Spinal Case Studies

Here spine specialists present many cases that are challenging and compelling. Each case provides a patient's history, exam and imaging, treatment, outcome and peer discussion. Cast your vote for treatment and share in the case discussions.

Recently Added Cases

  • Lower Lumbar Pain with Frequent 10/10 Leg Pain
    Michael A. Cowan, MD

    The patient is a 55-year-old female with a 5-year history of severe low back pain. During the last 3 years her pain is worse. She...

  • Low Back and Leg Pain Refractory to Conservative Treatment
    Richard M. Ozuna, MD

    The patient is a 76-year-old male with a longstanding history of low back pain and bilateral lower extremity symptoms secondary to...

  • L5-S1 Spondylolisthesis: Failed Pain Management
    Juan S. Uribe, MD

    The patient is a 51-year-old female with a history of chronic back pain. She denies any radicular pain or weakness. The patient has...

  • Thoracic Disc Herniation
    Tim Yoon, MD, PhD

    The patient is a 58-year-old Caucasian male who presented with a chief complaint of gait disturbance. The gait disturbance had...

  • High Risk Multi-level Cervical Fusion
    Todd McCall, MD

    Since the ACDF, she has experienced chronic neck pain. New symptoms have developed during the past 4 months. Using the visual...

  • Charcot Joint in a Paraplegic
    Lali Sekhon, MD, PhD, FACS, FAANS
    This 48-year-old man had been a complete T10 paraplegic, wheelchair bound since age 22. At the initial time of injury he had no...
  • Severe Progressive Adult Idiopathic Scoliosis
    Baron S. Lonner, MD

    The patient is a 54-year-old female diagnosed with idiopathic scoliosis as an adolescent. Twenty years earlier, despite the...

  • Iatrogenic Facet Instability
    Tim 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...

  • Increasing Pediatric Spinal Deformity
    Charles E. Johnston, MD

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

  • Rapidly Progressing Cervical Adjacent Segment Disease
    Jason M. 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...

  • Basilar Invagination
    Kee D. Kim, MD

    The patient is a 67-year-old woman with rheumatoid arthritis whose chief complaints are facial numbness, and neck and occipital...

  • Lumbar Arthroplasty Revision
    Lali 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...

  • Thoracic Herniated Disc
    Kee D. 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...

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