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…
Degenerative Lumbar Spine Disease with Segmental Instability
52Degenerative Lumbar Spine Disease with Segmental Instability Presentation A 62-year-old woman presented with pain on lumbar flexion but was otherwise intact. Dynamic lumbar films demonstrated a mobile listhesis at L3-L4….
Rheumatoid Arthritis with Instability
20Rheumatoid Arthritis with Instability Presentation A 62-year-old woman with a history of rheumatoid arthritis developed progressive hoarseness and difficulty with swallowing. On examination she had lower cranial nerve palsies and…
Percutaneous Cervical Decompression
21Percutaneous Cervical Decompression Presentation A 40-year-old woman presented with neck pain radiating down her left upper extremity. She had mild left biceps weakness with hyperreflexia. Radiologic Findings Axial computed tomography…
Thoracic Screw Misplacement
60Thoracic Screw Misplacement Presentation A 53-year-old man with known metastatic lung cancer to the spine complained of pleuritic chest pain following a transpedicular approach for a T7 corpectomy and T5-T9…
Benign Thoracic Tumor
64Benign Thoracic Tumor Presentation A 55-year-old woman had a year and a half of history of midthoracic pain with a sensory deficit and bowel and bladder dysfunction. Her symptoms worsened…
Thoracolumbar Instrumentation Failure
59Thoracolumbar Instrumentation Failure Presentation A 70-year-old woman presented with metastatic breast cancer and cord compression. She had previously undergone decompression and fusion for acute cord compression. Postoperatively, she regained some…
Odontoid Fracture Type I
1Odontoid Fracture Type I Presentation A 19-year-old woman was in a motor vehicle accident. She was neurologically intact, but had some neck pain. Radiologic Findings A sagittal reconstructed cervical computed…
Lumbar Scoliosis
51Lumbar Scoliosis Presentation A 58-year-old man complained of progressive mechanical low back pain, radiating down his right lower extremity. He has antalgic weakness of the proximal lower extremities and decreased…
Nonunion of a Type II Odontoid Fracture
3Nonunion of a Type II Odontoid Fracture Presentation An 84-year-old man fell and sustained a type II odontoid fracture. He then had a Gallie fusion. A halo vest was placed…
