drainage, blood loss, treatment cost and Hospital stay than the Microscope group (P < 0.05), whereas a significant longer operation time was observed (P < 0.05). The VAS-B, ODI, and JOA-L scores of the UBE group at 1 year follow-up were significantly greater than those of the Microscope group (P < 0.05). Regarding radiological data, there were no significant differences in the section area of the spinal canal and fusion grade between the two groups (P > 0.05). Conclusion: In view of the satisfactory clinical outcomes of patients and notable decompression at the stenosed segment, UBE is a feasible, minimally invasive technique for single level lumbar canal stenosis.
Language	English
Publishing date	2024-01-20
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	1068461-x
ISSN	0219-3108 ; 1015-9584
ISSN (online)	0219-3108
ISSN	1015-9584
DOI	10.1016/j.asjsur.2024.01.039
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Article ; Online: Incidence and Risk Factors for the Development of Axial Symptoms Following Posterior Single-Door Laminoplasty: A Retrospective Analysis.

Ruan, Chaoyue / Jiang, Weiyu / Lu, Wenjie / Wang, Yang / Hu, Xudong / Ma, Weihu

World neurosurgery

2024 Volume 183, Page(s) e603–e612

Abstract: Objective: Posterior single-door laminoplasty is a widely practiced clinical procedure, but the occurrence of postoperative axial syndrome (AS) remains a significant concern. The aim of this study was to identify risk factors associated with AS and ... ...

Abstract	Objective: Posterior single-door laminoplasty is a widely practiced clinical procedure, but the occurrence of postoperative axial syndrome (AS) remains a significant concern. The aim of this study was to identify risk factors associated with AS and develop a risk prediction model. Methods: Clinical data from 226 patients who underwent posterior single-door laminoplasty between June 2017 and June 2022 were collected. Through Logistic model analysis, the risk factors of AS are clarified and the intensity of each risk factor is explained in the form of forest plot. Subsequently, we constructed a predictive model and plotted receiver operating characteristic curves to assess the model's predictive value. Results: In the end, 87 cases were diagnosed with AS, resulting in an incidence rate of 38.5%. Logistic regression analysis revealed that preoperative encroachment rate of anterior spinal canal (pre-op ERASC), intraoperative facet joints destruction, intraoperative open-door angle, postoperative loss of cervical curvature, and postoperative loss of cervical range of motion were independent risk factors for AS. Conversely, preoperative cervical curvature (pre-op CC) and postoperation early function training were protective factors against AS. The Youden index indicated that the cutoff values for pre-op ERASC and pre-op CC were 26.6°and 16.5, respectively. The risk prediction model for AS was constructed and a nomogram was plotted. The model has high clinical value. Conclusions: Pre-op ERASC, pre-op CC, intraoperative facet joints destruction, intraoperative open-door angle, postoperative loss of cervical curvature, postoperative loss of cervical range of motion, and postoperation early function training are independent influencing factors for AS occurrence. The risk model has good practicability.
MeSH term(s)	Humans ; Laminoplasty/adverse effects ; Laminoplasty/methods ; Incidence ; Spinal Cord Diseases/surgery ; Retrospective Studies ; Cervical Vertebrae/surgery ; Risk Factors ; Treatment Outcome ; Laminectomy/methods
Language	English
Publishing date	2024-01-05
Publishing country	United States
Document type	Journal Article
ZDB-ID	2534351-8
ISSN	1878-8769 ; 1878-8750
ISSN (online)	1878-8769
ISSN	1878-8750
DOI	10.1016/j.wneu.2023.12.153
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Article: Reliability and repeatability of a modified thoracolumbar spine injury classification scoring system.

Lu, Wen-Jie / Zhang, Jiaming / Deng, Yuan-Guo / Jiang, Wei-Yu

Frontiers in surgery

2023 Volume 9, Page(s) 1054031

Abstract: Purpose: On the basis of the Thoracolumbar Injury Classification and Severity Score (TLICS), an modified TLICS classification system was presented, its reliability and repeatability were assessed, and the factors influencing classification consistency ... ...

Abstract	Purpose: On the basis of the Thoracolumbar Injury Classification and Severity Score (TLICS), an modified TLICS classification system was presented, its reliability and repeatability were assessed, and the factors influencing classification consistency were examined. Methods: Five spinal surgeons were chosen at random. The clinical data of 120 patients with thoracolumbar fractures admitted to the Department of Spine Surgery, Ningbo Sixth Hospital from December 2019 to June 2021 were categorized using the modified TLICS system. After 6 weeks, disrupt the order of data again. Using unweighted Cohen's kappa coefficients, the consistency of the modified TLICS system was assessed in five aspects: neurofunctional status, disc injury status, fracture morphology, posterior ligament complex (PLC) integrity, and treatment plan. Results: In terms of reliability, the average kappa values for the subclasses of the modified TLICS system (neurofunctional status and disc injury status) were 0.920 and 0.815, respectively, reaching the category of complete confidence. Fracture morphology and treatment plan had average kappa values of 0.670 and 0.660, respectively, which were basically reliable. The average kappa value of PLC integrity was 0.453, which belonged to the category of moderate confidence. The average kappa coefficients of each subcategory (neurological status, disc injury status) had excellent consistency, and the kappa values were 0.936 and 0.879, respectively, which belonged to the completely credible category. The kappa values of fracture morphology and treatment plan repeatability were 0.772 and 0.749, respectively, reaching the basic credibility category. PLC integrity repeatability kappa value is low, 0.561, to moderate credibility category. Conclusion: The modified TLICS system is intuitive and straightforward to understand. The examination of thoracolumbar fracture injuries is more exhaustive and precise, with excellent reliability and repeatability. The examination of neurological status and disc injury status is quite reliable and consistent. The consistency of fracture morphology is slightly poor, which is basically credible; the PLC integrity consistency is poor, reaching a reliability level of moderate, which may be associated with the subjectivity of clinical evaluation of PLC.
Language	English
Publishing date	2023-01-06
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2773823-1
ISSN	2296-875X
ISSN	2296-875X
DOI	10.3389/fsurg.2022.1054031
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Article ; Online: Risk factors analysis and risk prediction model construction of non-specific low back pain: an ambidirectional cohort study.

Lu, Wenjie / Shen, Zecheng / Chen, Yunlin / Hu, Xudong / Ruan, Chaoyue / Ma, Weihu / Jiang, Weiyu

Journal of orthopaedic surgery and research

2023 Volume 18, Issue 1, Page(s) 545

Abstract: Purpose: Non-specific low back pain (NLBP) is a common clinical condition that affects approximately 60-80% of adults worldwide. However, there is currently a lack of scientific prediction and evaluation systems in clinical practice. The purpose of this ...

Abstract	Purpose: Non-specific low back pain (NLBP) is a common clinical condition that affects approximately 60-80% of adults worldwide. However, there is currently a lack of scientific prediction and evaluation systems in clinical practice. The purpose of this study was to analyze the risk factors of NLBP and construct a risk prediction model. Methods: We collected baseline data from 707 patients who met the inclusion criteria and were treated at the Sixth Hospital of Ningbo from December 2020 to December 2022. Logistic regression and LASSO regression were used to screen independent risk factors that influence the onset of NLBP and to construct a risk prediction model. The sensitivity and specificity of the model were evaluated by tenfold cross-validation, and internal validation was performed in the validation set. Results: Age, gender, BMI, education level, marital status, exercise frequency, history of low back pain, labor intensity, working posture, exposure to vibration sources, and psychological status were found to be significantly associated with the onset of NLBP. Using these 11 predictive factors, a nomogram was constructed, and the area under the ROC curve of the training set was 0.835 (95% CI 0.756-0.914), with a sensitivity of 0.771 and a specificity of 0.800. The area under the ROC curve of the validation set was 0.762 (95% CI 0.665-0.858), with a sensitivity of 0.800 and a specificity of 0.600, indicating that the predictive value of the model for the diagnosis of NLBP was high. In addition, the calibration curve showed a high degree of consistency between the predicted and actual survival probabilities. Conclusion: We have developed a preliminary predictive model for NLBP and constructed a nomogram to predict the onset of NLBP. The model demonstrated good performance and may be useful for the prevention and treatment of NLBP in clinical practice.
MeSH term(s)	Adult ; Humans ; Cohort Studies ; Low Back Pain/diagnosis ; Low Back Pain/epidemiology ; Calibration ; Educational Status ; Hospitals
Language	English
Publishing date	2023-07-29
Publishing country	England
Document type	Journal Article
ZDB-ID	2252548-8
ISSN	1749-799X ; 1749-799X
ISSN (online)	1749-799X
ISSN	1749-799X
DOI	10.1186/s13018-023-03945-9
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Article ; Online: Biomechanical evaluation of a novel atlas polyaxial transverse connecting screw system, an in vitro human cadaveric study.

Chen, Yun-Lin / Lu, Wen-Jie / Ma, Yu-Li / Ma, Wei-Hu / Jiang, Wei-Yu

Medicine

2023 Volume 102, Issue 47, Page(s) e36312

Abstract: Purpose: To introduce a novel transverse connecting screw system, and to evaluate the biomechanical stability of the novel screw system using human cadaveric specimens.: Methods: Six fresh-frozen cadaveric upper cervical spines were used in our study. ...

Abstract	Purpose: To introduce a novel transverse connecting screw system, and to evaluate the biomechanical stability of the novel screw system using human cadaveric specimens. Methods: Six fresh-frozen cadaveric upper cervical spines were used in our study. Every specimen was tested under 5 conditions: intact group; unstable group; C1 to C2 screw rod system group; C1 to C2 + crosslink system group; atlas polyaxial transverse connecting screw (APTCS) system. Results: Compared with the intact state, C1 to C2 screw rod system, C1 to C2 + CL system and APTCS showed statistically decrease range of motion in all directions except for the unstable group under posterior extension direction (P < .05). APTCS group has the least range of motion in all directions (P < .001). Conclusion: The APTCS system was able to restore stability to the atlantoaxial joint. APTCS system has the advantages of easy installation, convenient bone grafting, and strong biomechanical strength.
MeSH term(s)	Humans ; Spinal Fusion ; Joint Instability/surgery ; Biomechanical Phenomena ; Bone Screws ; Atlanto-Axial Joint/surgery ; Range of Motion, Articular ; Cervical Vertebrae/surgery ; Cadaver
Language	English
Publishing date	2023-11-25
Publishing country	United States
Document type	Journal Article
ZDB-ID	80184-7
ISSN	1536-5964 ; 0025-7974
ISSN (online)	1536-5964
ISSN	0025-7974
DOI	10.1097/MD.0000000000036312
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Article ; Online: Analysis of risk factors for axial symptoms after posterior cervical open-door laminoplasty.

Ruan, Chaoyue / Jiang, Weiyu / Lu, Wenjie / Wang, Yang / Hu, Xudong / Ma, Weihu

Journal of orthopaedic surgery and research

2023 Volume 18, Issue 1, Page(s) 954

Abstract: Background: Laminoplasty (LP), a procedure commonly used to treat cervical spondylotic myelopathy (CSM), often results in the development of axial symptoms (AS) postoperatively. This study aims to analyze the risk factors associated with the occurrence ... ...

Abstract	Background: Laminoplasty (LP), a procedure commonly used to treat cervical spondylotic myelopathy (CSM), often results in the development of axial symptoms (AS) postoperatively. This study aims to analyze the risk factors associated with the occurrence of AS after LP. Methods: We collected and evaluated clinical data from 264 patients with CSM who underwent LP treatment at our institution from January 2018 to January 2022 through a single-center retrospective study. Of the patients, 153 were male and 111 were female, with an average age of 58.1 ± 6.7 years. All patients underwent C3-7 posterior laminoplasty. Based on the occurrence of postoperative axial symptoms, the patients were divided into an AS group and a non-AS group. General information, including age, gender, disease duration, Japanese Orthopaedic Association (JOA) score, postoperation early function training, and collar-wearing time, was recorded and compared between the two groups. Surgical-related data, such as operative segments, surgical time, intraoperative blood loss, intraoperative facet joint destruction, and destruction of the C7 spinous process muscle insertion, were also compared. Imaging data, including preoperative cervical curvature, cervical range of motion, preoperative encroachment rate of the anterior spinal canal, and angle of laminar opening, were collected. Univariate and multivariate logistic regression analyses were used to identify risk factors for the development of AS after LP, and receiver operator characteristic (ROC) curves were utilized to explore the optimal preoperative parameters. Results: All 264 patients successfully underwent surgery and were followed up for an average of 19.5 ± 6.8 months. At the 6-month follow-up, 117 patients were diagnosed with AS, resulting in an incidence rate of 40.2%. The multivariate logistic regression analysis identified that preoperative encroachment rate of anterior spinal canal (Pre-op ERASC), intraoperative facet joints destruction (Intra-op FJD), intraoperative open-door angle (Intra-op OA), destroy the C7 spinous process muscle insertion (Destroy C7 SPMI), postoperative loss of cervical curvature (Post-op LCC), and postoperative loss of cervical range of motion (Post-op LCROM) were independent risk factors for AS. Conversely, preoperative cervical curvature (Pre-op CC) and postoperation early function training (Post-op EFT) were protective factors against AS. According to the ROC curve, the cutoff values for preoperative anterior spinal canal occupation rate and preoperative cervical curvature were 28.5% and 16.5°, respectively. When the preoperative anterior spinal canal occupation rate was greater than 28.5% or the preoperative cervical curvature was less than 16.5°, AS was more likely to occur after surgery. Conclusion: High preoperative anterior spinal canal occupation rate, facet joint damage during surgery, C7 spinous process muscle stop point damage, larger angle of laminar opening, and greater postoperative cervical curvature loss and cervical range of motion loss are associated with an increased risk of developing AS after cervical laminoplasty. Conversely, a larger preoperative cervical curvature and early postoperative functional exercises can help reduce the occurrence of AS.
MeSH term(s)	Humans ; Male ; Female ; Middle Aged ; Laminoplasty/adverse effects ; Laminoplasty/methods ; Retrospective Studies ; Spinal Cord Diseases/diagnostic imaging ; Spinal Cord Diseases/etiology ; Spinal Cord Diseases/surgery ; Neck/surgery ; Cervical Vertebrae/diagnostic imaging ; Cervical Vertebrae/surgery ; Laminectomy/adverse effects ; Risk Factors ; Treatment Outcome
Language	English
Publishing date	2023-12-11
Publishing country	England
Document type	Journal Article
ZDB-ID	2252548-8
ISSN	1749-799X ; 1749-799X
ISSN (online)	1749-799X
ISSN	1749-799X
DOI	10.1186/s13018-023-04426-9
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Article: Ecosystem services response to rural-urban transitions in coastal and island cities: A comparison between Shenzhen and Hong Kong, China

Xu, Chao / Jiang, Weiyu / Huang, Qianyuan / Wang, Yutao

Journal of cleaner production. 2020 July 01, v. 260

2020

Abstract: Understanding the ecosystem services response to rural-urban transitions is critical for urban planning that aims to achieve sustainable urban development, in particular for coastal and island cities where economic development and the maintenance of ... ...

Abstract	Understanding the ecosystem services response to rural-urban transitions is critical for urban planning that aims to achieve sustainable urban development, in particular for coastal and island cities where economic development and the maintenance of ecosystem services are in conflict. In the present study, the responses of ecosystem services to rural-urban transitions in coastal and island cities were investigated and compared taking Shenzhen and Hong Kong, China as case studies. For both cities, the ecosystem service value was quantified using a unit value-based quantification approach, while the urban, peri-urban and rural areas were identified by combining a hexagonal sampling method with cluster analysis. The results suggested that, between 2000 and 2015, the mean value of ecosystem services of rural hexagons was the highest, followed by peri-urban and urban hexagons. For each city, the mean ecosystem service values of the same hexagon type did not differ significantly over time. Both similarities and differences in the response of ecosystem services to rural-urban transitions were detected between the two cities. A persistent downward trend in the value of ecosystem services was observed for both cities, although the decline in Shenzhen was much stronger than in Hong Kong. This was because urban expansion in Hong Kong as an island city was much slower as it was constricted by the availability of land, compared to the extremely rapid urbanization of Shenzhen. The above findings suggested that, compared to island cities where the expansion of urban areas was restricted by the limited availability of land resources, the ecosystem services of coastal cities were more significantly reduced as the urban land continuously expanded to inland remote areas. Correspondingly, towards the maintenance of ecosystem services, specific policy implications for urban planning have been identified for each city.
Keywords	case studies ; cities ; cluster analysis ; ecological value ; ecosystem services ; issues and policy ; rural areas ; sampling ; urban areas ; urban planning ; urbanization ; China
Language	English
Dates of publication	2020-0701
Publishing place	Elsevier Ltd
Document type	Article
ISSN	0959-6526
DOI	10.1016/j.jclepro.2020.121033
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: Osteoid osteoma: lower back pain combined with scoliosis.

Chen, Yun-Lin / Jiang, Wei-Yu / Ma, Wei-Hu

The Journal of international medical research

2020 Volume 48, Issue 2, Page(s) 300060520903873

MeSH term(s)	Bone Neoplasms/diagnostic imaging ; Bone Neoplasms/pathology ; Bone Neoplasms/surgery ; Child ; Humans ; Low Back Pain/diagnostic imaging ; Low Back Pain/pathology ; Low Back Pain/surgery ; Lumbar Vertebrae/diagnostic imaging ; Lumbar Vertebrae/pathology ; Lumbar Vertebrae/surgery ; Magnetic Resonance Imaging ; Male ; Orthopedic Procedures/methods ; Osteoma, Osteoid/diagnostic imaging ; Osteoma, Osteoid/pathology ; Osteoma, Osteoid/surgery ; Scoliosis/diagnostic imaging ; Scoliosis/pathology ; Scoliosis/surgery ; Spinal Neoplasms/diagnostic imaging ; Spinal Neoplasms/pathology ; Spinal Neoplasms/surgery ; Tomography, X-Ray Computed ; Treatment Outcome
Language	English
Publishing date	2020-04-28
Publishing country	England
Document type	Case Reports ; Journal Article
ZDB-ID	184023-x
ISSN	1473-2300 ; 0300-0605 ; 0142-2596
ISSN (online)	1473-2300
ISSN	0300-0605 ; 0142-2596
DOI	10.1177/0300060520903873
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Article ; Online: Effects of aromatherapy on sleep disorders: A protocol for systematic review and meta-analysis.

Song, Xin / Peng, Jiahua / Jiang, Weiyu / Ye, Minghua / Jiang, Lisheng

Medicine

2021 Volume 100, Issue 17, Page(s) e25727

Abstract: Background: The progress of modern society and changes in lifestyle have not only increased the proportion of sub-healthy people, but also caused many people to suffer from sleep disorders and mental anxiety. Long-term lack of high-quality sleep will ... ...

Abstract	Background: The progress of modern society and changes in lifestyle have not only increased the proportion of sub-healthy people, but also caused many people to suffer from sleep disorders and mental anxiety. Long-term lack of high-quality sleep will not only cause psychological problems such as anxiety and fatigue, but also cause physical abnormalities, such as abnormal hormone secretion, weakened immunity, neuroendocrine disorders, and high blood pressure. Therefore, the purpose of this study is to systematically evaluate the effectiveness of aromatherapy in improving sleep quality in people with sleep disorders. Methods: Computer search CNKI, SinoMed, Wanfang, PubMed, Web of science, and EMbase collect randomized controlled trials on aromatherapy to improve sleep quality of people with sleep disorders. The search time limit is to build the database until April 5, 2021. RevMan5.3 software is used for meta-analysis. Results: This systematic review will provide an assessment of the current state of sleep disorders, aiming to assess the efficacy of aromatherapy for patients with sleep disorders. Conclusion: This systematic review will provide a credible evidence-based for the clinical treatment of sleep disorders with aromatherapy.
MeSH term(s)	Aromatherapy/methods ; Humans ; Meta-Analysis as Topic ; Research Design ; Sleep Hygiene ; Sleep Wake Disorders/psychology ; Sleep Wake Disorders/therapy ; Systematic Reviews as Topic ; Treatment Outcome
Language	English
Publishing date	2021-04-27
Publishing country	United States
Document type	Journal Article
ZDB-ID	80184-7
ISSN	1536-5964 ; 0025-7974
ISSN (online)	1536-5964
ISSN	0025-7974
DOI	10.1097/MD.0000000000025727
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Article ; Online: Spatial Variation of the Effect of Multidimensional Urbanization on PM

Huang, Qianyuan / Chen, Guangdong / Xu, Chao / Jiang, Weiyu / Su, Meirong

International journal of environmental research and public health

2021 Volume 18, Issue 22

Abstract: Atmospheric ... ...

Abstract	Atmospheric PM
MeSH term(s)	Air Pollutants/analysis ; Air Pollution/analysis ; Beijing ; China ; Environmental Monitoring ; Environmental Pollution ; Particulate Matter/analysis ; Urbanization
Chemical Substances	Air Pollutants ; Particulate Matter
Language	English
Publishing date	2021-11-17
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph182212077
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