COMPARATIVE MANAGEMENT OF SPINE PATHOLOGY

1. Degenerative spine
Cervical
One level cervical radiculopathy from facet/uncovertebral joint hypertrophy
One level cervical radiculopathy from herniated disc in young patient
One level cervical radiculopathy from herniated disc in older patient
Cervical stenosis with preservation of lordosis
Adjacent segment disease after single level ACDF
Adjacent segment disease after PCF (cervicothoracic junction)
Multilevel cervical stenosis from OPLL
Multilevel cervical stenosis from 3-4 discs
Anterior C1-2 pannus
Basilar impression

Thoracolumbar
Adjacent segment disease at thoracolumbar junction
Thoracic calcified disc (central)
Lower thoracic disc herniation
High lumbar stenosis (thoracolumbar junction)

Lumbosacral
Single level disc disease with back pain
Radiculopathy from foraminal stenosis
Grade 1 spondy without instability on flex/ext and claudication
Grade 1 spondy with back pain only
Grade 2/3 spondy
>Grade 3 spondy
Second herniated disc (same level) in a young patient
Second herniated disc (same level) in older patient
Flat back syndrome after laminectomy
Lumbar pseudoarthrosis at L5-S1
Pure back pain with multi level degenerative disc disease
2. Traumatic spine (10-15)
Cervical
Bilateral C2 pars fractures
Type II acute odontoid fracture
Type II chronic odontoid fracture in geriatric patient
Unilateral cervical pedicle/transverse foramen fracture
Central cord syndrome without instability
Central cord with instability Vertebral artery injury with unstable cervical spine
C1 burst fracture with TL disruption

Thoracolumbar
Compression fracture with back pain
Burst fracture without PLC injury
Burst fracture with PLC injury
Pure bony Chance fracture
Ankylosing spondylotic fracture
Complete spinal cord injury
Incomplete spinal cord injury
Gunshot wound to the spine

Lumbosacral
Compression fracture
Burst fracture without PLC injury
Burst fracture with PLC injury
Zone 3 sacral fracture
Chronic L5 pars fractures with back pain and spondy
3. Spinal deformity
Adolescent idiopathic scoliosis
Scoliosis in cerebral palsy
Proximal junctional kyphosis after T10-pelvis
Isolated coronal deformity with back pain
Coronal and sagittal deformity with back pain (adult idiopathic)
Flat back after fusion
Progressive cervical kyphosis after laminectomy
Fixed cervical kyphosis (chin on chest)
Degenerative scoliosis with one level radiculopathy
Proximal junctional kyphosis after T3-pelvis
Iatrogenic deformity after Harrington rod
Broken rod after scoliosis correction with back pain
4. Spinal Oncology (10-15)
Isolated met vertebral body (thoracic)
Cervical epidural met (ventral)
Multiple metastases to various levels, back pain only
Multiple metastases with one level symptomatic
Pathologic vertebral body fracture
Meningioma
Cervical chordoma
Sacral chordoma
Chondrosarcoma
Schwannoma
Ependymoma
Glioma
Giant Cell tumor
Schwannoma
Multiple neurofibromas
Intradural schwannomatosis
Hemangioblastoma
5. Other (epidural abscess or something like that) (10-15)
Spontaneous CSF leak nerve root sleeve cyst
Epidural abscess with stenosis without myelopathy
Osteomyelitis with fracture
Osteomyeltiis with back pain, no instability
Infection post instrumentation
Spinal Type I AVF

Unique in the field, Comparative Management of Spine Pathology presents commonly encountered spinal cases with side-by-side, case-by-case comparisons that clearly show how various experts would handle the same case. This second volume in the Neurosurgery: Case Management Comparison Series offers multiple opinions from international experts in both neurosurgery and orthopaedics, each of whom explains their preferred approach and management style for the same case. This format allows for quick and helpful comparisons of different ways to approach a lesion, advantages and disadvantages of each approach, and what each expert is looking for in how they would manage a particular case.

Authors
• Kaisorn Chaichana, MD, Associate Professor of Neurosurgery, Oncology, and Otolaryngology, Department of Neurosurgery, Mayo Clinic, Jacksonville, Florida.
• Alfredo Quinones-Hinojosa, MD, FAANS, FACS, Professor, Chair of Neurologic Surgery, Mayo Clinic, Jacksonville, Florida