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| spineuniverse.com/professional |
January 9, 2008 |
| This edition of spinemonitor includes two relevant and fascinating spine cases. The first, presented by Dr. Steven Richeimer, addresses the increasingly common challenge of treating spine problems in the elderly. The second case, from Dr. Taleb and Dr. Fehlings, provides outstanding insight into the treatment of a cervical spondylotic myelopathy with cord compression. |
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New Surgical Case Study
Severe Low Back Pain in a 90-Year Old Male
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Case Author:
Steven Richeimer, MD
Chief, Division of Pain Medicine
Keck School of Medicine, USC
Los Angeles, CA |
History:
The patient is a 90-year-old male with a long history of intermittent low back pain that was well-controlled for years after a L3-L5 laminectomy. During the past 9-months, the patient’s low back pain has progressed to severe and constant.
Pain radiates into both legs but is greater in the right leg and worse in the thighs compared to the lower legs. The pain reduces the patient’s activity level from walking a mile daily, to now being unable to walk more than one-half block. The patient’s mood and health has deteriorated because of inactivity.
Imaging:
X-rays show extensive degenerative disc disease and degenerative joint disease.
Examination:
Upon exam, the patient exhibited a stiff back and increased pain with 5-degrees of lumbar extension. Palpation revealed tenderness over the lumbar paraspinal musculature, right side greater than left. Neurologically, the patient is intact.
Diagnosis:
Lumbar degenerative disc disease... Read Complete Case and View Outcome |
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Sponsored by: Biowave
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| Past Spine Cases: |
Below is a listing of previous spine case studies. Feel free to browse and vote for treatment options for each case.
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Featured Article
Cervical Spondylotic Myelopathy with Cord Compression
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by Faisel S. Taleb, MD, FRCSI
Neurological Spinal Fellow to Michael G. Fehlings, MD, PhD, FRCSC
Krembil Neuroscience Center, Toronto Western Hospital
Toronto, Ontario, Canada |
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and Michael G. Fehlings, MD, PhD, FRCSC
Krembil Chair in Neural Repair & Regeneration
Toronto Western Hospital
Toronto, Ontario, Canada |
History:
A 65-year-old right-hand dominant lady presented with an 8-month history of left suboccipital and occipito-parietal pain and upper neck pain. Her pain was exacerbated by any head movements and radiated along the left arm. It was associated with numbness and paresthesias in the left hand fingers that waken her at night. She also complained of bilateral leg weakness; the left leg was weaker and gait imbalance.
... Read More
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Featured Event
CME Event — Seventh Annual Symposium on Current Concepts in Spinal Disorders 2008
February 1-2, 2008
Mandalay Bay
Conference Center
Las Vegas, NV USA
A conference for orthopaedists, neurosurgeons, fellows, residents, and other physicians interested in the surgical treatment of spinal disorders.
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