Chronic Spinal Cord Disorders Flashcards
What is the neuroanatomic localization of degenerative myelopathy early in the course of the disease?
T3-L3 myelopathy
What are the appropriate treatment recommendations for Type II intervertebral disc disease?
- Gabapentin 10mg/kg PO TID
- Prednisone 1mg/kg day (target vasogenic edema)
- Rehabilitation therapy
What disorders can be diagnosed with survey spinal radiographs?
- Discospondylitis
- Vertebral osteosarcoma
- Multiple myeloma
What disorders can NOT be diagnosed with survey spinal radiographs?
- Spinal meningioma
- Degenerative myelopathy
(T/F) Orthopedic conditions are WORSE after periods of rest
True
(T/F) Spinal cord problems get worse after periods of rest
False, it improves after periods of rest
The disease of the spinal cord
Myelopathy
The disease of the nerve roots
Radiculopathy
Disease of the nerves
Neuropathy
partial paralysis of the lower limbs
paraparetic
a condition of muscular weakness caused by nerve damage or disease; partial paralysis
paresis
is a complete inability to perform any movement
Paralysis (-plegia)
Most common chronic spinal paraparesis:
- Intervertebral Disc Disease Type II
- Degenerative Myelopathy
- Neoplasia
- Degenerative Lumbosacral Stenosis
- Discospondylitis
What are the appropriate surgery recommendations for Type II intervertebral disc disease?
- Hemilaminectomy (most common, remove one side of the lamina)
- Pediculectomy
- Corpectomy (removing the body)
cage rest only after surgery
Degenerative disease of the spinal cord white matter
Degenerative Myelopathy
