Whether it’s better to adopt unilateral pedicle screw (UPS) fixation or to use bilateral pedicle screw (BPS) one for lumbar degenerative diseases is still controversially undetermined. To make a comparison between UPS and BPS fixation as to how they work efficaciously and safely in patients suffering from lumbar degenerative diseases. We have searched a lot in the databases through 2020 with index terms such as “unilateral pedicle screw fixation” and “bilateral pedicle screw fixation.” Only randomized controlled trials and some prospective cohort studies could be found, yielding 15 studies. The intervention was unilateral pedicle screw fixation; Primarily We’ve got outcomes of complications and fusion rates. Secondarily, we’ve achieved outcomes regarding total blood loss, operative time, as well as length of stay. Softwares were installed and utilized for subgroup analysis, analyzing forest plots, sensitivity, heterogeneity, forest plots, publication bias, and risk of bias. Fifteen previous cases of study including 992 participants have been involved in our meta-analysis. UPS had slightly lower effects on fusion rate [relative risk (RR) = 0.949, 95%CI: 0.910 to 0.990, P = 0.015], which contributed mostly to this meta-analysis, and similar complication rates (RR = 1.140, 95%CI: 0.792 to 1.640, P = 0.481), Δ visual analog scale [standard mean difference (SMD) = 0.178, 95%CI: -0.021 to 0.378, P = 0.080], and Δ Oswestry disability index (SMD = -0.254, 95%CI: -0.820 to 0.329, P = 0.402). In contrast, an obvious difference has been observed in Δ Japanese Orthopedic Association (JOA) score (SMD = 0.305, 95%CI: 0.046 to 0.563, P = 0.021), total blood loss (SMD = -1.586, 95%CI: -2.182 to -0.990, P = 0.000), operation time (SMD = -2.831, 95%CI: -3.753 to -1.909, P = 0.000), and length of hospital stay (SMD = -0.614, 95%CI: -1.050 to -0.179, P = 0.006). Bilateral fixation is more effective than unilateral fixation regarding fusion rate after lumbar interbody fusion. However, JOA, operation time, total blood loss, as well as length of stay were improved for unilateral fixation.

Medical tools and implants used in clinics can be contaminated with bacteria even with disinfection treatment. To avert this situation, titanium (Ti) plates modified with a MoS₂(S)–Ag₃PO₄ coating were designed to kill Staphylococcus aureus (S. aureus) and Escherichia coli (E. coli) effectively under near-infrared (NIR) light irradiation. The introduction of Ag₃PO₄ nanoparticles (NPs) reduced the bandgap of MoS₂ and suppressed the recombination of the photogenerated electron–hole pairs. Therefore, Ti–MoS₂(S)–Ag₃PO₄ exhibited a higher photocatalytic performance, leading to the generation of more radical oxygen species (ROS). Furthermore, cooperating with the good photothermal performance of MoS₂, the MoS₂(S)–Ag₃PO₄ coating exhibited a high antibacterial efficacy of 99.76 ± 0.15% and 99.85 ± 0.09% against S. aureus and E. coli, respectively, for 15 min in vitro. Moreover, the MoS₂(S)–Ag₃PO₄ coating had no apparent toxicity to cells. The proposed strategy may provide new insights for rapidly eradicating bacteria on medical tools and superficial implants.

An in situ Mg-Al hydrotalcite (LDH) film was prepared using a one-step hydrothermal method on the surface of a medical magnesium alloy. The importance and influence of the reaction parameters on the corrosion resistance of the LDH coatings were optimized and investigated through an orthogonal array and range analysis. The reaction parameters included the temperature, reaction time, pH, and concentration of the aluminum source. The relationship between the parameters and corrosion resistance performance of each coating was compared with the chemical composition, electrochemical corrosion current, and hydrogen evolution rate. Suitable reaction parameters were obtained. The morphology, element distribution, adhesion strength, and electrochemical properties of the preferred coatings were further analyzed and evaluated to optimize the treatment process. The results showed that temperature had the most significant impact on the quality of the LDH coating; a suitably high temperature, a longer reaction time, a higher aluminum source concentration, and a high pH were conducive to forming high-quality LDH coatings. There was an inverse relationship between the corrosion resistance and the LDH-to-Mg(OH)₂ content ratio of the coatings. The optimal reaction parameters for this Mg-Al LDH coating on the substrate were 130 °C for 8 h at a pH of 13 using a 10 mM Al³⁺ solution.