Single position lateral lumbar interbody fusion with navigated percutaneous pedicle screw fixation: technique modification with resultant resource usage optimisation.

Background: There is an increase in the volume of elective lumbar fusion surgeries. Various techniques have been described however the literature on cost comparisons of different fusion techniques is sparse. The aim of this study was to evaluate resource utilisation of single position (SP) lateral lumbar interbody fusion (LLIF) compared to dual position (DP) LLIF.

Confirmation of the structure of (±)-preisomide by total synthesis.

The structure of preisomide has been confirmed by total synthesis involving chemoselective oxazine formation and vinyl iodide carbonylation in six steps (longest linear sequence) and 23% overall yield.

Metallosis with spinal implant loosening after spinal instrumentation: A case report.

Background: Spinal metallosis is a rare complication following spinal instrumentation whereby an inflammatory response to the metal implants results in the development of granulomatous tissue.

Case Summary: We describe the case of a 78-year-old woman who had recurrence of back pain 5 years after lumbar spine posterior decompression and instrumented fusion. Lumbar spine radiographs showed hardware loosening and magnetic resonance imaging showed adjacent segment disease.

A reproducible reference point for the common peroneal nerve during surgery at the posterolateral corner of the knee: a cadaveric study.

Background: This is an experimental study conducted to assess whether the fibular head is a reliable reference point to identify the position of the common peroneal nerve at the posterolateral corner of the knee.

Materials And Methods: Twelve cadaveric knees were dissected through the lateral approach. The common peroneal nerve was identified and traced.

Diaphragm disease in advanced ovarian cancer: Predictability of pre-operative imaging and safety of surgical intervention.

Objectives: To establish the positive predictive values of pre-operative identification with CT imaging of metastatic diaphragm disease in surgically managed cases of advanced ovarian cancer (AOC). Additionally, we have assessed the post-operative morbidity and survival following diaphragmatic surgical intervention in a large regional cancer centre in the United Kingdom.

Study Design: A retrospective review of all cases of AOC with metastatic diaphragm disease surgically treated at the Pan-Birmingham Gynaecological Cancer Centre, UK between 1st August 2007 and 29th February 2016.

Reminder of an important clinical lesson in the presentation of an inguinoscrotal bladder hernia and its CT findings.

Inguinoscrotal bladder hernias are still a rare finding in clinical practice. The present report describes the case of a patient who presented with minimal symptoms and was found to have an inguinoscrotal bladder hernia that was confirmed on CT. The CT findings include very clear and interesting images, and the case is discussed further.