chapter 4: lumbar spine Flashcards
lumbar spine nerve roots exit where
below the vertebral foraen
iliolumbar ligament connects what and can refer pain where
connects L4-L5 TP with iliac crest
can refer pain to the groin area
major movement for lumbar spine
flexion and extension
lateral to medial back muscles
iliocostalis longisisumus spinalis
i love sex
L5 sidebending to the right will create what axis
right oblique axis
L5 N SrRl will change sacrum to Right on right forward sacral torsion
sacralization of L5
TP of L5 fuses with sacrum
loss of mobility of L5 jiont
early disc degen
lumbarization of sacrum
S1 separated from scarum no looks like 6th lumbar vert
psoas syndrome symptoms
spasm shortens psoas
sacral torsion toward side of sidebending
contralateral pelvic shift
contralateral piriformis muscle spasm (pseudosciatica)
hypertonic psoas
type 2 dysfunction of L1 or L2 (usually flexed and rotated to side of dysfunctional psoas)
contralateral pelvic shift
sacral torsion towards side
positive thomas test
treat psoas syndrome
take care of L1 or L2 first
spinal stenosis gets better with what
forward flexed positiotn
mri change spinal stenosisis
degen change
calcifications
where does spinal cord usualy terminate
L1 and L2
most common anomaly in lumbar spine
facet (zygopophyseal) trophism
lumbar spine facet jionts are more closely aligned to coronal plane vs sagittal (back medial plane)
motion of L5 and sacrum
sidebending of L5 will casuse sacral oblique axis to be engaged on ___ side
rotation of L5 wil cause sacrum to rotate toward ___ side
same
opposite
ferguson’s angle
lumbosacral angle
formed from intersection of horizontal line and the line of inclination of sacrum
normal is 25-35
increased lordosis = increased angle = low back pain
decrased lordosis = decreased ferggy angle
herniated nucleus pulposus cause
pain worsens with what
due to narrowing of the posteior longit ligament and a psoeteriolateral herniation of the intervertebral disc
98% btwn L4-L5 or L5-S1
flexion of lumbar spine = worse pain, bumbness or tingling and sharp pain
organic causes psoas syndrome
SAMS UU
salpingitis
appendicitis
metastatic carcinoma of prostate
sigmoid colon dysfunction
ureteral calculi
ureter dysfunction
tender point where for psoas syndrome
medial to ASIS
treatment for psoas
ice
stretch if chronic
spinal stenosis is worsened by what
extension
spondylolisthesis grading
1
2
3
4
1 = 0-25% 2 = 25-50% 3 = 50-75% 4 = >75%
spondylolysis defintinon
and how view it
defect of pars interarticularis without anterior displacement of verterbral body
oblique view will ID the fracture of pars interartricularis
colar on neck of scotty dog
spondylosis
degenerative change within intervertebral disc and ankylosing of adjacent vertebral bodies
sondylolisthesis with what x rays
spondylolysis with what x rays
lateral
oblique
cauda equina syndrome compression of which nerve roots
below L2
signs and symptoms of cauda equina syndrome
saddle anesthesia, decrased DTR, decreased rectal sphincter tone, loss of bowel and bladder control
