3.3.3 Surgical Approaches to Back Pain Flashcards
What is the classic dermatomal pattern from L1-S2 of the lower extremity?
![](https://s3.amazonaws.com/brainscape-prod/system/cm/218/327/739/a_image_thumb.png?1502311152)
What is going on in the image on the right?
![](https://s3.amazonaws.com/brainscape-prod/system/cm/218/327/708/q_image_thumb.png?1502310875)
Spinal stenosis
What is a radiculopathy?
A nerve root compression
What is the gold standard for spine imaging?
MRI - better soft tissue resolution
If there is a posterolateral herniation of a disc (impinges medially) which root might be affected by the radiculopathy?
The traversing root
What is the clinical triad of cauda equina syndrome?
saddle anesthesia, bowel or bladder dysfunction, and low back pain
What is the lifetime incidence of back pain?
70-85% lifetime incidence
What are some not surgical approaches to treating back pain?
![](https://s3.amazonaws.com/brainscape-prod/system/cm/218/327/892/a_image_thumb.png?1502311489)
What must be trust regarding imaging/tests and the signs & symptoms?
They must correspond with one another. Need to make sure that the condition has been accurately diagnosed
Back pain that wakes them up at night is associated with what type of condition?
Cancer
What does HNP stand for?
Herniated Nuclear Pulposus (aka Lumbar Disc Herniation)
What is the most common cause of activity limitation in ppl < 45 years?
Back pain
Identify the different locations for lumbar HNP
![](https://s3.amazonaws.com/brainscape-prod/system/cm/218/328/173/q_image_thumb.png?1502311885)
![](https://s3.amazonaws.com/brainscape-prod/system/cm/218/328/173/a_image_thumb.png?1502311948)
What is a myelopathy?
An injury to the spinal cord