Showing Case Studies for: Biologics used

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.

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

Trans-sacral Approach to Chronic Low Back Pain

Presented by: D. Hart MD

After prior lumbar microdiscectomy procedures (years ago), both at L5-L6, the patient presents with chronic low back pain.

ALIF with Posterior Lateral Fusion: Aspen™ Spinous Process Fixation for Posterior Instrumentation

Presented by: R. Porter MD

This is a 32-year-old female who presents with a 13-year history of progressive low back pain. She denies any history of injury or activity resulting in low back pain.

Low Back and Leg Pain Refractory to Conservative Treatment

Geriatric patient, past laminectomy
Presented by: R. Ozuna MD

The patient is a 76-year-old male with a longstanding history of low back pain and bilateral lower extremity symptoms secondary to spondylolisthesis. He had a laminectomy in the past (year unknown) and presents with new MRI findings.

PMMA Extravasation Following Kyphoplasty

Presented by: E. Truumees MD
The patient is a 72-year-old female who underwent kyphoplasty to treat a T12 burst fracture two weeks ago at a different hospital. After the kyphoplasty procedure, her back pain increased and a new symptom of lower extremity weakness, right greater than left developed.

Unusual Case of Spinal Deformity: Post Herpetic Scoliosis

Presented by: D. Cruz , T. Errico MD
The patient is a 72-year-old female presenting with approximately 1.5 years of progressive coronal and sagittal deformity following an episode of Herpes Zoster. Less than 2 years prior to presentation, she experienced a characteristic rash distributed to the left gluteal and sacral regions.

Rapidly Progressing Cervical Adjacent Segment Disease

Presented by: J. Highsmith MD
A 56-year-old woman presents with a history of worsening neck and left shoulder pain. She has had some relief with C4-C5 epidurals, but her pain has persisted. She has had previous C6-C7 anterior cervical discectomy and fusion (ACDF) with plate in 2002. That was followed by explanation of instrumentation and subsequent C5-C6 ACDF in 2007.

Cervical Degenerative Disc Disease: 34-year-old Male

Presented by: M. Kaiser MD
This relatively young man (34-years-old) is diagnosed with cervical spondylotic myelopathy with associated left C7 radiculopathy.

L1 Burst Fracture: Bracing or Surgery?

Presented by: L. Sekhon MD, PhD, FAANS, FRACS, FACS
The 55-year-old patient suffered an L1 burst fracture in an ATV accident.

Cervical Spondylotic Myelopathy with Cord Compression

Presented by: F. Taleb MD
A case involving progressive cervical myelopathy with pannus at C1-C2 level with significant cord compression and subaxial spondylosis with cord compression.

Recurrent Back Pain in a 15-year-old Female Athlete

Presented by: M. Dekutoski MD
A 15-year-old female athlete presented with recurrent back pain (>18 months). The original onset was in playing basketball, and when she stopped playing, it improved. She re-injured her back in the spring. How would you treat her?

T3 Burst Fracture after Motor Vehicle Accident

Presented by: L. Sekhon MD, PhD, FAANS, FRACS, FACS
A 32-year-old woman presented to the emergency room after a rollover motor vehicle accident. She was instantly paralyzed in her lower extremities. She had no sensation below the clavicles, and she had severe neck pain.

L3 Pathological Fracture During Softball Game

Presented by: R. Cardona MD, I. Cardona Campos MD
A 76-year-old man suddenly developed severe low back pain while batting at a softball game. He was found to have an L3 compression fracture.

Revision Surgery for Pseudarthrosis after Thoracolumbar Fracture Stabilization

Presented by: A. Baaj MD, I. 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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