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Kyphoscoliosis in a 71-year-old Female

Should You Fuse to the Sacrum or Pelvis?
Presented by: S. Glassman MD
How would you treat this patient? She is 71 years old and presents with progressive loss of standing balance, severe back pain and buttock pain, and moderate neurogenic claudication.

Progressive Pseudoclaudication in an Elderly Man

Presented by: J. Schwender MD
This 72-year-old man presented with progressive pseudoclaudication. His ability to walk is limited to 100 yards. Bilateral L3 radiculopathy was confirmed with EMG.

Elderly Woman with Progressive Difficulty Walking

Presented by: M. Perez-Cruet MD
Vote for your treatment preference in this spine case: 91-year-old woman presents with one-year history of gradually progressive difficulty walking.

Severe Back Pain with Radiation Around Right Abdomen

Presented by: R. Fessler MD, PhD
Spine case from Richard G. Fessler, MD, PhD, a neurosurgeon: The patient is a 39-year-old male who presents with severe back pain that radiates around right abdomen to just below the navel.

Nun with Progressive Deformity: Fuse or Not Fuse?

Presented by: .
The patient is a 24-year-old nun who presents with progressive deformity. She says she had a 45° right thoracic curve at age 17. She has more back pain than 5 years ago, but it is not excruciating.

Adolescent Idiopathic Scoliosis in a 17-year-old Boy

Presented by: B. Lonner MD
The patient is a 17-year-old boy who presented with AIS and worsening truncal deformity. He indicated increasing activity-related discomfort over the lumbar convexity over the prior 6 months and significant waistline changes.

Lumbar Spinal Stenosis with Degenerative Deformity

Presented by: J. Ammerman MD, M. Ammerman MD, J. Wind MD
The patient is a 79-year-old male with a 9-month history of back pain and left buttock and posterior thigh pain when walking more than one block. Twelve years prior, he underwent an open L3-S1 decompressive laminectomy and non-instrumented posterolateral fusion L4-S1 for spinal stenosis, with good results.

Reactive Scoliosis

Presented by: A. Mehbod MD

Magnetically Controlled Growing Rods (MCGR) for the Treatment of Progressive Early-Onset Scoliosis (EOS)

Presented by: J. Pawelek , N. Arandi
An 8+2 year-old boy was diagnosed with idiopathic early onset scoliosis (EOS) at the age of 9-months. Family history is significant for paternal grandmother and aunt who were diagnosed with scoliosis.

Woman with Ankylosing Spondylitis

Deformity Makes It Difficult to Look People in the Eye
Presented by: .

The patient is a 66-year-old female with ankylosing spondylitis who independently ambulates without any aids.  Her deformity makes horizonal gaze difficult.  How would you approach treatment, and what risks are involved?

Adult Sagittal and Coronal Imbalance: How to Correct?

Presented by: O. Boachie-Adjei MD
The patient is a 50-year-old female with chief complaints of back pain and postural deformity. She’s diagnosed with post-surgical sagittal and coronal imbalance: how do you adequately correct the deformity?

Increasing Pediatric Spinal Deformity

Early Onset Scoliosis Discussion by Behrooz A. Akbarnia, MD
Presented by: C. Johnston MD
A 5-year-old male with uncharacterized congenital myopathy presents with increasing spinal deformity. He is ambulatory, but having some recent balance issues.

Sagittal Imbalance following Previous Surgery

Presented by: F. Schwab MD
This case illustrates the complex nature of sagittal spinal imbalance including a shift in her center sacral line secondary to multi-level degenerative lumbar discs.

Grade IV Ismthic Spondylolisthesis

Presented by: C. Shaffrey MD
The patient is a 32-year-old who underwent in situ fusion for grade II spondylolisthesis at age 16. She now presents with increasing low back pain with radiculopathy.

Growing Spine Case: 5-Year-old with Increasing Spinal Deformity

Presented by: C. Johnston MD
A 5-year-old male, with an uncharacterized congenital myopathy, presented for increasing spinal deformity.
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