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…
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…
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…
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…
47Multilevel Posterior Lumbar Interbody Fusion Presentation A 44-year-old woman presented with chronic mechanical low back pain and antalgic weakness of the hip flexors. She has an obese habitus and is…
7Spinal Trauma Presentation A 17-year-old boy was in a motor vehicle accident and became paraplegic. He had a cervical fusion for stabilization and then extensive rehabilitation. During his rehabilitation course,…
41Large Disc Herniation Treated Percutaneously Presentation A 46-year-old man had sudden-onset low back pain, with a right S1 radiculopathy that progressed over 2 months, despite physical therapy. He has mild…
42Segmental Instability Presentation A 37-year-old man presented with mechanical back pain after a previous discectomy. On examination, he had decreased sensation in the right L5 dermatome and limited lumbosacral flexion….
28Ossification of the Posterior Longitudinal Ligament (OPLL) Presentation A 77-year-old Asian man fell, sustaining a central cord syndrome. His neurologic functioning improved except for some fine motor difficulty and continued…
53Lumbar Nonunion Presentation A 45-year-old man underwent an L5-S1 fusion for grade II spondylolisthesis 4 years ago and in recent months has started suffering a progressive mechanical low back pain….
