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Adult Sagittal and Coronal Imbalance: How to Correct?

Presented by: O. Boachie-Adjei MD

The patient is a 50-year-old female with chief complaints of back pain and postural deformity. She’s diagnosed with post-surgical sagittal and coronal imbalance: how do you adequately correct the deformity?

Retired Truck Driver with Progressive Axial Low Back Pain

Presents with Radiculopathy, and Cauda Equina Syndrome
Presented by: M. Dekutoski MD

The patient is a 66-year-old male retired security truck driver. He underwent an L3-S1 in situ fusion for leg pain and spondylolisthesis 30 years prior to presenting in our office. He now has a primary complaint of pain that worsens with activity and at the end of the day.

Neck Pain with Radiation into Right Radial Arm

Presented by: R. Fessler MD, PhD

How would you treat this? The patient is a 43-year-old female with neck pain with radiation into the right radial arm, thumb and first finger, and ulnar forearm into small and ring finger. Richard G. Fessler, MD, PhD, presents this spine surgery case.

Paraplegic with Charcot Spine: Complains of Back Pain and Instability

Presented by: S. Lewis MD

A 40-year-old female paraplegic complains of back pain and instability: how would you treat this case? Case submitted by Stephen Lewis, MD.

C1-C2 Fracture with Atlantoaxial Subluxation

Halo, Anterior Approach, Posterior Approach?
Presented by: A. Baaj MD

Spine case: an 87-year-old man presents after being struck by a car. Work-up reveal C1-C2 fracture: how would you treat him?

15-year-old Female with Adolescent Idiopathic Scoliosis and Back Pain

Presented by: S. Luhmann MD
Adolescent idiopathic scoliosis in a 15-year-old female: how did the submitting orthopaedic surgeon treat her? How would you treat her? Vote in SpineUniverse's Interactive Case Study!

Kyphoscoliosis in a 71-year-old Female

Should You Fuse to the Sacrum or Pelvis?
Presented by: S. Glassman MD
How would you treat this patient? She is 71 years old and presents with progressive loss of standing balance, severe back pain and buttock pain, and moderate neurogenic claudication.

Fixed Cervical Kyphosis and Recurrent Myelopathy

Presented by: T. Albert MD
The patient is a 69-year-old male who had PCDF in 2009. He now presents with severe neck pain/weakness and loss of horizontal gaze. Vote in SpineUniverse's Interactive Case Library for how you would treat this patient.

Severe Back Pain with Radiation Around Right Abdomen

Presented by: R. Fessler MD, PhD
Spine case from Richard G. Fessler, MD, PhD, a neurosurgeon: The patient is a 39-year-old male who presents with severe back pain that radiates around right abdomen to just below the navel.

Nun with Progressive Deformity: Fuse or Not Fuse?

Presented by: K. Bridwell MD
The patient is a 24-year-old nun who presents with progressive deformity. She says she had a 45° right thoracic curve at age 17. She has more back pain than 5 years ago, but it is not excruciating.

Recurrent Myelopathy and Adjacent Segment Disease

Myelopathy Returns 3 Years After Surgery
Presented by: P. McCormick MD, MPH, FACS
What do you do with a patient with recurrent cervical myelopathy? Case from Paul C. McCormick, MD, demonstrating treatment strategy for this dilemma.

Unsteady Gait and Pain in Upper Limbs: Which Approach Is Best?

Presented by: M. Fehlings MD, PhD, FRCSC, FACS
Spine case presented by Michael G. Fehlings, MD: a 61-year-old male autoworker has progressively worsening gait, motor dysfunction, and pain in upper limbs. How would you treat this?

Harrington Hook in Canal: Woman with Previous Surgery Presents with Low Back Pain and Neuroclaudication

Presented by: S. Lewis MD
The patient is a 35-year-old woman who had a Harrington rod implanted at age 14 for idiopathic scoliosis. She presented with low back pain and neuroclaudication. How would you treat her?

Former Professional Lacrosse Player Presents with Right Arm Pain and Triceps Weakness

No Evidence of Myelopathy
Presented by: T. Albert MD
Spine Case: Former professional lacrosse player in s/p C3-7 laminectomy without fusion (10 years prior) and C5-6 ACDF (5 years prior) for myelopathy presents with right arm pain and severe right triceps weakness. Vote on your preferred treatment.

Woman with Ankylosing Spondylitis

Deformity Makes It Difficult to Look People in the Eye
Presented by: S. Lewis MD

The patient is a 66-year-old female with ankylosing spondylitis who independently ambulates without any aids.  Her deformity makes horizonal gaze difficult.  How would you approach treatment, and what risks are involved?


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