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spinemonitor: Neck & Back Pain eNewsletter from January 23, 2008
This edition of spinemonitor features two distinct, but equally interesting cases.  Reginald Q. Knight, MD presents Adolescent Disc Herniation, and Daniel K. Park, MD and Howard S. An, MD examine Cervical Chondrosarcoma, a rare condition for which few reports exist.
New Case Study
Adolescent Disc Herniation: Conservative or Surgical Treatment?
Reginald Q. Knight, MD Case Author:
Reginald Q. Knight, MD
Orthopedic Spine Surgeon
Orthopedics International
Kirkland, WA
The patient is a 17-year-old male who presents with a 6-month history of increasing low back and buttock pain.  He sustained a twisting injury when hit by another soccer player and landing awkwardly during a game.  He denied any pain below his knee...

Sagittal T1 and T2 MRI with axial view through L5-S1 (Figure 2)...

Physical Examination:
Well-nourished, well-developed male.  He stands 6’2’’ and weighs 178 pounds.  He is normocephalic, alert, and oriented times three.  He has a normal plantigrade gait... 

L5-S1 herniated nucleus pulposus with referred pain to the right buttock.... Read Complete Case and View Outcome

Adolescent Disc Herniation

Fig. 2: Sagittal T1 and T2 MRI with axial view through L5-S1
Click here for Larger Image

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Past Spine Cases:
Below is a listing of previous spine case studies. Feel free to browse and vote for treatment options for each case.
Severe Low Back Pain in a 90-Year Old Male
By: Steven Richeimer, MD

Adjacent Segment Degeneration after Previous Decompression and Fusion
By: David W. Polly, Jr., MD

Degenerative Disc Disease
By: David W. Polly, Jr., MD

Cervical Pseudoarthrosis and Adjacent Level Disease
By: Jason M. Highsmith, MD

Adult Onset Scoliosis
By: Amir A. Mehbod, MD

Spinal Stenosis – Unresponsive to Nonoperative Treatment
By: Jason M. Highsmith, MD

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Featured Article
Cervical Chondrosarcoma
Daniel K. Park, MD by Daniel K. Park, MD
Orthopedic Surgery Resident
Rush University Medical Center
Chicago, IL
Howard S. An, MD and Howard S. An, MD
Orthopaedic Surgeon
Rush-Presbyterian St. Luke's Medical Center
Chicago, IL

A 65-year-old right-hand dominant lady presented with an 8-month history of left suboccipital and occipito-parietal pain and upper neck pain. Her pain was exacerbated by any head movements and radiated along the left arm. It was associated with numbness and paresthesias in the left hand fingers that waken her at night. She also complained of bilateral leg weakness; the left leg was weaker and gait imbalance... Read More

View Complete Article

Featured Event
Sharpening Your Spine Surgery Skills: A Hands-on Cadaveric Course

April 18-19, 2008
The Westin Lombard and The Spine Masters Institute Burr Ridge, IL (Chicago suburbs)

Keith H. Bridwell, MD
William C. Horton, III, MD
Richard G. Fessler, MD
David W. Polly, Jr., MD
Harry L. Shufflebarger, MD

In two days of hands-on cadaveric labs (10+ hours) and lectures, the course will update you on the latest spine techniques and technologies, including cervical arthroplasty, osteotomies (VCRs, PSOs), minimally invasive techniques, and regional fixation—cervical to sacrum. A faculty of 14 leading orthopaedic and neurological surgeons lead the course for orthopaedic and neurological surgeons, residents and fellows.

The Westin Lombard, Burr Ridge, IL

View Event Details
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