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Pseudofusion Dilemma

Presented by: J. Highsmith MD

Patient History A 53-year-old, nonsmoking woman came to the clinic with increasing back and right leg pain despite undergoing an L4-S1 Transforaminal Lumbar Interbody Fusion (TLIF) and lateral mass fusion with Bone Morphogenetic Protein (BMP) just 8 months prior. She initially had surgery for sever

Reactive Scoliosis

Presented by: A. Mehbod MD

Patient History The patient is a 13-year-old male who feels mid-thoracic pain. An active junior high student who enjoys playing basketball, 7 months ago he woke up with back pain. Since then, the pain has continued, growing progressively worse. The pain is present at all times, becoming worse with

Adult Onset Scoliosis

Presented by: A. Mehbod MD

Patient History The patient is a 31-year-old male with back and right lower extremity pain.  His pain started 6 months ago and is unrelated to trauma.  He feels the pain is 20% back-related and 80% leg-related and involves the right buttock, lateral thigh and leg, and dorsum.  The pa

Cervical Pseudoarthrosis and Adjacent Level Disease

Presented by: J. Highsmith MD

Patient History This 70 year-old female presented reporting increasing neck and periscapular pain over several years. The patient underwent a C5-C7 ACDF 11 years earlier. Her pain intensified and radiated into the deltoid area following a minor motor vehicle accident 6 months earlier. Examination

Degenerative Disc Disease in a 30 Year-old Female

Presented by: D. Polly, Jr. MD

Patient History This 30 year-old female presented with low back pain that started 6 months ago. Activity makes her pain worse. She reports back pain as 8/10 and thigh pain as 5/10 without pain distal to the knee. Her Oswestry Disability Index is 50%. The patient does not have a history of trauma

Adjacent Segment Degeneration after Previous Decompression and Fusion

Presented by: D. Polly, Jr. MD

Patient History The patient is a 59 year-old male, non-smoker, and of acceptable weight level. The patient presented in 2006 with severe, “unacceptable” low back pain, and early fatigue marked by diminished endurance when walking or standing. The patient’s Oswestry Disabilit

Adolescent Disc Herniation: Conservative or surgical treatment?

Presented by: R. Knight MD, MHA

A 17-year-old male soccer player, who landed awkwardly during a game, presented with a 6-month history of increasing low back and buttock pain. Presented is the patient's history, physical exam, diag

Competitive Equestrienne: Incapacitating Low Back Pain

Presented by: R. Fessler MD, PhD

Case about a 32-year-old female equestrienne with incapacitating low back pain unresponsive to non-surgical care.

Unusual Case: Low Back Pain with L1-L3 Degeneration and L1-L2 Instability

Presented by: I. Khan MD

This is an unusual case of a 30-year-old male diagnosed with SAPHO.

Growing Spine Case: 5-Year-old with Increasing Spinal Deformity

Presented by: C. Johnston MD

A 5-year-old male, with an uncharacterized congenital myopathy, presented for increasing spinal deformity.

Bilateral L2 Spondylolysis: Nonsurgical or Surgical Treatment?

Presented by: M. Schaefer MD

This 29-year-old former college football player presented with sharp stabbing pain in the upper lumbar spine.

Spontaneous Low Back Pain, Radiculopathy and Weakness in a 28-Year-old

Presented by: F. Zaman MD

Periodic flare-up of low back pain in the past was resolved with abdominal exercises, which now hurt instead of help.

Cervical Degenerative Changes with Segmental Kyphosis

Presented by: M. Weinstein MD

The 44-year-old's cervical radiographs indicate degenerative changes and loss of disc space with segmental kyphosis.

Grade IV Ismthic Spondylolisthesis

Presented by: C. Shaffrey MD

The patient is a 32-year-old who underwent in situ fusion for grade II spondylolisthesis at age 16. She now presents with increasing low back pain with radiculopathy.

Adult Scoliosis: Progressive Lower Extremity Radicular Pain

Presented by: C. Shaffrey MD

The patient is a 44-year-old female diagnosed with adjacent segment degeneration after prior Harrington rod treatment.

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