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.
Michael G. Fehlings, MD, PhD, FRCSC, FACS and Ahmed Ibrahim, MBBS, PhD, FRCS
The patient is a 55-year-old woman with a history of osteoporosis, schizophrenia, and Hepatitis C. She presents with ongoing buttock pain that is severe, and indicates increased incontinence (over 2/52).
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.
Anecdotal evidence suggests that the sex life-related question of the Oswestry Disability Index (ODI-8) may need to be altered because it is either inaccurately answered or limits patient participation in the survey.