Pars Defect
45Pars Defect Presentation A 56-year-old woman was troubled by mechanical low back pain that was refractory to conservative treatment. She did not have any neurologic findings. Radiologic Findings Magnetic resonance…
Fibrous Dysplasia
78Fibrous Dysplasia Presentation A 67-year-old woman complained of upper neck pain worsened by neck extension, radiating into her left sub-occipital region. Objectively, she has no focal neurologic deficit and a…
Spinal Epidural Abscess
70Spinal Epidural Abscess Presentation A 42-year-old man with a recently gangrenous great toe and diabetes presented to the emergency department with neck pain and progressive quadriparesis. His condition deteriorated rapidly….
Lumbosacral Giant Cell Tumor with Segmental Instability
62Lumbosacral Giant Cell Tumor with Segmental Instability Presentation A 48-year-old woman had a resection of a lumbosacral giant cell tumor a decade ago, followed by radiation. A few years later,…
Multiple Burst Fractures
14Multiple Burst Fractures Presentation A 25-year-old man was skydiving and missed his optimal landing site, injuring himself. He complained of low back pain, but had no neurologic deficit. Radiologic Findings…
Achondroplasia
84Achondroplasia Presentation A 46-year-old achondroplastic dwarf came to the emergency department with cauda equina syndrome. Radiologic Findings A sagittal view, reconstructed computed tomography (CT) myelogram of the lumbar spine is…
Recurrent Giant Cell Tumor
61Recurrent Giant Cell Tumor Presentation A 29-year-old man initially presented with low back pain and bilateral radiculopathies. He had a posterior resection of an S1 lesion followed by 48 Gy…
Bilateral Locked Facets
5Bilateral Locked Facets Presentation A 51-year-old woman was assaulted during a bar fight and became a C5 quadriplegic. Radiologic Findings Axial CT through the area of injury demonstrates inversion of…
Ankylosing Hyperostosis of Forestier and Rotes-Querol
77Ankylosing Hyperostosis of Forestier and Rotes-Querol Presentation This 69-year-old man fell forward 6 months ago and began complaining of neck pain. He remains neurologically intact and without pain. Radiologic Findings…
Adjacent Segment Disease
38Adjacent Segment Disease Presentation A 68-year-old woman with two previous fusions was diagnosed with a new L3 radiculopathy and quadriceps weakness. Radiologic Findings A preoperative lumbar x-ray shows retrolisthesis of…
