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spinemonitor: Neck & Back Pain eNewsletter from SpineUniverse.com
spineuniverse.com/professional March 26, 2008
In this edition of spinemonitor, Choll Kim, MD presents an interesting case of discitis and osteomyelitis in an older man.  Case discussion is provided by James S. Harrop, MD and Harel Deutsch, MD.
Featured Case Study
Discitis and Osteomyelitis in a 63-Year-old Male
Photo: Choll W. Kim, MD, PhD Case Author:
Choll W. Kim, MD, PhD
Assistant Professor of Orthopaedic Surgery
University of California, San Diego
San Diego, CA
History:
A 63-year-old man initially presented to an outside hospital with cholecystitis and thereafter developed a small pulmonary embolism.  He was treated with an intravenous cholangiogram (IVC) filter...

Physical Examination:
On physical examination, he is awake and interactive.  Temperature is 100.4 degrees and his heart rate is 95 with stable blood pressures.  He has weakness of the…

Images:
Chest radiographs are clear with no evidence of pneumonia.  Radiographs of the lumbar spine show disc space narrowing with endplate irregularity and sclerosis.  Contrast-enhanced MR imaging shows…

Diagnosis:
L3-L4 discitis with L3 and L4 osteomyelitis...Read Complete Case, Vote for Treatment, and View Outcome

Discitis and Osteomyelitis in a 63-Year-old Male

Fig. 1B: Contrast-enhanced MR imaging shows...
Click here for Larger Images

How Would You Treat this Patient?
ALIF Survey
Past Spine Cases:
Below is a listing of previous spine case studies. Feel free to browse and vote for treatment options for each case.
Burst Fracture in a 79-Year-old: How would you treat?
By: Jason M. Highsmith, MD

Cervical Degenerative Disc Disease: 34-Year-old Male
By: Michael G. Kaiser, MD

16-Year-old with Grade 3 Spondylolisthesis
By: Timothy R. Kuklo, MD, JD

L1 Burst Fracture: Bracing or Surgery?
By: Lali Sekhon, MD, PhD, FRACS, FICS

Adolescent Disc Herniation: Conservative or Surgical Treatment?
By: Reginald Q. Knight, MD

View All Case Studies

Featured Event
Sharpening Your Spine Surgery Skills: A Hands-on Cadaveric Course

April 18-19, 2008
The Westin Lombard and The Spine Masters Institute Burr Ridge, IL (Chicago suburbs)

Chairmen:
Keith H. Bridwell, MD
William C. Horton, III, MD
Richard G. Fessler, MD
David W. Polly, Jr., MD
Harry L. Shufflebarger, MD

In two days of hands-on cadaveric labs (10+ hours) and lectures, the course will update you on the latest spine techniques and technologies, including cervical arthroplasty, osteotomies (VCRs, PSOs), minimally invasive techniques, and regional fixation—cervical to sacrum. A faculty of 14 leading orthopaedic and neurological surgeons lead the course for orthopaedic and neurological surgeons, residents and fellows.

 The Westin Lombard, Burr Ridge, IL

View Event Details
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