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spinemonitor: Neck & Back Pain eNewsletter from August 27, 2008
SpineVision - PediGuard

This edition of spinemonitor features two original cases.  First, Richard G. Fessler, MD, PhD presents cervical degenerative disease — with myelopathy?  You decide.  Vincent Traynelis, MD discusses Dr. Fessler’s case.  Next, Timothy R. Kuklo, MD, JD presents severe back and leg pain with quadricep weakness in a mature woman.  Jason M. Highsmith, MD provides commentary.

Featured Case Study - I
Cervical DDD with Myelopathy?
Photo: Richard G. Fessler, MD, PhD Case Author:
Richard G. Fessler, MD, PhD
Professor of Neurological Surgery
Northwestern University
Chicago, IL

The patient is a 67-year-old male who presented with neck pain and mild radiation into...

The patient's neurological examination showed 5/5 strength, normal sensation, some slight difficulty with tandem gait, and normal reflexes. His Babinski response was...

Cervical degenerative disc disease with...

Read Complete Case, Vote for Treatment, and View Outcome

Cervical DDD with Myelopathy

Fig. 1 - Disc space collapse, disc bulging
Click here for Larger Images

How Would You Treat this Patient?
Featured Case Study - II
Increasing Back and Leg Pain, Quadricep Weakness
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 60-year-old female with a 4-year history of increasing back pain and severe leg pain (50% back pain, 50% leg pain) with bilateral quadricep weakness...

She demonstrates good coronal and sagittal balance. Forward flexion is limited to 30-degrees secondary to pain. She experiences difficulty...

Flexion/extension radiographs demonstrate...Read Complete Case, Vote for Treatment, and View Outcome

Increasing Back and Leg Pain, Quadricep Weakness

Fig. 1 -Degenerative changes
Click here for Larger Images

How Would You Treat this Patient?
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
  • Cervical and lumbar arthroplasty
  • Interspinous spacers and pre-sacral approaches to L5-S1 
New CME Opportunity

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

Register early as space will fill rapidly!

Download Course Brochure
About Our Sponsor:
This week’s newsletter is sponsored by SpineVision®, makers of PediGuard™, a new device for accurate pedicle screw placement that may reduce the amount of dangerous and cumulative ionizing radiation that surgeons, operating room personnel and patients are exposed to during spine surgeries.
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.
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What's Buzzing with Your Patients: 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:

World-class Athletes Struggle with Back Pain

When to Call a Doctor for a Pinched Nerve

Back to School with no Back Pain
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 Resulting in Quadriplegia
By Christopher I. Shaffrey, MD

Intractable Chronic Pain in Patient with Post-laminectomy Syndrome
By Leonardo Kapural, MD, PhD

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

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