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Questions (49)

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A 32-year-old male presents with severe back pain with radia...

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Spine
- Cauda Equina Syndrome

Relevance score: 134

Low Back Pain - Introduction

Spine

Relevance score: 132 / Absolute Importance: 12

A 45-year-old male presents with worsening lower back and le...

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Spine
- Cauda Equina Syndrome

Relevance score: 132

A 42-year-old man reports a 3-day history of worsening lower...

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Spine
- Cauda Equina Syndrome

Relevance score: 132

A 67-year-old female presents to the ED following a MVC. On ...

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Spine
- Incomplete Spinal Cord Injuries

Relevance score: 130

A 55-year-old female with a long-standing history of back pa...

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Spine
- Cauda Equina Syndrome

Relevance score: 128

A 29-year-old woman is seen in the emergency department with...

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Spine
- Cauda Equina Syndrome

Relevance score: 122

A 32-year-old male presents with back pain and saddle anesth...

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Spine
- Cauda Equina Syndrome

Relevance score: 118

A 32-year-old woman presents to the emergency department wit...

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Spine
- Cauda Equina Syndrome

Relevance score: 118

A 49-year-old male presents with saddle anesthesia, lower extremity weakness, and urinary retention. When must surgical decompression be done to improve bladder and motor recovery?

Spine
- Cauda Equina Syndrome

Relevance score: 108

A 51-year-old male with a pacemaker reports difficulty with urination and numbness in his bilateral buttock. His symptoms began 12 hours ago. What is the next most appropriate step in management?

Spine
- Cauda Equina Syndrome

Relevance score: 107

Interlaminar Endoscopic Lumbar Lateral Recess Decompression and Discectomy (IE-LRD + IELD) L4/5 (C102575)

Spine
- Lumbar Disc Herniation

Relevance score: 106

9/18/2024

Vote for CME

Thoracolumbar Fracture-Dislocation

Spine

Relevance score: 105 / Absolute Importance: 3

6/23/2021

3.9

(99)

Lumbar Disc Herniation

Spine

Relevance score: 104 / Absolute Importance: 79

Figure 33 shows the MRI scan of a 55-year-old woman who has ...

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Spine
- Lumbar Disc Herniation

Relevance score: 103

A 51-year-old male reports difficulty with urination and num...

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Spine
- Cauda Equina Syndrome

Relevance score: 102

Which of the following represents a contraindication for interspinous process decompression for the treatment of lumbar spinal stenosis?

Spine
- Lumbar Spinal Stenosis

Six weeks after onset, what is the most clearly accepted in...

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Spine
- Lumbar Disc Herniation

Relevance score: 97

Spinal Cord Injuries

Spine

Relevance score: 95 / Absolute Importance: 65

Spine

Relevance score: 94 / Absolute Importance: 9

A 35-year-male presents with pain radiating down the left leg, worse in the anterior leg distal to the knee. On physical exam, he is unable to go from a sitting position to a standing position with a single leg on the left, whereas he has no difficulty on the right. His patellar reflex is absent on the left, and 2+ on the right. Which of the following clinical scenarios would best produce this pattern of symptoms?

Spine
- Lumbar Disc Herniation

Which of the following patients would be the most appropriate candidate for the treatment shown in Figure A.

Spine
- Lumbar Spinal Stenosis

A 39-year-old man presents to clinic with a 3-week history o...

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Spine
- Lumbar Disc Herniation

Relevance score: 90

Acute lumbar disk pain: navigating evaluation and treatment choices.

Spine
- Lumbar Disc Herniation

David S Gregory, AFP 2008

Relevance score: 88

60 responses

L 2

A 62-year-old female has a decompressive laminectomy for spinal stenosis and symptoms of right leg pain. Preoperative flexion and extension radiographs of the lumbar spine are shown in Figure A. A preoperative sagittal MRI is shown in Figure B. Following surgery she reports no significant improvement in her right leg pain. What is the most likely cause of her residual leg pain.

Spine
- Lumbar Spinal Stenosis

Relevance score: 87

The importance of the bulbocavernosus reflex.

Jean Gabriel Previnaire

Spine
- Spinal Cord Injuries

Jean Gabriel Previnaire, 2018

Relevance score: 86

0 responses

The diagnosis and management of synovial cysts: Efficacy of surgery versus cyst aspiration.

Nancy E Epstein,

Jamie Baisden

Spine
- Synovial Facet Cyst

Nancy E Epstein, 2012

Relevance score: 86

4 responses

L 2

A 32-year-old male sustained an L4 burst fracture in a car accident five days ago. On initial presentation he was neurologically intact and treated in a thoracolumbar orthosis. In the last two days he has noticed increasing difficulty voiding, decreased perianal sensation, and weakness to ankle plantar flexion. Radiographs, computed tomography, and magnetic resonance imaging are shown in Figures A through D. What is the most appropriate next step in treatment?

Spine
- Thoracolumbar Burst Fractures

Relevance score: 85

Herniated discs: when is surgery necessary?

Wai Weng Yoon,

Jonathan Koch

Spine
- Lumbar Disc Herniation

Wai Weng Yoon, 2021

Relevance score: 84

76 responses

Fusion of the lumbar and sacral spine by internal fixation with screw plates.

R Louis

Anatomy
- Lumbosacral Plexus

Spine

Spine

Which of the following patients most likely h...

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Spine
- Low Back Pain - Introduction

Relevance score: 82

Emergency stabilisation by single-stage posterior transpedicular approach for treatment of unstable lumbar spine fracture with neurological injury.

Joaquin Alfaro-Micó,

José Ramirez-Villaescusa,

Maria Dolores Martinez-Lozano,

Rosa Maria Sanchez-Honrubia,

David Ruiz-Picazo

Spine
- Thoracolumbar Burst Fractures

Joaquin Alfaro-Micó, 2020

Relevance score: 82

16 responses

Adult Isthmic Spondylolisthesis

Spine

Relevance score: 81 / Absolute Importance: 24

2 weeks ago

4.3

(116)

Anal reflex - Anal wink - perineal reflex

Trauma

Combined Posterior-Anterior Interbody Fusion in the Management of Traumatic Lumbosacral Dissociation: A Case Report and Review of Literature.

Kyle W Scott,

Jonathan Arias,

Kourosh Tavanaiepour,

Daryoush Tavanaiepour,

Gazanfar Rahmathulla

General

Kyle W Scott, 2020

Relevance score: 79

0 responses

Herniated lumbar intervertebral disk.

R A Deyo,

J D Loeser,

S J Bigos

Spine
- Lumbar Disc Herniation

R A Deyo, ANIM 1990

Relevance score: 79

12 responses

Degenerative Spondylolisthesis

Spine

Relevance score: 78 / Absolute Importance: 55

12/24/2024

4.1

(176)

Lumbosacral intrathecal nerve roots: an anatomical study.

Spine
- Spinal Cord Anatomy

Mehmet Arslan, 2011

Relevance score: 78

0 responses

Evaluation and management of high-grade spondylolisthesis in adults.

Christopher J DeWald,

Jennifer E Vartabedian,

Mary F Rodts,

Kim W Hammerberg

Spine
- Adult Isthmic Spondylolisthesis

Christopher J DeWald, SPINE 2005

A 66-year-old man reports a 2-week history of worsening low ...

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Pathology
- Metastatic Disease of Spine

Relevance score: 73

Lumbar Spinal Stenosis

Spine

Relevance score: 71 / Absolute Importance: 86

Which of the following would most likely explain the physica...

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Spine
- Lumbar Disc Herniation

Relevance score: 69

Red Flags for Low Back Pain Are Not Always Really Red: A Prospective Evaluation of the Clinical Utility of Commonly Used Screening Questions for Low Back Pain.

Ajay Premkumar,

William Godfrey,

Michael B Gottschalk,

Scott D Boden

Spine
- Low Back Pain - Introduction

Ajay Premkumar, JBJS 2018

Relevance score: 67

180 responses

Interspinous process decompression with the X-STOP device for lumbar spinal stenosis: a 4-year follow-up study.

Dimitriy G Kondrashov,

Matthew Hannibal,

Ken Y Hsu,

James F Zucherman

General
- Lumbar Spinal Stenosis

Dimitriy G Kondrashov, 2006

Figure 1 is the axial MRI image of the L5-S1 level from a pa...

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Spine
- Lumbar Disc Herniation

A 38-year-old woman presents with a 7-month history of intra...

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Spine
- Lumbar Disc Herniation

A 36-year-old male presents with acute onset of right buttoc...

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Spine
- Lumbar Disc Herniation

Relevance score: 67

Technique Guide

Microdiscectomy

Spine
- Lumbar Disc Herniation

Relevance score: 64

128 matches found 2