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Sudden Onset of Paraplegia: T2 and T3 Collapse with Abscess

Tuberculosis Case: How to Treat the Abscess?
Presented by: N. Arbatti MS (Ortho), FISS, FABMISS
The patient is a 60-year-old female with sudden onset of paraplegia for the last 2 days. She has a previous history of low-grade neck and upper back pain for the last 6 months. Biopsy reveals tuberculosis: how to treat?

Recurrent Back Pain in a 15-year-old Female Athlete

Presented by: M. Dekutoski MD
A 15-year-old female athlete presented with recurrent back pain (>18 months). The original onset was in playing basketball, and when she stopped playing, it improved. She re-injured her back in the spring. How would you treat her?

15-year-old Female with Adolescent Idiopathic Scoliosis and Back Pain

Presented by: S. Luhmann MD
Adolescent idiopathic scoliosis in a 15-year-old female: how did the submitting orthopaedic surgeon treat her? How would you treat her? Vote in SpineUniverse's Interactive Case Study!

Paraplegic with Charcot Spine: Complains of Back Pain and Instability

Presented by: S. Lewis MD
A 40-year-old female paraplegic complains of back pain and instability: how would you treat this case? Case submitted by Stephen Lewis, MD.

Retired Truck Driver with Progressive Axial Low Back Pain

Presents with Radiculopathy, and Cauda Equina Syndrome
Presented by: M. Dekutoski MD
The patient is a 66-year-old male retired security truck driver. He underwent an L3-S1 in situ fusion for leg pain and spondylolisthesis 30 years prior to presenting in our office. He now has a primary complaint of pain that worsens with activity and at the end of the day.

Lumbar Radicular Symptoms in a 24-year-old Male

Presented by: M. Hardenbrook MD
A 24-year-old male with back pain that radiates to the left buttock, leg and great toe, rates his pain at 7/10.

Severe L5 Burst Fracture

Presented by: A. Baaj MD
This young adult presented with severe lower back pain, bowel and bladder incontinence, and no movement in his right foot following a motor vehicle accident.

L5-S1 Grade II Spondylolisthesis

Patient Presents PMVA
Presented by: G. Girasole MD
The patient is a 21-year-old female who presents after a motor vehicle accident. She also has a 5-month history of low back pain, along with right leg pain and tingling.

Flexion-distraction Injury at L4-L5 in Obese Patient

Presented by: Y. Rampersaud MD
A 45-year-old overweight man (300+ pounds) had fallen out of a tree and presented complaining of back pain.

T12-L3 Fixation across L2: Burst Fracture

Presented by: D. Corenman MD, DC
The patient is a 27-year-old male with a L2 burst fracture from a ski-jumping accident. Pain is 4/10 to 5/10 (supine). Axial low back pain radiates to S1 with paresthesias into the anterior thighs. No leg pain.

L5-S1 Spondylolisthesis: Failed Pain Management

Presented by: J. Uribe MD, FAANS, C. Burkett MD
The patient is a 51-year-old female with a history of chronic back pain. She denies any radicular pain or weakness. The patient has received extensive medical pain management, which failed to satisfactorily control her pain.

L5-S1 Spondylolisthesis in a Young Female, Previous Gymnast

Presented by: P. Mummaneni MD
A 33-year-old female presented with bilateral low back and leg pain, with no prior medical history. She had been an active gymnast until her late teens.

Thoracic Disc Herniation

Presented by: T. Yoon MD, PhD
The patient is a 58-year-old Caucasian male who presented with a chief complaint of gait disturbance. The gait disturbance had been present for one year, but it had significantly deteriorated in the previous 2 months.

Thoracic Herniated Disc

Presented by: K. Kim MD
The patient is a 58-year-old man with mid-back pain. The patient reported pain that wrapped around his rib cage to the front of his chest and intermittent "electric-shock" sensation to his left anterior thigh. Although he mentioned more recent difficulty with walking his chief complaint still was mid-back pain.

C4-C7 Spondylosis with Foraminal Stenosis

Presented by: J. Roh MD, MBA, MSc
A 58-year-old female who is right-hand dominant presented with a one-year history of progressively worsening right-sided neck and arm pain. The pain radiates down her right arm in a C6 dermatomal distribution, and she has associated paresthesias.

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