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43 yo with crash of sml private plane c/o back pain (neurologically intact)

No neurological findings Bowel and bladder intact (how do you check?) Current kyphosis is about 10 degrees 50% canal compromise What treatment do you recommend? Custom Extension Type TLSO Brace •19 degree kyphosis •(Surgery considered for 25-30 degree kyphosis) •50% or less canal compromise •No neurological [...]

43 yo with crash of sml private plane c/o back pain (neurologically intact)

Patient is 63 yo with “stiffening” LB ache and Type I DM

DISH (Diffuse Idiopathic Skeletal Hyperostosis) •Forrestier’s Disease •“Flowing Bone” ossification of the spinal ligaments •Creates synostosis of vertebra and reduction of ROM •Can be found with DDD but commonly found in normal height discs too •Associated with Diabetes

Patient is 63 yo with “stiffening” LB ache and Type I DM

78 yo Patient

78 yo Patient who can’t walk more than 70 feet without upper LB ache that stops her •Note flexed forward posture •Bent knee stance •Hypo-lordotic lumbar spine •Pain gone with sitting and lying down •What 6 things cause this deformity? Flat Back Posturing [...]

78 yo Patient

LBP for 1 Year. Was seen 3 years ago with lower LBP

Pain location, higher than last visit (90% LBP) Pain more intense and patient has impact and vibration aggravations Can’t do typical recreational activities Pain 3 years ago controlled with core strength and epidurals IDR L3-4 Pain is located higher in back than previous involvement 3 years [...]

LBP for 1 Year. Was seen 3 years ago with lower LBP
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