lumbar spine Flashcards

0
Q

what is spondylosis?

A

degeneration of the intervertebral disc

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1
Q

how many facet joints are there in the lumbar spine?

A

ten(5 pairs)

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2
Q

what is spondylolysis?

A

defect of the pars interarticularis

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3
Q

what is spondylolisthesis?

A

a forward displacement of one vertebra over another

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4
Q

what is retrolisthesis?

A

backward displacement of one vertebra over another

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5
Q

what is lumbarization?

A

the S1 segment is mobile and becomes a sixth lumbar vertebra

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6
Q

what is sacralization?

A

the fifth lumbar segment is fused to the sacrum which results in four mobile lumbar vertebrae

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7
Q

what are the main ligaments of the lumbar spine?

A

anterior/posterior longitudinal ligament, ligamentum flavum, supraspinous and interspinous ligament, and the intertransverse ligament

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8
Q

what is an important ligament that is unique to the lumbar spine?

A

iliolumbar ligament that connects L5 to the ilium

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9
Q

what movement does the iliolumbar ligament prevent?

A

anterior displacement of L5

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10
Q

what percent of the total length of the vertebral column do the intervertebral discs make up

A

20-25%

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11
Q

what percentage of water is in the intervertebral disc initially and with age?

A

85-90% and 65% with age

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12
Q

what are the four types of dics herniations?

A

protrusion, prolapse, extrusion, and sequestration

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13
Q

in the lumbar and thoracic spine the nerve roots exit below or above there named vertebrae

A

vertebrae above it

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14
Q

in the cervical spine the nerve roots exit below or above there named vertebrae

A

below the vertebrae

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15
Q

what is the most common site of problems in the vertebral column?

16
Q

what is centralization?

A

pain that is moving toward or is centred in the lumbar spine

“it’s healing getting better”

17
Q

what is peripheralization?

A

the pain is being referred or is moving into a limb

18
Q

where does lumbar and sacroiliac pain refer

A

the buttock, posterior leg, and lateral aspect of the leg

19
Q

where does hip pain refer?

A

groin and anterior thigh

20
Q

what is intrathecal pressure?

A

the pressure inside the covering of the spinal cord

21
Q

what condition in the lumbar spine causes a step deformity?

A

spondylolisthesis

22
Q

where in the lumbar spine is the greatest motion?

A

between L4-L5 and L5-S1

23
Q

with the gillets which way would the PSIS move if something was wrong(positive)

A

the PSIS goes superiorly

24
L5-S1 test which hamstring muscle
semimembrinosus
25
S1-S2 test which hamstring muscle
biceps femoris
26
what is lumbosacral tunnel syndrome?
compression of L5 nerve root as it passes under the iliolumbar ligament
27
what level of the spine does the umbilicus lie at?
L3-L4
28
what quadrant are the kidneys in?
left and right upper quadrant
29
what quadrant is the spleen in?
left upper quadrant
30
where is the most common level of the spine for spondylolisthesis to occur?
L4-L5 or L5-S1