Does fusion result in a better outcome than laminectomy alone for lumbar spinal stenosis with spondylolisthesis?
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?
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.
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.
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.
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.
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.
A 14-year-old healthy, high-level gymnast who presented with 1-year history of insidious low back pain, with recent (past few months) onset of pain and tingling down her left leg to the dorsum of the left foot.
Terrence L Piper, MD and Christopher R Hemmer, DNP, ANP
A pleasant 37-year-old female presents with severe midline thoracolumbar pain at and just below her bra line. The pain started about 12 months ago but has significantly worsened during the past 3 months making wearing a bra painful. She has no history of shingles or trauma.
Surgical correction of mild-to-moderate spinal deformity and sagittal imbalance is complex and often plagued by relatively high complication rates. An excellent study that demonstrates an effective approach to treatment.