Clinical correlations Vertebral Column

Question 1

vertebral compression fractures usually occur anterior or posterior due to distribution of weight? what are complications of this type of fracture?

Answer 1

anterior; spinal nerves can get trapped

Question 2

A burst vertebral fracture is a more severe vertebral compression fracture because of what complication related to the bone fragments?

Answer 2

bone frags can get into the spinal canal

Question 3

What condition in postmenopausal women can predispose to vertebral compression fractures?

Answer 3

osteoporosis

Question 4

spondylosis is a defect of the __ ______ and usually occurs at which Lumbar vertebrae

Answer 4

pars interarticularis; L5 most commonly, or L4

Question 5

50-80% of spondylosis can lead to _____

Answer 5

spondylolisthesis (also known as subluxation).

Question 6

kyphosis is anterior _____curvature of vertebral column

Answer 6

concave (shaped like a c, law mower dude)

Question 7

lordosis is anterior _______ curvature of vert column

Answer 7

convex (shaped like an s, gymnasts, can happen during pregnancy)

Question 8

scoliosis curvature is ____

Answer 8

lateral/rotational

Question 9

scoliosis screening incldues

Answer 9

bending forward and checking height of scapula

Question 10

spinal tap take CSF from between which lumbar vertebrae

Answer 10

L3/L4 or L4/L5

Question 11

The very top of the iliac crest falls between which lumbar vertebrae

Answer 11

L3/L4

Question 12

penetration of spinal tap

Answer 12

skin
subq tissue
supraspinous ligament 
interspinous ligament
ligamentum flavum
fatty tissue
dura mater
archidonic mater
subarachidonic space

Question 13

tough segments of a spinal tap

Answer 13

supraspinous ligament (toughest)

ligamentum flavum (tough but also can be absent in some patients)

dura mater (tough)

Question 14

Dorsal rhizotomy sections the dorsal root of a spinal nerve to relieve_____

Answer 14

intractable pain

Question 15

Ventral rhizotomy sections the ventral root of a spinal nerve to relieve_____

Answer 15

spastic paralysis

Question 16

spina bifida occulta

Answer 16

common, spinal canal doesn’t close but no herniation

normal alpha fetoprotein (check this)

neural tube defect

Question 17

anencephaly

Answer 17

anterior cranial neural tube doesn’t close

assoc with polyhydramnios because no swallowing center which would be in brain

Question 18

meningocele

Answer 18

meninges but no neural tissue herniate through a bony defect

Question 19

meningomyelocele

Answer 19

meninges and neural tissue (cauda equina) herniate through bony defect

Question 20

raschischisis

Answer 20

posterior neuropore of neural tube doesn’t close and the vertebrae doesn’t fully close around the spinal cord