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Prone Transpsoas Approach for Adjacent Segment Disease and Flatback Deformity: Technical Note and Case Report

Open Journal of Modern Neurosurgery 2021年第1期11卷 20-28页

作者： Timothy E. O’Connor Mary Margaret O’Hehir Jennifer Z. Mao Jeffrey P. Mullin john pollina Department of Neurosurgery Jacobs School of Medicine and Biomedical Sciences at the University at Buffalo Buffalo NY USA Department of Neurosurgery Buffalo General Medical Center Kaleida Health Buffalo NY USA Jacobs School of Medicine and Biomedical Sciences at the University at Buffalo Buffalo NY USA

The prone transpsoas approach is a relatively new technique to correct segmental kyphosis and global sagittal imbalance in a minimally invasive fashion. Here, we provide a detailed case report using the prone transpsoas approach to address adjacent segment disease and flatback deformity. This technique allows considerable restoration of segmental lordosis with lateral interbody placement and posterior decompression and fusion using a single position approach. Our experience with the surgical technique and the advantages and challenges unique to this approach are discussed.

关键词： Prone Transpsoas Adjacent Segment Disease Flatback Deformity

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How generalists coexist: the role of floral phenotype and spatial factors in the pollination systems of two Ranunculus species

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Journal of Plant Ecology 2014年第5期7卷 480-489页

作者： Richard P.Kipling john Warren Institute of Biological Environmental and Rural Science Aberystwyth UniversityPenglais CampusAberystwythCeredigionSY233FGUK

Aims Competition for pollinators between phenotypically similar flowers is believed to play an important role in floral trait diversification in the ***,in many plant communities,species with apparently similar floral phenotypes and generalist pollina-tion systems ***,the pollination systems of Ranunculus acris *** Ranunculus repens *** investigated to determine the factors enabling the species to coexist within apparently over-lapping pollination *** Sympatrically flowering populations of *** and *** were investigated at three study sites in West *** flo-ral phenotypes of the two species were compared using meas-urements of floral morphology and spectral analyses of petal reflectance,using principal component analysis and bee and fly colour-space *** of inter-specific discrimina-tion by foraging insects was tested for in the field and using floral *** relative roles of behavioural constancy and spatial patchiness in maintaining pollinator fidelity were *** Findings The floral phenotypes of *** and *** differed *** bees were highly constant when foraging at flowers of the two species and patchy floral distribution explained some of the observed *** visiting mixed floral arrays appeared to discriminate between the species,visiting more *** than *** flowers,but there was no difference in the number of vis-its to single-species *** bees were more likely to display constancy to flowers of *** in the *** in floral distribution,subtle differences in floral phenotype,pollinator preferences and behavioural constancy are all likely to con-tribute to the continued coexistence of *** and ***,despite apparent overlap in their pollination *** differences have the potential to facilitate the maintenance of species diversity in plant com-munities,even where plants appear to share similar floral p

关键词： floral phenotype pollination niche Ranunculus functional specialization constancy

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