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…
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….
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…
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…
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…
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….
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…
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…
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…
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…
