Long-Term Survivorship of Cervical Spine Procedures; A Survivorship Meta-Analysis and Meta-Regression

STUDY DESIGN

Systematic Review.

OBJECTIVES

To conduct a meta-analysis on the survivorship of commonly performed cervical spine procedures to develop survival function curves for (i) second surgery at any cervical level, and (ii) adjacent level surgery.

METHODS

A systematic review of was conducted following PRISMA guidelines. Articles with cohorts of greater than 20 patients followed for a minimum of 36 months and with available survival data were included. Procedures included were anterior cervical discectomy and fusion (ACDF), cervical disc arthroplasty (ADR), laminoplasty (LAMP), and posterior laminectomy and fusion (PDIF). Reconstructed individual patient data were pooled across studies using parametric Bayesian survival meta-regression.

RESULTS

Of 1829 initial titles, 16 citations were included for analysis. 73 811 patients were included in the second surgery analysis and 2858 patients in the adjacent level surgery analysis. We fit a Log normal accelerated failure time model to the second surgery data and a Gompertz proportional hazards model to the adjacent level surgery data. Relative to ACDF, the risk of second surgery was higher with ADR and PDIF with acceleration factors 1.73 (95% CrI: 1.04, 2.80) and 1.35 (95% CrI: 1.25, 1.46) respectively. Relative to ACDF, the risk of second surgery was lower with LAMP with deceleration factor .06 (95% CrI: .05, .07). ADR decreased the risk of adjacent level surgery with hazard ratio .43 (95% CrI: .33, .55).

CONCLUSIONS

In cases of clinical equipoise between fusion procedures, our analysis suggests superior survivorship with anterior procedures. For all procedures, laminoplasty demonstrated superior survivorship.

Differential Hatching, Development, Oviposition, and Longevity Patterns among Colombian Aedes aegypti Populations

Simple Summary

Aedes aegypti is a mosquito that transmits viruses responsible for several diseases in humans, such as dengue, Zika, and chikungunya. It is crucial to study mosquito populations from different countries and regions because control of disease transmission with insecticides can be more effective if adjusted to each population’s characteristics. For this reason, we determined several features of mosquitoes captured in different cities of Colombia: Neiva, Bello, Itagüí, and Riohacha. These included the length of their lifespan, the number of eggs they lay, and the stages in which they die. We found specific patterns for each population. This knowledge will help control programs determine the optimal times to apply insecticides and make surveillance, as well as the type of insecticide used.

Abstract

Dengue, Zika, and chikungunya are arboviral diseases for which there are no effective therapies or vaccines. The only way to avoid their transmission is by controlling the vector Aedes aegypti, but insecticide resistance limits this strategy. To generate relevant information for surveillance and control mechanisms, we determined life cycle parameters, including longevity, fecundity, and mortality, of Colombian Ae. aegypti populations from four different geographical regions: Neiva, Bello, Itagüí, and Riohacha. When reared at 28 °C, Bello had the shortest development time, and Riohacha had the longest. Each mosquito population had its own characteristic fecundity pattern during four gonotrophic cycles. The survival curves of each population were significantly different, with Riohacha having the longest survival in both males and females and Bello the shortest. High mortality was observed in mosquitoes from Neiva in the egg stage and for Bello in the pupae stage. Finally, when mosquitoes from Neiva and Bello were reared at 35 °C, development times and mortality were severely affected. In conclusion, each population has a unique development pattern with an innate trace in their biological characteristics that confers vulnerability in specific stages of development.

Performance of a Native Butterfly and Introduced Moth on Native and Introduced Lineages of Phragmites australis

Simple Summary

We evaluated the survival and development of a native butterfly (Poanes viator) and introduced moth (Rhizedra lutosa) fed native or introduced lineages of common reed (Phragmites australis). The native butterfly feeds more generally on monocots, so some larvae were also fed wild rice (Zizania aquatica). Using R. lutosa, we also tested an artificial diet supplemented with common reed rhizome powder as a potential food for rearing stalk and rhizome boring Lepidoptera. Generally, both insect species had low larval survival on all plants used, but high pupation success once insects reached that stage. Only P. viator larvae reared on leaves from native plants pupated and completed development. Rhizedra lutosa completed all developmental stages on native and introduced P. australis rhizomes. The artificial diet resulted in a doubling of survival and successful development to adults for R. lutosa. Several specialist Lepidopteran species are being considered for approval as biological control agents for the non-native, invasive common reed in North America, and the convenience and increased larval performance make this artificial diet a good alternative for rearing organisms.

Abstract

This study examined the performance of Poanes viator (Edwards) (Hesperiidae), a native North American skipper, and Rhizedra lutosa (Hübner) (Noctuidae), an introduced moth, reared on native and non-native, invasive lineages of Phragmites australis. Poanes viator is a generalist on monocots and larvae were also fed leaves of Zizania aquatica, a native macrophyte that the skipper commonly uses as a host plant. Larval survival and duration, pupal weight, and pupation time were compared for P. viator feeding on leaf tissue and R. lutosa feeding on rhizomes of either native or introduced plants. We also tested an artificial diet supplemented with P. australis rhizome powder as a potential food for rearing other stalk and rhizome boring Lepidoptera. In experiments using excised plant tissues, some individuals of both species fed and developed to the pupal stage on native and introduced plants, but overall, larval survival rates were low. Plant species/haplotype identity did not cause strong differences in larval survival for either species. However, P. viator larvae only pupated when feeding on native plants (Zizania aquatica and native P. australis haplotypes), whereas R. lutosa successfully pupated on both native and introduced P. australis. Although larval survival was low, 100% of P. viator and 95% of R. lutosa that reached the pupal stage emerged as adults. Rhizedra lutosa larvae fed an artificial diet supplemented with P. australis rhizome powder had significantly greater survival and pupal weights, and shorter pupation times than larvae fed rhizomes only. Several specialist Lepidopteran species are being considered for approval as biological control agents for the non-native P. australis haplotype, and the convenience and increased larval performance make this artificial diet a good alternative for rearing organisms.

Effect of Precipitation and Temperature on Larval Survival of Cephus cinctus (Hymenoptera: Cephidae) in Barley Cultivars

Host plant traits strongly affect survivorship of insect herbivores, and host suitability is especially important for the wheat stem sawfly, Cephus cinctus Norton, which spends its entire egg, larval, and pupal periods in a single stem. Measuring larval survival inside stems from egg hatch through diapause-mediated dormancy is a potential measure of population size for the next year but is also useful in assessing effects of growing season precipitation and temperature. Larval growth is synchronized with host plant growth, and the larva cannot switch hosts. Thus, incorporating plant physiological time, as growing degree days (GDD), may yield a better prediction of larval survival. Therefore, we assessed wheat stem sawfly survival from early larval growth to the beginning of autumnal diapause in barley cultivars selected from across feed, forage, and two- or six-row malt groups. Field experiments were conducted in Gallatin and Chouteau counties, Montana, in 2016 and 2017. We used Kaplan-Meier estimation to assess larval survival among cultivars. We found that the survival of pre-diapause larvae was greatest in 'Hockett' (36.5%) and lowest in 'Celebration' (15.4%). Precipitation and temperature during the growing season affected temporal patterns for larval survival across study sites. Adjusting survivorship curves using site-specific GDD accumulation allowed cultivar-specific survivorship to be estimated more precisely for each site, despite differing environmental influences. Our findings suggest that measuring wheat stem sawfly survival across barley cultivars and standardizing by site-specific GDDs may provide better recommendations on barley cultivars that impede wheat stem sawfly population growth and reduce economic losses.

DEMOGRAPHIC CONSEQUENCES OF COALESCENCE IN SPORELING POPULATIONS OF MAZZAELLA LAMINARIOIDES (GIGARTINALES, RHODOPHYTA)(1)

Coalescing macroalgae are ecologically important members of intertidal and shallow subtidal communities. However, we still lack quantitative information on the demographic consequences of coalescence. Using demographic models developed for modular invertebrates, we studied the demography of settlement and early recruitment in the coalescing macroalga Mazzaella laminarioides (Bory) Fredericq. Permanently marked microscopic fields on laboratory-incubated and field-incubated plates were monitored regularly (at 15, 30, 45, and 60 d) using image analysis techniques to evaluate the relative importance of settler abundance, mortality, coalescence (fusion), and fission on the changes in size and numbers of recruits. On the plates, spores settled individually or in groups. Over time, spores in close proximity may coalesce, resulting in a mixture of unisporic and multisporic crusts. When new spores arrive, they may or may not coalesce with previously settled crusts. Coalescence and mortality reduce the number of sporelings, but coalescence increases the size of the sporelings, thereby reducing further probability of sporeling mortality. Crust fissions are negligible in frequency, while the frequency of coalescence increases from ∼25% after only 3 d, to ∼75% after 60 d. Thus, as a result of variable settlement, mortality, and coalescence, any area colonized by M. laminarioides would contain a mixture of crusts of different sizes, ages, and genetic constitution. The interactions between the above three processes create a more complex survivorship curve than the ones known for unitary organisms.