Lumbosacral exostosis as a rare cause of iliac vein compression and significant limb swelling.

A 67-year-old woman presented to our vein clinic for chronic left lower extremity edema, pain, and varicosities. After failed conservative management, a computed tomography scan revealed central venous stenosis secondary to compression of the left common iliac vein by a large osteophyte along the anterolateral aspect of the L5-S1 disk space. An anterior osteophytectomy was performed, followed by iliac venous stenting at a 1-month interval.

Recurrence of Deep Surgical Site Infection in Cerebral Palsy After Spinal Fusion Is Rare.

Study Design: Retrospective review of prospective registry.

Objectives: To assess the following in children with cerebral palsy (CP) who develop deep surgical site infection (DSSI) after spinal fusion: (1) rate of infection recurrence after treatment; (2) treatments used; (3) radiographic outcomes; and (4) differences in Caregiver Priorities and Child Health Index of Life with Disabilities (CPCHILD) scores versus those of children with no infection (NI).

Summary Of Background Data: Studies show high rates of surgical site infection in patients with CP but do not address late recurrence or quality-of-life effects.

Minimally invasive lateral approach for symptomatic thoracic disc herniation: initial multicenter clinical experience.

Object: Symptomatic herniated thoracic discs remain a surgical challenge and historically have been associated with significant complications. While neurological outcomes have improved with the abandonment of decompressive laminectomy, the attempt to minimize surgical complications and associated morbidities continues through less invasive approaches. Many of these techniques, such as thoracoscopy, have not been widely adopted due to technical difficulties.