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Diffuse Idiopathic Skeletal Hyperostosis (DISH) Causing Dysphagia

Presented by: K. Riew MD
A 60-year-old male presents with progressive dysphagia. He has no neck pain but notes a limitation of his range of motion.

Post-traumatic Kyphosis 5 Years After Motorbike Accident

Intense Pain and Progressive Deformity
Presented by: W. Carrero MD
Five years prior to presenting, the patient was involved in a motorcycle accident, resulting in a dorsal vertebral fracture. Since then, he reports intense pain and progressive thoracic deformity.

Fusion Nonunion with Progressive Kyphosis

Presented by: Z. Gordon MD, J. Kang MD
Two years ago the patient underwent posterior cervical laminectomy and fusion for cervical spondylotic myeloradiculpathy by another surgeon. Now this 58-year-old female presents with severe neck pain and difficulty holding her head up.

Cervical Nonunion and Kyphosis

Presented by: C. Regan MD, J. Kang MD
A 40-year-old ICU nurse practitioner presented for a second opinion about 12 months after C4-C7 laminectomy and fusion with allograft. She reported posterior neck pain radiating down into the shoulders.

Lumbar Spinal Stenosis with Degenerative Deformity

Presented by: J. Ammerman MD, M. Ammerman MD, J. Wind MD
The patient is a 79-year-old male with a 9-month history of back pain and left buttock and posterior thigh pain when walking more than one block. Twelve years prior, he underwent an open L3-S1 decompressive laminectomy and non-instrumented posterolateral fusion L4-S1 for spinal stenosis, with good results.

Adolescent Idiopathic Scoliosis in a 17-year-old Boy

Presented by: B. Lonner MD
The patient is a 17-year-old boy who presented with AIS and worsening truncal deformity. He indicated increasing activity-related discomfort over the lumbar convexity over the prior 6 months and significant waistline changes.

Lumbar Spinal Stenosis with Grade I Spondylolisthesis

Presented by: T. Errico MD
A 75-year-old female homemaker presents with persistent severe low back pain for many years. Now, her symptoms include bilateral leg pain that has worsened. The severity and consistency of her symptoms have limited all her activities of daily living.

Magnetically Controlled Growing Rods (MCGR) for the Treatment of Progressive Early-Onset Scoliosis (EOS)

Presented by: B. Akbarnia MD, J. Pawelek , N. Arandi
An 8+2 year-old boy was diagnosed with idiopathic early onset scoliosis (EOS) at the age of 9-months. Family history is significant for paternal grandmother and aunt who were diagnosed with scoliosis.

Intradural Calcified Thoracic Meningioma

Presented by: M. Oppenlander MD, J. Harrop MD, FACS
This 78-year-old woman presents with progressive gait difficulty. She went from independent ambulation to requiring the use of a walker, and now has difficulty even with standing. Extensive workup eventually found an intradural lesion.

Adolescent Idiopathic Scoliosis in a Young Musician

Presented by: I. Lieberman MD, MBA, FRCSC
The patient is a 16-year-old female musician who presents with adolescent idiopathic scoliosis. She has received no previous scoliosis treatment or bracing.

Minimally Invasive Treatment of Spinal Deformity in a High-risk Patient

Presented by: A. Deukmedjian MD, J. Uribe MD, FAANS
A 63-year-old male, active in the martial arts presents with significant lower back and bilateral lower extremity pain. His medical history places him in a high-risk surgical category.

Cervical Symptoms Recur after Artificial Disc Replacement

Presented by: D. Corenman MD, DC
This 48-year-old male patient underwent artificial disc replacement (ADR) at C6-C7 for foraminal stenosis 2 years earlier with another surgeon. His pain was reduced by 50% and he did reasonably well until approximately 6 months ago.

Minimally Invasive Treatment of Adjacent Segment Disease

Presented by: A. Baaj MD
An elderly female presents two years after an open L4-S1 surgery at an outside institution with progressive mechanical back pain and neurogenic claudication. She had attempted non-operative measures with minimal relief.

Lumbar Radicular Symptoms in a 24-year-old Male

Presented by: M. Hardenbrook MD
A 24-year-old male with back pain that radiates to the left buttock, leg and great toe, rates his pain at 7/10.

Severe Sagittal Imbalance and Lumbar Spinal Stenosis in a Patient with Multiple Medical Comorbidities

Presented by: A. Jorgensen MD, H. An MD
The patient is a 50-year-old male with end-stage renal disease (ESRD), on dialysis, and presents with a 10-year history of low back pain. He was a successful engineer. However, he had to go on disability starting two years ago due to progression of his symptoms.

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