Showing Case Studies for: Neoplastic

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.

Facet Arthropathy with Back Pain, Stenosis, Synovial Cyst and L5 Radiculopathy

Presented by: S. Ritland MD

The patient is a 67-year-old female with intermittent back pain that has become somewhat more severe for one year. She was referred to a physiatrist 5 months prior to my treatment after development of pain referring down her left leg. She underwent a series of blocks for back pain and a left L5 radiculitis without weakness.

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.

Cervical Spine Multiple Myeloma With Kyphotic Deformity and Cervical Myelopathy

Presented by: A. Khalil MD
The patient is a 60-year-old female with a history of multiple myeloma and worsening mechanical neck pain. Associated symptoms include increased arm and leg weakness with numbness and gait difficulties.

Worsening Right Greater Than Left Leg Paresthesia

Presented by: C. Hemmer DNP, ANP, T. Piper MD
A 64-year-old male presented to our office with complaints of right greater than left leg pain and numbness/tingling. He states that when he walks his symptoms are worse, but always has some degree of right buttock/ hip/ leg discomfort.

Thoracic Spinal Cord Tumor

Presented by: A. Baaj MD
The patient is a 76-year-old female with progressive lower extremity numbness and subjective weakness. Imaging revealed a thoracic pial-intramedullary lesion.

Minimally Invasive Resection of an Intradural Spinal Tumor

Presented by: J. Ammerman MD, J. Wind MD, T. Kosztowski MD
A 38-year-old female presents with one-year history of left leg pain radiating from her buttock into the lateral aspect of the foot.

Does this 21-year-old need a spinal fusion?

Presented by: C. Hemmer DNP, ANP, T. Piper MD
The authors pose 2 questions for consideration regarding a young adult with a previous history of low back pain now reporting marked increase in leg pain.

Worsening Leg Weakness and a Negative Lumbar MRI

Presented by: T. Piper MD, C. Hemmer DNP, ANP
The patient is a 52-year-old male whose health is generally very good. He has no back pain but presents with acute pain, numbness and tingling sensations in both legs; right is greater than the left. He presents in Dr. Terrence Piper's practice for a second opinion.

Lower Lumbar Spine Complex Solitary Metastatic Disease

Presented by: W. Ramey MD, A. Jack MD, B. Osburn MD, J. Chapman MD, R. Oskouian MD
The patient is a 62-year-old male with a known history of stage IV non-small cell lung adenocarcinoma with metastasis to the L4 vertebral body. His initial complaint was back pain, which was progressive in nature, and a left L4 radiculopathy with weakness.

Lytic Lesion of the C2 Body

Presented by: S. Lewis MD
The patient is a 71-year-old female with progressive neck pain. She’s neurologically intact and has decreased neck ROM. How would you treat her? See how one spine surgeon chose to treat this elderly patient.

Myelopathy Secondary to C5-C7 Cervical Synovial Cyst

Presented by: D. Possley DO, MS, D. Park MD
A 53-year-old male presented with progressive weakness in his hands and legs that became noticeable 3 months ago, and has progressively worsened.

Cervical Chondrosarcoma

Presented by: D. Park MD, H. An MD
Doctors Daniel K. Park and Howard S. An present primary chondrosarcoma; a rare condition and few reports exist beyond this case.

Gait and Balance Difficulties in a 76-Year-old Male

Presented by: R. Fessler MD, PhD
The patient is a 76-year-old male whose gait is broad-based and unsteady; he cannot tandem walk.

Thoracic Exophytic Ependymoma With Severe Spinal Cord Compression

Presented by: A. Khalil MD
A 50-year-old female presented wheelchair bound with progressive lower extremity weakness and numbness. She has diffuse numbness in the lower abdomen and both legs, and bowel and bladder dysfunction.
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