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July 25, 2018
JAMA Surgery Clinical Challenge

Chronic Back Pain and a Bulge

Abstract Full Text
JAMA Surg. Published online July 25, 2018. doi:10.1001/jamasurg.2018.2024

A 65-year-old woman was seen at the surgical clinic with reports of chronic back pain and a bulge in her back. History revealed multilevel cervical and lumbar fusion surgical procedures over a 10-year period, and the patient subsequently noted a new, slowly enlarging bulge in her left midback. What is your diagnosis?