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Spinal Case Study Library

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, 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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Latest News and Research

Reprocessing of Pedicle Screws and Exposure in Sterile-Field Leads to Infection in Spinal Surgery

Coauthors discuss new research that avoiding reprocessing altogether and shielding pedicle screws intraoperatively with an impermeable guard can prevent or reduce the degree of contamination and resulting SSIs.
Combined Robotic Navigation System for Screw Placement Shows Efficacy in Spinal Surgery

Malpositioning of screws in posterior lumbar spinal fusion can lead to neurologic and visceral injury, as well as biomechanical compromise. ISASS19 presentation reviews the efficacy of a novel robotic navigation system in a retrospective case series.
Reasons for Selecting ACDF Over Total Disc Replacement in Cervical Spine Surgery

Study outcomes revealed reasons for choosing anterior cervical discectomy and fusion (ACDF) over cervical total disc replacement in a consecutive series of patients undergoing cervical spine surgery.
Robotic Guidance System for Cervical and Thoracolumbar Spinal Surgery

Study focused on predictive accuracy of surgical planning using a robotic guidance system in the placement of pedicle screws in cervical spine or thoracolumbar spine surgery.