Treatment of stiff thoracic scoliosis by thoracoscopic anterior release combined with posterior instrumentation and fusion

Background  

Thoracoscopic anterior release has been shown that it can effectively improve spinal flexibility in animal and human cadaveric studies, and has been advocated for use in patients with scoliosis. This prospective case series aims to investigate the improvement of the spinal flexibility and the effectiveness in deformity correction by anterior thoracoscopic release and posterior spinal fusion.     

蓣知子皂甙IV的结构

从木通科木通属植物白木通[Akebia trifoliata(Thunb.)Koidz.var.australis(Diels)Rehd]种子的乙醇提取物中以硅胶层析等方法得四种三萜皂甙。其中甙IV是新天然产物,命名为蓣知子皂甙IV(yuzhiziosideIV)。根据化学和光谱分析,确定甙IV的结构为3-O-β-D-吡喃木糖基-(1→2)-a-L-吡喃阿拉伯糖齐墩果酸-28-O-β-D-吡喃葡萄糖基-(1→6)-β-D-吡喃葡萄糖酯甙。另外皂甙B(I)、皂甙C(II)和皂甙D(III)为已知物。这些化合物在白木通种子中均是首次得到。     

草珊瑚中的一个新倍半萜内酯

草珊瑚为金粟兰科植物Sarcandra glabra(Thumb.)Nakai的全株,又名接骨金粟兰、肿节风、九节风、九节茶、接骨木等。有清热祛风,散瘀接骨之功效,民间用于治疗肺炎、凤湿性关节炎等。近年来做成制剂治疗溃疡病、癌症等。已报导的化学成分有延胡索酸、琥珀酸及异白蜡树定(isofraxidin)等。今从草珊瑚叶中分得一个新的倍半萜内酯,本文鉴定其结构为(—)-istanbulin A。