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spinemonitor: Neck & Back Pain eNewsletter from SpineUniverse.com
spineuniverse.com/professional December 17, 2008

In this edition of spinemonitor, Christopher I. Shaffrey, MD presents neurofibromatosis in a young male, who previously underwent tumor excision.  Specialists Howard S. An, MD and George I. Jallo, MD provide extensive discussion of this case.

Featured Case Study
Neurofibromatosis in a Young Male
Photo: Christopher I. Shaffrey, MD Case Author:
Christopher I. Shaffrey, MD
Harrison Distinguished Professor
Neurological and Orthopaedic Surgery
University of Virginia
Charlottesville, VA

History
The patient is a 15-year-old boy with neurofibromatosis (NF-1). At age 9, he underwent a C4-C6 laminectomy for tumor excision. In the past, the patient has had multiple NF excisions. 

He fell while skateboarding and suffered transient quadriplegia. The patient reports...

Examination
The patient was myelopathic on reflex examination with positive...

Read Complete Case, Vote for Treatment, and View Outcome

Neurofibromatosis in a Young Male

Fig. 3 - Ventral spinal cord compression, C5-C6.
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

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February 6-7, 2009

Maximum 7.0 AMA PRA Category 1 Credit(s)


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*Use Room Rate Discount Code: AquaDiscount to receive a nightly rate of $225 per night (plus tax), applicable to up to 3 days before and after the meeting.

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Chairmen:
  • Randal R. Betz, MD
  • Michael G. Fehlings, MD
  • Lawrence G. Lenke, MD
  • Stephen L. Ondra, MD
  • Christopher I. Shaffrey, MD
Visit One-Spine.org for more information.

Download Course Brochure (PDF)
New Online CE Activity
Musculature of the Lumbar Spine
Receive 1.0 Contact Hour Upon Completion

This online continuing education program is designed to provide nurses and allied health professionals with a comprehensive overview of the lumbar musculature.  The program, which should take approximately 1-hour to complete, covers: anatomical directional terms, bony and soft tissue structures, including ligaments, skeletal muscle, and functional groups.

Upon completion of this program, participants should be able to:

  • Identify bony and soft tissue lumbar structures
  • Provide information about intervertebral disc function
  • Understand basic lumbar neural and vascular systems
  • Explain the purpose, types, and functions of ligaments
  • Understand what affects muscle function
  • Describe 4 functional muscle groups and their actions
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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.

Postsurgical Radicular and Neuropathic Pain
By Jason M. Highsmith, MD

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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