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Spinal Case Study Library

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, FACS, FAANS

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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Transthoracic Resection of Thoracic Disc Herniation With Navigation

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

An elderly female presenting with bilateral abdominal pain radiating to the umbilicus and progressive bilateral lower extremity weakness had significant difficulty standing and was unable to walk.

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Progressive Scoliosis and Multiple Epiphyseal Dysplasia

Presented by:
Ali A. Baaj, MD

Adolescent female with multiple ephysial dysplasia was diagnosed with scoliosis at age 12. She presents with progressive back pain, left hip pain and worsening posture.

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Lumbar Spine’s Role in Chronic Hip Pain Case

When evaluating a patient with hip pain, do not overlook the lumbar spine. In this case, the patient had no low back pain, but the spine was the trigger of pain and symptoms.

Presented by:
Kai Tiltmann, DC

When evaluating a patient with hip pain, do not overlook the lumbar spine. This patient had no low back pain, but the spine was the trigger of pain and symptoms.

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Refractory Lumbar Back Pain in a 40-Year-Old Female

Presented by:
Juan S. Uribe, MD, FAANS, Cory J. Hartman, MD, MBA and Jakub Godzik, MD

The patient is a 40-year-old female with refractory back pain for 4 years. She has no relevant past medical history or history of trauma.

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