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spinemonitor: Neck & Back Pain eNewsletter from SpineUniverse.com
spineuniverse.com/professional May 27, 2009

This edition of Spinemonitor features a professional water skier with a two year history of predominant low back pain. Paul J. Slosar, Jr., MD presents the case detail and outcome. Richard D. Guyer, MD provides the discussion along with his viewpoint on patient selection.

Featured Case Study
Degenerative Disc Disease at L4-L5 and L5-S1
Photo: Paul J. Slosar, Jr., MD Case Author:
Paul J. Slosar, MD
President, SpineCare Medical Group
San Francisco Spine Institute
San Francisco, CA

History
This 44-year-old female patient, previously a professional water skier, presents with 80% low back pain and 20% leg pain demonstrating a L5 distribution. Her symptoms have been severe for…

Examination
She presents with isolated back pain over the L4-L5 and L5-S1 facet joints. Flexion is 60% of normal. Extension is limited to…

Imaging
The sagittal MRI (Fig. 1) demonstrates disc desiccation with narrowing at L4-L5 and L5-S1. There is a component of contained disc protrusion…

Read Complete Case, Vote for Treatment, and View Outcome

Disc desiccation with narrowing at L4-L5 and L5-S1

Fig. 1 - Disc desiccation with narrowing at L4-L5 and L5-S1
Click here for Larger Images

How Would You Treat This Patient
Physician's Guide to Bracing
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SpineCME.org
Online and Free CME/CE for Spine Professionals
Introducing SpineCME.org

SpineCME.org is your one-stop online resource that features excellent CME and CE education that is convenient and no cost to spine surgeons and nurses.

Visit spineCME.org to obtain immediate access to programs that include videos, cadaver demonstrations, and clear-cut PowerPoint presentations all taught by leaders in the spine field.  After passing a brief test, you can instantly print your CME certificate—all at no charge.

  • Osteotomy Techniques (Video CME)
    http://www.spinecme.org/courses/cme/osteotomy-techniques
    Course content: wide posterior release, Ponte, asymmetric thoracic PSO for coronal deformity, cervicothoracic osteotomy, cadaveric demonstration (C7 osteotomy), and discussion.
  • Spinal Biomechanics (CE)
    http://www.spinecme.org/courses/ce/spinal-biomechanics
    Course content: normal spinal anatomy, spinal disorders (whiplash, fracture, scoliosis, spondylolisthesis), how spinal disorders affect function and biomechanics, nonsurgical treatment, and spinal stabilization surgery.

Register now to begin receiving CME / CE credit and be notified of upcoming spine meetings and online courses.

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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.

Cervical Tumor in a 14-year-old
By Christopher I. Shaffrey, MD

Lumbar Degenerative Disc Disease
By Richard G. Fessler, MD, PhD

Sponsored Technology Case
Novel Treatment of Neck and Arm Pain
By Choll W. Kim, MD, PhD

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
Featured CME Event: October 9-12, 2009 – SMISS
Annual Meeting of the Society for Minimally Invasive Spine Surgery
2009 Annual Meeting Society for Minimally Invasive Spine Surgery

October 9-12th, 2009 | THEhotel / Mandalay Bay and the MERIN Lab
Las Vegas, NV USA — 9 AMA PRA Category 1 Credits™

Once again we expect the SMISS 2009 Annual Meeting to be the "can't miss" event in MISS techniques and technology. This year's expanded SMISS meeting will feature:

  • Multiple half-day hands-on cadaver labs showcasing the latest MISS procedures.
  • Two full days of CME-accredited didactic sessions, including lectures from MISS leaders, in-depth case discussions, and oral abstracts and e-Posters on the newest research.
  • New Technique Forums, supported by MISS companies, featuring detailed presentations, videos, and hands-on display of the most cutting-edge MISS technology.
  • Extensive technical exhibits to inform your current and future practice. Ample time to network and enjoy the attractions of Las Vegas with colleagues and friends.
Course Director: William Taylor, MD

Board of Directors:
  • D. Greg Anderson, MD
  • Rick Fessler, MD, PhD
  • Kevin Foley, MD
  • Larry Khoo, MD
  • Choll W. Kim, MD, PhD
  • Frank Phillips, MD
  • James Schwender, MD
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