Lumbar Flashcards

1
Q

What structures are best demonstrated on an RPO lumbar?

A

Right zygapopyseal joints

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2
Q

What structures are best seen on an RAO?

A

Left zygapophyseal joints

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3
Q

What position best shows the intervertebral foramina?

A

R or L lateral

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4
Q

Which positions best demonstrate the left and right zygapophyseal joints?

A

RPO-right joints
LPO-left joints

RAO-left joints
LAO-right joints

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5
Q

Spinal nerves and blood vessels exit the spinal column through the:

A

Intervertebral foramina

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6
Q

What does spina bifida literally mean?

A

Split spine

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7
Q

What is the difference between meningocele and myelomeningocele?

A

Men: a sack of spinal fluid on back. No nerve damage usually

Mye: when spinal cord comes through the back as well. Yes nerve damage

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8
Q

What population does spina bifida affect?

A

Unborn fetus, infants, and children

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9
Q

What positioning best demonstrates spina bifida?

A

PA and lateral lumbar spine

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10
Q

T or F: spina bifida is one of the most common birth defects in the US?

A

True

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11
Q

Scoliosis requires repay exams over several years. What projection can help to reduce overall pt dose and how does it help?

A

PA. Reduces dose to pt by 90% over AP

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12
Q

T or F: thoracolumbar curvature most often presents on the right side of the pt

A

True

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13
Q

At which age is scoliosis most common diagnosed?

A

10-14 years old

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14
Q

Which modality/modalities are the most diagnostic in the treatment of scoliosis?

A

X-ray

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15
Q

Name at least three treatment options for scoliosis

A
Surgical intervention 
Chiropractic manipulation 
Bracing
Dietary supplements 
Electrical stimulation
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16
Q

Find fracture and loss of height in both the anterior and posterior aspects of L3 vertebrae. Which fracture is this most likely? Give name and what classification it falls under.

A

Axial burst/loading fracture, flexion classification.

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17
Q

What is the leading cause of lumbar spine fractures?

A

Osteoporosis

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18
Q

Which types of fractures are usually the most severe and serious?

A

Rotation fractures

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19
Q

What is the name of the fracture that is most often caused from lap belts in MVA?

A

Chance fractures

20
Q

Pt on backboard, cannot move. Suspected lumbar spine fracture. What positioning routine?

A

AP recumbent and horizontal beam lateral

21
Q

What portion of the spine does spondylolisthesis most commonly affect?

A

L4-5

22
Q

What part of the upper and lower facets is affected by spondylitis?

A

Pars interarticularis

23
Q
Spondyloisthesis most often effects: 
A infants
B teens
C 40-50 years old
D both B and C
A

D

24
Q
Spondylolisthesis is caused by 
A genetic weakness
B injury
C repeated stress fractures 
D all of the above
A

D

25
Q

What is a common radiographic sign of spondylosis in an oblique image?

A

The Scottie dog has collar or broken neck

26
Q

Scoliosis routine imaging and special imaging

A

AP (PA) erect
Erect lateral

AP (Ferguson method) ( one normal and one with convex foot elevated 3-4 inches)
AP right and left bending
Lateral flexion and extension

27
Q

Primary vs secondary vs compensatory curves

A

Primary: pelvic, thoracic

Secondary: lumbar, cervical

28
Q

What is lordosis?

A

Abnormal increase in the anterior convexity of lumbar curve

29
Q

What is scoliosis?

A

Causes vertebra to rotate TOWARD the concavity. A 2nd curve develops in opposite direction to compensate and keep head centered over feet

30
Q

Zygapophyseal joints are what type of movement?

A

Synovial, gliding joints

Allow free movement

31
Q

What is the surgical procedure which removes a herniated vertebral disc?

A

Discectomy

32
Q

Where does HNP most commonly occur?

A

L4-5 level

33
Q

What modality is of superior diagnostic quality but also the most invasive? (For HNP)

A

Myelography

34
Q

What can HNP cause/lead to?

A

Sciatica

35
Q

What 2 parts make up the intervertebral discs?

A

Annulus fibrosis (outside)

Nucleus pulposus (inside)

36
Q

How many bones in spine in adult vs child

A

26 adult

33 kids

37
Q

Level of terminal end solid spinal cord

A

Conus medullaris at L1-2

38
Q

Collection of nerve roots resembling horsetail

A

Cauda equina L2-S1 ish

39
Q

Want to see L5-S1 on male pt. What projection and what angle?

A

AP axial with 30 degree cephalic
CR to ASIS

Females are 35 cephalic

40
Q

To see L5-S1 on oblique, how much degree?

A

30

41
Q

To see T12-L1, how much oblique?

A

50

42
Q

How much oblique for usual lumbar spine anatomy?

A

45 degrees

43
Q

If top and bottom of lumbar spine on lateral has double edging what does that mean?

A

Top is shoulders are over obliqued (or lack of total body positioning)

Bottom is either abdomen was not supported or insufficient angle.

CR should be parallel to interiliac plane not 5-8 caudal like book says

44
Q

Patho:

Collar or break on dog neck?

A

Spondylosis

45
Q

Which projection best shows compression fractures?

A

Lateral

Or horizontal beam lateral if can’t lay on side

46
Q

Where is the pars interarticularis found?

A

Between the superior and inferior articular processes