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Sacral Fracture and Dislocation

Presented by: C. Shaffrey MD

After a minor fall, the patient presents with severe sacral area pain and urinary incontinence.

Cervical and Bilateral Arm Pain

Presented by: R. Davis MD
The patient presents with a 2-year history of neck and bilateral arm pain, right greater than left.

Debilitating Back Pain with Neurogenic Claudication

Presented by: N. Anand MD

This 76-year-old female presented with debilitating back pain, sagittal imbalance, and neurogenic claudication.

Trans-sacral Fusion of Spondylolisthesis at L5-S1

Presented by: L. Khoo MD

The patient presents with a 1-year history of axial low back pain and primarily, right leg sciatica. He describes his pain as 50% back pain and 50% leg pain.

Back and Leg Pain in a 47-year-old

Presented by: P. Mummaneni MD

The patient is taking oral morphine and hydrocodone for pain control. However back and radicular leg pain persists.

Lumbar Degenerative Disc Disease: History of Low Back Pain

Presented by: R. Fessler MD, PhD

The patient is a 62-year-old make with a three year history of low back pain that prevents normal activities. Although leg pain is minimal, it is increased with activity and decreases when lying down

Neurofibromatosis (NF-1) in a 15-Year-old

Presented by: C. Shaffrey MD

The patient is a 15-year-old boy with neurofibromatosis who fell while skateboarding and suffered temporary quadriplegia.

Cervical Myelopathy in a 74-Year-old Pediatrician

Presented by: G. Girasole MD

The patient is a 74-year-old pediatrician who upper extremity symptoms have progressed over a 6-month time period.

Atlanto-occipital Dislocation after a Crane Accident

Presented by: S. Martin RN, CEN, G. Raup CNA-BC, S. Hunter RNFA, P. Cho MD

Atlanto-occipital dislocations continue to be associated with high morbidity and mortality rates. The authors report on how early detection and good communication among disciplines can favorably impa

Flatback following Non-instrumented Adolescent Idiopathic Scoliosis Surgery

Presented by: F. Schwab MD

This case of a middle-aged female, who underwent non-instrumented fusion to treat scoliosis, illustrates classic flatback syndrome.

Sagittal Imbalance following Previous Surgery

Presented by: F. Schwab MD

This case illustrates the complex nature of sagittal spinal imbalance including a shift in her center sacral line secondary to multi-level degenerative lumbar discs.

Progressive Lumbar / Thoracolumbar Idiopathic Scoliosis

Presented by: K. Bridwell MD

The patient is a 13-year-old girl with progressive lumbar / thoracolumbar idiopathic scoliosis who failed bracing.

Progressive Lumbar Deformity in a 57-year-old Female

Presented by: K. Bridwell MD

The patient was referred by a spine surgeon for a definitive reconstructive procedure to treat her progressive lumbar deformity.

Leg Pain and Sagittal Imbalance

Presented by: K. Bridwell MD

The patient has subluxations at L3-L4, fixed tilt at L4-L5, and disc degeneration at all lumbar levels. Spinal stenosis is noted at many lumbar levels.

Clinical Presentation of Significant Disc Bulge

Presented by: D. Stover PT, OCS, Cert MDT
The patient is a 21-year-old male daycare teacher who presents with intermittent right greater than left back pain. His symptoms are aggravated with bending, sitting and rising from a seated position
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