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

In this edition of spinemonitor, Keith Bridwell, MD presents an interesting case of degenerative changes causing leg pain and sagittal imbalance.  John T. Braun, MD offers his point of view.

Featured Case Study
Leg Pain and Sagittal Imbalance
Photo: Keith Bridwell, MD Case Author:
Keith Bridwell, MD
The Asa C. and Dorothy W. Jones Professor
Department of Orthopaedic Surgery
Washington University School of Medicine
St. Louis, MO

History
The patient is a 59-year-old female with severe leg pain and sagittal imbalance. No prior surgery. She has subluxations at L3-L4, fixed tilt at L4-L5, and disc degeneration at...

Examination
The patient is neurologically intact. She's very pitched forward when she stands and walks. She can only walk short distances without...

Imaging
Figures 1A and 1B are standing long cassette pre-operative radiographs that demonstrate sagittal imbalance and...

Read Complete Case, Vote for Treatment, and View Outcome

Leg Pain and Sagittal Imbalance

Fig. 1A - AP x-ray
Click here for Larger Images

How Would You Treat This Patient
Featured Spine Meeting in Palm Beach, FL:
RSVP Today
1st International Bauerfeind Meeting of the Spine
April 16-18, 2009
Ritz-Carlton — Palm Beach, FL USA
1st International Bauerfeind Meeting of the Spine

For registration information and to RSVP, please contact
(770) 590-6543

This comprehensive program will inform and educate surgeons on the latest advances in postoperative support for patients following spinal surgery.  Product knowledge will be shared with surgeon feedback and collaboration.  Attendees will be given the opportunity to discuss, debate, and solve problems regarding the use of post and pre-operative staged bracing products, specifically focused on the area of the spine. The meeting and its information will be presented by spinal and bracing industry professionals. 

Roundtable discussions on advanced spinal techniques and postoperative care include:

  • Staged stabilization of the spine
  • DME license information session
  • Future of postoperative spine treatment
  • Appointment of Annual Surgeon Advisory Board

Learn More

Sponsored by: Relax The Back
Cervical Myelopathy in a Pediatrician

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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.

Flatback following Non-instrumented Adolescent Idiopathic Scoliosis Surgery
By Frank J. Schwab, MD

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
CME Event: May 15-16, 2009
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 PDFDownload Course Brochure (PDF)
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