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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, 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.

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.

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.
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