Spinal Conditions

Question 1

why does the thoracic side not see many clinical issues

Answer 1

because it is so rigid and not flexible

Question 2

in trauma situations what areas of spine must you image?

Answer 2

areas of transition

Question 3

is the T spine kyphotic or lordotic?

Answer 3

kyphotic

Question 4

is the L spine kyphotic or lordotic?

Answer 4

lordotic

Question 5

what does it meant to be kyphotic?

Answer 5

curve out

Question 6

what does it mean to be lordotic?

Answer 6

curve in

Question 7

what commonly happens at kyphotic/lordotic transitions?

Answer 7

fractures from high energy trauma

Question 8

disc degeneration leads to what three things?

Answer 8

loss of height with desicccation and degeneration

Question 9

what is desiccation of a disc?

Answer 9

loss of water content

Question 10

are discs vascular or avascular?

Answer 10

avascular

Question 11

can normal disks herniate?

Answer 11

nah not really

Question 12

do completely degenerative disc herniate?

Answer 12

no because no nucleus left to herniate

Question 13

what do you have to have to have a disc herniation?

Answer 13

some degeneration in the annulus

Question 14

what is HNP

Answer 14

herniated nucleus pulposis

Question 15

what are symptoms of cauda equina syndrome

Answer 15

acute back pain, sensation changes and urinary retention from large central disk herniation

Question 16

define cauda equina syndrome

Answer 16

acute neurologic syndrome resulting from acute impingement on nerve roots

Question 17

what is treatment for caudaequina syndrom?

Answer 17

surgical decompression

Question 18

name four things that can cause cauda equina syndrome?

Answer 18

disk herniation
tumor
hematoma
abscess

Question 19

what is sensory change called in cauda equina syndrome?

Answer 19

saddle anesthesia

Question 20

acute non specific low back pain usually does what over the coming weeks?

Answer 20

resolve…90% by week 12`

Question 21

what are seven things that make you consider imaging with acute low back pain?

Answer 21

patient older than 50
neuro changes
trauma
cancer
IV use
immunosuppressd 
fever
night pain

Question 22

if patient has history of cancer with new onset of LBP, what do you do?

Answer 22

have to image

Question 23

does a tumor like the disc spaces in back?

Answer 23

no

Question 24

does an infection like to get in the disc spaces in the back?

Answer 24

yes

Question 25

what is the cause of spinal stenosis?

Answer 25

degenerative decrease in the size of the spinal canal

Question 26

what motion relieves spinal stenosis?

Answer 26

flexion of spinal forward

Question 27

what is the cause of the pain in spinal stenosis?

Answer 27

chronic encroachment on space available for nerve roots

Question 28

where do you have pain in spinal stenosis? is it activity related?

Answer 28

lower limb…yes activity related

Question 29

what pronounces pain with spinal stenosis?

Answer 29

spinal extension

Question 30

is claudication worse with activity?

Answer 30

yes

Question 31

what is different between vascular claudication and spinal stenosis when it comes to walking?

Answer 31

for spinal stenosis as long as leaning forward then walking isnt a problem…but with claudication any walking hurts