Spine Procedure

Decompressive laminectomy

Removal of part of the posterior vertebral bone to relieve pressure on the spinal cord or nerve roots.

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Spine

Spondylolisthesis and Lumbar Stenosis

66 yo woman presents with leg greater than back pain Greater than 1 year duration Pain radiates down back of legs Numbness and tingling in calves No weakness, but reports falling Worsens with walking, better with rest Has had injections – limited benefit Has tried PT Ibuprofen helps Smokes ½ ppd; cutting down

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Spine

Spinal meningioma (C2)

71 yo woman presents with 10 months of progressive weakness of arms and legs. Started with difficulty walking and has progressed to the point that she needs significant assistance to walk. She also reports difficulty with voiding. Examination reveals severe left-sided weakness most pronounced in left hand and hip muscles. She is hyper-reflexic.

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Spine

Arachnoid cyst of thoracic spine

65 yo woman presents to office with complaint of mid-back pain, progressive over several weeks Numbness in her toes for about 2 weeks She also complains of difficulty walking; feels off balance, but not dizzy On exam she has mild increased deep tendon reflexes.

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