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spinemonitor: Neck & Back Pain eNewsletter from SpineUniverse.com
spineuniverse.com/professional August 13, 2008

This edition of spinemonitor presents two different cases.  First, Christopher I. Shaffrey, MD presents cervical trauma resulting in immediate quadriplegia.  Marcel F. S. Dvorak, MD, FRCSC and Lali Sekhon, MD, PhD, FRACS, FICS provide the case discussion. 

Next, Leonardo Kapural, MD, PhD and Jennifer Ferreira, PA-C, MPAS reveal how a middle-aged man with intractable chronic pain following spine surgery was treated.  Jason M. Highsmith, MD comments on this classic case of neuropathic leg pain.

Featured Case Study - I
Cervical Trauma Resulting in Quadriplegia
Photo: Christopher I. Shaffrey, MD Case Author:
Christopher I. Shaffrey, MD
Professor, Department of Neurological Surgery
University of Virginia
Charlottesville, VA

History
The patient is a 28-year-old male, who, while intoxicated, fell 30-feet after climbing a tree to escape the police. Quadriplegia was immediate on falling. He presented at the emergency room within 20-minutes of falling....

Examination
His neurological examination revealed 5/5 bilateral deltoid, 5-/5 bilateral bicep, 4/5 wrist extension, 3/5 finger extension, and 0/5 distal with a...

Diagnosis:
Residual cervical disc herniation versus small epidural hematoma, with associated subluxation, stenosis, and...Read Complete Case, Vote for Treatment, and View Outcome

Cervical Trauma Resulting in Quadriplegia

Fig. 1 - Lateral swimmer's view.
Click here for Larger Images

How Would You Treat this Patient?
Featured Case Study - II
Intractable Chronic Pain in Patient with Post-laminectomy Syndrome
Photo: Richard G. Fessler, MD, PhD Case Author:
Leonardo Kapural, MD, PhD
Director, Clinical Research
Cleveland Clinic, Pain Management Department
Cleveland, OH

History
The patient is a 51-year-old male who presents for evaluation of low back and left leg pain secondary to lumbosacral neuritis and failed back surgery syndrome. He had a lumbar laminectomy performed 4-years ago for stenosis.  He works full time as a college professor but cannot...

Examination
On exam, he is hunched at the waist and ambulates with an antalgic gait using a cane. He has paraspinous tenderness and...

Prior Treatment
Since surgery, he has undergone interlaminar epidural steroid injections, without relief, as well as...

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

How Would You Treat this Patient?

SpineUniverse Exclusive - Airline Seat Survey
Airline Survey Results

Memo to Airlines: No More In-flight Back Pain


Dear Airline Industry,

A recent survey on SpineUniverse found that 88% of people have back or neck pain after a flight. That's almost everyone! But here's what you may be interested in - 74% of people surveyed have a few words they want to say to you: Charge me more, please.

If you give them a more spine-friendly airplane seat, that is. People are willing to pay an extra fee for a seat that gives them support, not back pain.

So, what do you think? You can read an article about the airplane survey here.

Sincerely,

SpineUniverse

View Article
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Spineuniverse.com is the resource for your patients with more than 2,500 peer-reviewed articles!

Below are some of the hot topics in spine that your patients are reading about:

BlackBerry Neck? High-tech Can Be a Pain in the Neck

Memo to Airlines: Travelers Would Pay More to Avoid In-flight Back Pain

Exams and Tests for Spondylosis
CME Opportunity
Past Spine Cases:
Below is a listing of previous spine case studies. Feel free to browse and vote for treatment options for each case.
Gait and Balance Difficulties in a 76-Year-old Male
By Richard G. Fessler, MD, PhD

Lumbar Herniation with Radiculopathy
By Timothy R. Kuklo, MD, JD

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

View All Case Studies

Update your Practice

Featured CME Opportunity - November 8-9, 2008
1st International Cadaveric Course on Emerging Techniques and Technologies in Spine Surgery

November 8-9, 2008
University of Toronto Surgical Skills Centre at Mount Sinai Hospital
Toronto, Canada

Under the direction of an outstanding international faculty, participants will receive 6 hours of cadaveric labs, plus lectures and discussion of the latest techniques and technologies in spine surgery. 

Cadaveric Labs Include:

  • Posterior cervical strategies
  • TLIF / XLIF / DLIF
  • Cervical and lumbar arthroplasty
  • Interspinous spacers and pre-sacral approaches to L5-S1 

Chairmen:
Mark B. Dekutoski, MD
Michael G. Fehlings, MD, PhD
Jeffrey C. Wang, MD

New CME Opportunity

Register early as space will fill rapidly!

Download Course Brochure
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 sspinasanta@spineuniverse.com.

Submit a Case Study
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