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spinemonitor: Neck & Back Pain eNewsletter from May 28, 2008

Featured in today’s spinemonitor is a MVA / trauma case by Alexander Vaccaro, MD, PhD and D. Greg Anderson, MD with discussion by Neel Anand, MD, Mch Orth.  In our first sponsored technology case, Mitchell A. Hardenbrook, MD presents an interesting alternative to traditional lumbar discectomy with commentary by Larry T. Khoo, MDLet us know what you think and don’t forget to vote on each case!

Featured Case Study
High-speed Motor Vehicle Accident
Photo: Alexander Vaccaro, MD, PhD Case Authors:
Alexander Vaccaro, MD, PhD
Thomas Jefferson University
Thomas Jefferson University Hospital
Department of Orthopaedic Surgery
Rothman Institute
Philadelphia, PA
Photo: D. Greg Anderson, MD

D. Greg Anderson, MD
Associate Professor
Department of Orthopaedics
Thomas Jefferson University
Philadelphia, PA

On Behalf of The Spine Trauma Study Group
The patient is a 24-year-old woman, who was a rear passenger in a high-speed motor vehicle accident.  She was properly restrained wearing a seat belt.  The patient presents with...

Physical Examination:
The patient is neurologically intact and only complained of severe...

Prior Treatment:
The patient had no prior history of spinal complaints...

Find out here...Read Complete Case, Vote for Treatment, and View Outcome

High-speed Motor Vehicle Accident

Fig. 4 - Sagittal MRI demonstrates a flexion- distraction injury of T12-L1.
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How Would You Treat this Patient?
TLIF Survey
Spine Surgery Videos
OR-Live Spine Surgery Videos

We have partnered with OR-Live to bring you videos covering breakthrough procedures. Chronic pain therapy, nucleoplasty, vertebroplasty, PLIF, TLIF, minimally invasive techniques, and others.
View all videos
Past Spine Cases:
Below is a listing of previous spine case studies. Feel free to browse and vote for treatment options for each case.
Spontaneous Low Back Pain, Radiculopathy and Weakness in a 28-Year-old
By Faisel M. Zaman, MD, FAAPMR, ABPM

Cervical Radiculopathy: Classic Case?
By Richard G. Fessler, MD, PhD

Competitive Equestrienne: Incapacitating Low Back Pain
By Richard G. Fessler, MD, PhD

View All Case Studies

Featured Case Study - Technology Update Sponsored by HydroCision
Lumbar Radicular Symptoms in a 24-Year-old Male
Photo: Mitchell A. Hardenbrook, MD Case Author:
Mitchell A. Hardenbrook, MD
Assistant Professor of Surgery
Uniformed Services University of the Health Sciences
Boston, MA
This case sponsored by: HydroCision
A 24-year-old male in the United States Air Force complains of 5-month history of back pain radiating to the left buttock, leg and great toe. There was no inciting event. He rates his pain at 7/10. The pain is aggravated by lifting, coughing, bending, running and bending forward and relieved only slightly by rest. He is unable to perform his duties on the flight line because of his pain...

Physical Examination:
A physical exam revealed a positive straight leg raise at 30-degress with pain radiating to...

Prior Treatment:
Despite NSAIDs and narcotic pain medications, his pain worsened.


An MRI of the lumbar spine reveals a large, non-contained, subligamentous left paracentral herniated nucleus pulposus at L4-5 with compression of the traversing L5 nerve root...
Read Complete Case, Vote for Treatment, and View Outcome

Dr. Hardenbrook is the former Director of Spine Surgery, Portsmouth Naval Hospital, Portsmouth, VA

The view(s) expressed are those of the author and do not reflect the official policy of the Department of the Navy, Department of Defense or the United States Government.

Lumbar Radicular Symptoms in a 24-Year-old Male

Fig. 1B. T2 sagittal MRI showing HNP, left L4-L5 with compression of L5 nerve root.
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How Would You Treat this Patient?
SpineUniverse Professional Services
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*Source: Harris Interactive "160 Million Americans Have Gone Online for Health Information" August 2007
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