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Post-laminectomy Instability

Presented by: G. Girasole MD

A 52-year-old female presented with incapacitating low back pain, a gross kyphotic deformity, and imbalance. She was unable to stand erect. She previously had an L3-L5 posterior spinal fusion and wide laminectomy at L2-L3.

Iatrogenic Scoliosis in a Former Rock Guitarist

Presented by: N. Anand MD

A 68-year-old female ex-rock guitarist presented with a 5-year history of excruciating back pain that gets even worse with any activity. She says her pain is constant—24 hours a day

Adult Idiopathic Thoracolumbar Kyphoscoliosis

MIS or Open?
Presented by: J. Roh MD

A 66-year-old female presented with a history of chronic low back pain, left thigh pain, and a progressive left-sided lumbar hump. She was “hunched over” forward and to the right.

C4-C7 Spondylosis with Foraminal Stenosis

Presented by: J. Roh MD

A 58-year-old female who is right-hand dominant presented with a one-year history of progressively worsening right-sided neck and arm pain. The pain radiates down her right arm in a C6 dermatomal distribution, and she has associated paresthesias.

Extrapedicular Vertebral Augmentation to Treat T7-T8 Vertebral Compression Fractures with Retropulsion

AVAflex® curved vertebral augmentation needle
Presented by: J. Afshar MD
An 82-year-old Caucasian female with osteoporosis presented with excruciating (9/10) mid-thoracic back pain following a fall backward approximately one week prior.

Construction Worker with Increasing Low Back Pain and Bilateral Leg Pain

Presented by: J. Roh MD

A 42-year-old male construction worker presented with a 2-year history of worsening low back pain and bilateral lower extremity radiation in L3 and L4 dermatomal distributions. He has right leg weakness and symptoms consistent with neurogenic claudication.

90% Leg Pain vs. 10% Low Back Pain: Refuses Fusion

Presented by: J. Roh MD

A 46-year-old female pharmacist presented with a 6-month history of progressively worsening left leg pain and paresthesias. She reports only minor achy low back pain. She describes her pain as 90% left leg pain and 10% low back pain.

L3 Pathological Fracture During Softball Game

Presented by: R. Cardona MD, I. Cardona Campos MD

A 76-year-old man suddenly developed severe low back pain while batting at a softball game. He was found to have an L3 compression fracture.

Facet Arthropathy with Back Pain, Stenosis, Synovial Cyst and L5 Radiculopathy

Presented by: S. Ritland MD

The patient is a 67-year-old female with intermittent back pain that has become somewhat more severe for one year. She was referred to a physiatrist 5 months prior to my treatment after development of pain referring down her left leg. She underwent a series of blocks for back pain and a left L5 radiculitis without weakness.

Cervical Myelopathy: Difficulty with Rapid Fine Hand Movements

Presented by: V. Traynelis MD

A 64-year-old man had a C4-C6 laminectomy performed 3 years ago for myelopathy due to stenosis. His myelopathy improved, and he did well for a year. He then began to develop increasing neck pain, and his myelopathic symptoms began to return. Additionally he began to have great difficulty holding his head up.

Balloon Kyphoplasty for Acute T8 Compression Fracture

11G AVAmax® vertebral balloon and AVAflex® curved needle
Presented by: H. Brown MD
A 97-year old osteoporotic female presented with a four-day history of progressively worsening atraumatic back pain. She refused to sit, walk or lay on her side due to the severity of her pain. Pain was reported as 10/10.

Grade IV Spondylolisthesis

Presented by: S. Lewis MD

The patient is an active 14-year-old male with progressive back pain and difficulty with gait. He has radicular pain in his buttocks and posterior thighs.

Mild Lumbar Scoliosis and Spinal Stenosis

Presented by: T. Koski MD

A 60-year-old woman with a history of longstanding back pain and bilateral extremity pain that both improve with sitting and lying down has had symptoms for more than 3 years. She was found to have lumbar scoliosis and spinal stenosis.

Degenerative Disc Disease and Spondylolisthesis with Progressive Back and Leg Pain

Unresponsive to conservative treatment
Presented by: D. Rouben MD

The patient is a 55-year-old male who works as a heavy equipment operator. He is 5'-11" tall and weighs 250 pounds. His symptoms, listed below, have worsened and continue to worsen in the last 12 months.

Congenital Kyphosis and Difficulty Walking

Presented by: P. Kraemer MD, S. Kishan MD

A 17-year-old male with mild developmental delay has increasing back pain over the last year. He has a long standing deformity, and he and his parents think it has worsened. In the past few months he has begun to have some difficulty with walking quickly.

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