adv spine interventions

Question 1

spondylosis

Answer 1

degeneration of intervertabral disc

Question 2

spondylolysis

Answer 2

defect in pars interarticularis or arch of the vertebra

break/defect/fracture

Question 3

spondylolisthesis

Answer 3

fwd discplacement of one vertebra over the other

slippage

Question 4

Spondylosis
age:
location:
aggrevating factors:
relieving factors:
SLR:
imaging:

Answer 4

age: >50
location: unilateral, back
aggrevating factors: extension (standing)
relieving factors: sitting, bending
SLR: -
imaging: + xray for arthritic changes

Question 5

spondylolysis
age:
location:
aggrevating factors:
relieving factors:
SLR:
imaging:

Answer 5

age: 15-20
location: back
aggrevating factors: extension (standing), bending to lift objects
relieving factors: sitting
SLR: -
imaging: xray oblique view shows fracture of pars interarticularis

Question 6

spondylolisthesis
age:
location:
aggrevating factors:
relieving factors:
SLR:
imaging:

Answer 6

age: 20
location: back
aggrevating factors: extension (standing) and bending to lift objects
relieving factors: sitting
SLR: -
imaging: x ray lateral view shows slippage of vertebra

Question 7

disc herniation
age:
location:
aggrevating factors:
relieving factors:
SLR:
imaging:

Answer 7

age: 30-50
location: back, leg (unilateral)
aggrevating factors: sitting, bending, ascending stairs
relieving factors: extension, standing, descending stairs
SLR: +
imaging: MRI, CT indicates bulging disc

Question 8

spinal stenosis
age:
location:
aggrevating factors:
relieving factors:
SLR:
imaging:

Answer 8

age: >60
location: back, legs (bilateral)
aggrevating factors: extension, standing
relieving factors: sitting, bending
SLR: +
imaging: CT, MRI, and xray

Question 9

special test needed to confirm spondylolithesis

Answer 9

stork standing test

Question 10

special test needed to confirm spinal stensis

Answer 10

van gelderen bicycle test

Question 11

special test needed to confirm facet dysfunction

Answer 11

quadrant test

Question 12

high v low disability score meaning

Answer 12

higher= worse
low=better

Question 13

high v low functional index/tests

Answer 13

high=better
low=worse

Question 14

scoliosis

compare concave v convex side

Answer 14

concave:
- high pelvis
- tight mm
- spinous process body rotated to this side
- anterior rib distortion
- decrease un vertebral height
- narrowing in interconstal spaces
- decrease in lung volume

convex:
- low pelvis
- stretched mm
- vertebral body here
- posterior rib distortion
- increase in vertebral height
- opening of intercostal space
- increase in lung volume

Question 15

what mm are affected with scoliosis

Answer 15

quadratus lumborum
latissimus dorsi
external oblique mm
vertebral bodies

Question 16

what are other names for opening

spinal mobs

Answer 16

gapping
increased space
upglide
flexion

Question 17

what are other names for closing

spinal mobs

Answer 17

decreased space
downglides
extensio

Question 18

describe the closing and gapping concept using the “C Model”

Answer 18

make a “c” with your hand. the fingers are the top vertebra and your thumb is the bottom.

if you want to open, you move your fingers (top vertebra) while you stabilize/dont move your thumb (bottom vertebra)

if you want to close, then you top hand does not move (stabilize top vertebra) but you move your thumb dowm (mob the bottome vertebra)

to open: press on the superior vertebra
to close: press on the inferior vertebra

Question 19

arthokinematics on the c/s

Answer 19

C2-C7, the sidebending and rotation occur on the same direction

Question 20

arthokinematics on the l/s

Answer 20

sidebending and rotation occurs in the opposite direction