Case Library

SMISS is pleased to provide its members with a library* of MISS cases. Each case includes patient history, physical exam, treatment options, actual treatment and outcome. The cases are each followed by an expert discussion.

As SMISS builds this valuable resource, don’t hesitate to contact if you have a case you’d like to submit.

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Endoscopic ALIF Decompression

Albert Telfeian, MD, PhD

Patient is a 48-year-old male with prior L5-S1 ALIF 2016, and L3-4 LLIF 2018, who presents for evaluation of low back and leg pain. He describes several months of low back pain radiating down his right leg - from anterior thigh down to the top of his foot. The pain is more of a tingling discomfort vs a sharp pain. He says it is worse with standing, walking for long periods of time (> 5 min). His leg pain is more bothersome than his low back pain (chronic).

Anterior-To-Psoas Lumbar Interbody Fusion With ELSA-ATP Expandable Lumbar Interbody Spacer

Alexander E. Ropper, MD
Globus Medical Case Study

A 77-year-old male presented with recurring back pain with some radiation to the left leg. Pain was aggravated with walking and standing, and improved with forward flexion and laying down. The patient completed physical therapy and multiple epidural steroid injections, without lasting pain relief. He had a laminectomy at L4-L5 performed four years earlier.

Robotic Guided Cervical Pedicle Screw Insertion Technique for Multilevel Cervical Spondylosis with Radiculopathy and Myelopathy.

Stanley Kisinde, MB.ChB, MMed;
Isador H. Lieberman, MD, MBA, FRCSC.

A 75-year-old male presented with long standing history of neck pain and headaches. The neck pain was progressive and associated with a headache that he described as “wrapping around his head in a band-like formation”.

Cervical Foraminal Disc Herniation Adjacent to a Fused Segment

Dr. Jeff Golan
Dr. Oded Rabau

79 y/o healthy male presented with a 4-week history of spontaneous incapacitating shoulder pain radiating down the right arm to the hand in a typical C8 dermatomal distribution.