Abdominal aortic calcification and risk of fracture among older women - The SOF study

Data concerning the link between severity of abdominal aortic calcification (AAC) and fracture risk in postmenopausal women are discordant. This association may vary by skeletal site and duration of follow-up. Our aim was to assess the association between the AAC severity and fracture risk in older women over the short- and long term. This is a case-cohort study nested in a large multicenter prospective cohort study. The association between AAC and fracture was assessed using Odds Ratios (OR) and 95% confidence intervals (95%CI) for vertebral fractures and using Hazard Risks (HR) and 95%CI for non-vertebral and hip fractures. AAC severity was evaluated from lateral spine radiographs using Kauppila's semiquantitative score. Severe AAC (AAC score 5+) was associated with higher risk of vertebral fracture during 4 years of follow-up, after adjustment for confounders (age, BMI, walking, smoking, hip bone mineral density, prevalent vertebral fracture, systolic blood pressure, hormone replacement therapy) (OR=2.31, 95%CI: 1.24-4.30, p<0.01). In a similar model, severe AAC was associated with an increase in the hip fracture risk (HR=2.88, 95%CI: 1.00-8.36, p=0.05). AAC was not associated with the risk of any non-vertebral fracture. AAC was not associated with the fracture risk after 15 years of follow-up. In elderly women, severe AAC is associated with higher short-term risk of vertebral and hip fractures, but not with the long-term risk of these fractures. There is no association between AAC and risk of non-vertebral-non-hip fracture in older women. Our findings lend further support to the hypothesis that AAC and skeletal fragility are related.

Superior outcomes of decompression with an interlaminar dynamic device versus decompression alone in patients with lumbar spinal stenosis and back pain: a cross registry study.

INTRODUCTION Surgical decompression for lumbar spinal stenosis (LSS) has been associated with poorer outcomes in patients with pronounced low back pain (LBP) as compared to patients with predominant leg pain. This cross registry study assessed potential benefits of the interlaminar coflex® device as an add-on to bony decompression alone. METHODS Patients with lumbar decompression plus coflex® (SWISSspine registry) were compared with decompressed controls (Spine Tango registry). Inclusion criteria were LSS and a preoperative back pain level of ≥5 points. 1:1 propensity score-based matching was performed. Outcome measures were back and leg pain relief, COMI score improvement, patient satisfaction, complication, and revision rates. RESULTS 50 matched pairs without residual significant differences but age were created. At the 7-9 months follow-up interval the coflex® group had higher back (p=0.014) and leg pain relief (p<0.001) and COMI score improvement (p=0.029) than the decompression group. Patient satisfaction was 90% in both groups. No revision was documented in the coflex® and one in the decompression group (2.0%). DISCUSSION In the short-term, lumbar decompression with coflex® compared with decompression alone in patients with LSS and pronounced LBP at baseline is a safe and effective treatment option that appears beneficial regarding clinical and functional outcomes. However, residual confounding of non-measured covariables may have partially influenced our findings. Also, despite careful inclusion and exclusion of cases the cross registry approach introduces a potential for selection bias that we could not totally control for and that makes additional studies necessary.

(Table 1) K-Ar age of alkaline igneous rocks from the Jan Mayen fracture zone

Bottom morphology of the Jan Mayen transform fracture zone and rock chemistry data show that petrological and chemical specific features of igneous rocks can result from higher permeability of the transform fracture zone and deeper penetration of ocean water into the lithosphere in comparison with rift zones of the Kolbeinsey and Mohn's mid-ocean ridges. Age of alkaline magmatism of the Jan Mayen fracture zone is similar to that of rift zones due to palingenesis of metamorphosed and hydrated mantle and crustal rocks.

Composition of sulfides from the Sierra Leone Fracture Zone (Central Atlantic Ocean)

An analysis of data on the location of hydrothermal fields, seismicity, and satellite altimetry evidences that in mid-ocean ridges with low spreading rate hydrothermal fields tend to be grouped in areas with generally low seismic activity and at intersections of discontinuities and rift zones. Based on this assumption, the Sierra Leone Fracture Zone was studied in 2000 during Cruise 22 of R/V Akademik Nikolaj Strakhov. A study of gabbrodolerite and dolerite showed that sulfide ore minerals in them were formed both by hydrothermal and magmatic processes. An analysis of melt inclusions demonstrated that magmatic complexes formed from a high-temperature (1210-1255°C) low-potassium melt of the N-MORB type. Investigations of fluid inclusions revealed that gabbro and dolerite formed under influence of an active hydrothermal system at temperature 205-226°C. Thus, the Sierra Leone Fracture Zone is considered to be perspective for a discovery of a new hydrothermal field.

Geochemistry of basalts near the Tamayo Fracture Zone

Recent investigations of the southern Gulf of California (22°N) on Leg 65 of the Deep Sea Drilling Project (DSDP) allow important comparisons with drilled sections of ocean crust formed at different spreading rates. During Leg 65 the Glomar Challenger drilled seven basement holes at sites forming a transect across the ridge axis near the Tamayo Fracture Zone. An additional site was drilled on the fracture zone itself, where a small magnetic "diapir" was located. Together with the material from Site 474 (drilled during Leg 64) the cores recovered at these sites are representative of the upper basaltic and sedimentary crust formed since the initial opening of the Gulf. The pattern of magmatic accretion at the ridge axis is conditioned by the moderate to high rate of spreading (~6 cm/y.) and comparatively high sedimentation rates that now characterize the Gulf of California. In terms of spreading rate, this region is intermediate between the "superfast" East Pacific Rise axis to the south (up to 17 cm/y.) and the slow-spreading Mid-Atlantic Ridge (2-4 cm/y.) both of which have been extensively studied by dredging and drilling.

Rocks and minerals from the Strakhov Fracture Zone, 4°N Mid-Atlantic Ridge

Geological-geophysical data obtained during Cruises 7, 11, and 12 of R/V Akademic Nikolay Strakhov (1989-1991) within the international project EQUARIDGE in the Strakhov Fracture Zone region (4°N) are presented. The trough of the fracture is interpreted as an open extension joint, a graben produced by stretching along the axis of the Mid-Atlantic Ridge. Bedrock studies showed that typical mid-ocean tholeiitic basalts occur within the narrow (60 nm wide) axial rift zone, whereas igneous rocks not typical for the ocean were found on the eastern and western flank plateaus. This allows to suppose that a reworked relict continental-type basement of pre-Upper Jurassic age possibly exists beneath the flank plateaus, within the segment under discussion. The above data correspond to the hypothesis of E. Bonatti about nonspreading nature of the basement of Mid-Atlantic Ridge within the equatorial segment and the Strakhov Fracture Zone.