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Kyphosis, or round back deformity, is a curving or rounding of the thoracic spine. This can lead to a noticeable deformity and cause a hunching or slouching appearance. Causes of thoracic kyphosis vary and are often related to age. In a child, a congenital defect of the developing spine can result … [Read more...] about Thoracic Kyphosis (Round Back Deformity)

Thoracic outlet syndrome (TOS) is a complex neurovascular compressive syndrome involving the brachial plexus, arterial, and venous structures coursing under the clavicle. Compression to the components of the brachial plexus accounts for greater than 90 percent of the cases with a frequent … [Read more...] about Neurogenic Thoracic Outlet Syndrome and Nighttime Ulnar Neuropathy

Buttock pain, leg pain and weakness of muscles innervated by the sciatic nerve are often associated with a discogenic origin. However, other causes need to be considered, including compression of the sciatic nerve by the piriformis muscle, an external rotator, and extensor and abductor of the hip. … [Read more...] about Piriformis Syndrome

Back pain in the older population is most often attributed to the degenerative process. However, other, more ominous, processes can often cause back pain. One of these conditions, which is often overlooked and often results in a delay in diagnosis, is multiple myeloma, a malignant proliferation of … [Read more...] about Multiple Myeloma: Diagnosis Often Delayed in the Older Patient

Cervical angina, also known as pseudoangina, may resemble true angina, but arises from cervical spine pathology: herniated disc, spinal stenosis, or cervical spondylosis. Even progressive paraplegia due to compression of the anterior spinal artery has been described as being preceded by repeated … [Read more...] about Cervical Angina

Degenerative spondylolisthesis is a degenerative slippage of one vertebra over the other. It is more common at L4-5 and in aging women (up to 20-25%). The condition is related to degeneration of the disc as well as the facet joints. Degenerative hypertrophy of the facet joints may lead to stenosis. … [Read more...] about Lumbar Degenerative Spondylolisthesis

Spondylolisthesis refers to one vertebra slipping upon another. The most common form of spondylolisthesis in the pediatric age group is the isthmic type which refers to defects in the pars interarticularis which is part of the posterior neural arch. This is in contrast to degenerative … [Read more...] about Isthmic Spondylolisthesis

Idiopathic scoliosis typically affects children during their growth. A small percentage of them will require treatment. The spinal deformity affects the thoracic, lumbar or both regions. Along with the side-to-side deformity, there may be abnormalities in the sagittal plane (side perspective), such … [Read more...] about Idiopathic Scoliosis Challenges