Showing Case Studies for: Spondylolisthesis

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

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.

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.

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.

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.

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.

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.

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.

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?

Severe Lumbar Spinal Stenosis with Spondylolisthesis

Does fusion result in a better outcome than laminectomy alone for lumbar spinal stenosis with spondylolisthesis?
Presented by: J. Ammerman MD, J. Wind MD, M. Ammerman MD
The patient presents with progressive back pain and is adopting a forward flexed posture. Does fusion result in a better outcome than laminectomy alone for lumbar spinal stenosis with spondylolisthesis?

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.

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.

Severe Sciatica with Lumbar Spinal Stenosis and Cyst

Presented by: J. Aferzon MS, MD
The patient is a 57-year-old male who presented with long-standing bilateral claudication and more recent severe, left-side sciatica. He has some back pain, but the leg pain is much worse.
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