The family of healthy girl with progressive scoliosis, with a great deal of concern about spinal fusion (eg, flexibility, function) sought consultation to discuss surgical correction. Their child is an avid lacrosse and basketball player and enjoys horseback riding.
An elderly male who suffered C7 and T1 fractures status post a motor vehicle accident, presented to our clinic 2 months after the initial injury with worsening neck deformity and new right hand weakness and numbness.
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.
Providers who treat back pain often lack a clear understanding of the presentation, diagnostic workup and treatment options for axial spondyloarthritis, according to a paper recently published in The New England Journal of Medicine.