A 72-year-old woman presents with low back pain and leg pain. Ten years ago, she underwent L4-S1 posterior decompression with instrumentation and fusion. Presently, her back pain is in the mid-lumbar region and is exacerbated with activity and improves when supine.
A 14-year-old healthy, high-level gymnast who presented with 1-year history of insidious low back pain, with recent (past few months) onset of pain and tingling down her left leg to the dorsum of the left foot.
Joshua M. Ammerman, MD, Joshua J. Wind, MD and Joseph Babrowicz, MD
A 68-year-old female presents with standing intolerance, neurogenic claudication and back pain. Her past medical history includes coronary artery disease, diabetes, hypertension, hypothyroidism, and atrial fibrillation.
A 53-year-old man presented to the emergency room with a chief complaint of progressive weakness over the past few months, with inability to control his lower extremities. A few months previous, he fell in a bathtub and lost consciousness.
An avid skier and mountain biker presents with a sudden right foot drop after skiing. She has a transient left leg radiculopathy that improved with a bilateral L4-L5, L5-S1 transforaminal epidural steroid injection. However, persistent weakness in right ankle dorsiflexion has prevented her from returning to her activities.
A 48-year-old female with obesity presents with severe right leg pain and paraparesis. Imaging of the thoracic spine reveals a large partly calcified right-sided T10-T11disc herniation with marked spinal cord compression.
The patient is a 72-year-old female who underwent kyphoplasty to treat a T12 burst fracture two weeks ago at a different hospital. After the kyphoplasty procedure, her back pain increased and a new symptom of lower extremity weakness, right greater than left developed.
What findings drive the cost-effectiveness of TLIF vs PSF? New study outcomes in JNS Spine suggest the cost of TLIF per QALYs vs PSF in the treatment of spondylolisthesis depends on factors, including the accuracy of cost assumptions.
Clostridium difficile infection occurs in approximately 0.08% of patients following postoperative cervical spine surgery and is associated with an increased risk of in-hospital mortality and costs of more than $6.5 million per year, according to data from a retrospective database analysis.
Surgeons should consider a patient’s bone mass index (BMI) when evaluating them for lumbar surgery, due to the fact that "increased BMI is associated with increased risk of revision surgery, especially in the morbidly obese.