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Traumatic Unilateral Cervical Spine Perched Facet

Presented by: B. Ball MD, S. Kaloostian MD, A. Khalil MD
A 22-year-old male was evaluated in the ED after a motor vehicle collision. He was found to have bilateral C6 comminuted lamina fractures extending to the right C6-C7 facets with grade 1 anterolisthesis of the C6 vertebral body, and perched right C6-C7 facet.

Sudden Right Foot Drop after Skiing

Presented by: C. Kim MD, PhD
An avid skier and mountain biker presents with a sudden right foot drop after skiing. She has a transient left leg radiculopathy that improved with a bilateral L4-L5, L5-S1 transforaminal epidural steroid injection. However, persistent weakness in right ankle dorsiflexion has prevented her from returning to her activities.

Worsening Leg Weakness and a Negative Lumbar MRI

Presented by: T. Piper MD, C. Hemmer DNP, ANP
The patient is a 52-year-old male whose health is generally very good. He has no back pain but presents with acute pain, numbness and tingling sensations in both legs; right is greater than the left. He presents in Dr. Terrence Piper's practice for a second opinion.

Central Canal and Foraminal Spinal Stenosis at L3-L4

Presented by: H. Bae MD
A 67-year-old retired male presents with back and bilateral buttock pain with bilateral posterior thigh pain. Back pain radiates into the back of both legs for about one-and-one-half years. Pain is significant while standing, and he experiences pain when walking.

Acute Onset of Back and Left Leg Pain

Presented by: J. Ammerman MD, J. Wind MD
The patient is a 52-year-old male with the acute onset of back and left anterior thigh pain for 2 weeks. Pain is unresponsive to oral steroids and nonsteroidal anti-inflammatory drugs.

Acute Traumatic Central Cord Syndrome

Presented by: B. Ball MD, C. Christie MD, J. Chen MD, A. Khalil MD
A 73-year-old male who was in a motor vehicle accident presented with diffuse weakness and numbness in both arms and legs; symptoms were worse in his hands.

Ankylosing Spondylitis with Thoracic Fracture

Do You Fix Both the Fracture and the Deformity?
Presented by: D. Polly, Jr. MD
The patient is a 70-year-old male with chronic back pain and worsening trouble standing up. He has known long-standing ankylosing spondylitis, and he was referred to a spine surgeon after a non-union at a thoracic fracture site was seen. Do you fix the fracture alone, or fix the deformity, too?

31-year-old Man with Ankylosing Spondylitis

How to Treat?
Presented by: .
The patient is a 31-year-old male with a long history of intractable lumbar back pain. He was diagnosed with ankylosing spondylitis and has been unable to work for the last 10 years secondary to pain.

Lumbar Spinal Stenosis With Grade I Spondylolisthesis

Presented by: D. Tyndall MD, FAAOS
This 75-year-old male was initially seen three months ago. At that time, he presented with symptoms of lumbar spinal stenosis and neurogenic claudication due to a L4-L5 Grade I spondylolisthesis and stenosis (L2-L3).

Kyphosis Deformity Correction in Ankylosing Spondylitis

Presented by: J. Cuéllar MD, PhD, T. Lanman MD, FAANS, FACS
In this case of kyphosis deformity correction in ankylosing spondylitis with compression fractures, how much correction is optimal?

Post-traumatic Kyphosis 5 Years After Motorbike Accident

Intense Pain and Progressive Deformity
Presented by: W. Carrero MD
Five years prior to presenting, the patient was involved in a motorcycle accident, resulting in a dorsal vertebral fracture. Since then, he reports intense pain and progressive thoracic deformity.

Double Major Curve in an Adolescent

Presented by: A. Baaj MD
Adolescent idiopathic scoliosis with double major curvature in a premenarchal female who presented with worsening spinal deformity. There was no family history of scoliosis.

Cervical Spondylotic Myelopathy in an Amateur Golfer

Presented by: R. Knight MD, MHA
The patient is a 63-year-old male presenting with complaints of upper extremity paresthesia, loss of dexterity and irregular gait. He denies bowel or bladder irregularity.

Chronic Type II Odontoid Fracture With C1-C2 Instability and Severe Spinal Cord Compression

Presented by: A. Khalil MD
Case report of an adult female with history of an old type II odontoid fracture presented with severe mechanical neck pain, progressive upper and lower extremity symptoms, and gait difficulties.

Thoracic Exophytic Ependymoma With Severe Spinal Cord Compression

Presented by: A. Khalil MD
A 50-year-old female presented wheelchair bound with progressive lower extremity weakness and numbness. She has diffuse numbness in the lower abdomen and both legs, and bowel and bladder dysfunction.

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