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spinemonitor: Neck & Back Pain eNewsletter from November 15, 2007

In this issue of spinemonitor, the editors add a new twist to the voting –
real time results

New Surgical Case Study
Cervical Pseudoarthrosis and Adjacent Level Disease

This 70 year-old female presented reporting increasing neck and periscapular pain over several years.  The patient underwent a C5-C7 ACDF 11 years earlier.  Her pain intensified and radiated into the deltoid area following a minor motor vehicle accident 6 months earlier. 

On exam, there was some pain with ROM, but otherwise no focal deficits.

Lateral C-spine film shows a broken plate and probable pseudoarthrosis at C5-C6.  MRI demonstrates C4-C5 spondylosis with bilateral neural foraminal stenosis (Fig 1).  Solid fusion is evident at C6-C7 (Fig. 1)...Read Complete Case and View Outcome

Adult Onset Scoliosis

Fig.1 Solid fusion is evident at C6-C7
Click here for Larger Image

Click Here to Answer
Photo: Jason M. Highsmith, MD Neurosurgeon Case Author:
Jason M. Highsmith, MD
Private Practice
Charleston, South Carolina
Featured CME Event
Minimally Invasive Spinal Surgery and Navigation Hands-on Symposium
A Hands-on, 2-day CME Symposium in New York City
16.5 AMA PRA Category 1 Credit(s)

Nov. 30th – Dec. 1st, 2007
Weill Cornell Medical College
New York, NY 10065
Weill Cornell Medical College
Plan now to participate in this CME event led by a world-renowned faculty.  The purpose of this symposium is to provide a comprehensive overview of current minimally invasive techniques, including an outlook on the potential of biological disc replacement. Practical sessions will allow the participant to apply the latest spinal techniques including spinal navigation in cadavers.  Educational objectives include 1) the ability to understand the anatomy and radiology of spinal and paraspinal structures in the lumbar and sacral regions 2) determine which types of pathology are amenable to minimally invasive spine surgery, and 3) grasp the principles of stereotactic spinal navigation and its use for minimally invasive spinal procedures. Practicing neurosurgeons, orthopaedic spine surgeons, fellows, and residents in training can benefit by becoming familiar with these new approaches and advances. 

Course Directors:

· Roger Härtl, MD
· Luiz M Pimenta, MD

View Event Details

Guest Faculty:
· Lawrence Bonassar, PhD
· Anders Cohen, DO
· Federico P. Girardi, MD
· Andreas Korge, MD
· Hans Jörg Meisel, MD PhD
· Eric W. Nottmeier, MD
· Noel I. Perin, FRCS, MD
· Joseph M. Lane, MD
Sponsored by: Trans1
Trans1 - Percutaneous 360 Fusion
Last Issue's Case:
View Outcome From Last Issue: Adult Onset Scoliosis

In the last issue of spinemonitor, we introduced a case from Dr Amir A Mehbod with commentary from Lawrence G. Lenke, MD. 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.

View Case Study Outcome
Past Case Studies
Spinal Stenosis – Unresponsive to Nonoperative Treatment

Pseudofusion Dilemma

Reactive Scoliosis
Sponsored Technical Note
A Discussion of the Trans1 AxiaLIF®
Larry T. Khoo, MD by Larry T. Khoo, MD
CoDirector, Comprehensive Spine Center
Assistant Professor, Neurosurgery and Orthopedics
UCLA Medical Center, Neurosurgery
Los Angeles, CA

Doctor Khoo has been involved in clinical trials of the AxiaLIF® system and is a coauthor of a technical note and 2 case presentations on the system* and has presented their long-term clinical experience with the technique at several national meetings.  Here he provides further insight to this new procedure... Read More

View Complete Article

A Discussion of the Trans1 AxiaLIF

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