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spinemonitor: Neck & Back Pain eNewsletter from April 8, 2009

In this edition of spinemonitor, Keith Bridwell, MD presents an interesting case of progressive lumbar deformity.  John T. Braun, MD notes the patient’s significant deformity, discusses the treatment options, and offers his recommendations.

Featured Case Study
Progressive Lumbar Deformity in a
57-year-old Female
Photo: Keith Bridwell, MD Case Author:
Keith Bridwell, MD
Orthopaedic Surgeon
Washington University School of Medicine
St. Louis, MO

The patient is a highly motivated 57+3-year-old female with progressive lumbar deformity. She was referred by a local spine surgeon for a definitive reconstructive procedure.  The patient's pain has been gradually increasing, although it's not disabling. She has...

The patient had a normal neurological exam and normal station and gait. There was mild lumbar deformity with...

Figures 2A and 2B show fixed tilt at L4-L5. There is rotatory subluxation at L3-L4. MRI shows...

Read Complete Case, Vote for Treatment, and View Outcome

Progressive Lumbar Deformity in a

Fig. 2A - Fixed tilt at L4-L5
Click here for Larger Images

How Would You Treat This Patient
June 4-6, 2009
Contemporary Concepts in Spine Surgery
Contemporary Concepts in Spine Surgery
June 4-6, 2009
Contemporary Concepts in Spine Surgery

American College of Spine Surgery (ACSS)
Newport Beach Marriott Hotel and Spa
Newport Beach, CA USA

Join us for a comprehensive update and ACSS review that is strongly recommended for spine professionals interested in taking the spine, orthopaedic or neurosurgery board examinations.  In addition, our distinguished faculty will cover controversial topics and emerging technologies.  This year, anonymous submissions of challenging cases will provide an open forum for many stimulating discussions and unique educational opportunities.

Program Directors

  • Warren Yu, MD
  • Thomas Mroz, MD

Register Now Online or Download PDFDownload Course Brochure (PDF)

Past Spine Cases:
Below is a listing of previous spine case studies. Feel free to browse and vote for treatment options for each case.

Lumbar Degenerative Disc Disease in a Basketball Player
By Richard G. Fessler, MD, PhD

Leg Pain and Sagittal Imbalance
By Keith Bridwell, MD

Flatback following Non-instrumented Adolescent Idiopathic Scoliosis Surgery
By Frank J. Schwab, MD

Cervical Myelopathy in a Pediatrician
By Gerard J. Girasole, MD

Atlanto-occipital Dislocation after a Crane Accident
By Sharolyn Martin, RN, BSN, CEN

Traumatic Sacral Dislocation
By Christopher I. Shaffrey, MD

Significant Back and Leg Pain in a 70-Year-old Female
By Timothy R. Kuklo, MD, JD

Trans-sacral Fusion of Spondylolisthesis at L5-S1
By Larry T. Khoo, MD

View All Case Studies
Spine Surgery Videos
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Visit the spine surgery video library courtesy of our partner OR-Live, Inc. Whatever your spine interest – innovations in chronic pain therapy, microdiscectomy, VEPTR, fusion, and more – find it here.
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