Dr. Sonstein’s Blog: “Here’s What Came In Today”

July 2, 2022

Cysts

People are obsessed with cysts!  When you think about it, the body likes to form cysts.  Why does this happen? Cysts can form just about anywhere […]
July 22, 2022

Thoracic Stenosis

Thoracic stenosis is far less common than lumbar stenosis.  Whereas the symptoms of lumbar stenosis are usually well-defined, thoracic stenosis can act like a great mimicker, […]
June 10, 2022

Sometimes It Is Obvious And Sometimes It Is Not

Patients sometimes have subtle anatomical abnormalities you discover as you investigate their problem.  And sometimes these findings can answer the why and the how as to […]
May 27, 2022

Lateral Recess Stenosis

Nervous tissue is soft. The thecal sac is surrounded by a rigid bony ring which forms the spinal canal. Any mass that fills the very small […]
May 11, 2022

72-Year-Old Male With Progressive Neck Pain

Here is a tough case: This is a 72 year-old male who presented with several months of progressive neck pain without symptoms of the arms or […]
May 11, 2022

Spinal Cord Compression In Obese Patient

 Patients who are morbidly obese are particularly challenging to manage with spine pathology. When these patients have low back pain and concurrent severe lumbar degeneration, it […]
May 11, 2022

Severe Stenosis With A Grade 1 Spondylolisthesis

This week was frantically filled with interesting spine cases that illustrate important biomechanical principles and important common problems that we face as neurosurgeons. The first was […]
May 10, 2022

NSPC Mobile Patient

Another patient followed up who I initially had seen on our NSPC mobile van at her worksite. She was 52 years-old and complained of chronic intractable […]
May 9, 2022

Grade 1 Spondylolisthesis At L4-5 With Severe Lumbar Stenosis

Yesterday I did a terrific case with my trusty orthopedic spine surgeon, Dr. Richard Obedian, with whom I have been working with as a team for […]
May 6, 2022

Severe Stenosis Above Prior Fusion

This next patient was a 54-year-old female who had a long history of low back pain with radiation to both legs. She had a prior L4-S1 […]
May 2, 2022

Lumbar Stenosis

Lumbar stenosis is a fairly common condition I see in my office.  Patients develop lumbar stenosis or narrowing of the spinal canal as a result of […]
April 28, 2022

Lumbar Degenerative Scoliosis

Lumbar degenerative scoliosis is a tricky problem. In most cases, you are dealing with patients who are 65 and older who often present with concurrent medical […]
April 26, 2022

Cervical Spinal Cord Compression With Myelopathy

This 52 year-old female presents with 4 months of progressive neck pain, numbness of both hands, and difficulty using her hands and buttoning a shirt. She […]
April 22, 2022

Recurrent Lumbar Stenosis

  A 69-year-old male presents with chronic low back pain that seems to improve with sitting. The patient had had a prior laminectomy for severe stenosis […]
April 18, 2022

Transitional Lumbar Segment

A 35-year-old female presents with severe low back pain and progressive left leg pain. She had initially presented nine months prior with mainly low back pain […]