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spinemonitor: Neck & Back Pain eNewsletter from September 24, 2008

This edition of spinemonitor features two original cases. Jeffrey C. Wang, MD presents a young man with a previous history of discectomy. Howard S. An, MD comments on Dr. Wang's case and offers his viewpoint on treatment options. A novel concept in treating cervical and bilateral arm pain is presented by Randy F. Davis, MD with case discussion by Todd Albert, MD.

Featured Case Study
Progressive Back Pain in a 26-Year-old Male
Jeffrey C. Wang, MD Case Author:
Jeffrey C. Wang, MD
Chief, Orthopaedic Spine Service
UCLA Comprehensive Spine Center
Santa Monica, CA

The patient is a 26-year-old male with progressive back pain. Five-years ago, he underwent discectomy for radicular leg pain but now has persistent non-radiating low back pain.

On physical exam, he has normal strength and sensation. He has limited range of motion of the lumbar spine due to pain. He has minimal...

The sagittal MRI shows disc space narrowing of L5-S1 with dark signal in the disc. There is no spondylolisthesis noted and minimal facet disease. The MRI shows minimal...

Read Complete Case, Vote for Treatment, and View Outcome

Progressive Back Pain in a 26-Year-old Male

Fig. 2 - Discography, degenerative pattern
Click here for Larger Images

How Would You Treat this Patient?
Sponsored Technology Case Study
Cervical and Bilateral Arm Pain
Randy F. Davis, MD Case Author:
Randy F. Davis, MD
Medical Director
Mid-Atlantic Spine and Orthopaedics
Glen Burnie, MD
This case sponsored by: Pioneer Surgical Technology

The patient is a 46-year-old Caucasian female with a 2-year history of neck and bilateral arm pain, right greater than left.

The patient had pain on hyperextension of the cervical spine. Symmetric reflexes. Some triceps weakness on the...

Prior Treatment
She underwent nonoperative treatment with medication and physical therapy for a period greater than 6-months...

Read Complete Case, Vote for Treatment, and View Outcome

Cervical and Bilateral Arm Pain

Fig. 3 - MRI, bulge at C6-C7
Click here for Larger Images

How Would You Treat this Patient?
About Our Sponsor:
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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.
Adult Scoliosis: Progressive Lower Extremity Radicular Pain
By Christopher I. Shaffrey, MD

Cervical DDD with Myelopathy?
By Richard G. Fessler, MD, PhD

Increasing Back and Leg Pain, Quadricep Weakness
By Timothy R. Kuklo, MD, JD

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

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
  • 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
is rapidly filling!

Download Course Brochure
Would You Like to Feature One of Your Cases?
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