Challenge of the Week / Spine / 05.15.20

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?

Challenge of the Week / Spine / 12.13.19

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?

Challenge of the Week / Spine / 05.17.19

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