Lec 3: Lumbar stenosis

Question 1

MC form of central stensosis

Answer 1

Aquired central stenosis

Question 2

Neurological deficits many crosss ____ during central stensosi

Answer 2

dermatomal and other nerve root boundaries

like in stenosis

Question 3

Stoop test can test positive for ____

Answer 3

Central stenosis

Question 4

____ test: pt walks briskly for 1 min. When the doc sees that the pt is experiencing pn, they stop them and have them flex forward

(+) sx are alleviated when flexed

Answer 4

stoop test

indication: neurogenic intermittent claudication

Question 5

\_\_\_\_\_ central stenosis is: 
intermitted 
relieved when flexed forward 
PN: Prox --> distal 
peripheral pulse is the same

Answer 5

Neurogenic intermitted central stensosis

Question 6

_____ central stenosis is:
caused by artherosclerosis
pm in gastrocnemius
decr. or absent peripheral pulse

Answer 6

Vascular claudication from central stensosis

Question 7

cc______: Bony/ soft tiss encroachment –> often at many levels

Answer 7

Central stenosis

Question 8

cc___: pn/ dysfunction arising from the z-jt. local and referred pn from the z-jt

Answer 8

facet sx

Question 9

____ is the MC location of facet sx

Answer 9

L5/S1 –> bc the transitional jt is more coronal & COG

Question 10

During facet sx, pn is (above/ below) the knee

Answer 10

above

Question 11

cc_____: is a jt asymmetry- a turn in the orientation of the facet

Answer 11

joint tropism

Question 12

MC location of tropism

Answer 12

L4/L5

L5/S1

Question 13

Name the grades of sp/st

Answer 13

grade 1: Mild
- mild stretch of the M/ lig w/o tearing

Grade 2 Mild
- tearing is less than 100% of the fiber. Jt laxity

Grade 3: severe
- total torn

Question 14

at _____ position the L/S M are relaxed –> increase injury

Answer 14

full flexion

Question 15

cc____: has radicular pn

Pn travels past knee into the foot

Answer 15

lumbar disc

Question 16

cc___: pn worsens with walking. PN decr when stopping forward. It crosses multiple N roots

Answer 16

Lumbar stenosis

Question 17

cc_____ : PN upon extension. The PN will rarely travel past the knee

Answer 17

Facet sx

Question 18

cc____: PN at rest from a hx of trauma

Answer 18

Lumbar sp/st

Question 19

What are the two MC spondylolisthesis

Answer 19

Type II: Isthmic

Type III: Degenerative

Question 20

MC location for a degenerative spondylolisthesis

Answer 20

L4

Question 21

MC location for a isthmic spondylolisthesis

Answer 21

L5

Question 22

cc____: interrupton or break in the pars interarticularis

Answer 22

spondylolysis

Question 23

MC population for a Isthmic spondylolisthesis?

Slippage in _____

Answer 23

Athletes

slippage in children under 10

(weaknes in iliolumbar lig and TPs not well developed )

Question 24

Type III: degenerative spondylolisthesis 3F’s

Answer 24

female
40 yo
L4

Question 25

Which grades of a spondylolisthesis slippage are stable? Which are unstable

Answer 25

grade 1 &2 = stable

Grade 3 & 4 = unstable

Question 26

a complete 100% slippage of a spondylolisthesis is called a ____

Answer 26

spondyloptosis

Question 27

When does surgery for Spondylolisthesis seen to be the most successful?

Answer 27

When there is Spondylolisthesis WITH neuro changes