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spinemonitor: Neck & Back Pain eNewsletter from SpineUniverse.com
spineuniverse.com/professional February 11, 2009

In this edition of spinemonitor, Frank J. Schwab, MD presents flatback in a mature female who, four decades earlier, underwent non-instrumented fusion for scoliosis.  Baron S. Lonner, MD discusses this classic case and surgical planning.     

Featured Case Study
Flatback following Non-instrumented Adolescent Idiopathic Scoliosis Surgery
Photo: Frank J. Schwab, MD Case Author:
Frank J. Schwab, MD
Chief, Spine Deformity Service
NYU–Hospital for Joint Diseases
New York, NY

History
The patient is a 56-year-old woman treated with non-instrumented fusion and casting as a teenager. Her chief complaint is low back pain, fatigue with ambulation, and pitched forward posture. Ambulatory endurance is...

Examination
Marked truncal inclination is noted, no motor or sensory...

Imaging
Long cassette standing films show significant sagittal plane imbalance and...

Read Complete Case, Vote for Treatment, and View Outcome

Cervical Myelopathy in a Pediatrician
Fig. 1 - Long cassette standing x-ray
Click here for Larger Images

How Would You Treat This Patient
CME Event: Sharpening Your Spine Surgery Skills
The Fourth Annual Course on: Sharpening Your Spine Surgery Skills
The Spine Masters Institute – Burr Ridge, IL (Chicago suburbs) May 15-16, 2009 – 12.5 AMA PRA Category 1 Credits

Spine Surgery SkilksCourse Chairmen:

  • Neel Anand, MD
  • Keith H. Bridwell, MD
  • Iain H. Kalfas, MD
  • Frank J. Schwab, MD
  • Harry L. Shufflebarger, MD

Course Goal:  To enhance the spine surgeon’s expertise and knowledge with the latest surgical techniques and technologies.

A distinguished faculty of 11 leading orthopaedic and neurological surgeons leads this course consisting of more than seven hours of cadaver labs, plus lectures and surgical videos.  Objectives include:

  • Discuss the indications, techniques, and potential complications associated with several minimally invasive spine techniques.
  • Assess fixation options and techniques at all levels of the spine.
  • Describe indications and techniques for spinal osteotomy options, including PSOs and VCRs.
  • Evaluate the rationale, indications, techniques, and outcome for cervical arthroplasty and anterior approaches skull to T4.
Register Now Online or Download Course Brochure (PDF)
Sponsored by: SpineMatrix®
Cervical Myelopathy in a Pediatrician

Visit Booth 4250 at AAOS to learn why “non-specific” low back pain is a thing of the past. With the Lumbar Matrix™ Scan from SpineMatrix®, a physician can differentially diagnose low back pain by identifying disc, facet and muscle subgroups based on the innervation of those specific pain-generating structures.
Learn More
Past Spine Cases:
Below is a listing of previous spine case studies. Feel free to browse and vote for treatment options for each case.

Cervical Myelopathy in a Pediatrician
By Gerard J. Girasole, MD

Atlanto-occipital Dislocation after a Crane Accident
By Sharolyn Martin, RN, BSN, CEN

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

View All Case Studies

Spine Surgery Videos
OR-Live Spine Surgery Videos

Visit the spine surgery video library courtesy of our partner OR-Live, Inc. Whatever your spine interest – innovations in chronic pain therapy, microdiscectomy, VEPTR, fusion, and more – find it here.
View Spine Surgery Library
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