Spine

Question 1

Radicular pain vs radiculopathy

Answer 1

Radicular pain - radiating pain without neurology

Radiculopathy- radiating pain with neurology (weakness, numbness, abnormal reflex

Question 2

Indications for spine xray:
[SIC 2023 Prof Chris]

Answer 2

4 main things to look for:
1. Fracture
2. Endplate erosion
3. Pedicle erosion
4. Alignment

Others:
- osteophytes
- disc height
- facet arthrosis

Question 3

Radiological findings for DISH (Diffuse Idiopathic Skeletal Hyperostosis):
[Resnick abr Niwayama]

Answer 3

Non-marginal syndesmophytes
In 3 successive levels or 4 contiguous vertebrar

1. Lateral cervical xray
   - flowing ossification (“flowing candle wax”)
   - preservation of disc height
2. Thoracic
   - right side T7-T11
3. Lumbar
   - symmetrical syndesmophytes
   - no facet joint fusion
   - no sacroilitis

Question 4

Radiological sign in high grade spondylolisthesis:

Answer 4

Reverse Napolean Hat sign

Question 5

Sorensen radiographic criteria for Scheuermann’s Disease:

Answer 5

• thoracic kyphosis >45 degrees (normal 25 to 40 degrees)
  AND
• 3 or more consecutive vertebrae wedging >5 degrees