A 54-year-old male patient presents to the emergency department with non-radiating thoracic back pain. He has an intact motor, sensory, and reflex examination of the bilateral upper and lower extremities. The patient has a history of hepatitis C, a 30-pack per year history of smoking cigarettes, and chronic cough for the last 3 months. His white blood-cell count, erythrocyte sedimentation rate, and C-reactive protein level are slightly elevated. Which of the following best describes the appropriate imaging modality and findings to diagnose spinal discitis/osteomyelitis?
Which of the following conditions are associated with the presence of syringomyelia?
A 5-year-old male presents for walking abnormalities. His parents observe that he is walking on his toes and his calves have become larger over the past 6 months. His serum creatine phosphokinase (CPK) level is 100 times the normal value. DNA testing confirms Duchenne muscular dystrophy (DMD). Further workup reveals hyperlordosis and scoliosis with a curve measuring 20°. Which of the following categories of medications is effective for preventing scoliosis curve progression?
A 28-year-old female patient has a unilateral cervical facet dislocation following a skiing accident. She has ipsilateral 4/5 weakness of wrist extension and mild numbness and tingling in her thumb. She has no other injuries and is alert, awake, and cooperative. Which of the following is the best treatment strategy?
For which of the following types of metastatic cancer to the spine does radiation therapy best achieve local control of the disease?
A 48-year-old male patient who is a cigarette smoker undergoes a C2-C4 fusion with C3 corpectomy for treatment of metastatic lung cancer. The approach to the cervical spine is difficult with the tissue planes being more adherent than in non-smoking patients. Throughout the case, the anesthesia team has maintained a low endotracheal tube cuff pressure … Continue reading Challenge of the Week / Spine / 05.17.19