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.
75-year-old female presents with significant medical history and prior spine surgery
Joseph Aferzon, MS, MD
The patient is a 75-year-old female with a 6 month history of progressive mid back pain. Her medical history is extensive and includes a previous instrumented spine surgery. This case includes a video.
An adult female began to experience neck pain shortly after a dental procedure. Because she was already taking a narcotic for chronic back pain, she saw her pain management physician. Thereafter, she quickly developed a kyphotic deformity.
Joshua M. Ammerman, MD, Joshua J. Wind, MD and Joseph Barbrowicz, MD
A 77-year-old male underwent laminectomy at L4-L5 and L5-S1. The procedure was complicated by a cerebrospinal (CFS) fluid leak. The laminectomy was performed at another center. He now presents with persistent right lumbar radiculopathy.
A 67-year-old retired male presents with back and bilateral buttock pain with bilateral posterior thigh pain. Back pain radiates into the back of both legs for about one-and-one-half years. Pain is significant while standing, and he experiences pain when walking.
Antibiotic exposure in childhood was linked to a 2- to 3-fold increased risk of juvenile idiopathic arthritis in a large case-control study published online ahead of print in Pediatrics. The study authors suggested that the antibiotic exposure may play a role in the pathogenesis of this form of arthritis, possibly through alterations in the microbiome.
Twelve sessions of spinal manipulation appears to provide the best treatment effects in the chiropractic management of chronic low back pain with spinal manipulation, according to a prospective, open-label, randomized controlled trial published in The Spine Journal.
While brace treatment has been shown to slow down curve progression in adolescents with idiopathic scoliosis, physical activity—particularly in the form of weight-bearing activities—should also be prescribed to prevent bone mineral loss and promote bone mineral gain, according to a “Perspective” editorial in the June 1 issue of The Spine Journal. Baron Lonner, MD provides an insightful commentary.
Older age and widespread systemic disease were the only preoperative factors predictive of longer hospital stays following an elective open posterior lumbar spine surgery in a multivariate analysis reported in the June 1 issue of The Spine Journal.