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537 matches found 1 ... 9 10 11
C
L 2
C
L 2
QID: 517
A 56-year-old male presents with gait imbalance and decreased manual dexterity. Sagittal T2 MRI images are shown in Figures A and B. What is the most appropriate surgical management?
  • Spine
  • - Cervical Myelopathy
Relevance score: 71
B
L 1
Question
B
L 1
Question
QID: 5437
A 65-year-old woman presents with neck pain for 18 months. S...

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  • Spine
  • - Cervical Myelopathy
Relevance score: 70
B
Question
B
Question
QID: 5429
A previously healthy 51-year-old male presents with 3 months...

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  • Spine
  • - Cervical Disc Arthroplasty
Relevance score: 70
D
L 2
Question
D
L 2
Question
QID: 7751
Figures 163a through 163c show the radiograph and MRI scans ...

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  • Spine
  • - Cervical Radiculopathy
Relevance score: 69
C
L 3
C
L 3
QID: 3632
A 56-year-old woman presents for initial evaluation of her neck pain which has been worsened by activity for the last several years. On exam, she has 5/5 motor strength throughout bilateral upper and lower extremities. She has a normal gait and no difficulties with manual dexterity. Reflex testing shows hyperreflexia in bilateral Achilles tendons. Lateral radiographs are shown in Figure A, and MRI scan is shown in Figures B and C. What is the most appropriate management?
  • Spine
  • - Cervical Myelopathy
Relevance score: 69
B
L 3
Question
B
L 3
Question
QID: 3769
A 69-year-old man presents with several months of worsening ...

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  • Spine
  • - Cervical Myelopathy
Relevance score: 68
D
D
PMID: 12948348
Phys Med Rehabil Clin N Am. 2003 Aug;14(3):675-92.
Operative treatment of the patient with neck pain.
Nicholas U Ahn,
Uri M Ahn,
Gunnar B J Andersson,
Howard S An
  • Spine
  • - Cervical Radiculopathy
Nicholas U Ahn, 2003
Relevance score: 67
12 responses
A
L 1
Question
A
L 1
Question
QID: 213087
A 73-year-old man slipped in the bathroom, falling, and stri...

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  • Spine
  • - Incomplete Spinal Cord Injuries
Relevance score: 67
B
L 2
B
L 2
QID: 3674
A 68-year-old female presents with progressive loss of ability to ambulate and dexterity problems with her hands. Six months ago she was able to walk with a cane, but now has difficulty with ambulating with a walker. She also reports difficulty with her hands and needs assistance with eating. Physical exam shows limited neck extension. Radiographs, tomography, and magnetic-resonance-imaging are shown in Figure A, B, and C respectively. What is the most appropriate treatment?
  • Spine
  • - Cervical Myelopathy
Relevance score: 66
B
L 2
B
L 2
QID: 1005
A 52-year-old woman underwent a C5/6 ACDF for cervical radiculopathy through a left-sided approach two years ago. Radiographs are shown in Figure A. She has had an altered voice since this operation. Recently, the patient has developed myelopathic symptoms including gait instability and dexterity problems with her hands. An MRI shows a fusion at C5/6, and an adjacent-level midline disc herniation at C4/5 with cord compression and myelomalacia. Laryngoscopy of the vocal cords demonstrates abnormal function of the vocal cords on the left hand side. Which of the following is the most appropriate treatment for this patient?
  • Spine
  • - Cervical Radiculopathy
Relevance score: 66
PMID: 19387702
Eur Spine J. 2009 Oct;18(10):1528-31. Epub 2009 Apr 22.
Does walking change the Romberg sign?
Gordon F G Findlay,
Birender Balain,
Jayesh M Trivedi,
David C Jaffray
  • General
Gordon F G Findlay, ESPNJ 2009
Relevance score: 66
0 responses
D
3
D
3
PMID: 27417399
Magn Reson Imaging Clin N Am. 2016 Aug;24(3):523-39.
Neuroimaging of Spinal Canal Stenosis.
Peter Cowley
  • General
  • - Lumbar Spinal Stenosis
Peter Cowley, 2016
Relevance score: 65
28 responses
B
L 4
B
L 4
QID: 509
A 78-year-old female slips and falls in the bathroom. In the emergency room she is found to have a laceration on her forehead. On physical exam, she has new-onset Grade 3 weakness in her upper extremities, more pronounced in her hands, making it difficult for her to hold objects. In her lower extremities, she has Grade 4 weakness, but is able to walk with assistance. She has new-onset urinary dysfunction. A radiograph and an MRI are shown in Figures A and B, respectively. History reveals that prior to the fall, she was living independently, was able to go on daily walks, and had normal function of her hands. Which of the following most accurately describes her prognosis with nonoperative treatment?
  • Spine
  • - Incomplete Spinal Cord Injuries
Relevance score: 65
A
L 3
Question
A
L 3
Question
QID: 211146
A 72-year-old patient fell from standing height approximatel...

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  • Spine
  • - Odontoid Fracture
Relevance score: 65
C
L 4
Question
C
L 4
Question
QID: 3796
A 48-year-old woman presents to your clinic with 3 weeks of ...

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  • Spine
  • - Thoracic Disc Herniation
Relevance score: 65
E
L 2
Question
E
L 2
Question
QID: 211476
A 70-year-old male is treated with a C2-4 posterior decompre...

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  • Spine
  • - Cervical Myelopathy
Relevance score: 64
B
L 1
Question
B
L 1
Question
QID: 1143
A 50-year-old diabetic woman describes left arm pain and tingling in the ulnar side of her hand and wrist. She denies weakness or trouble with fine motor tasks. Her symptoms are worse when she is sleeping without a pillow on her left side, and with her left elbow in an extended position. Sleeping with her left hand above her head seems to improve her symptoms. What is the most likely diagnosis?
  • Spine
  • - Cervical Radiculopathy
Relevance score: 64
E
L 4
Question
E
L 4
Question
QID: 7972
A 40-year-old woman is admitted to the hospital with a histo...

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  • Spine
  • - Thoracic Disc Herniation
Relevance score: 64
A
L 2
Question
A
L 2
Question
QID: 210131
A 29-year-old female presents to your clinic for surgical ev...

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  • Basic Science
  • - Multiple Sclerosis
Relevance score: 64
C
L 1
Question
C
L 1
Question
QID: 713
Morquio's syndrome is associated with all of the following anomalies EXCEPT:
  • Pediatrics
  • - Mucopolysaccharidoses
Relevance score: 64
A
L 3
Question
A
L 3
Question
QID: 5848
A 56-year-old male presents with right arm pain and weakness...

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  • Spine
  • - Cervical Radiculopathy
Relevance score: 64
E
L 3
Question
E
L 3
Question
QID: 214013
A 45-year-old male patient presents with left arm pain and n...

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  • Spine
  • - Cervical Disc Arthroplasty
Relevance score: 63
C
23
C
Sagittal Plane Malalignment s/p Lumbar Spinal Fusion in a 53M (C101779)
  • Spine
  • - Adult Spinal Deformity
Relevance score: 63
8/30/2021
461
24
5
Vote for CME
D
L 2
Question
D
L 2
Question
QID: 7919
A 63-year-old man has a feeling of generalized clumsiness in...

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  • Spine
  • - Cervical Myelopathy
Relevance score: 62
PMID: 14673367
Spine (Phila Pa 1976). 2003 Dec 15;28(24):2667-72.
Results of skip laminectomy-minimum 2-year follow-up study compared with open-door laminoplasty.
Tateru Shiraishi,
Kentaro Fukuda,
Yoshiyuki Yato,
Mitsukazu Nakamura,
Takeshi Ikegami
  • Spine
  • - Cervical Myelopathy
Tateru Shiraishi, SPINE 2003
Relevance score: 62
4 responses
26
Finger Escape Sign
  • Trauma
Relevance score: 62
5/9/2023
8931 views
0.0
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Question
Question
QID: 220494
A 52-year-old female presents to your spine clinic for a sec...

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  • Spine
  • - Cervical Myelopathy
Relevance score: 62
PMID: 36883622
J Neurosurg Spine. 2023 Mar 03;:1-9. Epub 2023 Mar 3.
Crossing the cervicothoracic junction: an evaluation of radiographic alignment, functional outcomes, and patient-reported outcomes.
Justin Aflatooni,
Sarthak Mohanty,
Ivan Angelov,
Takashi Hirase,
Kevin Bondar,
Michael Kakareka,
Jose Saucedo,
David Casper,
Comron Saifi
  • General
Justin Aflatooni, 2023
Relevance score: 62
0 responses
Question
Question
QID: 219506
A 65-year-old woman presents to an orthopedic adult reconstr...

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  • Spine
  • - Thoracic Disc Herniation
Relevance score: 61
E
L 2
Question
E
L 2
Question
QID: 211432
A 21-year-old collegiate linebacker with Type I diabetes man...

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  • Spine
  • - Cervical Radiculopathy
Relevance score: 61
E
L 2
Question
E
L 2
Question
QID: 7182
Which of the following levels of the spine is most frequentl...

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  • Spine
  • - Ossification of the Posterior Longitudinal Ligament
Relevance score: 60
C
L 1
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32
C
L 1
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Positive Babinski Reflex
  • Spine
  • - Cervical Myelopathy
Relevance score: 60
1/27/2012
2294 views
3.8
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(17)
PMID: 34267943
EFORT Open Rev. 2021 Jun;6(6):526-530. Epub 2021 Jun 28.
Herniated discs: when is surgery necessary?
Wai Weng Yoon,
Jonathan Koch
  • Spine
  • - Lumbar Disc Herniation
Wai Weng Yoon, 2021
Relevance score: 60
76 responses
E
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34
E
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Babinski Reflex Technique in Normal Patient
  • Spine
Relevance score: 59
1/27/2012
48 views
0.0
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A
L 3
A
L 3
QID: 211201
A 72-year-old female presents with neck pain and an occipital headache. A CT scan and MRI are shown in Figures A and B respectively. What laboratory finding would most likely be found in this patient?
  • Spine
  • - Rheumatoid Cervical Spondylitis
Relevance score: 59
C
L 1
Question
C
L 1
Question
QID: 3739
During a supine examination, passive elevation of the lower ...

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  • Spine
  • - Lower Extremity Spine Exam
Relevance score: 59
D
L 1
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37
D
L 1
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Hoffman's Test
  • Spine
Relevance score: 58
11/19/2011
5350 views
4.4
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(25)
E
L 4
Question
E
L 4
Question
QID: 211487
A 70-year-old male is treated with a C2-4 posterior decompre...

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  • Spine
  • - Cervical Myelopathy
Relevance score: 58
E
L 1
Question
E
L 1
Question
QID: 6408
A patient has a large T11-T12 disk herniation that is causin...

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  • Spine
  • - Thoracic Disc Herniation
Relevance score: 58
E
Question
E
Question
QID: 215594
A 68-year-old patient undergoes a C2-T2 laminectomy and inst...

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  • Spine
  • - Cervical Myelopathy
Relevance score: 58
C
L 5
Question
C
L 5
Question
QID: 3708
Which of the following is a known risk fac...

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  • Spine
  • - Ossification of the Posterior Longitudinal Ligament
Relevance score: 58
D
L 2
Question
D
L 2
Question
QID: 7914
A 56-year-old man has a chief complaint of leg weakness and ...

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  • Spine
  • - Cervical Myelopathy
Relevance score: 57
D
D
PMID: 10874223
J Am Acad Orthop Surg. 2000 May-Jun;8(3):159-69.
Thoracic disk disease: diagnosis and treatment.
J S Vanichkachorn,
A R Vaccaro
  • Spine
  • - Thoracic Disc Herniation
J S Vanichkachorn, JAAOS 2000
Relevance score: 57
20 responses
C
C
PMID: 17097548
Spine J. 2006 Nov-Dec;6(6 Suppl):282S-288S. [PMID]17097548[/PMID]
Ossified posterior longitudinal ligament: management strategies and outcomes.
Junichi Mizuno,
Hiroshi Nakagawa
  • Spine
  • - Ossification of the Posterior Longitudinal Ligament
Junichi Mizuno, SPINE 2006
Relevance score: 57
68 responses
C
L 2
Question
C
L 2
Question
QID: 2836
Atlantoaxial instability due to hypoplasia of the odontoid is most commonly seen in which type of mucopolysaccharidosis?
  • Pediatrics
  • - Mucopolysaccharidoses
Relevance score: 57
PMID: 37844629
Spine J. 2023 Oct 14; Epub 2023 Oct 14.
Plate-only open-door laminoplasty is associated with durable, significantly improved clinical outcomes and a very low reoperation rate for progressive spondylosis or adjacent segment disease: average 8 year follow-up.
Angel X Xiao,
J Taylor Bellamy,
Alex R Webb,
Akin Ojemakinde,
Myra Chao,
Shuo Niu,
John M Rhee
  • Spine
  • - Cervical Myelopathy
Angel X Xiao, SPINEJ 2023
Relevance score: 57
44 responses
D
1
D
1
PMID: 11476536
J Am Acad Orthop Surg. 2001 Jul-Aug;9(4):258-67. [PMID]11476536[/PMID]
Diffuse idiopathic skeletal hyperostosis: musculoskeletal manifestations.
T A Belanger,
D E Rowe
  • Spine
  • - Ankylosing Spondylitis
T A Belanger, JAAOS 2001
Relevance score: 56
79 responses
D
3
D
3
PMID: 18280216
Spine J. 2008 Nov-Dec;8(6):1003-6. Epub 2008 Feb 14.
Tandem stenosis: a cadaveric study in osseous morphology.
Michael J Lee,
Ryan Garcia,
Ezequiel H Cassinelli,
Christopher Furey,
K Daniel Riew
  • Spine
  • - Cervical Myelopathy
Michael J Lee, SPINEJ 2008
Relevance score: 56
68 responses
B
L 3
Question
B
L 3
Question
QID: 3054
A 79-year-old female sustains a ground level fall and presen...

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  • Spine
  • - Incomplete Spinal Cord Injuries
Relevance score: 56
PMID: 37405273
Orthop Rev (Pavia). 2023;15:77875. Epub 2023 Jul 1.
The Hoffmann parallax: a prospective study to determine the benefit of Hoffmann's sign.
Eric H Gruenberger,
Sohrab K Vatsia,
Rourke M Stay,
Cameron Kersey,
Mudassar A Khan,
Douglas W Pahl
  • Spine
  • - Cervical Myelopathy
Eric H Gruenberger, 2023
Relevance score: 55
12 responses
537 matches found 1 ... 9 10 11