In this Letter we report on the generation of 830 W compressed average power from a femtosecond fiber chirped pulse amplification (CPA) system. In the high-power operation we achieved a compressor throughput of about 90% by using high-efficiency dielectric gratings. The output pulse duration of 640 fs at 78 MHz repetition rate results in a peak power of 12 MW. Additionally, we discuss further a scaling potential toward and beyond the kilowatt level by overcoming the current scaling limitations imposed by the transversal spatial hole burning.

We demonstrate supercontinuum generation in a highly nonlinear photonic crystal fiber with two closely lying zero dispersion wavelengths. The special dispersion of the fiber has a profound influence on the supercontinuum which is generated through self-phase modulation and phasematched four-wave mixing and not soliton fission as in the initial photonic crystal fibers. The supercontinuum has high spectral density and is extremely independent of the input pulse over a wide range of input pulse parameters. Simulations show that the supercontinuum can be compressed to ultrashort pulses.

Purpose Our objectives were primarily to review the published literature on complications in neuromuscular scoliosis (NMS) surgery and secondarily, by means of a meta-analysis, to determine the overall pooled rates (PR) of various complications associated with NMS surgery. Methods PubMed and Embase databases were searched for studies reporting the outcomes and complications of NMS surgery, published from 1997 to May 2011. We focused on NMS as defined by the Scoliosis Research Society's classification. We measured the pooled estimate of the overall complication rates (PR) using a random effects meta-analytic model. This model considers both intra-and inter-study variation in calculating PR. Results Systematic review and meta-analysis were performed for 68 cohort and case-control studies with a total of 15,218 NMS patients. Pulmonary complications were the most reported (PR = 22.71 %) followed by implant complications (PR = 12.51 %), infections (PR = 10.91 %), neurological complications (PR = 3.01 %) and pseudoarthrosis (PR = 1.88 %). Revision, removal and extension of implant had highest PR (7.87 %) followed by malplacement of the pedicle screws (4.81 %). Rates of individual studies have moderate to high variability. The studies were heterogeneous in methodology and outcome types, which are plausible explanations for the variability; sensitivity analysis with respect to age at surgery, sample size, publication year and diagnosis could also partly explain this variability. In regard to surgical complications affiliated with various surgical techniques in NMS, the level of evidence of published literature ranges between 2? to 2-; the subsequent recommendations are level C. Conclusion NMS patients have diverse and high complication rates after scoliosis surgery. High PRs of complications warrant more attention from the surgical community. Although the PR of all complications are affected by heterogeneity, they nevertheless provide valuable insights into the impact of methodological settings (sample size), patient characteristics (age at surgery), and continual advances in patient care on complication rates.

Smoking was shown to have a negative effect on fusion and overall patient satisfaction, but no measurable influence on the functional outcome as assessed by the Dallas Pain Questionnaire.