Showing Case Studies for: Adult (40-59yrs)

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

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

L1 Burst Fracture: Bracing or Surgery?

Presented by: L. Sekhon MD, PhD, FACS, FAANS

The 55-year-old patient suffered an L1 burst fracture in an ATV accident.

Cervical Radiculopathy: Classic Case?

Presented by: R. Fessler MD, PhD

The patient is a 45-year-old male with a 3-month history of neck, shoulder and arm pain.

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.

Intractable Chronic Pain in Patient with Post-laminectomy Syndrome (Failed Back Surgery)

Presented by: L. Kapural MD, PhD, J. Ferreira PA-C

The patient is a 51-year-old male who presents with lumbar and leg pain secondary to lumbosacral neuritis and post-laminectomy (failed back surgery) syndrome.

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.

Postsurgical Radicular and Neuropathic Pain

Presented by: J. Highsmith MD

Previous surgery relieved the patient's left leg pain but, postoperatively, he experienced new right leg pain described as radicular and electric in nature.

Cervical and Bilateral Arm Pain

Presented by: R. Davis MD
The patient presents with a 2-year history of neck and bilateral arm pain, right greater than left.

Trans-sacral Fusion of Spondylolisthesis at L5-S1

Presented by: L. Khoo MD

The patient presents with a 1-year history of axial low back pain and primarily, right leg sciatica. He describes his pain as 50% back pain and 50% leg pain.

Back and Leg Pain in a 47-year-old

Presented by: P. Mummaneni MD

The patient is taking oral morphine and hydrocodone for pain control. However back and radicular leg pain persists.

Atlanto-occipital Dislocation after a Crane Accident

Presented by: S. Martin RN, CEN, G. Raup CNA-BC, S. Hunter RNFA, P. Cho MD

Atlanto-occipital dislocations continue to be associated with high morbidity and mortality rates. The authors report on how early detection and good communication among disciplines can favorably impa

Flatback following Non-instrumented Adolescent Idiopathic Scoliosis Surgery

Presented by: F. Schwab MD

This case of a middle-aged female, who underwent non-instrumented fusion to treat scoliosis, illustrates classic flatback syndrome.

Progressive Lumbar Deformity in a 57-year-old Female

Presented by: K. Bridwell MD

The patient was referred by a spine surgeon for a definitive reconstructive procedure to treat her progressive lumbar deformity.

Leg Pain and Sagittal Imbalance

Presented by: K. Bridwell MD

The patient has subluxations at L3-L4, fixed tilt at L4-L5, and disc degeneration at all lumbar levels. Spinal stenosis is noted at many lumbar levels.

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