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spinemonitor: Neck & Back Pain eNewsletter from July 9, 2008

In this edition of spinemonitor, Timothy R. Kuklo, MD, JD presents an interesting and uncommon development in a patient with lumbar herniation and radiculopathy.  James S. Harrop, MD discusses the case and includes his treatment recommendations.

Featured Case Study
Lumbar Herniation with Radiculopathy
Photo: Timothy R. Kuklo, MD, JD Case Author:
Timothy R. Kuklo, MD, JD
Associate Professor, Orthopaedic Surgery and Neurological Surgery
Washington University School of Medicine
St. Louis, MO

The patient is a 42-year-old male with a 10-week history of left leg and back pain (60% leg pain, 40% back pain). He described his pain as posterior left thigh and calf, and posterior ankle. He cannot...

He is a healthy male with good coronal and sagittal balance. He has mild calf atrophy and...

AP and lateral standing lumbar radiographs demonstrate mild loss of disc height at L3-L4, L4-L5 and L5-S1 with...

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

Lateral standing lumbar radiograph

Fig. 1B - Lateral standing lumbar radiograph.
Click here for Larger Images

How Would You Treat this Patient?
Share Your Opinion
Two New Survey Opportunities: Intradiscal Therapies and Vertebroplasty
IDET and Vertebroplasty Survey
A medical device company is developing products to better meet the demands of physicians performing vertebral body augmentation procedures and physicians in the pain management community. As part of their development process, the company is seeking to gain a better understanding of the needs of physicians currently performing intradiscal therapy and vertebroplasty procedures.

If you perform either procedure, you are invited to take 5 minutes to complete the surveys below.  You will receive a $15 eCertificate for each completed survey, redeemable for medically relevant items.

Thank you in advance for sharing your opinions.

IDET Therapies Survey Vertebroplasty Survey
You are invited to take a 5 minute survey on IDET Therapies, begin survey or click the button below. You are invited to take a 5 minute survey on Vertebroplasty, begin survey or click the button below.
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Would You Like to Feature One of Your Cases?
SpineUniverse invites you to submit your surgical or non-surgical cases for an upcoming issue!

Spine cases are an invaluable tool to enable specialists to learn from one another as they seek to provide improved patient care.  SpineUniverse makes case submission easy and our staff can help you get started.  To learn more, or to submit a case, please view our submission guidelines or contact Susan Spinasanta at

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Sponsored by: Axiom Worlwide
Decompression Therapy: A Surgeon's Point of View

W. Robert Hudgins, M.D.

In this interview, W. Robert Hudgins, MD, explains what motivated him to choose the DRX9000™ for his practice, his experience using the equipment, as well as patient outcomes.

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.
Cervical Trauma in a Young Football Player
By Christopher I. Shaffrey, MD

Bilateral L2 Spondylolysis: Nonsurgical or Surgical Treatment?
By Michael P. Schaefer, MD

Cervical Degenerative Changes with Segmental Kyphosis
By Marc A. Weinstein, MD

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

View All Case Studies

Update your Practice
Upcoming CME Event - Don't Miss It
PAINWEEK - September 4-7, 2008
PAINWEEK CME EventPAINWeek is a convergence of multiple pain and primary care organizations presenting educational sessions at a single national conference. PAINWeek is primarily intended for physicians, nursing professionals, physician assistants, dentists, pharmacists, psychologists, and podiatrists.

A distinguished and varied faculty provides relevant education and clinical tools for frontline practitioners faced with making pain management decisions.

Learning Objectives Include:
  • Distinguish acute and chronic pain
  • Define the mechanisms of action of pain types
  • Determine effective treatment protocols among current and emerging therapies
  • Recognize cultural barriers
  • Assess the importance of functional capacity evaluations
  • Demonstrate clinical interviewing and physical exam competency
  • Interpret laboratory and imaging studies as they relate to pain diagnostics
  • Distinguish multiple pain syndromes

Keynote Speaker: Howard Heit, MD

Click below for a SPECIAL registration rate of $269.

View Event Details


PAINWeek 2008 - September 4-7, 2008 at the Red Rock Casino, Resort, and Spa in Las Vegas, Nevada. 75+ CE/CME hours provided.
Download a PDF of the Course Brochure
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