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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.

Adult Scoliosis with a Broken Rod and Progressive Kyphosis

SpineAssist® Robotic Guidance System Precisely Solves Surgical Challenge
Presented by: I. Lieberman MD, MBA, FRCSC
The patient is a 59-year-old female who presents with mechanical back pain, radiating buttock and leg pain, and progressive spinal deformity. She has trouble lifting and carrying things, and during recreational activities. Her symptoms have persisted since a slip injury a few months ago.

Lumbar Spine’s Role in Chronic Hip Pain Case

When evaluating a patient with hip pain, do not overlook the lumbar spine. In this case, the patient had no low back pain, but the spine was the trigger of pain and symptoms.
Presented by: K. Tiltmann DC
When evaluating a patient with hip pain, do not overlook the lumbar spine. This patient had no low back pain, but the spine was the trigger of pain and symptoms.

Degenerative Scoliosis with Left L3 Radiculopathy

Patient Presents with Mechanical Low Back Pain and Neurogenic Claudication
Presented by: R. Knight MD, MHA
The patient is a high-functioning 80-year-old female who presents with mechanical low back pain, left L3 radiculopathy, and neurogenic claudication. How should she be treated? When do you recommend spine surgery?

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.

Lumbar Adjacent Segment Disease

Presented by: M. Oppenlander MD
A 72-year-old woman presents with low back pain and leg pain. Ten years ago, she underwent L4-S1 posterior decompression with instrumentation and fusion. Presently, her back pain is in the mid-lumbar region and is exacerbated with activity and improves when supine.

Neck Pain and Kyphotic Deformity Post-dental Procedure

Presented by: P. Kraemer MD
An adult female began to experience neck pain shortly after a dental procedure. Because she was already taking a narcotic for chronic back pain, she saw her pain management physician. Thereafter, she quickly developed a kyphotic deformity.

Failure to Recognize Traumatic Cervical Spinal Instability, C7-T1 Traumatic Cervical Spine Deformity

Presented by: A. Khalil MD
An elderly male who suffered C7 and T1 fractures status post a motor vehicle accident, presented to our clinic 2 months after the initial injury with worsening neck deformity and new right hand weakness and numbness.

Vertebral Body Tethering in Progressive Adolescent Idiopathic Scoliosis

Fusionless emerging technology case
Presented by: B. Lonner MD
The family of healthy girl with progressive scoliosis, with a great deal of concern about spinal fusion (eg, flexibility, function) sought consultation to discuss surgical correction. Their child is an avid lacrosse and basketball player and enjoys horseback riding.

Severe Thoracic Pain

Presented by: T. Piper MD, C. Hemmer DNP, ANP
A pleasant 37-year-old female presents with severe midline thoracolumbar pain at and just below her bra line. The pain started about 12 months ago but has significantly worsened during the past 3 months making wearing a bra painful. She has no history of shingles or trauma.

Thoracic Spinal Cord Tumor

Presented by: A. Baaj MD
The patient is a 76-year-old female with progressive lower extremity numbness and subjective weakness. Imaging revealed a thoracic pial-intramedullary lesion.

PMMA Extravasation Following Kyphoplasty

Presented by: E. Truumees MD
The patient is a 72-year-old female who underwent kyphoplasty to treat a T12 burst fracture two weeks ago at a different hospital. After the kyphoplasty procedure, her back pain increased and a new symptom of lower extremity weakness, right greater than left developed.

Superior Articular Facet Interbody Reconstruction (SAFIR)

A novel posterior lumbar interbody fusion approach
Presented by: J. Ammerman MD, J. Wind MD
A 74-year-old presents with 9 months of back and R > L leg pain. Four years ago, she underwent L4-S1 ALIF with pedicle screws. Her ODI is 20.

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.

Worsening Right Greater Than Left Leg Paresthesia

Presented by: C. Hemmer DNP, ANP, T. Piper MD
A 64-year-old male presented to our office with complaints of right greater than left leg pain and numbness/tingling. He states that when he walks his symptoms are worse, but always has some degree of right buttock/ hip/ leg discomfort.
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