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spinemonitor: Neck & Back Pain eNewsletter from SpineUniverse.com
spineuniverse.com/professional September 27, 2007
Surgical Case Study
Part 1: Pseudofusion Dilemma

A 53-year-old, nonsmoking woman came to the clinic with increasing back and right leg pain despite undergoing an L4-S1 TLIF and lateral mass fusion with BMP just 8 months prior. She initially had surgery for severe degenerative disc disease at L4-5 and a Grade I spondylolisthesis with stenosis at L5-S1.

This procedure provided good relief of her pain. Her past surgical history also includes a retroperitoneal approach pelvic floor reconstruction for uterine and rectal prolapse and bladder neck suspension...Read More

Sagittal T2 MRI showing severe stenosis at L4-5; preserved lordosis and autofusion of L5-S1

Sagittal CT scan confirming pseudofusion at both interspaces
Photo: Jason M. Highsmith, MD Neurosurgeon Case Author:
Jason M. Highsmith, MD
Neurosurgeon
Private Practice
Charleston, South Carolina
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Trans1 - Percutaneous 360 Fusion
Last Issue's Case:
Part 2: Spinal Stenosis – Unresponsive to Nonoperative Treatment

The New SpineUniverse
Post-op film

In the last issue of spinemonitor, we introduced a case from Dr Jason Highsmith with commentary from Dr Steven Ondra. To see the voting outcome, click here.

In this issue, we bring you another case for you to review. Be sure to vote for the condition you feel is best represented by the case and check back in the next issue!

View Case Study Outcome
Trans1 - Percutaneous 360 Fusion
Practice Management
What Makes a Practice Successful?
Marcy Rogers, MEd by Marcy Rogers, MEd
President/Chief Executive Officer
SpineMark Corporation
San Diego, CA

It's not easy creating the most dynamic, successful office in town. But the job is made much simpler by focusing on these 8 areas for an optimal practice in any location.

1) Medical Claims Process
Crush your billing and collection operations to achieve maximum results ...Read More

2) Financial
Think about your assets which are employees, medical equipment, space, and reputation. How are you using each to maximize revenue?...Read More

3) Marketing
Plan your marketing carefully, making sure you have determined how you will measure results. Don't spend practice marketing money blindly; always know the effort's value so you can repeat those efforts with the highest returns...Read More

Tips for Considering Joining a Group Practice

View Complete Article
Featured Event
17th Annual Dr Tom Lowe Spine Symposium: The Surgical Management of Spinal Disorders


January 10-13, 2008
The Pines Lodge
Beaver Creek, Colorado USA

The 17th Annual Surgical Management of Spinal Disorders honors Thomas G Lowe, MD's commitment to the training and education of spine surgeons.

Who Should Attend?
This advanced course is for orthopaedic and neurological surgeons, fellows and residents who include spine surgery in their practices.

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