Spinemonitor’s featured case is bilateral lumbar spondylolysis, which could be treated with or without surgery.  The case is presented by Michael P. Schaefer, MD with discussion from Gerard Malanga, MD.  This edition’s sponsored case, by Marc A. Weinstein, MD, concerns cervical degenerative changes with segmental kyphosis.  Todd Albert, MD provides commentary.  Remember, you can vote on both cases!

History
The patient is a 29-year-old male pharmaceutical representative and former collegiate American football player. He presented with sharp stabbing pain in the upper lumbar spine for 3 years. Although he recalls no injury to the spine, he did incur multiple lumbar strains and contusions while playing football. His daily pain is severe, constant, and increases with any activity, especially…

Examination
The patient presented as a pleasant, healthy individual in no distress. His cardiopulmonary and neurological exams were normal. The lumbar examination included…

Prior Treatment
The patient tried, without success, multiple physical therapy treatments, conventional exercise, and chiropractic with a…

Diagnosis:
Find out here...Read Complete Case, Vote for Treatment, and View Outcome

History
The patient is a 44-year-old female who presented with a 6-month history of left-sided neck, periscapular, and arm pain. She also noted paresthesias in her left arm toward the radial forearm, thumb and index finger. She is a nonsmoker...

Examination
Electromyography and nerve conduction studies were consistent with C6 radiculopathy. A C5-C6 selective nerve root block was diagnostic for…

Prior Treatment
Despite treatment with medications, 6-weeks of physical therapy, and chiropractic care, her symptoms persist...

Diagnosis:
Find out here...Read Complete Case, Vote for Treatment, and View Outcome