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Spinal Case Study Library

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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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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