Spinal Case Studies

Here spine specialists present many cases that are challenging and compelling. Each case provides a patient's history, exam and imaging, treatment, outcome and peer discussion. Cast your vote for treatment and share in the case discussions.

Featured Cases

Severe Back and Left Lower Extremity Pain: Persists Five Years Post Laminectomy

The patient is a 67-year-old female presenting with severe low back and worse left posterior high and lateral leg pain five years after multilevel laminectomy.

Presented by: Brian Kwon, MD

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Lumbar Degenerative Disc Disease in a Basketball Player

This young man's chances for a professional career as a basketball player is jeopardized by low back pain.

Presented by: Richard G. Fessler, MD, PhD

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Debilitating Back Pain with Neurogenic Claudication

This 76-year-old female presented with debilitating back pain, sagittal imbalance, and neurogenic claudication.

Presented by: Neel Anand, MD

Sponsored by: Trans1

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Bilateral L2 Spondylolysis: Nonsurgical or Surgical Treatment?

This 29-year-old former college football player presented with sharp stabbing pain in the upper lumbar spine.

Presented by: Michael P. Schaefer, MD

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Recently Added Cases

Post-laminectomy Cervical Kyphosis

Iain Kalfas, MD

This 58-year-old male patient presents with severe neck pain with mild bilateral arm pain.
Lumbar Discal Cyst

Sreedharan Namboothiri, MS (Spine Surgery)

The patient is an 18-year-old male student who presents with low back pain and left thigh pain. Symptoms has persisted longer than...
Grade II Isthmic Spondylolisthesis Revision

Christopher I. Shaffrey, MD

A 27-year-old female, with a grade 2 isthmic spondylolisthesis, presents with low back pain and extremity pain related to a lifting...
Severe Back and Left Lower Extremity Pain: Persists Five Years Post Laminectomy

Brian Kwon, MD

The patient is a 67-year-old female presenting with severe low back and worse left posterior high and lateral leg pain five years...
Back Pain in an Adult with Cerebral Palsy

Carol P. Dionne, PT, DPT, PhD, OCS, Cert MDT

The patient is a 50 year-old female diagnosed with back and hip pain caused by lifting a heavy object. Symptoms continue to worsen in...
Cervical Disc Herniation Adjacent to Fusion

Todd Albert, MD

The patient is a 26-year-old healthy, nonsmoker, non-laborer. A year ago, he underwent C5-C6 anterior cervical discectomy and fusion...

Sponsored Technology Cases

Sciatica Sidelines a College Athlete

Thomas A. Zdeblick, MD

Sponsored by: Anulex™

The patient is a 21-year-old female college varsity athlete who presents with a 4 month history of...
Trans-sacral Approach to Chronic Low Back Pain

David J. Hart, MD

Sponsored by: Trans1

After prior lumbar microdiscectomy procedures (years ago), both at L5-L6, the patient presents with...
Novel Treatment of Neck and Arm Pain

Choll W. Kim, MD, PhD

Sponsored by: Spinal Elements

The patient, a 59-year-old female, presents with neck and arm pain that was not effectively...
Progressive 90-degree Scoliosis

Michael G. Vitale, MD

Sponsored by: Zimmer Spine

This young female presents with a rapidly progressive large scoliosis and significant...
Trans-sacral Fusion of Spondylolisthesis at L5-S1

Larry T. Khoo, MD

Sponsored by: Trans1

The patient presents with a 1-year history of axial low back pain and primarily, right leg sciatica...
Debilitating Back Pain with Neurogenic Claudication

Neel Anand, MD

Sponsored by: Trans1

This 76-year-old female presented with debilitating back pain, sagittal imbalance, and neurogenic...

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