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T5 Burst Fracture from MVA

Can the patient ever return to farming?
Presented by: R. Fessler MD, PhD

The patient is a 52-year-old female. Six months before presenting in the clinic, she was involved in a motor vehicle accident (MVA). She now can’t work her farm because of her back pain.

C1-C2 Instability in Patient with Rheumatoid Arthritis

Presented by: H. An MD, T. Cha MD, MBA

A 50-year-old female presents with a chief complaint of neck pain. The pain is in the base of the neck with radiation to bilateral posterior shoulders. It worsens with movement.

Type II Odontoid Fracture in 85-year-old Man

How to Treat? Cervical Collar? Halo Vest? Surgery?
Presented by: J. Heller MD

An 85-year-old male patient has neck pain related to an isolated injury from a car accident. He also has significant cardiac history. The patient lives independently and is sharp and well-educated.

Midthoracic Chance Fracture in a Morbidly Obese Polytrauma Patient

Presented by: J. Uribe MD, FAANS, A. Deukmedjian MD

The patient is a morbidly obese 63-year-old male who presented as a polytrauma after a ground level fall onto hard concrete. He denies numbness or weakness in extremities, but elicits severe pain in his back and right hip.

Recurrent Spondylolisthesis with Significant Risk of Pseudarthrosis

Presented by: J. Krumerman MD
Pseudarthrosis complicated the patient's postop course. Use of an external bone stimulator (Spinal-Stim®) salvaged the construct.

Traumatic L1 Vertebral Body Fracture

Presented by: J. Ammerman MD, M. Ammerman MD

A 29-year-old female presents with vertebral body fracture at L1 following a motor vehicle accident.

Foreign Diplomat with Neck Pain and Right C6 and C7 Radiculopathies

Presented by: R. Fessler MD, PhD

A 59-year-old male who is a foreign diplomat presents with neck pain and right C6 and C7 radiculopathies.

Lung Cancer with Direct Extension to T2 and T3

Presented by: J. Buchowski MD, MS

The patient is a 44-year-old female who presented with right-sided chest pain in October 2009, which precipitated a CT scan and an MRI. The imaging tests demonstrated a mass in her right upper lobe adjacent to T2. How would you treat this patient?

Flexion-distraction Fracture at T12-L1: Brace or Surgery?

Presented by: S. Lewis MD

A 17-year-old female presents post-MVA. She was a rear seat belted passenger. She had isolated trauma to her back. She presents with back pain without any neurologic dysfunction. She has no past medical history, and she’s on birth control pills.

Post-surgical Discitis

Antibiotics, Debridement, or Fusion?
Presented by: C. Shaffrey MD

Following an MIS discectomy, a 36-year-old male develops “horrible” back pain and during repeat MRI, discitis is seen. How best to treat this patient? Course of antibiotics? Debridement? Debridement and fusion? Read how one spine surgeon treated this post-operative infection patient.

C6-C7 Unilateral Facet Dislocation with Right C7 Radiculopathy

20-year-old Male PMVA
Presented by: M. Fehlings MD, PhD, FRCSC, FACS

The patient is a 20-year-old male who present after a rollover MVA. He struck his head on the car roof in rotation. He complains of right arm pain, numbness, and mild weakness. Should he be reduced right away?

Progressive Low Back Pain in an At-risk Patient

Implantable Stimulation for Increasing the Probability of Fusion Success
Presented by: R. Davis MD, FACS
A 71-year-old widowed housewife presents with a long history of progressive low back pain. At presentation, her VAS is 8. Onset was insidious without a clear precipitating event. She describes her pain as deep and aching with occasional sharp exacerbation, involving the low back, bilateral buttocks and anterior thighs to the knees.

Mixed Radiculopathy and Cervical Myelopathy

Presented by: J. Heller MD

A patient in her mid-50s presents with increasing amounts of axial pain, radiating pain in her right arm that extends to the dorsal of her hand, and numbness in her hand. However, her main complaint is neck pain. She is an attorney, and she has done her research on the treatments options available to her.

Sudden Onset of Paraplegia: T2 and T3 Collapse with Abscess

Tuberculosis Case: How to Treat the Abscess?
Presented by: N. Arbatti MS (Ortho), FISS, FABMISS

The patient is a 60-year-old female with sudden onset of paraplegia for the last 2 days. She has a previous history of low-grade neck and upper back pain for the last 6 months. Biopsy reveals tuberculosis: how to treat?

Multi-level Cervical Fusion with Significant Risk of Pseudarthrosis

Progressive Worsening Neck Pain and Radiculopathy
Presented by: A. Apazidis MD, MBA
A 52-year-old female smoker presents with progressive worsening of her neck pain and radiculopathy that is affecting her work as a chief financial officer. She has worsening arm numbness and tingling with ...

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