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Neurofibromatosis (NF-1) in a 15-Year-old

Presented by: C. Shaffrey MD
The patient is a 15-year-old boy with neurofibromatosis who fell while skateboarding and suffered temporary quadriplegia.

Cervical Myelopathy: Difficulty with Rapid Fine Hand Movements

Presented by: V. Traynelis MD
A 64-year-old man had a C4-C6 laminectomy performed 3 years ago for myelopathy due to stenosis. His myelopathy improved, and he did well for a year. He then began to develop increasing neck pain, and his myelopathic symptoms began to return. Additionally he began to have great difficulty holding his head up.

Cervical Myelopathy with Osteomyelitis or Something Else?

Presented by: I. Lieberman MD, MBA, FRCSC
The patient is a 70-year-old male with a history of cervical pain that has increased the last two months. He is an active golfer and complains of hand grip weakness that affects his game.

Severe Sagittal Imbalance and Lumbar Spinal Stenosis in a Patient with Multiple Medical Comorbidities

Presented by: A. Jorgensen MD, H. An MD
The patient is a 50-year-old male with end-stage renal disease (ESRD), on dialysis, and presents with a 10-year history of low back pain. He was a successful engineer. However, he had to go on disability starting two years ago due to progression of his symptoms.

Minimally Invasive Treatment of Adjacent Segment Disease

Presented by: A. Baaj MD
An elderly female presents two years after an open L4-S1 surgery at an outside institution with progressive mechanical back pain and neurogenic claudication. She had attempted non-operative measures with minimal relief.

Minimally Invasive Treatment of Spinal Deformity in a High-risk Patient

Presented by: J. Uribe MD, FAANS
A 63-year-old male, active in the martial arts presents with significant lower back and bilateral lower extremity pain. His medical history places him in a high-risk surgical category.

Adolescent Idiopathic Scoliosis in a Young Musician

Presented by: .
The patient is a 16-year-old female musician who presents with adolescent idiopathic scoliosis. She has received no previous scoliosis treatment or bracing.

Intradural Calcified Thoracic Meningioma

Presented by: M. Oppenlander MD, J. Harrop MD, FACS
This 78-year-old woman presents with progressive gait difficulty. She went from independent ambulation to requiring the use of a walker, and now has difficulty even with standing. Extensive workup eventually found an intradural lesion.

Awake Spinal Fusion

Is awake spine fusion a viable treatment choice in this 48-year-old male?
Presented by: A. Sharan MD, MHCDS
Would you consider Awake Spinal Fusion in this 48-year-old male who developed lumbar disc reherniation after a successful microdiscectomy?

Lumbar Arthroplasty Revision

Presented by: L. Sekhon MD, PhD, FAANS, FRACS, FACS
A 44-year-old woman reported low back pain and difficulty with defecation. The patient had surgery 2 years earlier with the implantation of an artificial lumbar disc. The surgery did not reduce her low back pain. A year post-op she developed increased low back pain.

Cervical Chondrosarcoma

Presented by: D. Park MD, H. An MD
Doctors Daniel K. Park and Howard S. An present primary chondrosarcoma; a rare condition and few reports exist beyond this case.

Traumatic Sacral Fracture with Neurological Impairment

Presented by: M. Fehlings MD, PhD, FRCSC, FACS, A. Ibrahim MBBS, PhD, FRCS
The patient is a 55-year-old woman with a history of osteoporosis, schizophrenia, and Hepatitis C. She presents with ongoing buttock pain that is severe, and indicates increased incontinence (over 2/52).

Foreign Diplomat with Neck Pain and Right C6 and C7 Radiculopathies

Presented by: R. Fessler MD, PhD
A 59-year-old male who is a foreign diplomat presents with neck pain and right C6 and C7 radiculopathies.

Cervical Symptoms Recur after Artificial Disc Replacement

Presented by: D. Corenman MD, DC
This 48-year-old male patient underwent artificial disc replacement (ADR) at C6-C7 for foraminal stenosis 2 years earlier with another surgeon. His pain was reduced by 50% and he did reasonably well until approximately 6 months ago.

Does this 21-year-old need a spinal fusion?

Presented by: C. Hemmer DNP, ANP, T. Piper MD
The authors pose 2 questions for consideration regarding a young adult with a previous history of low back pain now reporting marked increase in leg pain.
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