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spinemonitor: Neck & Back Pain eNewsletter from SpineUniverse.com
spineuniverse.com/professional June 11, 2008

Spinemonitor’s featured case is bilateral lumbar spondylolysis, which could be treated with or without surgery.  The case is presented by Michael P. Schaefer, MD with discussion from Gerard Malanga, MD.  This edition’s sponsored case, by Marc A. Weinstein, MD, concerns cervical degenerative changes with segmental kyphosis.  Todd Albert, MD provides commentary.  Remember, you can vote on both cases!

Featured Case Study
Bilateral L2 Spondylolysis: Nonsurgical or Surgical Treatment?
Photo: Michael P. Schaefer, MD Case Author:
Michael P. Schaefer, MD
Assistant Professor, PM&R
Case Western Reserve University
Cleveland, OH

History
The patient is a 29-year-old male pharmaceutical representative and former collegiate American football player. He presented with sharp stabbing pain in the upper lumbar spine for 3 years. Although he recalls no injury to the spine, he did incur multiple lumbar strains and contusions while playing football. His daily pain is severe, constant, and increases with any activity, especially…

Examination
The patient presented as a pleasant, healthy individual in no distress. His cardiopulmonary and neurological exams were normal. The lumbar examination included…

Prior Treatment
The patient tried, without success, multiple physical therapy treatments, conventional exercise, and chiropractic with a…

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

Bilateral L2 Spondylolysis: Nonsurgical or Surgical Treatment?

Fig. 1A - Bilateral L2-L3 spondylolysis.
Click here for Larger Images

How Would You Treat this Patient?
Featured Technology Case
Cervical Degenerative Changes with Segmental Kyphosis
Photo: Marc A. Weinstein, MD Case Author:
Marc A. Weinstein, MD
Orthopaedic Spine Surgeon
Florida Orthopaedic Institute
Tampa, FL
This case sponsored by: LifeSpine

History
The patient is a 44-year-old female who presented with a 6-month history of left-sided neck, periscapular, and arm pain. She also noted paresthesias in her left arm toward the radial forearm, thumb and index finger. She is a nonsmoker...

Examination
Electromyography and nerve conduction studies were consistent with C6 radiculopathy. A C5-C6 selective nerve root block was diagnostic for…

Prior Treatment
Despite treatment with medications, 6-weeks of physical therapy, and chiropractic care, her symptoms persist...

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


Cervical Degenerative Changes with Segmental Kyphosis

Fig. 1 - Degenerative changes, loss of disc space.
Click here for Larger Images

How Would You Treat this Patient?
About Our Sponsor:
DIAM™ Spinal Stabilization System Clinical Trial for Patients with Degenerative Disc Disease

Spinal surgeons around the country are now enrolling candidates for this clinical trial. This clinical trial will study the safety and effectiveness of the device for treatment of degenerative disc disease (DDD) at a single level between L2-L5.

The DIAM™ Spinal Stabilization System clinical trial is for patients with moderate lumbar degenerative disc disease. Men and women between the ages of 18 and 70 years, with moderate low back pain secondary to lumbar degenerative disc disease at one level, may meet selection criteria. Patients selected to participate in this trial will either undergo posterior spine surgery to implant the DIAM™ device or receive nonoperative treatment.

Learn More
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.
High-speed Motor Vehicle Accident: 24 Year-old
By Alexander Vaccaro, MD, PhD and D. Greg Anderson, MD

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


 
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