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.
The patient is a 72-year-old female presenting with approximately 1.5 years of progressive coronal and sagittal deformity following an episode of Herpes Zoster. Less than 2 years prior to presentation, she experienced a characteristic rash distributed to the left gluteal and sacral regions.
Terrence L Piper, MD and Christoper R Hemmer, DNP, ANP
The patient is a 52-year-old male whose health is generally very good. He has no back pain but presents with acute pain, numbness and tingling sensations in both legs; right is greater than the left. He presents in Dr. Terrence Piper's practice for a second opinion.
Findings from six randomized controlled studies suggest that vertebral augmentation is efficacious for the treatment of compression fractures in elderly patients with osteoporosis, James S. Harrop, MD, told attendees at Spine Summit 2016.
Study findings suggest that achievement of an acceptable level of pain may be a better target for denoting surgical success among patients undergoing surgery for painful degenerative lumbar disorders than more complex health-related quality of life measures.
New research on interventions for spinal cord injury is emerging at a rapid pace. From studies on neuroprotective approaches to novel biologics, these discoveries are anticipated to translate into breakthroughs in this field.
At 7 years, patients treated with a single-level anterior cervical discectomy and fusion have three times the risk of needing surgery for adjacent segment disease compared to patients treated with total disc replacement.