Course Overview

Building on the foundational lumbar series, Case Studies 211 dives into the most complex presentations of the low back. Dr. Monte Horne utilizes 39 years of clinical experience to navigate the high-stakes world of disc sequestration, Modic changes, and unstable spondylolisthesis. Learn the advanced clinical reasoning required to manage these difficult cases and effectively communicate prognosis to both patients and co-managing physicians.

Clinical Outcomes: Monday Morning Value

Stability Clinical Audit (CAP)

For the unstable lumbar patient, monitoring "shear" and protective guarding is vital. Learn, in this Board & PACE approved CE course, to use **Single Leg Balance** and **Prone Instability Testing** as your Clinical Audits (CAP) to demonstrate immediate post-adjustment improvements in neuromuscular control and spinal stability.

Lumbar Spine II Pearls

The Sequestration Protocol

Identifying the clinical "tipping point" for surgical referral in a sequestrated disc. Master the neurological indicators that allow for conservative management versus those that demand immediate neurosurgical intervention.

Decoding Modic Changes

Learn the clinical significance of Modic Type I vs. Type II changes on MRI. Understand how these findings alter your adjustive force, frequency of care, and overall patient expectations.