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spinemonitor: Neck & Back Pain eNewsletter from November 12, 2008

This edition of spinemonitor, Christopher I. Shaffrey, MD presents a traumatic case of sacral fracture and dislocation. Jason M. Highsmith, MD discusses the patient's complex sacral fracture and treatment. Dr Shaffrey's closing case commentary provides additional treatment details.

Featured Case Study
Traumatic Sacral Dislocation
Photo: Christopher I. Shaffrey, MD Case Author:
Christopher I. Shaffrey, MD
Professor, Department of Neurological Surgery
University of Virginia
Charlottesville, VA

The patient is a 68-year-old female with a history of rheumatoid arthritis, treated for many years with steroids, who suffered a minor fall. She presents with severe...

She is very tender to palpatation over the sacrum and is unable to sit or stand due to the pain. There is diminished...

Imaging shows traumatic fracture dislocation at S1-S2. There is...

Read Complete Case, Vote for Treatment, and View Outcome

Traumatic fracture dislocation

Fig. 1B - Traumatic fracture dislocation.
Click here for Larger Images

How Would You Treat this Patient?
Featured CME Opportunity - January 17-20, 2009
18th Annual Dr. Tom Lowe Spine Symposium
The Surgical Management of Spinal Disorders

Maximum 14.25 AMA PRA Category 1 Credit(s)

The Pines Lodge
Beaver Creek, CO

Gather with leading spine surgeons for in-depth case discussions and debates on spine surgery challenges and complications. This year's topics include arthroplasty, osteoporosis, and new options for the scoliotic spine. Collegial and interactive atmosphere in exceptional ski-in, ski-out location.

Download Course Brochure and Register Today (PDF)

The Pines Lodge, Beaver Creek, CO

  • Keith H. Bridwell, MD
  • Richard G. Fessler, MD, PhD
  • Christopher I. Shaffrey, MD

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Past Spine Cases:
Below is a listing of previous spine case studies. Feel free to browse and vote for treatment options for each case.
Significant Back and Leg Pain in a 70-Year-old Female
By Timothy R. Kuklo, MD, JD

Trans-sacral Fusion of Spondylolisthesis at L5-S1
By Larry T. Khoo, MD

S1 Failure in an Elderly Female
By Christopher I. Shaffrey, MD

Debilitating Back Pain with Neurogenic Claudication
By Neel Anand, MD, Mch Orth

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

View All Case Studies

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