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Spinal Case Study Library

Kyphosis Deformity Correction in Ankylosing Spondylitis

Presented by:
Jason M. Cuéllar, MD, PhD and Todd H. Lanman, MD, FAANS, FACS

In this case of kyphosis deformity correction in ankylosing spondylitis with compression fractures, how much correction is optimal?

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Acute Traumatic Central Cord Syndrome

Presented by:
Benjamin Z Ball, MD, Catherine Christie, MD, Jefferson Chen, MD and Amer Khalil, MD

A 73-year-old male who was in a motor vehicle accident presented with diffuse weakness and numbness in both arms and legs; symptoms were worse in his hands.

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Severe Lumbar Spinal Stenosis with Spondylolisthesis

Does fusion result in a better outcome than laminectomy alone for lumbar spinal stenosis with spondylolisthesis?

Presented by:
Joshua M. Ammerman, MD, Joshua J. Wind, MD and Matthew D. Ammerman, MD

The patient presents with progressive back pain and is adopting a forward flexed posture. Does fusion result in a better outcome than laminectomy alone for lumbar spinal stenosis with spondylolisthesis?

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Traumatic Unilateral Cervical Spine Perched Facet

Presented by:
Benjamin Z Ball, MD, Sean Kaloostian, MD and Amer Khalil, MD

A 22-year-old male was evaluated in the ED after a motor vehicle collision. He was found to have bilateral C6 comminuted lamina fractures extending to the right C6-C7 facets with grade 1 anterolisthesis of the C6 vertebral body, and perched right C6-C7 facet.

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Worsening Right Greater Than Left Leg Paresthesia

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

A 64-year-old male presented to our office with complaints of right greater than left leg pain and numbness/tingling. He states that when he walks his symptoms are worse, but always has some degree of right buttock/ hip/ leg discomfort.

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Superior Articular Facet Interbody Reconstruction (SAFIR)

A novel posterior lumbar interbody fusion approach

Presented by:
Joshua M. Ammerman, MD and Joshua J. Wind, MD

A 74-year-old presents with 9 months of back and R > L leg pain. Four years ago, she underwent L4-S1 ALIF with pedicle screws. Her ODI is 20.

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Thoracic Spinal Cord Tumor

Presented by:
Ali A. Baaj, MD

The patient is a 76-year-old female with progressive lower extremity numbness and subjective weakness. Imaging revealed a thoracic pial-intramedullary lesion.

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Vertebral Body Tethering in Progressive Adolescent Idiopathic Scoliosis

Fusionless emerging technology case

Presented by:
Baron S. Lonner, MD

The family of healthy girl with progressive scoliosis, with a great deal of concern about spinal fusion (eg, flexibility, function) sought consultation to discuss surgical correction. Their child is an avid lacrosse and basketball player and enjoys horseback riding.

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Failure to Recognize Traumatic Cervical Spinal Instability, C7-T1 Traumatic Cervical Spine Deformity

Presented by:
Amer Khalil, MD

An elderly male who suffered C7 and T1 fractures status post a motor vehicle accident, presented to our clinic 2 months after the initial injury with worsening neck deformity and new right hand weakness and numbness.

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Lumbar Adjacent Segment Disease

Presented by:
Mark E. Oppenlander, MD

A 72-year-old woman presents with low back pain and leg pain. Ten years ago, she underwent L4-S1 posterior decompression with instrumentation and fusion. Presently, her back pain is in the mid-lumbar region and is exacerbated with activity and improves when supine.

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Meeting Highlights

View program highlights from the 17th Annual Conference of the International Society for the Advancement of Spine Surgery (ISASS17) held April 12-14, 2017 in Boca Raton, FL.