J Trauma 2006,60(1):209–215.PubMedCrossRef
20. Wang AC, Charters MA, Thawani JP, Than KD, Sullivan SE, Graziano GP: Evaluating the use and utility of noninvasive angiography in diagnosing traumatic blunt cerebrovascular injury. J Trauma Acute Care Surgery 2012,72(6):1601–1610.CrossRef 21. Biffl WL, Cothren CC, Moore EE, Kozar R, Concanour C, Davis JW, McIntyre RC Jr, West MA, Moore FA: Western trauma association critical decisions in trauma: screening for and treatment of blunt cerebrovascular injuries. J Trauma 2009, 67:1150–1153.PubMedCrossRef 22. Fraas MR, Coughlan CF, Hart EC, McCarthy C: Concussion history and reporting rates in elite Irish rugby union players. Phys Ther Sport 2013. doi: 10.1016/j.ptsp.2013.08.002 23. Kerr Z, Marshall S, Guskiewicz K: Reliability of concussion history in former professional football players. Medicine & science in sports & exercise. NVP-BGJ398 supplier Med Sci Sports Exerc 2012,44(3):377–382.PubMedCrossRef 24. Raferty M: Concussion and chronic traumatic encephalopathy internal rugby Board’s response. Br J of Sports Medicine 2013, 0:1–2. Competing interests The authors declare that they have no competing interests. Authors’ contributions All authors read and approved the final manuscript.”
“Background Surgery for spinal pathology carries inherent risks such as malposition, loss of curve correction, intraoperative pedicle fracture or loosening,
dural laceration, deep infection, pseudarthrosis, and Ku0059436 transient neurologic injury [1]. Less frequent vascular lesions are reported; however, diaphragmatic injury and Idoxuridine subsequent herniation of the omentum into the pleural cavity after pedicle screw fixation have not been described in the literature. A laparoscopic approach, including the application of mesh to repair the tear, is a therapeutic option. Here, we report a
case of diaphragmatic hernia (DH) that was treated using the laparoscopic approach. In addition, we reviewed the literature. Case presentation A 58-year-old woman without significant medical history visited an outpatient clinic because of radicular compression at L4 level due to scoliosis. The patient underwent posterior pedicle screw fixation with Universal Spinal System (USS) Synthes, which provided segmental stabilization and decompression from D12 to L5. In the first postoperative day, the patient developed mild dyspnea, which prompted the attending clinician to perform an anteroposterior chest radiograph (Figure 1). The radiograph revealed bilateral pleural effusion, which was more pronounced on the left side. At the same time, the blood sampling revealed a decrease in hemoglobin levels. Thus, we decided to insert a chest tube to drain blood. In the second PO day, after the blood volume stabilized, the patient underwent a contrast-enhanced CT scan of the chest and abdomen.