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…
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…
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…
