Percutaneous Cervical Decompression

Jul 16, 2016 by in NEUROLOGY Comments Off on 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…

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Thoracic Screw Misplacement

Jul 16, 2016 by in NEUROLOGY Comments Off on 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…

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Benign Thoracic Tumor

Jul 16, 2016 by in NEUROLOGY Comments Off on 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…

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Thoracolumbar Instrumentation Failure

Jul 16, 2016 by in NEUROLOGY Comments Off on 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…

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Odontoid Fracture Type I

Jul 16, 2016 by in NEUROLOGY Comments Off on 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…

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Lumbar Scoliosis

Jul 16, 2016 by in NEUROLOGY Comments Off on 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…

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Nonunion of a Type II Odontoid Fracture

Jul 16, 2016 by in NEUROLOGY Comments Off on 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…

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Multilevel Posterior Lumbar Interbody Fusion

Jul 16, 2016 by in NEUROLOGY Comments Off on Multilevel Posterior Lumbar Interbody Fusion

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…

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Spinal Trauma

Jul 16, 2016 by in NEUROLOGY Comments Off on Spinal Trauma

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,…

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Large Disc Herniation Treated Percutaneously

Jul 16, 2016 by in NEUROLOGY Comments Off on Large Disc Herniation Treated Percutaneously

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…

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