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L4-L5 Grade II Spondylolisthesis: Failed Laser Spine Surgery

Presented by: J. Uribe MD, FAANS
A 52-year-old female with a long-standing history of low back pain and radicular pain initially presented with a grade I spondylolisthesis. She received extensive medical treatment, but it failed to control her pain. She then had “laser” surgical decompression, but her pain persists and her spondylolisthesis has progressed to a grade II.

T3 Burst Fracture after Motor Vehicle Accident

Presented by: L. Sekhon MD, PhD, FAANS, FRACS, FACS
A 32-year-old woman presented to the emergency room after a rollover motor vehicle accident. She was instantly paralyzed in her lower extremities. She had no sensation below the clavicles, and she had severe neck pain.

Degenerative Scoliosis with Left L3 Radiculopathy

Patient Presents with Mechanical Low Back Pain and Neurogenic Claudication
Presented by: R. Knight MD, MHA
The patient is a high-functioning 80-year-old female who presents with mechanical low back pain, left L3 radiculopathy, and neurogenic claudication. How should she be treated? When do you recommend spine surgery?

Midthoracic Chance Fracture in a Morbidly Obese Polytrauma Patient

Presented by: J. Uribe MD, FAANS, A. Deukmedjian MD
The patient is a morbidly obese 63-year-old male who presented as a polytrauma after a ground level fall onto hard concrete. He denies numbness or weakness in extremities, but elicits severe pain in his back and right hip.

T5 Burst Fracture from MVA

Can the patient ever return to farming?
Presented by: R. Fessler MD, PhD
The patient is a 52-year-old female. Six months before presenting in the clinic, she was involved in a motor vehicle accident (MVA). She now can’t work her farm because of her back pain.

Thoracic Disc Herniation with Progressive Gait Symptoms

Presented by: L. Khoo MD
A 58-year-old right-handed female physician presented with sudden onset of thoracic pain and right-sided trunk and leg numbness. Although there is no history of trauma, there is a 6-week history of progressive gait symptoms and bladder incontinence.

Revision Surgery for Pseudarthrosis after Thoracolumbar Fracture Stabilization

Presented by: A. Baaj MD, I. Hussain MD
Adult male sustained L1 and L2 fractures during a helicopter crash. One year after treatment elsewhere, the patient presents with pseudarthrosis and debilitating back pain.

Grade II Isthmic Spondylolisthesis Revision

Presented by: C. Shaffrey MD
A 27-year-old female, with a grade 2 isthmic spondylolisthesis, presents with low back pain and extremity pain related to a lifting injury.

Lumbar Discal Cyst

Presented by: S. Namboothiri MS (Spine Surgery)
The patient is an 18-year-old male student who presents with low back pain and left thigh pain. Symptoms has persisted longer than one year.

Monostotic Fibrous Dysplasia with or without Spinal Hemangioma?

Presented by: I. Khan MD
A 17-year-old female presented with upper back pain and no neurological dysfunction.

Osteoporotic Burst Fracture

Presented by: S. Lewis MD
A 71-year-old priest presents with chronic pain in the upper thoracic and neck for about 2 months. Pain is progressive.

Lumbar Degenerative Scoliosis in a 69-year-old Female

Presented by: R. Fessler MD, PhD
The patient is a 69-year-old Asian female who presents with progressively more severe low back pain.

Cervical Myelopathy with Severe Lumbar Degenerative Disease

Presented by: J. Tuttle MD, M. Woodall MD
A 62-year-old white female presented with the chief complaint of low back and leg pain However, further she endorsed numbness and paresthesias of the bilateral hands, as well as unsteadiness of gait.
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