Exam Two - PPT2 Flashcards

1
Q

Lumbar Gravity Line is creates by locating the center of _____ and dropping a line.

A

L3 body

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2
Q

If the Lumbar Gravitational Line passes 1 cm in front of the tip of the sacrum to 1 cm posterior to tip of the sacrum, it is __________

A

Normal

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3
Q

If the Lumbar Gravitational Line falls forward of the sacrum, there is ________ _______ _________

A

Anterior weight bearing (discs)

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4
Q

If the Lumbar Gravitational Line falls behind, the lumbar spine has _________ __________ ___________.

A

Posterior weight bearing (Facets)

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5
Q

Predental space should be up to _______ in adults

A

3mm

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6
Q

Predental Space should be up to _______ in children

A

5mm

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7
Q

Increased distance of Predental Space may indicate…

A

Fracture of odontoid to transverse ligament injury

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8
Q

Atlas Dens Interval (ADI)

AKA

A

Predental Space

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9
Q

Cervical Gravitational Line is created by locating the center of the tip of the __________ __________, then dropping it.

A

Odontoid Process

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10
Q

Cervical Gravitational Line is normal if the line goes through ___________

A

Any part of the body of C-7 vertebra

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11
Q

Risser Sign AKA

A

Iliac Epiphysis Sign

Apophysis Sign

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12
Q

Risser Sign checks for what?

A

Bone maturity (maturation)

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13
Q

Crest of Ilium begins maturing at the age of ______

A

About 16

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14
Q

Crest of the ilium maturation is complete in _____ years

A

Average 2 years

7months - 3.5 years

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15
Q

The whiter the part on the on the X-ray, the thicker or denser the structure is refered to as __________

A

Radiopague

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16
Q

The darker the part on the object, the less dense it is and is known as ___________

A

Radiolucent

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17
Q

The 5 densities seen on X-rays

1) ______ -blackish
2) ______-Dark gray
3) _____ light gray
4) _____Whitish
5) _____ bright white

A

1) Air
2) fat
3) water
4) bone
5) metal

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18
Q

The long upright pyramid is AKA _________, which extends from the tip of the odontoid process of C-2 to the inferior aspect of the vertebral body of L-5

A

1st general pyramid

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19
Q

The short inverted pyramid AKA _____ extends from the base of the sacrum to the tip of the coccyx

A

2nd general pyramid

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20
Q

Inside the first general pyramid there are ______ smaller pyramids

A

Three

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21
Q

What are the three smaller pyramids that are inside the first general pyramid?

A

Upright pyramid- at tip of odontoid process to the bottom of T-1
Inverted pyramid- bottom of T-1 to the bottom of L-5
Upright pyramid- bottom of T-5 to the bottom of L-5

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22
Q

Together there are _____ total pyramids. _____ General and the ______ smaller ones

A

5; 2; 3

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23
Q

A _____ is a normal anterior to posterior bending of the spinal column

A

Curve

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24
Q

The foot may ______ or ______. This will affect the knees, hips and spine

A

Pronate (turn out) or Supinate (turn in)

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25
What are the two types of curves in the spine?
Anterior and posterior curves
26
_______ curve that apexes or has the convexity toward the anterior (concavity toward the back)
Anterior curve
27
________ curve that apexes or has the convexity toward the posterior (concavity faces front)
Posterior curve
28
Anterior curves are AKA _________ curves | Posterior curves are AKA _________ curves
``` Lordotic curves (cervical and lumbar) Kyphotic curves (Thoracic, sacral, coccyx) ```
29
At birth, the body has _____ curve
1 posterior C-shaped primary curve
30
How do the secondary curves develop in the child?
Secondary curves develop as the child begins to move its body against gravity
31
When does the cervical curve (first secondary curve) begin to develop?
3-4 days
32
When is the child able to hold its head upright because the cervical curve is basically developed?
3-4 months
33
What are the two sagittal plane curves?
Primary curves | Secondary curves
34
At birth, 1 C-shaped primary posterior curve is present from the _____ to the ______
Head to the coccyx
35
What what age doe the lumbar curve begin and when is it fully formed?
Begins at 6-9 months | Formed by 10-18 months
36
The first lordotic/ secondary curve is the cervical curve that extends from ______ to ________
Tip of the odontoid process of C-2 to the base of T-2
37
What is the normal disc space on an x-ray at the disc space?
35-45 degrees
38
If the curve is less than 35 degrees in the =cervical spine, it is called
Hypolordotic
39
If the cervical curve is more than45 degrees then it is considered
Hyperlordotic
40
The second secondary curve is the ______ curve and that does it extend from?
Lumbar curve | It extends from the base of T-12 to the base of the last lumbar
41
What is the normal curve considered to be when measures from top of L-1 tot he top of the sacrum?
50 and 60 degrees
42
When unable to see S-1 use L-1 to L-5. What is the degrees for a normal lumbar curve when measuring from L-1 to L-5
35-45 degrees
43
Between the ages of _____ and ______ the lumbar vertebrae grow 2 times faster than the rest of the spine
2 and 16
44
The thoracic curve is a ______ curve and part of the original ______ curve
Kyphotic; primary
45
What is the length of the thoracic curve?
It extends between T2 and T12 vertebral segments and apexes at the disc space between T 6 and T7 motor unit
46
The normal kyphotic curve is between _____ and ____ degrees with an average of _______
20 and 40; 30
47
What should you see when looking form behind the patient or from the side?
Concavity, convexity, concavity, convexity
48
What are curvatures?
Adaptive bendings of the spine
49
Curvatures involve how many segments?
3 or more segments
50
What are the curvatures?
Kyphosis, lordosis and scoliosis
51
What is a kyphosis (hunchback)?
An exaggerated thoracic curvature
52
What is a lordosis (swayback)?
An exaggerated lumbar curvature
53
Define kyphosis
Abnormally increased convexity in the curvature of the thoracic spine as viewed from the side
54
What is anklyosing spondylitis?
Progressive spinal flexion deformities (may progress to a chin-on chin deformity
55
Lateral curvature of the spine of greater than 10 degrees is known as _______
Scoliosis
56
What is idiopathic scoliosis?
A lateral deviation and rotation of the spine without an identifiable cause
57
what does scoliosis mean?
Curvature
58
What type of X-ray can identify if the patient has scoliosis?
A-P X ray
59
Scoliosis is named for the direction that the curvature _________
Convexes (apexes)
60
If the scoliosis convexes to the left then is is referred to ________ If the scoliosis convexes to the right then it is referred to as _______
Levoscoliosis | Dextroscoliosis
61
What is rotatory scoliosis?
Most scoliosis curvature have an element of rotation in them known as rotatory scoliosis
62
When naming scoliosis what are the steps?
1) name the area that the scoliosis is located in (cervical, thoracic, lumbar, etc) 2) name the side of the curvature (dextro or Levi) 3) add rotatory if there is some rotation
63
The medial profession begins to call a lateral curvature scoliosis at _______ degrees
10
64
The curvature usually begins in the ________ then proceeds _____ the spine at various stages
Lower back; up
65
What are the 3 major classifications of scoliosis?
Structural Nonstructural Transient structural
66
What is the most common form of scoliosis and affects 70% of all patients who have scoliosis?
Idiopathic scoliosis
67
What does idiopathic mean?
Unknown cause
68
Non structural scoliosis is called ___________ scoliosis
Physiological scoliosis (functional)
69
Structural scoliosis is called _________ scoliosis
Pathological
70
How can you tell the difference bwteeen physiological scoliosis and pathological scoliosis
Adams sign
71
Most idiopathic scoliosis were due to decrease in what?
Foundation support (subluxation)
72
What are the two ways X rays for scoliosis are measured by?
COBBs angle or Riser-Ferguson measurement
73
Explain the Cobb method of angle measurement
1) identify the upper and lower end vertebrae 2) draw lines extending along the vertebral borders 3) Measure Cobb Angle directly or geometrically
74
When do the epiphyseal plates fuse?
Between ages 16-20
75
In scoliosis, the muscle contracture is on the side of the ________ and the weak muscles are on the side of the ________ resembling a bow
Concavity | Convexity
76
What are the 3 types of idiopathic scoliosis?
Infantile, juvenile, and adolescent
77
In idiopathic scoliosis: -infantile begins ________ Juvenile begins _______ Adolescent begins ______
Before age 3 Begins between ages of 3 and 10 Begins after the age of 10 to maturity
78
With _____ curves there are more frequent CNS problems
Left **** LEFT IS NOT RIGHT
79
______ to _____ year olds grow the fastest and scoliosis gets worse
12-16
80
Are males or females more likely to have scoliosis?
Female
81
Do thinner or overweight people have more scoliosis?
Thinner
82
What a re the 3 body types?
Ectomorph: Tall. Thin (flower growth) Endomorph: larger, thicker Mesomorph: athletic build
83
A ______ brace used for non operative lumbar scoliosis management
Boston brace
84
What is the boston brace primarily used for?
Lower thoracic, thoracolumabr and lumbar curves
85
______ brace used for non operative treatment of thoracic and lumbar scoliosis
Lyon
86
What is the brace that is most commonly used for treatment of kyphotic conditions?
Milwaukee brace
87
What is the primary goal of the Milwaukee brace?
To stop progression of scoliosis
88
What is bone age?
Bone age = physiological age = age of maturity of the body
89
What is te chronological age in scoliosis?
14-15
90
How does one measure anterior or posterior slippage?
Georges line
91
The Risser sign looks are the crest of the ilium to obeserve bone maturity. What are the 5 grades of the Risser sign?
``` Grade 1: put to 25% complete Grade2: 26-50% complete Grade 3- 51% to 75% Grade 4- 76 to 100% Grade 5- where fusion is completed and total cessation of growth ```
92
The prudential space should be no more than ____ mm in adults and _____ mm in children
3mm in adults and 5 mm in children