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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.

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).

Severe L5 Burst Fracture

Presented by: A. Baaj MD
This young adult presented with severe lower back pain, bowel and bladder incontinence, and no movement in his right foot following a motor vehicle accident.

Cervical Myelopathy with Severe Lumbar Degenerative Disease

Presented by: J. Tuttle MD, M. Woodall MD
A 62-year-old white female presented with the chief complaint of low back and leg pain However, further she endorsed numbness and paresthesias of the bilateral hands, as well as unsteadiness of gait.

Recurrent Back Pain in a 15-year-old Female Athlete

Presented by: M. Dekutoski MD
A 15-year-old female athlete presented with recurrent back pain (>18 months). The original onset was in playing basketball, and when she stopped playing, it improved. She re-injured her back in the spring. How would you treat her?

Lumbar Disc Degeneration: 2 Previous Spine Surgeries and Constant Low Back Pain

Presented by: I. Kalfas MD
A 57-year-old, slightly overweight male presented with a 2 year history of progressive low back pain. It was predominantly left sided-pain, and the pain was present at all times. However, it worsens with increased activity.

Traumatic Odontoid Fracture in an Elderly Female

Presented by: G. Murray MD, J. Uribe MD, FAANS
The patient is a 66-year-old female who was a restrained driver in a motor vehicle accident. Her major complaint was mild left upper extremity weakness.

T12-L3 Fixation across L2: Burst Fracture

Presented by: D. Corenman MD, DC
The patient is a 27-year-old male with a L2 burst fracture from a ski-jumping accident. Pain is 4/10 to 5/10 (supine). Axial low back pain radiates to S1 with paresthesias into the anterior thighs. No leg pain.

Elderly Woman with Progressive Difficulty Walking

Presented by: M. Perez-Cruet MD
Vote for your treatment preference in this spine case: 91-year-old woman presents with one-year history of gradually progressive difficulty walking.

L4-L5 Foraminal Spinal Stenosis in an Elderly Male

Presented by: J. Ammerman MD, J. Wind MD, J. Babrowicz MD
A 77-year-old male underwent laminectomy at L4-L5 and L5-S1. The procedure was complicated by a cerebrospinal (CFS) fluid leak. The laminectomy was performed at another center. He now presents with persistent right lumbar radiculopathy.

L5-S1 Spondylolisthesis in a Young Female, Previous Gymnast

Presented by: P. Mummaneni MD
A 33-year-old female presented with bilateral low back and leg pain, with no prior medical history. She had been an active gymnast until her late teens.

Cervical Myelopathy: Progressive Problems with Balance and Handwriting

Presented by: J. Wang MD
A 54-year old male with a prior history of a herniated disc at C5-C6 had an ACDF 8 years ago for arm pain and radiculopathy. In the past 8 months, he has had problems with balance and handwriting and clumsiness with his hands. He was found to have adjacent segment disease and cervical stenosis leading to cervical myelopathy.

Thoracolumbar Junction Osteomyelitis with Kyphotic Deformity

Presented by: A. Baaj MD, J. Uribe MD, FAANS, D. Smith MD
The patient is a 54-year-old woman with a prior history of IV drug abuse. She was hospitalized in 2007 with spinal osteomyelitis at T11-T12. This was treated with IV antibiotics. She was admitted multiple times in the last several months for chronic refractory osteomyelitis (MRSA on biopsy) at T11-L1 despite prolonged courses of antiobiotics.

Lumbar Canal Spinal Stenosis—Novel Surgical Approach, or Not?

Presented by: J. Mobasser MD
The case reports on the diagnosis and surgical treatment of a 74-year-old female who presented with neurogenic claudication. Featured are 4 surgical videos demonstrating aspects of the procedure.

Lytic Lesion of the C2 Body

Presented by: S. Lewis MD
The patient is a 71-year-old female with progressive neck pain. She’s neurologically intact and has decreased neck ROM. How would you treat her? See how one spine surgeon chose to treat this elderly patient.

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