Back & Neck Surgeries; Precautions

Question 1

Name 3 kinds of back and neck surgeries

Answer 1

1. Laminectomies
2. Fusions
3. Rod placements

Question 2

What is a laminectomy?

Answer 2

the removal of the lamina of the spine

Question 3

How/What do we use to locate the area of surgery in back & neck surgeries?

Answer 3

Use the spine

le: L4-5

Question 4

the surgical removal or part or all of the lamina(vertebral bone)

Answer 4

Laminectomy

Question 5

How long does it take to perform a laminectomy?

Answer 5

1 to 3 hours

Question 6

what are the functions of the lamina?

Answer 6

• to protect the spinal cord

- passageway for spinal nerves

Question 7

Why we may need to have back surgery.

1. (lumbar region)

Answer 7

pain radiation down the leg

Question 8

Why we may need to have back surgery.

2. (cervical region)

Answer 8

pain radiating down the arms

Question 9

Why we may need to have back surgery.

3. pain with ______

Answer 9

movement

Question 10

Why we may need to have back surgery.

4. Result of Spinal ______. Narrowing of the spinal canal and compressing of the nerve due to extra _____ buildup

Answer 10

Stenosis, calcium

Question 11

Why we may need to have back surgery.

5. Compression on the nerve root via ____, bony _____, bony _____, tumor.

Answer 11

disc, shift, tumor.

Question 12

Spinal stenosis is the

Answer 12

narrowing of the spinal canal

Question 13

How many laminae does each vertebrae have?

Answer 13

each vertebrae has 2 laminae

Question 14

What are the universal precautions for ALL Spinal surgeries?

Answer 14

BLT
No Bending
No Lifting
No Twisting

Question 15

Following spinal surgery, patients are restricted to lifting NO MORE than _____ pounds or the weight of a _____ of milk.

Answer 15

2-5

gallon

Question 16

TRUE OR FALSE:

Following spinal surgery, patients can bend in the left or right direction.

Answer 16

FALSE

NO Bending in either direction!

Question 17

Name several types of neck/back braces often used following surgery

Answer 17

Jewett Brace
TLSO (turtle shell) brace
Cervical Philadelphia collar

Question 18

What does TLSO (turtle shell) stand for?

Answer 18

Thoracic Lumbar Sacral Orthosis

Question 19

How would a patient using neck/back braces bathe?

Answer 19

with A/E such as grab bars to assist with balance while in the shower, shower chair to assist with better reaching LE, Long handled shower sponge, to prevent bending/flexion, long handled shower hose

Question 20

What is the jewett brace designed to do?

Answer 20

to give support to your thoracic and lumbar spine by preventing twisting twisting & flexing (bending forward)

Question 21

what does a TLSO (turtle shell) brace do?

Answer 21

-keeps your back straight after a spinal surgery/fracture

Question 22

A TLSO (turtle shell) brace gives ______to the thoracic, lumbar & sacral spines following surgery to prevent unwanted _______, _______, and _______.

Answer 22

stability, flexion, extension, rotation

Question 23

What is the Cervical Philadelphia collar used for?

Answer 23

to prevent neck flexion, extension or rotation of the cervical spine