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By
Jason Eck, DO, Intern, Department of Orthopaedic Surgery, Memorial Hospital, York, PA
Scott Hodges, DO, Orthopaedic Spine Surgeon, Center for Sports Medicine and Orthopaedics, Chattanooga, TN
S. Craig Humphreys, MD, Orthopaedic Spine Surgeon, Center for Sports Medicine and Orthopaedics, Chattanooga, TN
Included in series
Pearls,
Description
Case presentations review key elements of clinical evaluation and rational management of spine disorders not readily found in standard
texts. A brief clinical vignette and a clinical photo are provided for each case, and the reader is encouraged to consider a differential
diagnosis and formulate a plan for diagnosis and treatment. The next page reveals the correct diagnosis, discusses the disorder and the
specific patient outcome, and concludes with 3-4 clinical pearls distilled from the case.
Audience
Orthopedic Surgeons, Neurosurgeons, Neurologists, Physiatrists, Medical Students, Chiropractors, Chiropractic Students, Sports Medicine Physicians
Contents
1. A 79-year-old man with a several-year history of progressive dysphagia
2. A 37-year-old woman with a 3-year history of progressively
worsening low back and right leg pain
3. A 64-year-old man with a 2-year history of low back pain following a fall
4.
A 47-year-old man with a long history of low back pain and stiffness
5. A 42-year-old man with a 2-year history of low back
pain
6. A 90-year-old woman with a 2-week history of back pain after getting out of bed
7. A 37-year-old man with a
1-month history of low back and gluteal pain after a fall
8. A 47-year-old man with a 5-week history of low back and thigh pain
9. A 44-year-old man with a 1-week history of low back pain following lifting
10. A 43-year-old woman with new-onset anterior
thigh pain and paresthesias
11. A 73-year-old woman with a long history of back and hip pain exacerbated by cold, damp weather
12.
A 39-year-old man with severe low back pain, posterior thigh numbness, and loss of bladder control
13. A 22-year-old woman with
neck pain following a motor vehicle accident
14. A 60-year-old woman with neck pain following a motor vehicle accident
15.
A 55-year-old man with low back pain and stiffness
16. A 42-year-old man with low back and anterior thigh pain
17. A
70-year-old man with low back and right leg pain
18. A 10-year-old boy with ataxic gait and weakness
19. A 43-year-old
woman with neck and right arm pain
20. An 8-year-old boy with a short, webbed neck and decreased range of motion.
21.
A 15-year-old boy with right-sided neck pain after wrestling at school
22. A 22-year-old man with unilateral neck and arm pain
following a football injury
23. A 67-year-old woman admitted to the hospital for intractable low back pain
24. A 60-year-old
man with a 2-week history of sharp low back pain
25. A 15-year-old boy with a gradual onset of painless spinal deformity
26.
A 58-year-old woman with gradual onset of neck pain and myelopathy
27. A 31 -year-old man with progressively worsening low back
pain and new spinal deformity
28. A 34-year-old woman with neck and right shoulder pain following a motor vehicle accident
29.
A 14-year-old boy with low back and calf pain
30. A 42-year-old-man with chronic low back pain
31. A 65-year-old man
with neck pain following a motor vehicle accident
32. A 40-year-old woman with a history of increasing low back and leg pain
33.
A 3-year-old girl with a significant spinal deformity since birth
34. A 16-year-old boy with low back pain
35. A 42-year-old
man with neck pain and headaches following a football game
36. A 71-year-old woman with intractable low back pain, leg pain,
and loss of bowel control
37. A 43-year-old man with severe low back pain and radicular pain
38. A 51-year-old man injured
in a motor vehicle accident
39. A 69-year-old woman with sudden-onset paraplegia following infection of a coronary artery bypass
graft wound
40. A 68-year-old man with back and right leg pain
41. A 68-year-old woman admitted for sepsis
42.
An 84-year-old man with back and right anterior rib pain
43. A 56-year-old Asian man with decreased cervical range of motion
and progressive neck pain
44. A 35-year-old woman with low back and bilateral radicular pain
45. A 66-year-old man with
neck and right arm pain and poor neck postural control
46. A 16-year-old girl with increasing back pain 1 year after fusion for
scoliosis
47. A 21-year-old man with diffuse numbness in his lower extremities following a motor vehicle accident
48.
A 35 year-old man with increasing low back pain and proximal lower extremity weakness
49. A 45-year-old woman with neck pain,
weakness, and decreased sensation
50. A 3-year-old boy with failure to thrive, genu vaIgum, and back pain
51. A 23-year-old
man with diffuse numbness in his upper and lower extremities following a motor vehicle accident
52. A 38-year-old woman with cervical
pain and morning stiffness
53. A 42-year-old woman with progressive neck pain and upper extremity weakness
54. A 45-year-old
woman with progressive pain and loss of neck motion
55. A 4-year-old boy with a history of multiple fractures and progressive
deformity
56. A 34-year-old woman with a severe headache 1 day after spinal fusion
57. A 37-year-old woman with increasing
neck pain 4 months after a motorcycle accident
58. A 25-year-old woman with headaches, ataxia, and gait disturbance
59.
A 52-year-old man with a vertebral body mass
60. A 44-year-old man with neck pain and arm numbness
61. A 70-year-old
woman with burning in her legs following laminectomy
62. A 12-year-old boy with diffuse weakness in his bilateral upper and lower
extremities following a diving accident
63. A 42-year-old woman with right leg weakness and ataxia
64. A 52-year-old
woman with increasing back and leg pain
65. A 62-year-old man with neck pain after falling off a tractor
66. A 32-year-old
woman with longstanding untreated spinal deformity and back pain
67. A 42-year-old woman with left upper extremity pain, edema,
and weakness
68. A 66-year-old woman with back pain and right foot numbness
69. A 48-year-old man with surgical site
drainage and low-grade fever
70. A 46-year-old woman with neck pain, arm numbness, and loss of bowel control
| Bibliographic details |
Paperback, 220 pages, publication date: MAR-2003
ISBN-13: 978-1-56053-571-3
ISBN-10: 1-56053-571-7
Imprint: HANLEY AND BELFUS MEDICAL PUBLISHERS
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Last update: 10 Sep 2009
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