Showing Case Studies for: Instability

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.

High Risk Multi-level Cervical Fusion

Adjunct Use of a Bone Growth Stimulator
Presented by: T. McCall MD

Since the ACDF, she has experienced chronic neck pain. New symptoms have developed during the past 4 months. Using the visual analog scale (1 to 10, with 10 being the worse pain imaginable) she grades her pain as 10/10 in severity.

Extrapedicular Vertebral Augmentation to Treat T7-T8 Vertebral Compression Fractures with Retropulsion

AVAflex® curved vertebral augmentation needle
Presented by: J. Afshar MD
An 82-year-old Caucasian female with osteoporosis presented with excruciating (9/10) mid-thoracic back pain following a fall backward approximately one week prior.

Recurrent Spondylolisthesis with Significant Risk of Pseudarthrosis

Presented by: J. Krumerman MD
Pseudarthrosis complicated the patient's postop course. Use of an external bone stimulator (Spinal-Stim®) salvaged the construct.

T12-L3 Fixation across L2: Burst Fracture

Presented by: D. Corenman MD, DC
The patient is a 27-year-old male with a L2 burst fracture from a ski-jumping accident. Pain is 4/10 to 5/10 (supine). Axial low back pain radiates to S1 with paresthesias into the anterior thighs. No leg pain.

Adult Scoliosis with a Broken Rod and Progressive Kyphosis

SpineAssist® Robotic Guidance System Precisely Solves Surgical Challenge
Presented by: I. Lieberman MD, MBA, FRCSC
The patient is a 59-year-old female who presents with mechanical back pain, radiating buttock and leg pain, and progressive spinal deformity. She has trouble lifting and carrying things, and during recreational activities. Her symptoms have persisted since a slip injury a few months ago.

Lumbar Spine’s Role in Chronic Hip Pain Case

When evaluating a patient with hip pain, do not overlook the lumbar spine. In this case, the patient had no low back pain, but the spine was the trigger of pain and symptoms.
Presented by: K. Tiltmann DC
When evaluating a patient with hip pain, do not overlook the lumbar spine. This patient had no low back pain, but the spine was the trigger of pain and symptoms.

Chronic Type II Odontoid Fracture With C1-C2 Instability and Severe Spinal Cord Compression

Presented by: A. Khalil MD
Case report of an adult female with history of an old type II odontoid fracture presented with severe mechanical neck pain, progressive upper and lower extremity symptoms, and gait difficulties.

Kyphosis Deformity Correction in Ankylosing Spondylitis

Presented by: J. Cuéllar MD, PhD, T. Lanman MD, FAANS, FACS
In this case of kyphosis deformity correction in ankylosing spondylitis with compression fractures, how much correction is optimal?

Traumatic Unilateral Cervical Spine Perched Facet

Presented by: B. Ball MD, S. Kaloostian MD, A. 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.

Lumbar Sagittal Balance Restoration: Less Invasive?

Presented by: J. Ammerman MD, J. Wind MD, J. Babrowicz MD
A 68-year-old female presents with standing intolerance, neurogenic claudication and back pain. Her past medical history includes coronary artery disease, diabetes, hypertension, hypothyroidism, and atrial fibrillation.

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.

Large Partially Calcified Thoracic Disc Herniation

Presented by: M. Perez-Cruet MD
A 48-year-old female with obesity presents with severe right leg pain and paraparesis. Imaging of the thoracic spine reveals a large partly calcified right-sided T10-T11disc herniation with marked spinal cord compression.

Traumatic Sacral Fracture with Neurological Impairment

Presented by: M. Fehlings MD, PhD, FRCSC, FACS, A. Ibrahim MBBS, PhD, FRCS
The patient is a 55-year-old woman with a history of osteoporosis, schizophrenia, and Hepatitis C. She presents with ongoing buttock pain that is severe, and indicates increased incontinence (over 2/52).

T10, T11 Osteomyelitis

75-year-old female presents with significant medical history and prior spine surgery
Presented by: J. Aferzon MS, MD
The patient is a 75-year-old female with a 6 month history of progressive mid back pain. Her medical history is extensive and includes a previous instrumented spine surgery. This case includes a video.
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