Spinal Fracture Flashcards
The spine acts to stabilise 3 forces, Which of the following is NOT one of these forces?
1 - distraction
2 - rotation
3 - torsion
4 - compression
2 - rotation
Most spinal fractures occur in the thoracic and lumbar region of the spine. What % of spinal fractures occur at the the thoracolum,bar region of the spine?
1 - 5%
2 - 15%
3 - 20%
4 - 50%
4 - 50%
Most spinal fractures occur in the thoracic and lumbar region of the spine. But what % of spinal fractures occur at the the cervical region of the spine?
1 - 5%
2 - 15%
3 - 20%
4 - 50%
3 - 20%
Are men or women more likely to have a spinal fracture?
- men
What is the average age of a spinal fracture?
1 - 10 y/o
2 - 30 y/o
3 - 50 y/o
4 - >65 y/o
2 - 30 y/o
It is important to identify neurological impairments in patients with a spinal fracture to ensure that treatment can be provided and spinal cord injury can be assessed.
Are spinal cord fractures of the vertebral body generally stable or unstable?
- stable
Are fractures affecting the space for the spinal cord stable or unstable?
- always considered unstable until proven otherwise
Patients with osteoporosis have an increased risk of spinal fracture. What % of women have osteoporosis?
1 - 3%
2 - 15%
3 - 30%
4 - 65%
3 - 30%
- women are generally more affected
Which of the following is the most common type of fracture of the vertebrae in patients with osteoporosis?
1 - Compression
2 - Burst
3 - Flexion-distraction
4 - Fracture-dislocation.
1 - Compression
- affects 1.5 million Americans annually
- generally involves vertebral body and is therefore stable
What is the most common site for a osteoporotic vertebral fracture?
1 - C1-C2
2 - T2-T4
3 - T11-T12
4 - S1-S2
3 - T11-T12
- this is the thoracolumbar junction, which is the most common site for all spine fractures
All of the following can occur following an osteoporotic spinal fracture, EXCEPT which one?
1 - chronic/acute pain and reduced QoL
2 - reduced risk of falls and fractures
3 - increased mortality
4 - increase incidence of new fractures
2 - reduced risk of falls and fractures
- there is an increased risk of falls
What age does peak bone density generally occur?
1 - 12-18 y/o
2 - 18-29 y/o
3 - 30-35 y/o
4 - 40-50 y/o
2 - 18-29 y/o
Does the density of spongy (cancellous) bone increase or decrease in osteoporosis?
- decreases
- makes the bones weak and brittle
Does estrogen increase or decrease the risk of osteoporosis?
- decreases
- estrogen is protective, thats why older women experience it more following menopause