Metastatic Lesion
56Metastatic Lesion Presentation An 85-year-old man with a history of prostate cancer complained of middle back pain, refractory to pain management. He had a thoracic sensory level, mild weakness of…
High-Grade Spondylolisthesis
46High-Grade Spondylolisthesis Presentation A 52-year-old woman complained of chronic mechanical low back pain radiating to the thighs. On examination, sensation was decreased in the L5 distribution bilaterally. She had limited…
Percutaneous Lumbar Laminotomies and Foraminotomies
40Percutaneous Lumbar Laminotomies and Foraminotomies Presentation A 48-year-old woman developed a left sciatic pain after a fall. She has failed months of conservative therapy. Neuro-logically, she has a positive straight…
Lumbar Fracture
11Lumbar Fracture Presentation A 52-year-old man fell the height of one story a year ago. He has had chronic low back pain since then. His neurologic examination is normal. Radiologic…
Atlantoaxial Instability
4Atlantoaxial Instability Presentation A 17-year-old boy had a wrestling accident, resulting in neck pain without neurologic deficit. Workup demonstrated C1-C2 instability, and the patient underwent C1-C2 sublaminar fixation, but the…
Mechanical Back Pain with Previous Posterior Fusion
54Mechanical Back Pain with Previous Posterior Fusion Presentation A 45-year-old man who had a previous L5-S1 fusion continued to have mechanical back pain a few months postoperatively. Workup demonstrated nonunion….
Lumbar Instability and Radiculopathy
43Lumbar Instability and Radiculopathy Presentation A 61-year-old woman with a history of rheumatoid arthritis who had four previous lumbar discectomies without fusion complains of chronic lumbar pain. She is neuro-logically…
Cranial Settling
17Cranial Settling Presentation A 30-year-old man had a previous suboccipital craniectomy for Chiari I malformation, with C1–C3 laminectomies. Postoperatively, he had intractable progressive neck pain. On examination, he had brisk…
Degenerative Scoliosis
49Degenerative Scoliosis Presentation A 59-year-old woman complains of mechanical back pain with radiculopathy that has been ongoing for a year, despite nonsurgical treatment. On examination she had antalgic weakness of…
