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Welcome to FishingNotes.com
Cave Run Lake fishing report
page. Here you will find all the information you need to make the best decisions for today's fishing. Current weather including air temperature, barometric pressure, wind speed and direction are continuously updated throughout the day.
Cave Run Lake water temperature
is one of the vital statistics included on this page. We also include the moon phase as full and new moons are generally better fishing times. Help in choosing what time to hit the water with daily sunrise and sunset times plus moon rise and moon set times. We would love to hear how your fishing trip went, feel free to share your days success on the community report page. Good luck and we hope you catch a full bag today!
Cave Run Lake
supports good populations of muskie, largemouth bass, bluegill, crappie and catfish. The latest state record muskie was taken from Cave Run Lake. This and other near-record catches have established
Cave Run Lake
as one of the most productive muskie lakes in the Southeastern United States.
Notices To Anglers:
Cave Run Lake
Fishing Regulation - Slot Limit:
Cave Run Lake
has a special slot limit on largemouth bass. Largemouth bass between 13 and 16 inches in length must be released immediately. Largemouth bass less than 13 inches in length or greater than 16 inches in length may be kept. Smallmouth bass measuring 16 inches or less must be released immediately. Slot limit requirements and minimum size limits do not apply to the Kentucky (spotted) bass. The daily catch limit (six) and possession limit (12) apply to any combination of the black bass species. Black bass species include largemouth, smallmouth and Kentucky (spotted) bass. [
Cave Run Lake
. www.nwk.usace.army.mil, 04/06/2008
Inpoundment Type:
Surface Area (acres):
Lake Management:
Army Corps
Water Clarity:
0-1 ft
Water Temp Factors:
Maximum Depth (ft):
Normal Elevation (ft):
Boat Access:
Paved Ramps
Boat Limits:
No Restrictions
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Cave Run Lake Largemouth Bass Fishing
Hide Largemouth Bass Info
[ Largemouth Bass Info ]
Cave Run Lake Largemouth Bass Rating:
Click on Fish to Rate This Lake
Cave Run Lake Largemouth Bass Tips:
[ Add Tip ]
- plastic worms
▼ More ▼
- Small to medium top water lure in late summer or early fall, especially in shallow water during feeding times. (Early Morning and Mid-Late Evening) Watching for smaller bait fish such as minnows feeding will give you a good indication of an ideal feeding time for Large Mouth Bass.
However keep in mind the top water method can work all day long and in deeper water, the above statement is just the ideal situation.
- I was out 04/22/12 and the largemouth are hitting hard. I was fishing along the
shore, which is well below summer pool as expected. The weather was 45 degrees,
cloudy, and windy and the previous day there was a bass tournament held at the
lake. I wasn\'t expecting to get much action but I was wrong. It seems the fish are
in pockets leading out of channels and are hitting almost everything you throw at
them. I caught them off a crankbait as well as a plastic worm. Very Enjoyable,
should be a good season.
View Tip Location on Map
- right nows a good time to be fishin the grass beds with plastics worms, lizzards,
and jerk baits.
View Tip Location on Map
- top water propeller baits
- plastic top water frogs are working well over weed beds right now, also i have caught alot of fish using chatter baits early in the morning before all the boats come out to play. there have been alot of talk of larger fish coming straight up from the bases of stumps and trees when using bright slow moving spinners(white is best).
- banjo minnow
View Tip Location on Map
Largemouth Bass Tips for Current Conditions (automated):
Largemouth bass fishing is in full spawn now the water temperature has climbed up to 65 degrees. The large female bass will be on the beds and holding tight. Spawning bass won't be feeding aggressively at this water temperature but they will be catchable. In addition, all bass don't spawn at the exact same time or water temperature. If you aren't a site fisherman, you should be able to find some larger females and male largemouth on the standard spring patterns. Female bass will really start to slow down on feeding so fishing is going to be slower for a few weeks until they move into active patterns again.
Cave Run Lake Smallmouth Bass Fishing
Hide Smallmouth Bass Info
[ Smallmouth Bass Info ]
Cave Run Lake Smallmouth Bass Rating:
Click on Fish to Rate This Lake
Cave Run Lake Smallmouth Bass Tips:
[ Add Tip ]
- Flip a Jig.
View Tip Location on Map
Smallmouth Bass Tips for Current Conditions (automated):
Smallmouth bass are generally their most active at 65. Baitfish are much more active in this water temperature and the smallmouth bass will be feeding aggressively throughout the day.
Cave Run Lake Crappie Fishing
Hide Crappie Info
[ Crappie Info ]
Cave Run Lake Crappie Rating:
Click on Fish to Rate This Lake
Cave Run Lake Crappie Tips:
[ Add Tip ]
- excellent crappie lake!!! great fishing spots all around the lake.
▼ More ▼
- Try drifting in anywhere from 19ft of water to 24ft of water with minnows at afree boat ramp.
Crappie Tips for Current Conditions (automated):
Crappie will be coming off of the spawn now. Fish will be feeding much more aggressively making up for lost time eating during the spawn. Crappie will start moving back to their typical structure of choice and should be getting into schools again in the old river channels. It?s time to hit the water. Have fun today!
Cave Run Lake Walleye Fishing
Hide Walleye Info
[ Walleye Info ]
Cave Run Lake Walleye Rating:
Click on Fish to Rate This Lake
Cave Run Lake Walleye Tips:
[ Add Tip ]
- There is no Walleye on this lake, I have been a guide on this lake and continue to report on this lake
Chris "The Trimmer" Erwin
▼ More ▼
- there is sauger in the spillway.......been fishing the spillway for 14 years and have caught several
- You can find some walleye in the lake and at the spillway! Caught a good 12 lb 10 oz walleye out of this lake in 05!!!
- yes there is at the spillway have caught a 25 inch walleye on a crayfish in late
aug !
- Caught a 8lb walleye at spillway on nightcrawler on 7/6/14 nice fish
View Tip Location on Map
Walleye Tips for Current Conditions (automated):
This is the water temperature of choice for walleye. They are feeding well and moving in patterns that should be fairly easy to pick up and capitalize on today. Baitfish are not at the peak of activity but they will be in good supply in the deeper water. The lake is really turning on this time of year and the fish should be biting well.
Cave Run Lake Catfish Fishing
Hide Catfish Info
[ Catfish Info ]
Cave Run Lake Catfish Rating:
Click on Fish to Rate This Lake
Cave Run Lake Catfish Tips:
[ Add Tip ]
- Patience will catch you alot of cats
Catfish Tips for Current Conditions (automated):
The water temperature is climbing and the catfish will start becoming more active now. The catfish spawn is right around the corner and generally all catfish species will be looking to spawn. Blue catfish, flathead and channel catfish spawn in much the same areas. Mostly spawning in deep tree lay downs that have lots of shade, holes in the bank, sunken barrels and tires. With baitfish becoming active, it?s time to catch some small sunfish, bluegill, shad and frogs and getting the line in the water.
Cave Run Lake Spotted Bass Fishing
Hide Spotted Bass Info
[ Spotted Bass Info ]
Cave Run Lake Spotted Bass Rating:
Click on Fish to Rate This Lake
Cave Run Lake Spotted Bass Tips:
[ Add Tip ]
Spotted Bass Tips for Current Conditions (automated):
In the 65 degrees range, spotted bass are generally their most active at this water temperature. Baitfish are much more active in this water temperature and the spotted bass will be feeding aggressively throughout the day.
Cave Run Lake White Bass Fishing
Hide White Bass Info
[ White Bass Info ]
Cave Run Lake White Bass Rating:
Click on Fish to Rate This Lake
Cave Run Lake White Bass Tips:
[ Add Tip ]
- use sr7 shad raps and deep running crank bait and solid shite super flukes !
▼ More ▼
- Gold cast-master let drop to bottom and twitch it on the way up
White Bass Tips for Current Conditions (automated):
Cave Run Lake Striped Bass Fishing
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[ Striped Bass Info ]
Cave Run Lake Striped Bass Rating:
Click on Fish to Rate This Lake
Cave Run Lake Striped Bass Tips:
[ Add Tip ]
Striped Bass Tips for Current Conditions (automated):
Cave Run Lake Solar and Lunar Conditions
Current Lunar Fishing Tip:
The affects of the moon on freshwater fish and game are at a minimum right now. There will be a new moon coming up here in a few days. The fisherman should never use this as an excuse to not get on the water. The affects of the moon can only enhance the outcome of a day's fishing not decrease potential catch for today. On days without the new or full moon, all other factors including weather, barometric pressure, wind and cloud cover will make up today's equation for success.
Moon Phase:
% Illuminated
Days to Full
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text:
Title & Storyline Revealed for MUPPETS Sequel!
Kermit, Miss Piggy and the whole MUPPET gang will be returning for director James Bobin's upcoming sequel to be called THE MUPPET...AGAIN! Filming is currently underway in London for its March 21, 2014 release date.
The all-new global Muppets adventure welcomes Ricky Gervais, Ty Burrell and Tina Fey to the mayhem, along with Kermit the Frog, Miss Piggy, Walter and rest of the Muppets. The film is directed by James Bobin ("Flight of the Conchords," "Da Ali G Show"), who was just nominated for a BAFTA for "The Muppets" (Outstanding Debut by a British Writer, Director or Producer), and produced by the Academy Award-nominated team of David Hoberman and Todd Lieberman ("The Fighter," "The Proposal"). With a screenplay by Bobin and Nicholas Stoller ("The Five-Year Engagement"), who is also executive producer with John Scotti, "The Muppets ... Again!" will feature music from Academy Award-winning songwriter Bret McKenzie ("Flight of the Conchords"), who won an Oscar for best original song for "The Muppets" ("Man or Muppet"). The new film will hit the big screen March 21, 2014.
"It's great to be back working with the Muppets," said Bobin, "some of them even remember my name occasionally now. As for the movie, it's a tip of the hat to the old-school crime capers of the '60s, but featuring a frog, a pig, a bear and a dog-no panthers, even pink ones-along with the usual Muppet-y mix of mayhem, music and laughs."
Disney's "The Muppets ...Again!" takes the entire Muppets gang on a global tour, selling out grand theaters in some of Europe's most exciting destinations, including Berlin, Madrid and London. But mayhem follows the Muppets overseas, as they find themselves unwittingly entangled in an international crime caper headed by Constantine-the World's Number One Criminal and a dead ringer for Kermit-and his dastardly sidekick Dominic, aka Number Two, portrayed by Ricky Gervais, creator of "Derek" and the Golden Globe- and Emmy-winning series "The Office" and "Extras." The film stars Golden Globe-, Emmy- and SAG Award-winning actress and writer Tina Fey ("30 Rock," "Mean Girls," "Date Night") as Nadya, a feisty prison guard, and Emmy Award winner Ty Burrell (TV's "Modern Family") as Interpol agent Jean Pierre Napoleon.
Said Kermit the Frog, "This movie takes us places we've never been before. And trust me-this frog has never seen so much international flavor. I think audiences will eat it up-the entertainment, that is."
Featuring a slew of surprising celebrity cameos, Disney's "The Muppets ... Again!" will shoot on location in London and in Hollywood, as well as in the famed Pinewood Studios in Iver Heath, Buckinghamshire, just outside of London.
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April 10, 2015
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September 16, 2014
About Author
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The Giant Beastcast: Episode 06
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Her Story is a bold and largely successful experiment in interactive crime fiction.
Rocksteady's gorgeous-looking third Arkham game refines its open-world format a bit and lets you drive a whole hell of a lot of Batmobile.
It's squid kids and ink blasting abound in Nintendo's exceptionally fun new online shooter.
Game »
consists of 8 releases.
Released Jan 18, 2011
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A Game of the Year Edition is any video game that has been repackaged and advertised as having earned either one or many Game of the Year awards from any number of recognized publications or websites, often times with a discounted price and additional content.
Gamescom 2012 was held in Cologne, Germany, from August 15th to 19th.
These games, franchises, characters, or companies have some connection with PlayStation Home. They could have some related digital wares available, have their own Space, or even be playable.
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IBM launches apprenticeship scheme for school leavers
IBM has launched its first apprenticeship scheme in England aimed at school leavers, in time for the announcement...
IBM has launched its first apprenticeship scheme in England aimed at school leavers, in time for the announcement...
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of this year's A-level results.
The scheme, developed in collaboration with sector skills council E-Skills UK, offers 20 apprenticeships for students looking to go straight into work rather than go to university. It forms part of IBM's strategy to develop its current and future workforce.
"IBM sees apprenticeships as an excellent way of developing the skills of our future workforce, and we are excited to be launching this new programme," said IBM's professional development manager Parviz Daneshvar.
The apprenticeships offer a two-year development programme and promise long-term career prospects on completion. Opportunities also exist in IBM's global business services unit and application management functions.
More information about the apprenticeship scheme and details about how to apply >>
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text:
Step Three: Place aromatics in slow cooker This instruction really speaks for itself, doesn't it?
But meat is very forgiving; just broil, cut into chunks, put in the slow cooker insert, and pop in the fridge.
However, I recently picked up a second slow cooker, this one, at a garage sale.


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Muse :: 04.12.13 :: TD Garden :: Boston, MA
Full review below photo gallery!
The stage schematic featured an LED pyramid that rose and fell, a rotating riser and
catwalks that allowed the group to perform on each wing of the stage, and extending
into the crowd. But for as top shelf as the production values were, Muse didn't
need it. Singer/guitarist/pianist/frontman Matthew Bellamy practically excretes
charisma and his ability to casually strut across the stage while pulling off a truly
virtuosic guitar solo is enough to make even the most technically proficient of his
peers blush.
Plenty of artists ranging from Madonna to Mick
Jagger work the stage like an art
form unto itself, but none of them do it while spitting out power leads. Bellamy's
ability to simultaneously encourage a crowd, work the neck of his customized
effects heavy guitars and belt out vocals with a range that surpasses three octaves
really puts him in a category of his own.
His voice regularly, and rightfully, brings to mind Freddie Mercury. Muse's sound
often draws parallels to acts ranging from Radiohead to Led
Zeppelin, and recently,
they've (unfortunately) begun experimenting with dub step. They're a band you
instantly recognize within seconds of hearing a song. While this is due to group
compositions and a musical style that takes three to tango, Bellamy's voice is
Christopher Wolstenholme rocked a few different basses with glowing LED's built
into the frets, and while his backing vocals and low end playing were up to par, you
could tell that as a performer, he was really following Bellamy's lead.
The trio from across the pond came out of the gate with "Supremacy," the lead track
off their latest release, 2012's The 2nd Law. From there they flowed into "Math of the
Problematique, off 2006's Black Holes and Revelations. Over half of Revelations was
performed and the proper set ended with a performance of "Stockholm Syndrome"
that closed with an extended tease on the outro of Rage Against The Machine's "Freedom."
The encore featured a performance of "Starlight," and the show ended with
"Survival" a tune off The 2nd Law that was released earlier as the anthem to the 2012
Summer Olympics in London.
Less than 72 hours after the close of the set, the city of Boston was rocked by a
tragedy that will leave a scar on this city that will never heal. While everyone in
attendance is surely devastated by the senseless loss of life that took place in Copley
Sq, they can all look back to their previous Friday night and take solace in the fact
that in a world with plenty to fear, thousands of strangers can still come together
and rage to some edgy synth-pop prog rock tunes.
In loving memory of those we lost at the finish line


text:
The bobsled ride itself is very fun, but we did have a few people get hurt because they did not lean properly and were going too fast down the track.
The worst part about our...
read more
3 Days in Prague
The Summer Days of Prague
Guide to Prague Outdoors
It is indeed dangerous, these other reviews are people not implementing their own health and safety procedures into the way they are dictating the bobsleigh. I injured myself after being jolted one way while trying to lean into the corner and left myself with a fairly nasty scratch on my arm while driving at 40kph. It looks dangerous so why...
staff were helpful. Good alternative for families whose children have had enough of castles. Easy walk from metro.. Not sure if it would warrant the cost of a taxi ride though.
I took the family to visit this whilst we spent a few days in Prague. We used the subway to go there but it was quite a walk from the station. Just as you think you have gone wrong you spot it. The ride is as safe as you want to make it as you control the brake but don't...
Absolutely loved this, was really good fun. Much faster than I expected, enough to add a certain amount of fear to the ride. Friendly staff were helpful. I would not reccomend for children as speeds can be very high (45-55 kph) but for adults its a hoot. Very easy to get to on metro, about a ten minute walk from...
Very impressed with this having visited in February 2015. Attending with my 13 and 20 year old sons this was a strong highlight to our Prague visit. Saw this in a hotel attraction leaflet charging 1000 krono each ( approx £30) including transport - total 2.5 hours activity. Instead got a taxi there and back from city centre for about...
I went there with my friends, and during the ride one of them fell down of bob because of the speed.
The fence was not high enough, and he overflew it on high speed of about 50km/h and broke his hand. Surely, our trip suffered a lot because of this.
I spend a day and the bobsleigh was great, the restaurant food is gorgeous but the stuff in the restaurant doesn't speak English.
The ride was unbeatable both for my kids and for me. Unforgetable experience during our one week stay in Prague. We tried to have some hot chocolate at the restaurant, but the service wasnt interested in serving us at all. Thats why just 'averege' rate.
The bobsleigh alone we fully recommend to everyone aged 8+
Remember to empty your pockets before using the bobsleigh! We go here every year at Easter and everyone has a great time! Some people always manage to go too fast and fall off, so be warned! Food and drink are good value but food, especially, takes a while. At weekends/holidays there are outdoor barbecues, too. Prices go up over Easter...
The bobsled ride itself is very fun, but we did have a few people get hurt because they did not lean properly and were going too fast down the track.
The worst part about our experience was the lady at the ticket box -- she was incredibly rude to our group of 6, the only customers of the night. After...
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hi do these apartments have air con, thinking about going sept 2015
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Respond to Review of Main Squeeze Natural Foods Cafe
by bixo
Review: Haven't been here in a while but I always love coming back - this is my favorite stop when heading cross state. I love the staff and the community feel inside. Today was a veggie juice and the Petrushka and it was solid.
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Not By Might - eBook
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Product Information
|Format: DRM Protected ePub
Vendor: Multnomah Books
Publication Date: 2011
Availability: In Stock
Series: Angel of Mercy
Publisher's Description
Tears fill the eyes of Nurse Natalie Fallon when she discovers old flame Rex Rawlins in the hospital emergency room, paralyzed from the waist down. They find they're still in love - but Rex refuses to let Natalie marry a man who can't walk. Will a miracle grant them a life together?
Meanwhile, Natalie's friend and fellow nurse - Breanna Baylor Brockman - is terror-stricken when she learns that her husband, John Brockman, is riding into a trap with an impostor who plans to kill him. Can Breanna warn John before it's too late?
Product Reviews
KaraAge: 45-54Gender: female4 Stars Out Of 5October 13, 2011KaraAge: 45-54Gender: femaleQuality: 4Value: 5Meets Expectations: 4Not By Might, by Al Lacy, is book eight in the Angel of Mercy series. I have not read the other books in the series but was not hindered by this, as the story stood alone well. The story was centered around the Zechariah 4:6, repeated many times throughout the book.
This is a fantastic Christian western story, set in the old west and complete with all of the typical old west characters, such as marshals, sheriffs, and deputies with their guns and horses. It also includes, however, a hospital with doctors and nurses, something not typically found in western stories.
I found the characters charming, if not totally realistic. They were lovable and sincere, always looking out for each other and trying to overcome evil.
This book contains an abundance of scripture. We should all aspire to be as fluent in the Word of God as the characters in this book. Even so, at times they launched into a Bible story at awkward moments, such as after just meeting another character, something we probably would not do in real life.
All in all, I found this to be a charming story, one that all western-lovers will truly enjoy.
Disclosure of Material Connection: I received this book free from the publisher. I was not required to write a positive review. The opinions I have expressed are my own
MarianneWanham, AlbertaAge: 55-65Gender: female3 Stars Out Of 5Christian WesternSeptember 5, 2011MarianneWanham, AlbertaAge: 55-65Gender: femaleQuality: 3Value: 3Meets Expectations: 4I just finished reading Al Lacy's NOT BY MIGHT. It's been quite a few years since i picked up an Al Lacy book, simply because they have lost my interest. The book was well written, using words to aptly describe vivid scenery. The characters are strong and believable, and catch the reader's attention. His book is a typical Lacy wild western complete with good guys , the Marshalls and bad guys, the outlaws. It is a historical, taking place in Colorado before the use of motorized vehicles. Those who enjoy good clean westerns like Zane Grey will enjoy this book.
I prefer books with lots of action - keep you on your toes at the edge of the seat type of action, and Al Lacy does not do that for me. I don't mind the scripture being mentioned, but this book repeated Zachariah 4 verse 6 many, many times "Not by might, nor by power, but by my spirit saith the Lord". Again, i prefer the gospel story as well as the salvation story (or lack thereof) to be told by the lives of the characters in a more subtle way that Al Lacy's in your face. I could recommend this book to an armchair reader who likes westerns.
leftelaineDublin, TXAge: 55-65Gender: female3 Stars Out Of 5Clean WesternAugust 25, 2011leftelaineDublin, TXAge: 55-65Gender: femaleQuality: 4Value: 4Meets Expectations: 3A Christian Western is the best way to describe this book. This is book number nine in the Angel of Mercy series by Al Lacy. I have not read the other books in the series but it stood alone and that did not cause me a problem. In it, Nurse Breanna Brockman takes care of patients and assists doctors in various situations as her husband, U.S. Marshall John Brockman; helps clear the Wild West of bandits and outlaws making it a safer place to live. As the story weaves between the two characters we are introduced to others whose lives are intermingled with theirs. It is a good clean story that includes murder, suspense, tragedy and love while being interspersed with a lot of scripture and talk about God and how He works in our lives.
Al Lacy's stories can be read by any age group as they are wholesome and clean. It is evident that he knows a lot about westerns and has all his terminology correct when it comes to horses and guns. He has good plots in his stories as well. However, I have trouble connecting with his characters and feeling them to be believable. I hesitate to say that there is too much scripture in the books because we can never get enough of God's Word but the placement of the scripture in the context of the stories is sometimes awkward and contrived. The characters get a little too preachy at times and that takes away form the storyline as well. While I appreciate the author's contribution to the Christian fiction market this book came across as a little flat.
I received this complimentary copy from WaterBrook Multnomah Publishing Group through their Blogging for Books program. A positive review was not required and the opinions expressed here are my own.
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Akron BMW Specials at Dave Walter
Dave Walter BMW has many great specials on BMW cars, pre-owned cars and service happening every day! View our current specials below on and see what we have for you. If you see something you like, call us at (330) 762-0791 or email us for additional information. You can also request a quick quote or use our payment calculator to help plan for your new BMW purchase. To continue your search, visit our inventory of new cars and used cars in Akron.
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A spinal curvature correction device has a flexible tube having one or multiple lumens extending longitudinally through substantially the entire length of the flexible member. The lumens are a plurality of channels formed to receive multiple longitudinal members, or rods. Each rod is shaped to a desired curvature of a healthy spine or a curvature that will affect a correction of a diseased spine. The hollow, flexible tube is surgically placed along the axis of the spine and fixed. After fixation to the spinal elements is structurally stable, a plurality of curved semi-rigid rods is placed within the channels of the flexible tube. As additional rods are placed within the hollow flexible member, increased force is applied to the spine by the device, thereby moving the spine towards the desired curvature.
1. An implantable, dynamic spinal curvature correction device adapted to correcting the curvature of the spine of a mammalian in need thereof capable of being placed along a longitudinal axis of a mammalian spine, comprising:
a) a preformed flexible tube of biocompatible material comprising a lumen, wherein said lumen extends longitudinally through said flexible tube, with the outside of said flexible tube being positioned approximate the spine of the mammalian in need thereof; and
b) a rod comprising a shape memory material having a memorized preformed curvature of an idealized shape prior to surgical placement, wherein said rod is present within said lumen of said flexible tube, and wherein said lumen is formed to receive and hold said rod;
wherein said lumen of said preformed flexible tube is formed to receive said rod after surgical placement of said preformed flexible tube approximate the spine of the mammalian in need thereof; and wherein, after surgical placement, said memorized preformed curvature of said shape memory material of said rod exerts a dynamic force upon the mammalian spine, and said rod urges said mammalian spine toward the idealized shape.
2. An implantable, dynamic spinal curvature correction device placed along a longitudinal axis of a mammalian spine as described in
3. An implantable, dynamic spinal curvature correction device placed along a longitudinal axis of a mammalian spine as described in
4. An implantable, dynamic spinal curvature correction device placed along a longitudinal axis of a mammalian spine as described in
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7. An implantable, dynamic spinal curvature correction device placed along a longitudinal axis of a mammalian spine, as described in
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This application claims the benefit of U.S. Provisional Application Ser. No. 60/465,340 filed Apr. 25, 2003 and this application claims the benefit of U.S. Provisional Application Ser. No. 60/470,149 filed May 13, 2003.
This invention relates to devices and processes used to mollify, correct or improve improper spinal curvature, or to augment strengthen or replace structural components of the mammalian spine that have become lost or dysfunctional.
Degenerative and congenital disease states of the human spine are generally characterized by changes in the anatomic relationship between vertebral segments such that there is a geometric variance from "normal". Degenerative changes often involve disruption or loss of normal soft tissue associated with the spinal column. Additionally, loss of bone density and changes in absolute geometry of boney spinal elements are often a component of degenerative disease processes that will require surgical treatment. Various fixation devices consisting of rod or plate mechanisms have been applied to the human spine in attempting to correct these deformities and re-approximate diseased anatomy towards "normal". Most previous designs have rigid structural properties wherein fusion of spinal segments has been the mode of treatment. Additionally, the procedures required for placement of these devices have generally required an open technique with large incisions and commensurate denervation of paraspinus musculature.
Recent developments in spinal instrumentation have emphasized a path towards advancement in percutaneous placement of rod structures, specifically to address the issue of preserving innervation to the paraspinus muscles. Current percutaneous rod systems are generally limited to two or less spinal segments, largely due to the rigid structural property of conventional solid section rods which does not permit deformation for placement nor readily conform to the natural compound curvature of the spine. These systems are almost universally directed towards achieving fusion of the affected spinal segments. The physiologic action of these systems is one of fusion, wherein the device is designed to maximize rigidity between the diseased spinal elements and post-operatively a boney fusion is produced through the normal reparative process and interoperative placement of autologous or artificial bone graft. In essence these systems are directed towards a conventional rigid fixation placed in a percutaneous manner.
Presenting a different approach, several new devices are available that seek to create a physiologic repair that preserves some motion at the instrumented spinal segments; such systems are termed to have properties of "dynamic stabilization". As advances are made in understanding the pathophysiologic processes involved in degenerative spine disease; particularly those processes involved with chronic inflammatory change, devices and process will be implemented that augment native spinal structure while preserving patient motility. A system that can literally "augment" native structure may alleviate much of the pathology of degenerative spine disease. Furthermore, maintaining some degree of motion may offer the patient advantages over older conventional systems that are rigid in nature. Dynamic stabilization systems potentially offer the following advantages: enhanced patient motility that preserves function and improves the level of patient comfort; motion preservation that may reduce post surgical morbidity, in that continued motion at diseased segments can decrease loss of bone density; a construct that provides dynamic stabilization may provide "load sharing" between diseased segments and those adjacent to it; and variable rigidity from one spinal segment to the next, allowing treatment planning to reflect structural needs of each segment taken individually. These principles of "dynamic stabilization" will likely offer a profound advantage over current rigid fixation devices in that there is a reduced probably of the occurrence of adjacent segment degenerative change; prevention of degenerative changes at adjacent segments will likely significantly reduce the probability of re-operation for the patient and reduce the incidence of continued radicular pain post operatively.
There is a need for a device comprised of multiple relatively small cross-sectional rods that form a controlled rigidity structural construct and permit placement in a percutaneous manner. Structural properties of each rod may be varied along its length with varied material composition or size or shape of cross-section. The rods may be made of materials having "memory" properties such that after placement the rods gravitate towards an idealized shape. Each rod can have relatively flexible structural properties allowing significant deformation of the rod to occur during the placement process.
There is a need for a device that is applicable to various disease states of the human spine. Such a device may act as an "internalized splint" that provides continuous distractive or curvature corrective forces well past the time of surgical placement affecting the global geometry of the diseased spine, or exerts an immediate corrective and stabilizing effect upon the degenerative spine at the time of surgery.
Extensive research of the available instrumentation devices available for treatment of juvenile scoliosis has revealed treatment modalities that are largely limited in degree of correction to that which can be obtained at the time of surgery. Furthermore these types of instrumentation are often applied in a manner that seeks to create multiple fusions. Devices of this type cause significant reduction in patient motility and commensurate increased morbidity due to the nature of rigid fixation. An additional limitation to current devices is that they are typically applied after the point or near the point of bone maturity; this limitation effectively delays the time of appropriate treatment and ignores the potential gains that may be realized through bone remodeling. The maximal corrective change of spinal geometry that can be obtained will be dependent upon the ability to initiate correction prior to skeletal maturity.
Conventional rigid fixation devices likewise are not easily exchanged to accommodate changing size as a juvenile patient grows. The techniques of placement with conventional devices often will involve osteotomies of the vertebral bodies thus precluding use in a patient population with significant remaining skeletal growth. There is a need for a device that addresses the issue of patient growth in juveniles, and which provides for longitudinal expansion as the patient develops.
Scoliosis treatment has employed external bracing systems that have been in use for decades, whereby very effective results have been realized. Effective treatment with external bracing modalities however, comes with the caveat of absolute patient compliance. The reality of treatment with bracing has historically fallen significantly below expected results. The primary issue precluding effective treatment using external bracing has been singularly the lack of patient compliance in an adolescent, image conscious population. There is a need for an internalized surgically placed bracing system that precludes failure to wear the device.
Degenerative processes involving the lumbar spine are certainly the largest segment of the spinal instrumentation market. There is a need for a system that is placed percutaneously and affects dynamic stabilization of the spine while spanning greater than two spinal segments. A "load sharing" construct has certain theoretical advantages over currently available systems: adjacent segment degenerative changes may be attenuated or avoided altogether; distribution of loads may break cycles of chronic inflammation and pain so characteristic of lumbar and thoracic pathologies at multiple levels; and ultimately, treatment planning with controlled degrees of rigidity may be applied to different spinal segments thus yielding a greater degree of motility than can be obtained with present rigid fixation systems with uniform structural properties along their length.
A spinal curvature correction device has a flexible tube having one or multiple lumens extending longitudinally through substantially the entire length of the flexible member. The lumens are a plurality of channels formed to receive multiple longitudinal members, or rods. Each rod is shaped to a desired curvature of a healthy spine.
The hollow, flexible tube is surgically placed along the axis of the spine and fixed. After fixation to the spinal elements is structurally stable, a plurality of curved semi-rigid rods is placed within the channels of the flexible tube. As additional rods are placed within the hollow flexible member, increased force is applied to the spine by the device, thereby moving the spine towards the desired curvature. Additionally, the device is capable of augmenting or replacing endogenous structures of the mammalian spine that have become dysfunctional or lost due to degenerative processes.
The first digit of each reference number refers to the Figure number. The next two digits typically represent corresponding elements in each Figure.
Turning to the drawings,
Individual rods within the same device may have different cross-sections, with each rod designed to accomplish specific structural requirements, as demonstrated in
The flexible multi-lumen tube 202, 502 may be asymmetric.
A preferred embodiment comprises a tube 302 and one or more rods 306, and is preferred to be shaped along its length to a desired, or ideal, curvature of a healthy spine 312.
As shown in
As shown in
Additional control of rigidity along the length of the structure may be obtained with a variable cross-section of individual rods.
The device may also comprise a flexible and longitudinally deformable sheath 108 that is positioned over the flexible multiple lumen tube 102.
The device comprises a flexible multiple lumen tube 402 that is placed along the spinal axis of the spine 412 as demonstrated in
The term "rod" as used herein means an elongated structure. The rod may not have a symmetric cross section, and a rod having a dimension in one axis that exceeds the dimension in the opposite axis may be superior in applying increased force in one direction, while retarding torsion or other undesired movement in another direction. For example, the cross section of the rods 206 shown in
In one embodiment, a longitudinally deformable sheath 108 that is capable of sufficient stretching to accommodate growth of the patient covers the flexible tube.
In the embodiments of
The embodiments of
One or more of semi-rigid small caliber rods may be placed within the lumens of the flexible multi-lumen tube structure after surgical placement and fixation of the flexible multi-lumen tube structure.
In another embodiment, the semi-rigid rods are of variable geometry along their length, and from rod to rod. Each rod may be of a different cross-section as shown in
In another embodiment, the semi-rigid rods are of variable length, and the length may vary from rod to rod. Each rod 706 within the lumens 704 of the tube 702 may be of a different length, with each rod contributing to the structural properties of the overall device. As in other embodiments, a sheath 708 may be used.
In yet another embodiment, a variable structural section provides variable flexibility along the length of the rod. The variation may be in the absolute cross-sectional area and/or geometry along the length of the semi rigid rods, so that the rod has differing structural properties along its length.
In still another embodiment, a structural cross section of the semi-rigid rods allows for variable flexibility relative to the sagital and coronal planes. Structural cross sections may include "L", "I" or "H" beam geometries.
A means of attaching the flexible multi-lumen to the spinal axis in a patient may be provided. The device may comprise some or all of the following: longitudinally deformable sheath, flexible multi-lumen tube, semi-rigid rods, and central core. The device may be attached to the human spine utilizing conventional means of clamps and pedicle screws 414 and/or lamina hooks in a conventional manner as demonstrated by
Longitudinal movement of all or a portion of the components may be restricted at selected points of attachment. Some applications to specific disease states will benefit from a mechanism that permits some or all of the components to move longitudinally relative to clamps or lamina hooks thus enhancing freedom of motion for the patient in flexion and extension as well as permitting a greater degree of motility for rotation and lateral bending.
The physical characteristics of the multi-lumen tube structure may be manipulated through the selection of materials that afford controlled degrees of compression and/or controlled resistance to tensile forces such that the multi-lumen tube may make a predicable contribution to the structural characteristics of the device. The multi-lumen tube may be of a composite design that exploits the structural characteristics of differing materials within the multi-lumen tube itself. For example, tensile fibers may be cast into a compressible polymer substrate thus exploiting both tensile and compressive structural properties. The structural form may be laminated with methods similar to construction of a tire, thus taking advantage of structural properties of markedly different materials.
A dedicated lumen 222 may be provided in the multi-lumen tube or central core component that will facilitate placement of the tube "over a wire" through annular attachment clamps previously positioned along the spinal axis.
The flexible multi-lumen tube structure may be arranged in a variety of anatomic locations and oriented along the spinal axis. These locations include, but are not limited to, placement in a trans-pedicular location or placement in an "offset" manner immediately adjacent to the spinus processes through the paraspinus musculature.
This system of spinal fixation, stabilization and anatomic restoration affords the orthopaedic spine surgeon with a high degree of flexibility in treating abnormal curvature of the spine. The device can accommodate a wide range of rigidity by changing the number of rods, the cross-sectional conformation along the length of the rods or their physical properties. The rods can be individualized for each patient, with variability in rigidity, length, and degree of curvature, material composition and shape of curvature.
In one embodiment, the semi-rigid rods are composed of a material having "memory." The material has high strength, and low vulnerability to fatigue. Suitable materials may include, but are not limited to, titanium-nickel alloys (like flexon glasses frames), carbon fibers, or potentially, ceramic carbon fiber materials (like those used in the fabrication of tennis racquets).
This system can be designed so that the rods are accessible after surgery, and replaced with rods having different physical characteristics. Factors such as growth of juveniles, changes in weight in adults, desire to change relative flexibility after a certain therapeutic point is reached, or replacement due to failure or fatigue can be addressed without the necessity of a procedure that is as invasive as the original placement of the device. To accommodate growth in juvenile patients, the longitudinally deformable sheath may allow stretching along its length, wherein relatively rigid points of attachment to the spine are allowed to separate, with little longitudinal resistance.
The device is intended for use in correcting spinal deformities resultant from congenital processes, degenerative processes, trauma, or neoplastic processes. The device exerts an ongoing force that tends towards restoring normal anatomy.
Placement of the device may be accomplished according to currently known surgical techniques for the placement of pedicle screws or lamina hooks that are attached to the spinal axis cephalad at the apex of curvature, and caudally. A potential space is then created along the spinal axis to receive the rod structure. In patients with anticipated growth, the sheath structure is placed through the potential space and secured to the plating structures. Alternately, in patients in whom no further growth is anticipated, the flexible multi-lumen rod structure is placed into the potential space and secured to the plating structures without the sheath.
One application of the device is to substitute the device where previously known rigid rod type devices have been applied. This procedure involves forming a rigid attachment to selected vertebral elements with pedicle screws, lamina hooks or similar devices. Instead of placing and attaching a rigid rod, the flexible multi-lumen tube structure of the invention is used. The flexible multi-lumen tube structure will easily accommodate the abnormal curvature of the diseased spine, and may be firmly affixed by attachment devices.
Multiple flexible multi-lumen tubes may be installed. In this application, the primary function of the flexible multi-lumen tube is to create a pathway for placement of the following semi-rigid rods. The semi-rigid rods, taken singly, allow enough flexibility to bend for placement and follow the path of the flexible multi-lumen tube structure. However, taken as a group, multiple rods allow the entire structure to become rigid, and the device is capable of exerting continuous force directed towards restoring normal anatomy. This system allows for future modification of the device in a minimally invasive manner. Semi-rigid rod components may be changed to allow for patient growth, changing force requirements, or replacement, where fatigue of the rod components has occurred.
The device may be surgically implanted through the paraspinus muscles along the spinal axis, thus avoiding removal of periosteum from the vertebrae and minimizing opportunity for fusion to occur. The implantation may occur "over a wire" placed through points of attachment using a blunt needle.
A clamping structure may be incorporated that limits longitudinal movement of the described structure, thus allowing limited flexibility in all planes for a spine in which the described structures are affixed. The clamping structure may be used to limit longitudinal motion in tension and in compression.
The invention system relies upon independent motion capabilities of individual semi-rigid rods to continuously apply a distractive force. The flexible multi-lumen tube provides lateral stability for the semi-rigid rods, and in so doing, contributes to the overall strength of the system. Regulated freedom of movement for the semi-rigid rods has the additional benefit of allowing the rods to shift slightly when placed under force and to distribute the total load evenly across all of the plurality of rods. The likelihood of fatigue is reduced, as rigid bending points are not present, nor do the rods materially distribute stress to each other.
The longitudinally deformable sheath allows a number of advantages when compared to conventional systems. By virtue of longitudinal deformability, the sheath accommodates growth in pediatric patients. The sheath allows simple changeover of internal structures, including the flexible multi-lumen tube and the semi-rigid rods. A single incision for each rod will allow access to the cap structure, and replacement of the internal components may be accomplished as required. This procedure is anticipated for replacement of rods necessitated as secondary to growth; due to mechanical failure from fatigue; or due to changed structural requirements, including changes of shape, changes of relative rigidity or changes in numbers of rods.
The flexible multi-lumen rod structure may incorporate radio-dense markers that are monitored during growth. The use of markers allows the surgeon to determine when a pediatric patient's rods will over grow the attachment structures, and allows priors replacement. In various embodiments, circumferential radio-dense wires are placed a specific distance from the ends of the rods, radio-dense numerals are placed within the flexible multi-lumen tube, or other radio-dense markers are placed a specified distance from the flexible multi-lumen tube ends.
The device allows for the provision of a lumen in the flexible multi-lumen tube component dedicated for insertion of the flexible multi-lumen tube "over a wire". In one method, a wire is placed using a blunt needle strung between points of spinal fixation. This configuration is applicable at the time of initial placement, as well as facilitating replacement procedures. The wire structure may be tensioned to contribute to force applied towards normalization of curvature. A wire locating member may contribute to the overall structure of the system. In instances where the device is used primarily for posterior stabilization, the wire may provide a "stop" in tension thus limiting flexibility in flexion.
The rods are designed to return a spine to an idealized curvature, and the "memory form" of the rod may be in a shape that is short of, or beyond, the idealized curvature. Additionally, rods may be combined so that the over all effect when placed together is towards an idealized curvature, while individual rods may, in fact, be short of, or beyond, the idealized curvature.
The ease of changeover for rod structures allows the possibility of graduated correction to occur. Rods may be placed in sets each with different properties of curvature and/or rigidity affecting a graduated course of therapy with rods changed as each step in correction is realized.
Cap structures are designed for both cephalad and caudal placement. In pediatric patients, only one end of the rods may be fixed relative to longitudinal movement. This configuration allows growth to occur, and freedom of motion in flexion and extension. Fixation plates will not allow lateral movement at the cephalad or caudal points of fixation. Middle plates may allow swiveling to occur at the rods, thus accommodating movement as the apex of the curvature moves towards ideal. In patients where this device is utilized for posterior stabilization, plating devices are designed to limit motion in flexion and extension.
In a preferred embodiment, when utilized for correction of scoliosis, the sacral attachment provides a basis for alignment of the entire device. Pre-surgical planning is anticipated with defining an ideal axis of alignment from the sacrum. Placement of sacral fixation plates may occur slightly "off axis" of the sacrum to provide idealized alignment of the entire spine.
The multi-lumen flexible tube structure alone provides minimal resistance to deformation. However, as this structure forms a continuous supporting "matrix" for the semi-rigid rods, it contributes to the overall stability of the entire structure, by preventing relative motion between the individual rods, in effect allowing each rod to act as a continuously supported column, with structural moments of each section approximating the diameter or cross-sectional dimensions of the multi-lumen tube structure.
The flexible multi-lumen tube may have a variable cross-section along its length. This configuration allows placement of semi-rigid rods of varying length, thus accommodating variable structural characteristics along the length of the spine.
The semi-rigid rod structures may be of variable length, thus providing greater rigidity as, and where, required. In one configuration the flexible multi-lumen tube may have a greater number of lumens through the lumbar area, and taper towards the thoracic area, thus providing more structural capability in the area of widest cross-section with more semi-rigid rods located in this area.
Methods of Placement
The classic configuration method of placement follows standards of practice currently utilized for placement of Harrington rods or similar devices. This involves an incision medially along the spinal axis with striping of periosteum and paraspinus musculature allowing direct visualization of the facet joints and pedicles. The pedicle screws or lamina hooks are placed under direct visualization and the solid rod is then affixed to the pedicle screws or lamina hooks in an offset or trans-pedicular location using conventional or poly-axial connecting clamps. This procedure typically involves near continuous disruption of the periosteum and significant opportunity for fusion to occur. Additionally, the process of removing the paraspinus musculature from the boney elements of the spine results in muscular denervation and a subsequent level of morbidity following denervation. Although placement utilizing this technique is possible it would likely not be the preferred method of placement in those cases where fusion was deemed undesirable.
A percutaneous method of placement would likely be the preferred method of placement for the majority of cases. Incisions are carried down to the facet joints individually and pedicle screws or lamina hooks are affixed utilizing a port type device that minimizes invasiveness of the procedure while allowing visualization of the boney anatomy. Once the points of attachment are made, clamps may be affixed and secured to the pedicle screws and/or lamina hooks a wire is then percutaneously threaded through the clamps. Ideally the wire is placed with a blunt needle minimizing contact with the bone structures and minimizing stimuli for fusion. Following the wire a tissue dilator is placed over the wire forming a potential space for the rod structures. The tissue dilator is withdrawn leaving the wire in place. The rod structures are then placed over the wire. In one method, the sheath and multi-lumen flexible tube are placed together, followed by individual semi-rigid rods. The individual rods are placed utilizing a ram and a locating die, with alignment assured with a coupling device that attaches to the multi-lumen flexible tube.
The final construct comprised of the multiple rods or multiple rods and flexible multi-lumen tube structure has a structural cross-section with significantly more rigidity that the rods taken individually. This system allows for an essentially rigid construct to be formed or a construct that has a variable degree of rigidity along its length thus forming a dynamic stabilization system allowing for a significant degree of motion along the spinal axis. This system of dynamic stabilization creates an overall construct that facilitates "load sharing" across multiple spinal segments and closely mimics structural characteristics of a normal human spine.
The invention provides for longitudinal expansion of a sheath structure and the ability to change to longer rods and flexible multi-lumen tube as the patient develops. In applications where an exchange of rods and/or flexible tubes is anticipated on a routine basis, the longitudinally deformable sheath is preferred to be provided for encapsulating the flexible tube and rod construct and maintaining a potential space for insertion. The procedure for changing rods and flexible multi-lumen tubes will be minimally invasive, requiring a simple outpatient procedure with a single incision for each rod. Beyond exchanges made for changing rod and flexible tube size the degree of rod "stiffness" may be changed with subsequent placements to accommodate changes in required load or required levels of flexibility as patient weight or need for flexibility changes.
The invention may be placed along the entire thoraco-lumbar spine in treatment of juvenile scoliosis. A "zero point" of anatomic alignment is established at the sacrum with fixation then established around the apex of deformity and at the upper thoracic region using pedicle screws and clamps. A wire is then threaded through the clamps from thoracic to lumbar and sacral regions, followed by a tissue dilator forming a potential space. The flexible multi-lumen tube structure with longitudinally deformable sheath is then fed over the wire forming a construct for subsequent rod placement. The rods are preformed to an idealized curvature reflecting normal anatomy and after placement into the flexible multi-lumen tube exert a continuous force towards this idealized curvature, affecting correction of anatomic deformity. This process of correction, particularly in scoliosis, relies upon bone remodeling over time to achieve maximal results. Conceivably, for correction of the deformities involved in scoliosis the rods will be placed in a staged process with partial correction obtained with each subsequent set of rods; each set having progressively greater force application realized towards the idealized anatomic curve. Once the therapeutic end result is attained the rods and clamps may be removed, or "stabilization" rods may be placed, affording a greater degree of motility than permitted by "therapeutic" rods.
Treatment of juvenile scoliosis models certain aspects of the invention, however, the device has applicability well beyond scoliosis applications. The ease of placement in a percutaneous manner, with a capacity to span any number of spinal segments, offers a clear advantage over current percutaneous systems. By its very nature as a multi-component structure, the devices has an intrinsic characteristic of scalability, whereby the actual construct may be adapted to specific structural requirements at individual spinal levels. The structural properties of any given installation may be tailored to individual patient needs with detailed treatment planning. Conceivably, computer assisted treatment planning may be applied prior to installation that reflects needs relative to anticipated stresses at different spinal levels and characteristics that conform to specific disease entities. As the field of spinal instrumentation progresses and available devices capable of preserving motion through dynamic stabilization are brought to the market, recognition of adjacent segment degenerative change will have an increasing impact. Devices that are capable of preserving motion and motility will become the standard of care. These devices will minimize limitation of motion at adjacent segments and will be capable of distributing loads across several spinal segments reducing the incidence of adjacent segment degenerative change.
Degenerative pathologies including spondylolysis, spondylolisthesis, kyphosis, retrolisthesis and spondylosis are all amenable to treatment utilizing the invention. Current design configurations allow for placement in an offset manner or trans-pedicular location, and both configurations are amenable to percutaneous placement. Both methods of placement may be effected utilizing conventional clamping systems with poly-axial connections. Offset connections can readily be accomplished with current poly-axial pedicle screw connection designs utilizing specialized clamp systems for those applications with asymmetric rod cross-sections. Placement in a trans-pedicular manner likewise may be accomplished utilizing current poly-axial pedicle screw connections and modified clamps.
Final configurations of this device closely resemble current systems when placed. However, the pedicle screws and clamps may be so positioned that as the rods are advanced into position correction of the deformity can occur. The spatial relationship between clamps may be controlled such that prior to inserting the rods, the clamps are placed reflecting the spinal deformity, and once the rods are inserted forces of distraction, rotation and/or bending will be applied through the clamps directed towards correction of the deformity. The corrective force application of the device is not only realized at the time of placement, but continues throughout the lifespan of the device, causing a gradual correction towards an idealized anatomy. The device may be used concurrently with fusion cages and nuclear implant devices.
In degenerative pathologies, it is anticipated that the largest part of geometric correction will be realized immediately at the time of surgery. However, in congenital deformities and those degenerative states that are characterized by global spinal deformity the force applied by the rods continues long after the time of initial surgery until the spine reaches the desired shape; without the necessity of additional surgeries.
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Noblesville, INUSA 46062
January 23, 2013
Recently went to Triton and really enjoyed it.
Moved to Indy approx 4 years ago, would like to meet people with similar interest...drinking beer!
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Le Dîner à San Francisco 2015
- Food & Drink
- San Francisco
Marketing to Millennials - Without Alienating Baby Boomers
Social Media Club San Francisco
Monday, September 23, 2013 from 6:00 PM to 8:00 PM (PDT)
Marketing to Millennials (Without Ignoring Baby Boomers)
Tony manages the client success team, developing brand strategies and ensuring successful delivery. Tony has spent his career in WOM marketing with a specialty engaging the coveted Millennial demographic. Most recently, he was at MRY where he managed social strategies for Adobe, Google, PayPal, and Playstation.
Jennifer Donovan, Founder & Principal at Nova Communications
Jennifer Donovan is the founder of Nova Communications, a consulting practice helping businesses design, plan and execute on PR, social and digital media programs. She has a track record of leveraging emerging technologies and creative approaches to execute results-driven campaigns. She specializes in innovative content strategy development and strategic execution. Jennifer combines traditional and evolving communications methods to develop unique programs to allow companies of all sizes to stand out and make a name for themselves through powerful messages and engaging content. She's a seasoned professional, having spent 18 years working for various PR agencies and most recently spent nine years working at Akamai Technologies, where she launched their global social media program. Prior to working in the communications industry, Jennifer worked as a reporter for community newspapers. Jennifer can be reached at email@example.com or on Twitter at @jendonovansf
Amanda Stoneall, Community Engagement at ooVoo
Amanda Stoneall's breadth of experience covers a wide spectrum of industries directly influenced by the millennial generation. ooVoo provides a high-quality, free, social video chat service and integrated instant messaging for more than 85 million registered users worldwide. Bringing multi-party HD video chat to users around the world, ooVoo enables people to connect with their friends, family and community via 12-way video chat on any Android or iOS-based mobile or tablet device, desktop, over the Web, and Facebook, using cloud-based connectivity. Headquartered in New York City, ooVoo is a privately-held company funded by Myrian Capital. Follow Amamda at @AKStoneall, and ooVoo on Facebook at www.facebook.com/ooVooand through Twitter at www.twitter.com/ooVoo.
We bring together people and organizations interested in social media together to learn from one another in monthly events. Follow us at http://socialmediaclub.org/chapter/san-francisco-ca and http://twitter.com/smcsfo
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JetBlue's popular "All You Can Jet" pass has gone to the dogs. Or cats.
The New York airline said Wednesday that it will offer an unspecified number of $299 unlimited flight passes for furry friends through Sept. 5. Pets will be able to travel on any flight between Sept. 7 and Dec. 31 — as long as they're accompanied by their owners.
JetBlue normally charges $200 for a pet on a round-trip flight. JetBlue Airways Corp. only allows cats and small dogs (less than 20 pounds) in the cabin and doesn't transport larger dogs in the belly of the plane. Pets are allowed everywhere JetBlue flies except Jamaica, Barbados, and Saint Lucia.
Those travelers that buy the pass on Wednesday will also earn extra frequent flier miles.
The "All Your Pet Can Jet" pass is nonrefundable after Sept. 5. It's not valid on JetBlue's partner airlines. Pets can't be booked online.
The human version of the pass was first started in 2009. It let people travel to an unlimited number of cities over a one-month period. The airline brought it back in 2010, but since has offered more focused versions that cater to business travelers. The latest incarnation of the pass is called "Go Pack" and offers 10 flights from Boston; New York's JFK; Long Beach, CA; and San Juan, Puerto Rico to various cities for a flat price, ranging from $699 to $2499.
The passes are meant to spur travel in one of the weakest periods of the year, after most of the nation's kids go back to school.
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NYPD ramps up arrests of panhandlers
Police officers have 345 panhandling and peddlar arrests under their belts this year, a 174% increase from the same period in 2013
By Dan Rivoli
NEW YORK — Beggars, dancers, subway musicians and hawkers be warned: the NYPD has ramped up arrests of panhandlers and peddlers, according to new MTA figures presented to the board Monday.
Police officers have 345 panhandling and peddlar arrests under their belts this year, a 174% increase from the same period in 2013, Chief of Transit Joseph Fox told the MTA board.
"Our enforcement of quality-of-life offenses remains strong," Fox said.
Panhandling made up most of the quality-of-life collars, with 256 arrests this year, compared to 77 over the same time in 2013. There were 89 peddlers-vendors — who hawk churros, DVDs or batteries, for instance — busted by transit police this year, nearly double the amount last year.
Fox also said transit police are continuing to go after fare beaters, some of whom have criminal histories and open warrants. Fox noted a recent arrest of a turnstile jumper who was allegedly carrying a loaded .38 caliber revolver at the 176th Street No. 4 station in the Bronx.
This year, there were 4,841 "theft of service," or farebeating, arrests in the subway system — 203 fewer than 2013, according to MTA figures.
"Our focus on the relationship between lower-level offenses and major felonies within the transit system will continue," Fox said.
When asked about quality-of-life subway arrests during an interview with WNYC's Brian Lehrer, Mayor Bill de Blasio said individual precincts or officers make the decision to arrest someone for "aggressive panhandling."
"We're certainly doing it on a case-by-case basis, and it is consistent with both the notion of protecting public safety and recognizing that we're trying to build a different relationship between police and community," he said. "We have to go after the small crimes as well as the big crimes."
Copyright 2014 amNewYork
McClatchy-Tribune News Service
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National University SD Accelerated BSN January 2013 - page 6
Hi! I've looked and looked and have not been able to find a dedicated thread for applicants to the accelerated BSN program at National University in San Diego for the January 2013 cohort (cohort 33).... Read More
0May 30, '13 by jeli42Quote from SammiNAwesome, I have similar stats! 3.7, 82% on the TEAS. Do you like the program? Thanks for answering my questionsYes, that is correct. NU only calculates your science GPA, TEAS, essay, and number of attempts. My GPA was 3.8, 80% on the TEAS, and I got full points for the number of attempts. I don't know what I got on my essay.
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0May 30, '13 by jeli42Quote from SammiNOh wow. Thanks for the info. I was thinking of applying for the same reason. It's accelerated. I already have a Bachelors and although I was very lucky to get accepted to get into an ADN program, it would take the same amount of time to get my Bachelors at this school (actually less) :/ Thanks again and good luck to you!Honestly, NU is very disorganized. The main reason why I applied to NU was because they are accelerated so I can sit for the NCLEX sooner. I kind of wish I applied to a different school, but the thought of going to school longer doesn't appeal to me. I have been basically teaching myself. Hopefully, my next class will be better. Some rules at NU doesn't make sense to me. A lot of my classes you have to score a minimum of 76% to pass the class. So even if you have an overall grade of an A, but you fail on the final you automatically fail the class. You have to score a level 2 on the ATI proctored exams and you have 2 attempts if you don't then you fail the class. You have to score a 100% on the medication dosage calculation test you get 3 attempts and if you don't pass you fail the class. My next class says that if we don't get above an 83% as your final grade in the class you are required to go to remediation studies for the next class and fulfill their requirements.
0May 30, '13 by SammiNI started my program this past February (LVN-BSN). I love my classmates. I feel like I've been pretty much teaching myself. The program is disorganized and some of the teachers seem like they don't even want to be there. I guess the same could be said about a lot of other programs.
0Sep 24, '13 by soulcialbeautyWhat were your stats/scores if you do not mind sharing to getting in the program?
0Sep 24, '13 by soulcialbeautyTo apply to multiple schools did you have to take more pre-req classes or some classes were equivalent, I was planning on just applying to NU but it may be smart to apply else where also?
0Oct 2, '13 by EstudianteLAHi, I just heard about this program and considering it... For those of you in it, how do you like it? Was it hard to get in? Is National Univ a fully accredited college?
0Aug 25, '14 by dbgwifeHi I was wondering what luck other students have had getting into other programs other than NU? I'm taking my pre-req's at NU but I'm getting a tad nervous about their actual nursing program. I'm afraid I might be setting myself up for only being able to apply NU and no where else. So far I've only been able to pull up transferable units between NU and SDSU and only a few look like they are transferable... I hope someone see's this!
0Sep 5, '14 by babeinboots, CNAQuote from dbgwifeHi,Hi I was wondering what luck other students have had getting into other programs other than NU? I'm taking my pre-req's at NU but I'm getting a tad nervous about their actual nursing program. I'm afraid I might be setting myself up for only being able to apply NU and no where else. So far I've only been able to pull up transferable units between NU and SDSU and only a few look like they are transferable... I hope someone see's this!
I never actually went through with applying to others programs because I ended up getting accepted into National's generic BSN program but I was eligible to apply to most community colleges and two other private schools and a couple of the cal states. I ended up choosing National because it ended up being cheaper than the other private schools and faster than the CC and Cal States.
The only pre-request that National requires that other schools don't is biomedical statistics. Some schools may require biology and organic chemistry while National doesn't. Hope that helps and good luck on your journey!


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Welcome to Our Home: Knit and Crochet Ideas from Red Heart
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Crochet Springtime Cloth
By: Bernat
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This free crochet pattern from Bernat Yarns combines triangular shapes and vibrant colors to create a quick and easy cloth. Use it in your kitchen to celebrate the arrival of spring.
Approx 12 1/2" 32 cm each side of triangle.
13 sc and 14 rows = 4" 10 cm.
Bernat® Handicrafter Cotton (Solids: 50 g / 1.75 oz or Ombres: 42.5 g / 1.5 oz) or cotton of your choice.
Main Color (MC): (00001 White) or (13712 Hot Green) or (13742 Hot Blue) or color of your choice 1 ball
Contrast A: (00089 Banana), (00001 White), (13742 Hot Blue) or (23743 Summer Splash) or (00018 Lemon Swirl) or colors of your choice 1 ball
Size 5 mm (U.S. H or 8) crochet hook or size needed to obtain gauge.
Center Triangle:
With MC, ch 21.
1st row: (RS). 1 sc in 2nd ch from hook. 1 sc in each ch to end of ch. Turn. 20 sc.
2nd row: Ch 1. 1 sc in each st to end of row. Turn.
3rd row: Ch 1. 1 sc in each sc to last 2 sc. Draw up a loop in each of next 2 sts. Yoh and draw through all 3 loops on hook - sc2tog over last 2 sc made. Turn.
4th to 18th rows: As 3rd row 15 times. 4 sts at end of last row.
19th row: Ch 1. (Sc2tog over next 2 sc) twice. Turn.
20th row: Ch 1. Sc2tog over next 2 sts. Fasten off.
First Triangle:
1st row: With RS of work facing, join A with sl st to corner ch of foundation chain of Center Triangle. Ch 1. Working into rem loops of foundation ch, 1 sc in each ch to end of ch. Turn.
Work 2nd to 20th rows as given for Center Triangle.
Note: First Triangle should match Center Triangle.
Second Triangle:
1st row: With RS of work facing, turn work so First Triangle is to the right. Join A with sl st to top corner of Center Triangle. Ch 1. Work 20 sc evenly across. Turn.
Work 2nd to 20th rows as given for Center Triangle.
Third Triangle:
1st row: With RS facing, join A with sl st to rem side of Center Triangle. Ch 1. Work 20 sc evenly across. Turn.
Work 2nd to 20th rows as given for Center Triangle.
Border and Loop:
With RS of work facing, join MC with sl st to corner of any Triangle and work 1 rnd of sc, having 3 sc in corners. Ch 6 (loop). Join with sl st to first sc. Fasten off.
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A good pattern for making a strip of pendant flags too ...
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This would be fun to stitch the sides together and stuff it to make a 3-D triangle baby toy too! Thanks for the great pattern and ideas.
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She promised the dwarfs that she would certainly not let anyone inside again.
A survey by the U of T/Austin said campaign donors are more influential with members of Congress than anyone else.
The real takeaway, though, was that not just anyone can be a great artist, but anyone can learn to draw.


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Chromed zinc with black plastic knob. This model is supplied with a phosphor bronze tension spring.
The West Advisor articles have answered boaters' questions and provided solutions to boating problems for more than 20 years. West Marine has compiled one of the Web's most comprehensive collections of technical boating information articles.
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