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Thoracic myelopathy caused by ossification of the posterior longitudinal ligament (OPLL) in the thoracic spine is usually progressive and responds poorly to conservative therapy, making surgery the only effective treatment option. A variety of surgical procedures have been developed to treat thoracic OPLL. However, the optimal surgical approach for removal of thoracic OPLL remains unclear. In the present study, we described a newly modified posterior approach for the removal of OPLL: circular decompression via dural approach, and complete removal of OPLL can be achieved under direct vision and without neurological deficit. Three patients with beak-type thoracic OPLL presented with progressive thoracic myelopathy and leg weakness. Magnetic resonance imaging showed the spinal cord severely compressed. The surgical management of the three patients involved the 'cave-in' circular decompression and transdural resection of OPLL. Transdural circumferential decompression was successfully performed in all three patients. Clinical outcome measures, including pre- and postoperative radiographic parameters, were assessed. All of the patients were followed up for an average of 12 months (ranging from 10 to 15 months), and no surgery-related complications occurred. Weakness relief and neural function recovery were satisfactorily achieved in all patients by the final follow-up. Transdural circumferential decompression was an effective method for thoracic spinal stenosis caused by concurrent beak-type OPLL, by which OPLL could be safely removed. It is especially useful when there is a severe adhesion between the dura OPLL. [ABSTRACT FROM AUTHOR]

Selenium-enhanced arsenic uptake by As-hyperaccumulators Pteris vittata and Pteris cretica is known, but how it impacts antimony (Sb) uptake and associated mechanisms are unclear. Here, we investigated the effects of 2.5 μM selenate (Se 2.5 ) on Sb uptake by two plants after growing for 10 days under hydroponics containing 10 or 50 μM antimonate (SbV) (Sb 10 or Sb 50 ). Both plants were efficient in taking up SbV, which was reduced to SbIII (17-40 %) and mainly accumulated in the roots (86-97 %). The addition of Se increased the Sb contents by 78-97 and 29-33 % to 242-1358 and 132-697 mg kg -1 in P. vittata and P. cretica roots. Compared with the Sb 10 and Sb 50 treatments, addition of Se increased the SbV reduction, with more increase in P. vittata than P. cretica roots (181-273 % vs. 17-29 %). Enhanced GSH-GSSG cycle mediated by glutathione peroxidase (GPX) and glutathione reductase (GR) may play an important role in SbV reduction in the roots. Compared with the Sb treatments, addition of Se increased the GPX and GR activity by 71-97 and 2-50 % in P. vittata roots, and 59-153 and 22-63 % in P. cretica roots. Besides, Se upregulated the expression of arsenate reductases PvHAC1 and PvACR2 in P. vittata roots by 1.7-3.4 folds but not in P. cretica. Se-enhanced SbV reduction in P. vittata explains why it was more effective in Sb accumulation than P. cretica. Taken together, Se is effective in increasing the Sb uptake in both plants probably by promoting SbV reduction via GSH-GSSG cycle and/or PvHAC1/PvACR2, suggesting that Se may be used to enhance phytostabilization of Sb-contaminated soils., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier B.V. All rights reserved.)