1.Introduction of a Novel “Segmentation Line” to Analyze the Variations in Segmental Lordosis, Location of the Lumbar Apex, and Their Correlation with Spinopelvic Parameters in Asymptomatic Adults
Kalyan Kumar Varma KALIDINDI ; Gururaj SANGONDIMATH ; Kuldeep BANSAL ; Gayatri VISHWAKARMA ; Harvinder Singh CHHABRA
Asian Spine Journal 2022;16(4):502-509
Methods:
One hundred asymptomatic adult volunteers (mean age, 29.1±7.9 years; 69 males, 31 females) who satisfied the selection criteria were enrolled in this study. Standing antero-posterior and lateral whole spine and pelvis X-rays were performed, and the radiographic parameters were analyzed. We introduced a “segmentation line” bisecting the apical vertebra/disk to divide the upper arc of lumbar lordosis (ULL) and lower arc of lumbar lordosis (LLL).
Results:
The mean PI was 48.02°, ULL 29.12°, LLL 16.02°, total lumbar lordosis (TLL) 45.14°, lumbar tilt angle 4.73°, and location of the apex of lumbar lordosis (LLA) 4.11°. The location of the lumbar apex moved higher as the PI increased. The PI was strongly positively correlated with the LLL (r =0.582, p <0.001) and TLL (r =0.579, p <0.001) but not with the ULL (r =0.196, p =0.05). The LLA was strongly positively correlated with the ULL (r =0.349, p <0.001), negatively with the LLL (r =−0.63, p <0.001), and not correlated with the TLL (r =−0.177, p =0.078).
Conclusions
The PI influences the location of the lumbar apex, the LLL, and the TLL but not the ULL. The location of the lumbar apex significantly influences the segmental lordosis but not the TLL.
2.Use of covered stent (CGuard) in the treatment of post-traumatic internal carotid artery pseudoaneurysm
Deepak SINGH ; Diwakar SHANKAR ; Gaurav SHARMA ; Kuldeep YADAV ; Mohammad KAIF
Journal of Cerebrovascular and Endovascular Neurosurgery 2022;24(3):257-262
Post-traumatic internal carotid artery pseudoaneurysm (ICA PSA) is a rare occurrence with high mortality rates, and with the advent of endovascular therapy, its treatment has shown drastic improvement in clinical as well as radiological outcomes. Here we are describing our experience with the CGuard embolic protection system (InspireMD, Tel Aviv, Israel) for the treatment of post-traumatic left ICA PSA in a 49-year-old male. New improved biomechanics and navigability have proven it to be a safe and efficient treatment modality for ICA PSA. However, a multicentric large-scale randomized trial is recommended to support this modality.
3.Surgical Outcomes of Transpedicular Decompression with or without Global Reconstruction in Thoracic/Thoracolumbar Pott’s Spine: A 7-Year Institutional Retrospective Study
Kalyan Kumar Varma KALIDINDI ; Kuldeep BANSAL ; Gourab BISWAS ; Anuj GUPTA ; Gayatri VISHWAKARMA ; Vikas TANDON ; Harvinder Singh CHHABRA
Asian Spine Journal 2022;16(2):173-182
Methods:
Using the hospital records and imaging database obtained from January 2014 to January 2020, this study retrospectively analyzed patients who underwent surgery for Pott’s spine and met the eligibility criteria.
Results:
This study included 230 patients with a mean±standard deviation age of 47.7±18.1 years (109 males, 121 females). The Visual Analog Scale score, Oswestry Disability Index, and Cobb angle were significantly improved in these patients (p<0.001). Patients who underwent anterior reconstruction had a greater correction in Cobb angle postoperatively (p=0.042) but also had a greater blood loss (p=0.04). During the follow-up, they experienced a significant loss of correction compared with those who only underwent transpedicular decompression (p=0.026). Nevertheless, patients who underwent anterior reconstruction using mesh/PEEK cages showed no significance difference in the clinical or radiological outcomes.
Conclusions
Transpedicular decompression used in the surgical management of Pott’s spine showed favorable clinical and radiological outcomes. The additional use of anterior reconstruction obtained equivalent clinical outcomes but resulted in excessive blood loss. Meanwhile, the use of mesh/PEEK cage for anterior reconstruction did not affect the clinical and radiological outcomes.
5.Development of a novel diagnostic test for detection of bovine viral diarrhea persistently infected animals using hair.
Kuldeep SINGH ; Myrna M MILLER ; Laura J KOHRT ; Gail SCHERBA ; Edgar F GARRETT ; Richard L FREDRICKSON
Journal of Veterinary Science 2011;12(3):295-297
The purpose of this study was to determine whether manually plucked hairs might serve as an alternative sample for a quantitative real time polymerase chain reaction (qRT-PCR) testing. Twenty three, 1~3 week old, non-bovine viral diarrhea virus (BVDV) vaccinated calves, found to be positive for BVDV by immunohistochemical staining, were selected and hairs were manually plucked from the ear. qRT-PCR was performed on samples consisting of more than 30 hairs (30~100) and whole blood. All 23 animals were positive for the virus by qRT-PCR performed on the whole blood and when samples of more than 30 hairs were assayed. Additionally, qRT-PCR was performed on groups of 10 and 20 hairs harvested from 7 out of 23 immunohistochemical staining-positive calves. When groups of 20 and 10 hairs were tested, 6 and 4 animals, respectively, were positive for the virus.
Animals
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Antibodies, Viral/analysis/diagnostic use
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Bovine Virus Diarrhea-Mucosal Disease/blood/*diagnosis/virology
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Cattle
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Diarrhea Virus 1, Bovine Viral/genetics/*isolation & purification
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Diarrhea Virus 2, Bovine Viral/genetics/*isolation & purification
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Hair/virology
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RNA, Viral/chemistry/genetics
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Real-Time Polymerase Chain Reaction/methods/*veterinary
6.Frequency of group A rotavirus with mixed G and P genotypes in bovines: predominance of G3 genotype and its emergence in combination with G8/G10 types.
Yashpal S MALIK ; Kuldeep SHARMA ; Nirupama VAID ; Somendu CHAKRAVARTI ; K M CHANDRASHEKAR ; Sanjay S BASERA ; Rashmi SINGH ; MINAKSHI ; Gaya PRASAD ; Baldev R GULATI ; Kiren N BHILEGAONKAR ; Awadh B PANDEY
Journal of Veterinary Science 2012;13(3):271-278
The present study describes the genotypic distribution of rotaviruses (RVs) in an Indian bovine population with unexpectedly higher proportions of G3 alone or in combination of G8/G10. PCR-genotyping confirmed that 39.4% (13/33) of the prevalent RVs were the G3 type while 60.6% (20/33) were dual G3G10 or G3G8 types. P typing revealed that 93.9% (31/33) of the samples were P[11] while 6.1% (2/33) possessed a dual P[1]P[11] type. Sequence analysis of the VP7 gene from G3 strains viz. B-46, 0970, and BR-133 showed that these strains had sequence identities of 90.5% to 100% with other bovine G3 strains. The highest identity (98.9% to 100%) was observed with RUBV3 bovine G3 strains from eastern India. The G3 strains (B-46, 0970, and BR-133) showed 97.5% to 98.8% sequence homologies with the Indian equine RV strain Erv-80. Phylogenetic analysis demonstrated that G3 strains clustered with bovine RUBV3 and J-63, and equine Erv-80 G3. Overall, these results confirmed that the incidence of infection by RVs with the G3 genotype and mixed genotypes in the bovine population was higher than previously predicted. This finding reinforces the importance of constantly monitoring circulating viral strains with the G3 genotype in future surveillance studies.
Animals
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Cattle
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Cattle Diseases/epidemiology/*virology
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Desert Climate
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Feces/virology
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Genotype
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India/epidemiology
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Molecular Sequence Data
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Phylogeny
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RNA, Viral/genetics
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Reverse Transcriptase Polymerase Chain Reaction/veterinary
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Rotavirus/classification/*genetics/isolation & purification
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Rotavirus Infections/epidemiology/*veterinary/virology
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Sequence Analysis, Protein/veterinary
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Sequence Analysis, RNA/veterinary
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Sequence Homology
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Tropical Climate