Showing Case Studies for: Sacral

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.

S1 Failure in an Elderly Female

Presented by: C. Shaffrey MD

This elderly female previously underwent a T10-S1 fusion at another institution and presents with postural change and increased back pain.

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.

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.

Grade IV Spondylolisthesis

Presented by: S. Lewis MD

The patient is an active 14-year-old male with progressive back pain and difficulty with gait. He has radicular pain in his buttocks and posterior thighs.

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.

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.

Conservative Treatment of Rapidly Reducible Disc Pathology and Nerve Root Adherence

Presented by: D. Stover PT, OCS, Cert MDT
The patient is a 16-year-old high school student an athlete that presents with a 2 month history of left buttock and thigh pain.

Lumbar Adjacent Segment Disease

Presented by: M. Oppenlander MD
A 72-year-old woman presents with low back pain and leg pain. Ten years ago, she underwent L4-S1 posterior decompression with instrumentation and fusion. Presently, her back pain is in the mid-lumbar region and is exacerbated with activity and improves when supine.

Adolescent High-Grade Isthmic Spondylolisthesis

Presented by: P. Louie MD, H. An MD
A 14-year-old healthy, high-level gymnast who presented with 1-year history of insidious low back pain, with recent (past few months) onset of pain and tingling down her left leg to the dorsum of the left foot.

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.

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.

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).

Minimally Invasive Lumbar Deformity Correction

Presented by: J. Ammerman MD, J. Wind MD, M. Ammerman MD
The patient is a 70-year-old male with an eight year history of progressive back and leg pain. Right leg pain is greater than left, and he presents with several comorbidities.
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