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spinemonitor: Neck & Back Pain eNewsletter from April 22, 2009

In this edition of spinemonitor, Richard G. Fessler, MD discusses treatment of a postoperative patient with lumbar DDD. Would you repeat the discectomy, recommend ADR or fusion, offer nonsurgical care – or what?  Paul J. Slosar, Jr., MD discusses the case.

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

The patient is a 37-year-old right handed male who underwent L4-L5 microendoscopic discectomy two years ago. He was doing very well until he fell down a flight of stairs. He presents with two weeks of new right...

The patient is observed to be lying flat on the examination table, with both legs flexed at the hip and knees. The examination reveals...

Bed rest, narcotics, and...

Read Complete Case, Vote for Treatment, and View Outcome

Sagittal T2 MRI

Fig. 1 - Sagittal T2 MRI
Click here for Larger Images

How Would You Treat This Patient
Spinal Elements Sponsored Technology Case

Early results of Dr. Kim’s case and treatment survey are tallied. See how other spine professionals decided. Have you voted for your treatment choice? Visit Case
May 16, 2009
Controversies in Contemporary Spine Surgery
3.75 AMA PRA Category 1 Credits
Controversies in Contemporary Spine Surgery

Lansdowne Resort
Washington, DC USA

Faculty discussion and audience Q&A after each lecturePhoto: Richard G. Fessler, MD, PhD

In this highly interactive and educational program, the expert faculty cuts through the confusion and candidly addresses many of today's controversies, including disc replacement, disc regeneration, bone graft extenders, fusionless and motion-sparing options, and MIS. Course objectives include:

  • Outline the benefits and potential pitfalls of spinal motion-sparing technology.
  • Discuss the role of contemporary scoliosis classification systems in their usefulness in determining fusion levels.
  • Describe contemporary translational research efforts in both disc regeneration and spinal cord regeneration.
  • Explore the role of new bone graft replacements and extenders in spinal fusion surgery.
  • Discuss the role of intraoperative CT and image-guided surgery in contemporary spinal surgery.
  • Alexander R. Vaccaro, MD, PhD

Register Now Online or Download PDFDownload Course Brochure (PDF)

Past Spine Cases:
Below is a listing of previous spine case studies. Feel free to browse and vote for treatment options for each case.

Progressive Lumbar Deformity in a 57-year-old Female
By Keith Bridwell, MD

Lumbar Degenerative Disc Disease in a Basketball Player
By Richard G. Fessler, MD, PhD

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
June 4-6, 2009
Contemporary Concepts in Spine Surgery
Contemporary Concepts in Spine Surgery
June 4-6, 2009
Contemporary Concepts in Spine Surgery

American College of Spine Surgery (ACSS)
Newport Beach Marriott Hotel and Spa
Newport Beach, CA USA

Join us for a comprehensive update and ACSS review that is strongly recommended for spine professionals interested in taking the spine, orthopaedic or neurosurgery board examinations.  In addition, our distinguished faculty will cover controversial topics and emerging technologies.  This year, anonymous submissions of challenging cases will provide an open forum for many stimulating discussions and unique educational opportunities.

Program Directors

  • Warren Yu, MD
  • Thomas Mroz, MD

Register Now Online or Download PDFDownload Course Brochure (PDF)

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