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spinemonitor: Neck & Back Pain eNewsletter from SpineUniverse.com
spineuniverse.com/professional March 25, 2009

In this edition of spinemonitor, Richard G. Fessler, MD, PhD presents lumbar degenerative disc disease in a scholarship basketball player. Paul J. Slosar, Jr., MD discusses the case, including nonoperative treatment. Choll W. Kim, MD, PhD provides case details and insights about a novel treatment for neck and arm pain. Jason M. Highsmith, MD comments on the stackable aspect of the device.

Featured Case Study
Lumbar Degenerative Disc Disease in a Basketball Player
Photo: Richard G. Fessler, MD, PhD Case Author:
Richard G. Fessler, MD, PhD
Professor of Neurological Surgery
Northwestern University
Chicago, IL

History
The patient is a 23-year-old male scholarship basketball player who noted back pain when weightlifting one year ago. Pain progressed and has limited his ability to play basketball. He has a potential...

Examination
Although his exam was normal, he reports pain as being 50% low back and 50% radicular. Pain radiates...

Prior Treatment
NSAIDs, occasional narcotics for exacerbations, physical therapy, and epidural steroid injections three times; the...

Read Complete Case, Vote for Treatment, and View Outcome

Lumbar Degenerative Disc Disease in a Basketball Player

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

How Would You Treat This Patient
Sponsored Technology Case Study
Novel Treatment of Neck and Arm Pain
Photo: Choll W. Kim, MD, PhD Case Author:
Choll W. Kim, MD, PhD
Assistant Professor of Orthopaedic Surgery
University of California
San Diego, CA
This case is brought to you by: Spinal Elements

History
The patient is a 59-year-old female who presents with neck and arm pain.

Examination
The patient is pleasant and appropriate to situation, articulate, and a good historian. Gait is brisk with good coordination. She has hyperesthesia of the bilateral arms; left greater than right, maximally at the index and middle fingers. Motor strength testing shows mild weakness of the left deltoid, biceps and triceps. Reflexes are...

Prior Treatment
Upright lateral x-ray (Fig. 1) shows a loss of cervical lordosis and...

Read Complete Case, Vote for Treatment, and View Outcome

Novel Treatment of Neck and Arm Pain

Fig. 2 - Herniation at C4, C5, C6
Click here for Larger Images

How Would You Treat This Patient
Sponsored by: Bauerfeind
1st International Bauerfeind Meeting of the Spine

April 16-18, 2009
Ritz-Carlton —
Palm Beach, FL USA
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.

Leg Pain and Sagittal Imbalance
By Keith Bridwell, MD

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

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
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

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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