Showing Case Studies for: Injections

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.

Debilitating Back Pain with Neurogenic Claudication

Presented by: N. Anand MD

This 76-year-old female presented with debilitating back pain, sagittal imbalance, and neurogenic claudication.

Novel Treatment of Neck and Arm Pain

Presented by: C. Kim MD, PhD

The patient, a 59-year-old female, presents with neck and arm pain that was not effectively relieved by interlaminar epidural steroid injections and physical therapy.

Direct Lateral Interbody Fusion for Degenerative Disc Disease and Degenerative Scoliosis

Presented by: R. Chua MD, FACS

A 63-year-old female presents with low back pain and bilateral leg pain approximately 18-months after a motor vehicle accident. Her back pain is worse that her leg pain. Pain limits her activity.

Minimally Invasive TLIF for the Treatment of Radiculopathy

Presented by: J. Mobasser MD

The patient is a 40-year-old male with a 2 year history of right L5 radiculopathy and mild low back pain. Recently, his symptoms have become progressive. He has seen two other surgeons for these issues.

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.

MIS Treatment of Spondylolisthesis

Presented by: C. Barry MD

The patient is a 61-year-old male with a 3-year history of progressive severe low back pain and pain in both legs. His back pain is mechanical in nature; 60% back and 40% leg pain. He has a 6-month history of right lower extremity weakness.

Lumbar Spinal Stenosis with Spondylolisthesis

Presented by: A. Shamie MD

A 59-year-old female presented with history of chronic bilateral lower extremity radicular pain. The patient reported difficulty walking and inability to exercise due to severe thigh and calf pain after about 5 minutes of exertion. She described the pain as 10 out of 10 and her pain was relieved upon bending forward.

Direct Lateral Interbody Fusion using the Aspen™ Device

Presented by: A. Vokshoor MD

The patient is a 63-year-old active male who enjoys hiking, fishing and golf. He presents with lower back pain that radiates down the anterolateral thigh just to the knee; pain is mostly right-sided. Although he reports having back pain the past 1.5 years, pain has progressively worsened the last 4 months.

TLIF with Unilateral Pedicle Screws and Aspen™ Spinous Process Fixation System

Presented by: M. Shah MD

The patient is a 59-year-old female who is an avid golfer. She complains of low back pain and right buttock pain that radiates into the lateral aspect of her shin.

Degenerative Disc Disease and Spondylolisthesis with Progressive Back and Leg Pain

Unresponsive to conservative treatment
Presented by: D. Rouben MD

The patient is a 55-year-old male who works as a heavy equipment operator. He is 5'-11" tall and weighs 250 pounds. His symptoms, listed below, have worsened and continue to worsen in the last 12 months.

Lower Lumbar Pain with Frequent 10/10 Leg Pain

Presented by: M. Cowan MD

The patient is a 55-year-old female with a 5-year history of severe low back pain. During the last 3 years her pain is worse. She describes her lower lumbar pain as constant and refractory to all treatments.

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.

Sciatica Sidelines a College Athlete

Presented by: T. Zdeblick MD
The patient is a 21-year-old female college varsity athlete who presents with a 4 month history of sciatica.
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