Case of the Month

This is a forum for discourse regarding the management and treatment of ordinary and extraordinary cases. There are no right or wrong answers, only opinions on what should be the standard of care. We collect the anonymous responses and present them in a graphic at the end of each month.

If you have questions or a case you would like to have presented, submit them.

The Current Case of The Month

Case of the Month: 
May 2019

41 year old male with back and leg pain

Mid-sagittal CT of the lumbar spine

T2 sagittal and representative axial images of the lumbar spine

Trial film supplied by patient’s pain management physician.

Intraoperative image during placement of stimulator paddle.

History: A healthy 41 year old man presents to clinic with a history of continued back and leg pain following multiple lumbar spine surgeries, most recently an L4-5 laminectomy with L3-S1 fusion. He states that both legs are equally painful, and the leg pain exceeds the back pain. He cannot...
Cases of The Month Archive