Back and Pelvis Flashcards
increased anterior convexity in the curvature of the spine
lordosis
exaggeration of posterior convexity of the thoracic vertebral column found commonly with OA and osteoporosis.
kyphosis
lateral curve of the spine usually right convex thoracic, most of, which are idiopathic
scoliosis
Anterior slip, bilateral pars defect, congenital usually L5 on S1, degenerative L4 on L5 - palpable step off with or without neurological symptoms
spondlolisthesis
narrowing of the spinal canal or neural foramen producing root ischemia or neurogenic claudication.
spinal stenosis
stress fracture of pars interarticularis. indicated by prominence of L4/L5
spondylolysis
Indicates hip joint pathology
decreased IR/ER or reproduction of pain
Largest and strongest vertebra
lumbar
Where do the muscles of the spine attach?
spinous and transverse processes
What part of the disk does the herniated disk fragment come from?
nucleus pulposus
Most common area of disk herniation that causes lateral and posterior thigh and leg pain (sciatica)
L5-S1
Special test that is almost always positive when a patient has a herniated disk in lower levels of spine
straight-leg raise
When do you consider surgery for herniated disks?
cauda equina syndrome or profound motor/neuro deficits
exacerbated by standing erect and downhill ambulation and is alleviated with lying supine and forward flexion
neural claudication
exacerbated with biking, uphill ambulation, and lumbar flexion and is not alleviated with standing
vascular claudication