Showing Case Studies for: Spinal Stenosis

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

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.

Adjacent Level Degeneration: Lumbar Disc Degeneration Adjacent to Previous Fusion

Presented by: R. Watkins, IV MD

In 2000, this 62-year-old retiree underwent successful L4-L5 anterior posterior fusion. She now presents with progressively worsening back and bilateral leg pain.

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.

Lumbar Spinal Stenosis and Lower Extremity Pain in a 77-year-old Male

Presented by: C. Branch Jr., MD

The patient is a 77-year-old Caucasian male. He underwent recent elective quadruple coronary artery bypass graft 12 months prior with good recovery. He complains of bilateral buttock pain that radiates through his thighs and calves. Pain is exacerbated by standing and ambulation. He is unable to walk for more than 10 minutes or 2 to 3 blocks due to 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.

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.

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.

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.

Progressive Low Back Pain in an At-risk Patient

Implantable Stimulation for Increasing the Probability of Fusion Success
Presented by: R. Davis MD, FACS
A 71-year-old widowed housewife presents with a long history of progressive low back pain. At presentation, her VAS is 8. Onset was insidious without a clear precipitating event. She describes her pain as deep and aching with occasional sharp exacerbation, involving the low back, bilateral buttocks and anterior thighs to the knees.

Harrington Hook in Canal: Woman with Previous Surgery Presents with Low Back Pain and Neuroclaudication

Presented by: S. Lewis MD
The patient is a 35-year-old woman who had a Harrington rod implanted at age 14 for idiopathic scoliosis. She presented with low back pain and neuroclaudication. How would you treat her?

Less Invasive Spinal Deformity Correction

Presented by: M. Wang MD, FACS
A 72-year-old female presented with progressive symptoms of severe back and right sided leg pain for three years. The pain worsened with standing and ambulating, and improved with sitting and lying down.
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