Superior mesenteric artery (SMA) syndrome is a rare but serious complication following scoliosis surgery. Early diagnosis and management are key factors for successful conservative treatment to avoid the need for emergency laparotomies which causes higher morbidity or even mortality. We report two adolescent idiopathic scoliosis patients with Cobb angle of 49° and 132°, respectively, and low body mass index who presented with SMA syndrome following posterior spinal fusion from T2 to L3 and were treated successfully with conservative management. Abdominal radiographs showed distended gastric shadow. Computed tomography angiography of the abdomen showed decreased aortomesenteric angle and SMA-aorta distance. Both patients were treated successfully with conservative treatment which included three principles: gastric decompression with nasogastric tube, correction of electrolytes imbalance, and nutritional support with low volume, high calorie nutritional supplement. Both patients were started with small but frequent meals. Surgeries were not required in both cases. Early diagnosis and management are the key factors to successful treatment in SMA syndrome. Patients with SMA can be treated successfully with conservative treatment comprising of nasogastric decompression, electrolyte correction, and nutritional support with small but frequent meals.

The use of public-private partnership (PPP) strategies in the delivery of public works projects has grown in popularity as an alternative delivery model, although its implementation has met with inconsistent success. Numerous studies have linked the effectiveness of public-private partnerships (PPPs) to the unique characteristics of various administrative environments. This comparative research used a case study technique to analyze the similarities and contrasts between the essential elements that determine the success of public-private partnership (PPP) housing projects in Malaysia and Nigeria. However, whereas ‘equitable risk allocation', ‘stable political system', and ‘reputable developer' are the most key success variables in Nigeria, ‘action against errant developer', ‘consistent monitoring, and homebuyer demands' are still the most crucial success aspects in Malaysia, according to the research. The results contribute to a better understanding of the environmental factors that affect the relative relevance of CSFs in public-private partnerships in underdeveloped countries.