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Basilar Impression in an 8-year-old Male

Presented by: K. Kotil MD

Kadir Kotil, MD presents basilar impression in an 8-year-old male. Jason Highsmith, MD discusses the case.

Progressive Mid-back Pain and Difficulty Walking

Presented by: J. Uribe MD, R. Cardona MD, E. Dakwar MD

Juan Uribe, MD and his co-authors present progressively intensifying moderate to severe mid-back pain in a male. The patient reports his pain radiates anteriorly on his left side and makes walking difficult.

Right Thoracic Adolescent Idiopathic Scoliosis

Presented by: J. Bennett MD

The patient is a 14-year-old male who presents with a 52-degree thoracic scoliosis at T4-T12. Video presentations demonstrate OR set-up and intra-operative imaging.

Thoracic Herniated Disc

Presented by: K. Kim MD

The patient is a 58-year-old man with mid-back pain. The patient reported pain that wrapped around his rib cage to the front of his chest and intermittent "electric-shock" sensation to his left anterior thigh. Although he mentioned more recent difficulty with walking his chief complaint still was mid-back pain.

Lumbar Arthroplasty Revision

Presented by: L. Sekhon MD, PhD, FACS, FAANS

A 44-year-old woman reported low back pain and difficulty with defecation. The patient had surgery 2 years earlier with the implantation of an artificial lumbar disc. The surgery did not reduce her low back pain. A year post-op she developed increased low back pain.

Basilar Invagination

Presented by: K. Kim MD

The patient is a 67-year-old woman with rheumatoid arthritis whose chief complaints are facial numbness, and neck and occipital pain. She also has progressive arm and leg weakness with increased pain. Her diagnosis is basilar invagination.

TLIF with Unilateral Pedicle Screws and Aspen™ Spinous Process Fixation System

Presented by: M. Shah MD

The patient is a 59-year-old female who is an avid golfer. She complains of low back pain and right buttock pain that radiates into the lateral aspect of her shin.

Direct Lateral Interbody Fusion for Degenerative Disc Disease and Degenerative Scoliosis

Presented by: R. Chua MD, FACS

A 63-year-old female presents with low back pain and bilateral leg pain approximately 18-months after a motor vehicle accident. Her back pain is worse that her leg pain. Pain limits her activity.

Lumbar Spinal Stenosis and Lower Extremity Pain in a 77-year-old Male

Presented by: C. Branch Jr., MD

The patient is a 77-year-old Caucasian male. He underwent recent elective quadruple coronary artery bypass graft 12 months prior with good recovery. He complains of bilateral buttock pain that radiates through his thighs and calves. Pain is exacerbated by standing and ambulation. He is unable to walk for more than 10 minutes or 2 to 3 blocks due to pain.

Adjacent Level Degeneration: Lumbar Disc Degeneration Adjacent to Previous Fusion

Presented by: R. Watkins, IV MD

In 2000, this 62-year-old retiree underwent successful L4-L5 anterior posterior fusion. She now presents with progressively worsening back and bilateral leg pain.

Rapidly Progressing Cervical Adjacent Segment Disease

Presented by: J. Highsmith MD

A 56-year-old woman presents with a history of worsening neck and left shoulder pain. She has had some relief with C4-C5 epidurals, but her pain has persisted. She has had previous C6-C7 anterior cervical discectomy and fusion (ACDF) with plate in 2002. That was followed by explanation of instrumentation and subsequent C5-C6 ACDF in 2007.

Increasing Pediatric Spinal Deformity

Early Onset Scoliosis Discussion by Behrooz A. Akbarnia, MD
Presented by: C. Johnston MD

A 5-year-old male with uncharacterized congenital myopathy presents with increasing spinal deformity. He is ambulatory, but having some recent balance issues.

Iatrogenic Facet Instability

Presented by: T. Yoon MD, PhD

The patient is a 45-year-old, Caucasian female, who presented with a chief complaint of low back pain. The patient’s history is notable for laminectomies at L3-L4 and L4-L5, performed for stenosis 2 years prior to presentation in our clinic. The outcome of this surgery was resolution of leg pain, but the patient complained of mechanical low back pain.

MIS Treatment of Spondylolisthesis

Presented by: C. Barry MD

The patient is a 61-year-old male with a 3-year history of progressive severe low back pain and pain in both legs. His back pain is mechanical in nature; 60% back and 40% leg pain. He has a 6-month history of right lower extremity weakness.

Direct Lateral Interbody Fusion using the Aspen™ Device

Presented by: A. Vokshoor MD

The patient is a 63-year-old active male who enjoys hiking, fishing and golf. He presents with lower back pain that radiates down the anterolateral thigh just to the knee; pain is mostly right-sided. Although he reports having back pain the past 1.5 years, pain has progressively worsened the last 4 months.

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