Clinical Back

Question 1

Sciatica

Answer 1

Impingement of nerve in the legs causing pain in the associated dermatome

Question 2

Which structure may be compressed if vertebral canal stenosis is in mid to lower lumbar region?

Answer 2

Cauda equina

Rx: Laminectomy

Question 3

How do C nerves leave spine?

Answer 3

Above same numbered vertebra

Question 4

Possible causes of Scoliosis

Answer 4

Hemivertebra

Uneven leg length

Question 5

Which structure affected by in Pt presenting with prickling sensation along medial border of her left arm, forearm, and hand which included medial side of 4th and all of 5th digit?

Answer 5

TOS causing lesion to Inferior trunk & C8 T ventral rami & Decreased blood flow in left hand due to trunk & vascular structure crossing 1st rib together

Question 6

Klippel Feil syndrome (Brevi Collis)

Answer 6

Short neck
Restricted neck movement
C4-7 fused bodies

Question 7

Jefferson/burst fracture of C1

Answer 7

Fall on top of head;

C1 lateral masses displaced due to bilateral fracture of both C1 arches

Question 8

Which, potentially, is the more serious injury - fracture of dens or ruptured transverse ligament?

Answer 8

Ligament rupture - more likely to cause cord compression at C1 (transverse ligament only at C1)