74Klippel-Feil Spine Presentation A 41-year-old woman with Klippel-Feil syndrome complained of chronic neck and upper extremity pain, radiating into both hands. This improved with shaking her hands out, and was…

69Recurrent Sacral Tumor Presentation A 44-year-old man complained of recurrent sacral pain, sexual dysfunction, and radicular symptoms. He had previous resection of a sacral mass, followed by radiation and chemotherapy….

68Sacral Lesion Presentation A 38-year-old man was troubled by lower extremity radiculopathies. Although he did not have incontinence, urinary frequency with decreased sensation in a right L5 to S3 distribution…

29Cervical Myelopathy Presentation A 44-year-old man with chronic neck pain began experiencing hand numbness. On examination he was myelopathic. Radiologic Findings A T2-weighted sagittal magnetic resonance imaging (MRI) of the…

85Arachnoiditis Presentation An 87-year-old woman presented with chronic low back pain radiating to the posterior thighs. She had two lumbar decompressions and one non-instrumented fusion in the past. In addition,…

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…

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…

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….

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,…

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…