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spinemonitor: Neck & Back Pain eNewsletter from SpineUniverse.com
spineuniverse.com/professional October 14, 2008
SpineMatrix

This edition of spinemonitor features two original cases and a new online CME opportunity.  Christopher I. Shaffrey, MD presents S1 failure in an elderly female who underwent prior fusion at another institution.  Lawrence G. Lenke, MD provides an extensive discussion of Dr. Shaffrey’s case.  Neel Anand, MD, Mch Orth presents our technology case involving treatment of debilitating back pain with neurogenic claudication.  Harel Deutsch, MD highlights some of the treatment challenges.

Featured Case Study
S1 Failure in an Elderly Female
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 72-year-old female who was treated for spinal stenosis and scoliosis 3-years ago. She underwent a T10-S1 fusion at another institution. The patient is 5'2" tall and weighs 252 pounds. She did well for 2-months after surgery and then…

Examination
The patient has no neurological deficits upon examination...

Imaging
The patient's lateral supine x-ray (Figure 1A) and AP supine x-ray (Figure 1B) are below. (Both before a T10-S1 fusion at another institution) …

Read Complete Case, Vote for Treatment, and View Outcome

S1 Failure in an Elderly Female

Fig. 2B - AP supine x-ray
Click here for Larger Images

How Would You Treat this Patient?
Sponsored Technology Case Study
Debilitating Back Pain with Neurogenic Claudication
Neel Anand, MD, Mch Orth Case Author:
Neel Anand, MD, Mch Orth
Director, Orthopaedic
Spine Surgery

Cedars-Sinai Institute for Spinal Disorders
Los Angeles, CA
This case sponsored by: Pioneer Surgical Technology

History
The patient is a 76-year-old female who presents with debilitating back pain, sagittal imbalance, and neurogenic claudication.  Symptoms have progressively worsened the…

Examination
Neurologically, the patient is intact.  She takes no medication, except narcotics for pain...

Images
The AP radiograph (Fig. 1A) shows degenerative scoliosis in the coronal plane.  Sagittal imbalance is demonstrated in the…

Read Complete Case, Vote for Treatment, and View Outcome

Debilitating Back Pain with Neurogenic Claudication

Fig. 2A - AP CT scan.
Click here for Larger Images

How Would You Treat this Patient?
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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.
Progressive Back Pain in a 26-Year-old Male
By Jeffrey C. Wang, MD

Cervical and Bilateral Arm Pain
By Randy F. Davis, MD

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

View All Case Studies

Update your Practice

Featured Online CME Opportunity
Pedicle Screw Fixation: Osteoporotic Bone

This online continuing education program is designed to provide orthopaedic and neurological spine surgeons with a review of pedicle anatomy, bone remodeling, and osteoporosis. Also presented are the characteristics of pedicle screws, use indications and contraindications, as well as surgical planning and intra-operative guidance. The surgical challenges and complications, including those related to implantation into osteoporotic bone are further explored and fenestrated screws are presented as a viable solution.

Medical Education Resources designates this educational activity for a maximum of 1.0 AMA PRA Category 1 credit(s)™.

Begin Program

Online CME: Pedicle Screw Fixation: Osteoporotic Bone

CME Event - November 8-9, 2008 - Last Chance
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 
Download Course Brochure and Register Today
New CME Opportunity

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

Register early as space
is rapidly filling!
Online CME: Pedicle Screw Fixation: Osteoporotic Bone
Would You Like to Feature One of Your Cases?
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Submit a Case Study
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