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  • Posted in: Open Forum

    Dear Andres, There is a lesion in the left facet joint that leads to expansion of it. It will be better and necessary to have a ct scan of this region for better evaluation. Thus , please order it for ...

  • Posted in: Open Forum

    Dear Andres, Your patient needs surgery just for having better lifestyle in sitting and sleeping (probably like the management of the patients with neuromuscular deformity ). Before any operation ,you ...

  • Posted in: Open Forum

    Hi Varun, This is a challenging case. Especially so when the patient is nearing maturity.   1. There is a thoracic deformity. By my viewing it seems like a. T5 and T6 bar on the left side; b. T7 hemivertebra ...

  • Posted in: Open Forum

    I guess now that I have seen other responses, the question comes up that, if we are really concerned about high dose or long term usage to alleviate actual neuropathic pain (as opposed to the potential ...

  • Posted in: Open Forum

    Karen Zupko has worked with a lot of spine practices on auditing and coding education. Additionally, NASS provides coding education through two in-person coding courses annually (The next will be held ...

  • Posted in: Open Forum

    Just wondering how you have proceeded with management.  Consider double crush if there is stenosis at L4/5.  If facet arthropathy is present, a component of degenerative instability may be present at L4/5.  ...

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