Spinal disorders

Question 1

What part of the vertebrae is affected in spondylolysis/spondylolisthesis

Answer 1

the pars interarticularis

Question 2

What is spondylolisis

Answer 2

Fracture of the pars

Question 3

What is spondylolysthesis?

Answer 3

anterior or posterior slippage of one vertebrae on another following pars fractures.

Question 4

What are the grades of spondylolisthesis based on?

Answer 4

Amount of slippage (grade 1=25%, grade 4=100%)

Question 5

What positions should be avoided with a spondylolis/thesis patient

Answer 5

extension, SB toward, Rot away

Question 6

What test differneitates stenosis from clauidication

Answer 6

bicycle test (Gelderen’s)

Question 7

What three factors contribute to posterior disc herniation being more common

Answer 7

Posterior disc narrower in height

PLL not as strong or broad as ALL

Annulus thinner posteriorly

Question 8

What position should you put a patient in for positional traction

Answer 8

S/L on opposite side with pillow under trunk, hips flexed, rotated up