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Midthoracic Chance Fracture in a Morbidly Obese Polytrauma Patient

Presented by: J. Uribe MD, A. Deukmedjian MD
The patient is a morbidly obese 63-year-old male who presented as a polytrauma after a ground level fall onto hard concrete. He denies numbness or weakness in extremities, but elicits severe pain in his back and right hip.

15-year-old Male Football Player with Severe Neck Pain After Spear Tackle

Presented by: T. Albert MD
The patient is a 15-year-old male football player who presents with severe neck pain after a spear tackle.

Type II Odontoid Fracture in 85-year-old Man

How to Treat? Cervical Collar? Halo Vest? Surgery?
Presented by: J. Heller MD
An 85-year-old male patient has neck pain related to an isolated injury from a car accident. He also has significant cardiac history. The patient lives independently and is sharp and well-educated.

C1-C2 Instability in Patient with Rheumatoid Arthritis

Presented by: H. An MD, T. Cha MD, MBA
A 50-year-old female presents with a chief complaint of neck pain. The pain is in the base of the neck with radiation to bilateral posterior shoulders. It worsens with movement.

T5 Burst Fracture from MVA

Can the patient ever return to farming?
Presented by: R. Fessler MD, PhD
The patient is a 52-year-old female. Six months before presenting in the clinic, she was involved in a motor vehicle accident (MVA). She now can’t work her farm because of her back pain.

T3 Burst Fracture after Motor Vehicle Accident

Presented by: L. Sekhon MD, PhD, FAANS, FACS
A 32-year-old woman presented to the emergency room after a rollover motor vehicle accident. She was instantly paralyzed in her lower extremities. She had no sensation below the clavicles, and she had severe neck pain.

L4-L5 Grade II Spondylolisthesis: Failed Laser Spine Surgery

Presented by: J. Uribe MD
A 52-year-old female with a long-standing history of low back pain and radicular pain initially presented with a grade I spondylolisthesis. She received extensive medical treatment, but it failed to control her pain. She then had “laser” surgical decompression, but her pain persists and her spondylolisthesis has progressed to a grade II.

Cervical Myelopathy: Progressive Problems with Balance and Handwriting

Presented by: J. Wang MD
A 54-year old male with a prior history of a herniated disc at C5-C6 had an ACDF 8 years ago for arm pain and radiculopathy. In the past 8 months, he has had problems with balance and handwriting and clumsiness with his hands. He was found to have adjacent segment disease and cervical stenosis leading to cervical myelopathy.

Congenital Kyphosis and Difficulty Walking

Presented by: P. Kraemer MD, S. Kishan MD
A 17-year-old male with mild developmental delay has increasing back pain over the last year. He has a long standing deformity, and he and his parents think it has worsened. In the past few months he has begun to have some difficulty with walking quickly.

Thoracolumbar Junction Osteomyelitis with Kyphotic Deformity

Presented by: A. Baaj MD, J. Uribe MD, D. Smith MD
The patient is a 54-year-old woman with a prior history of IV drug abuse. She was hospitalized in 2007 with spinal osteomyelitis at T11-T12. This was treated with IV antibiotics. She was admitted multiple times in the last several months for chronic refractory osteomyelitis (MRSA on biopsy) at T11-L1 despite prolonged courses of antiobiotics.
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