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spinemonitor: Neck & Back Pain eNewsletter from SpineUniverse.com
spineuniverse.com/professional November 26, 2008

In this edition of spinemonitor, a postoperative patient presents with new leg pain. The case is presented by Jason M. Highsmith, MD with informative treatment discussion by Gerard Malanga, MD.

Featured Case Study
Postsurgical Radicular and Neuropathic Pain
Photo: Jason M. Highsmith, MD Case Author:
Jason M. Highsmith, MD
Neurosurgeon
Charleston Brain and Spine
Charleston, SC

History
The patient is a 42-year-old man on Workers' Comp who had a severely herniated and degenerated lumbar disc with...

Prior Treatment
The patient underwent a decompression and fusion with mini-open TLIF on the left and percutaneous screw placement on the right. The surgery relieved his left leg pain but postoperatively, he experienced new right leg pain. He described the pain as radicular and electric in nature.  He was put on several medications including gabapentin and...

Imaging
The myelogram was obtained postexplantation of the right-sided instrumentation. The right L5 nerve root is...

Read Complete Case, Vote for Treatment, and View Outcome

Lumbar myelogram

Fig. 1 - Lumbar myelogram.
Click here for Larger Images

How Would You Treat this Patient?
Featured CME Opportunity - February 6-7, 2009
3rd Annual Controversies in
Spine Surgery Course

The Aqua Hotel
Cancun, Mexico
February 6-7, 2009

Maximum 7.0 AMA PRA Category 1 Credit(s)


For the past two years, this meeting has presented the most current controversies in emerging technology and surgical approaches. It has proved to be a favorite among the attendees due to the provocative topics, in-depth debates, and intimate setting.


Download Course Brochure (PDF)

Aqua Cancun

Chairmen:
  • Randal R. Betz, MD
  • Michael G. Fehlings, MD
  • Lawrence G. Lenke, MD
  • Stephen L. Ondra, MD
  • Christopher I. Shaffrey, MD

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Every issue of spinemonitor is sent to thousands of registered spine professionals – neurosurgeons, orthopaedic surgeons, pain management specialists, physical therapists, physician assistants, nurses, and others.  By means of case presentations, spine specialists learn from one another while improving patient care.

SpineUniverse invites you to submit a case. To learn more about this opportunity, please view our submission guidelines or contact Susan Spinasanta at sspinasanta@spineuniverse.com.

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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.

Traumatic Sacral Dislocation
By Christopher I. Shaffrey, MD

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

View All Case Studies

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