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Spinal Case Study Library

Single Position Spinal Surgery — Prone Lateral L3-L4

Presented by:
Jakub Godzik, MD, MSc, Ifije Ohiorhenuan, MD, PhD and Juan Uribe, MD, FAANS

SpineUniverse Case Study: Make your recommendation. Progressive intractable low back pain and proximal lower extremity pain.

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Revision Surgery for Pseudarthrosis after Thoracolumbar Fracture Stabilization

Presented by:
Ali A. Baaj, MD and Ibrahim Hussain, MD

Adult male sustained L1 and L2 fractures during a helicopter crash. One year after treatment elsewhere, the patient presents with pseudarthrosis and debilitating back pain.

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Awake Spinal Fusion

Is awake spine fusion a viable treatment choice in this 48-year-old male?

Presented by:
Alok D. Sharan, MD, MHCDS

Would you consider Awake Spinal Fusion in this 48-year-old male who developed lumbar disc reherniation after a successful microdiscectomy?

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Does this 21-year-old need a spinal fusion?

Presented by:
Christopher R Hemmer, DNP, ANP and Terrence L Piper, MD

The authors pose 2 questions for consideration regarding a young adult with a previous history of low back pain now reporting marked increase in leg pain.

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Severe Sagittal Imbalance Correction

Presented by:
Alan H. Daniels, MD, Daniel Reid, MD and Mark A. Palumbo, MD

A 76-year-old male presented with severe positive sagittal imbalance and neurogenic claudication following a prior L3-S1 decompression and fusion performed by a community neurosurgeon.

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Myelopathy Secondary to C5-C7 Cervical Synovial Cyst

Presented by:
Daniel Possley, DO, MS and Daniel K. Park, MD

A 53-year-old male presented with progressive weakness in his hands and legs that became noticeable 3 months ago, and has progressively worsened.

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Lower Lumbar Spine Complex Solitary Metastatic Disease

Presented by:
Wyatt L. Ramey, MD, Andrew Jack, MD, Brooks Osburn, MD, Jens R. Chapman, MD and Rod J. Oskouian, MD

The patient is a 62-year-old male with a known history of stage IV non-small cell lung adenocarcinoma with metastasis to the L4 vertebral body. His initial complaint was back pain, which was progressive in nature, and a left L4 radiculopathy with weakness.

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Lumbar Failed Back Surgery Post Laminectomy

Presented by:
Harel Deutsch, MD

Failed back surgery syndrome in a 69-year-old male celebrity, who had multilevel lumbar laminectomies in 2015 by a surgeon other than the case author.

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Adult Degenerative Lumbar Spinal Deformity

Presented by:
Ali A. Baaj, MD

A 71-year-old female presented with mechanical back pain, neurogenic claudication and worsening posture. Her primary complaint was progressive forward posture as noticed by her and family.

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Traumatic T3 Burst Fracture

Presented by:
Lali Sekhon, MD, PhD, FAANS, FRACS, FACS

Case report of a 31-year-old female who sustained a traumatic T3 burst fracture during a rollover motor vehicle accident. She was immediately paralyzed and did not lose consciousness.

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