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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.

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.

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?

Cervical Nonunion and Kyphosis

Presented by: C. Regan MD, J. Kang MD
A 40-year-old ICU nurse practitioner presented for a second opinion about 12 months after C4-C7 laminectomy and fusion with allograft. She reported posterior neck pain radiating down into the shoulders.

L4-L5 Foraminal Spinal Stenosis in an Elderly Male

Presented by: J. Ammerman MD, J. Wind MD, J. Babrowicz MD
A 77-year-old male underwent laminectomy at L4-L5 and L5-S1. The procedure was complicated by a cerebrospinal (CFS) fluid leak. The laminectomy was performed at another center. He now presents with persistent right lumbar radiculopathy.

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?

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.

Fusion Nonunion with Progressive Kyphosis

Presented by: Z. Gordon MD, J. Kang MD
Two years ago the patient underwent posterior cervical laminectomy and fusion for cervical spondylotic myeloradiculpathy by another surgeon. Now this 58-year-old female presents with severe neck pain and difficulty holding her head up.

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?

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.

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.

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?

Traumatic C1 Fracture

Presented by: J. Uribe MD, FAANS, R. Cardona MD
A 30-year-old male was involved in a motor vehicle accident, where he sustained a C1 fracture. The patient was neurologically intact, but complaining of neck pain.

Rapidly Progressing Cervical Adjacent Segment Disease

Presented by: J. 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, but her pain has persisted. She has had previous C6-C7 anterior cervical discectomy and fusion (ACDF) with plate in 2002. That was followed by explanation of instrumentation and subsequent C5-C6 ACDF in 2007.

Progressive Mid-back Pain and Difficulty Walking

Presented by: J. Uribe MD, FAANS, R. Cardona MD, E. Dakwar MD
Juan Uribe, MD and his co-authors present progressively intensifying moderate to severe mid-back pain in a male. The patient reports his pain radiates anteriorly on his left side and makes walking difficult.

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