(Butcher) Back Pain

Question 1

What is Spinal Stenosis?
What is the classic/everyday clinical sign?

Name some causes

Answer 1

Spinal Stenosis = Narrowing of spine, (spinal canal and/or neural foramina) nerve roots get pinched.

Because Symptoms are worse with erect posture (neurogenic claudication), presents often as the “Old guy bending over cart in Cub Foods”

Causes of SS:
Facet Arthrosis
Spondylolisthesis
Sacroilliac Arthrosis
Osteophyte formation,

facet hypertrophy,

bulging disks, and

hypertrophy of the ligamentum flavum.

Question 2

Spondylolithesis?

Cause?

Answer 2

Forward slipping of one vertebrae on another

Usually caused by bilateral pars defect
Developmental/congenital
Traumatic
Degenerative
Pathologic

Question 3

What is the term for a stress fracture of the pars, and what test is given for diagnosis?

Answer 3

**Spondylolysis
Or
Stress Fracture of the Pars
(single leg hyperextension test)
Pars = “scotty dog collar”