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Former Professional Lacrosse Player Presents with Right Arm Pain and Triceps Weakness

No Evidence of Myelopathy
Presented by: T. Albert MD
Spine Case: Former professional lacrosse player in s/p C3-7 laminectomy without fusion (10 years prior) and C5-6 ACDF (5 years prior) for myelopathy presents with right arm pain and severe right triceps weakness. Vote on your preferred treatment.

Woman with Ankylosing Spondylitis

Deformity Makes It Difficult to Look People in the Eye
Presented by: S. Lewis MD

The patient is a 66-year-old female with ankylosing spondylitis who independently ambulates without any aids.  Her deformity makes horizonal gaze difficult.  How would you approach treatment, and what risks are involved?

Progressive Pseudoclaudication in an Elderly Man

Presented by: J. Schwender MD
This 72-year-old man presented with progressive pseudoclaudication. His ability to walk is limited to 100 yards. Bilateral L3 radiculopathy was confirmed with EMG.

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.

Metastatic Tumor to the Spine: Compression and Instability

Presented by: A. Baaj MD
The patient is a 44-year-old woman with a prior history of left-sided nephrectomy for renal cell carcinoma. She presented 6 months later with acute mechanical back pain and intermittent urinary incontinence.

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.

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