Spine Flashcards
What is the greatest risk of having a future vertebral fragility fracture?
History of a prior vertebral fragility fracture
Professional athletes in which sport have the highest incidence of degenerative changes in the cervical and lumbar spine?
Horse racers (jockeys)
How many cervical vertebrae are there?
7
At what levels in the cervical spine does the vertebral artery usually run through the transverse foramen?
C1-C6
At what level does the spinal cord end in a child? adult?
L3 and L1 respectively
How soon after the onset of symptoms should surgical decompression take place in patients with cauda equina syndrome?
less than 48 hours after symptom onset
What is the most powerful preoperative prognostic factor for clinical outcomes with surgical treatment of lumbar spinal stenosis?
Comorbid medical conditions
Which factor is most important when attempting to prevent interbody graft subsidence?
bone quality
What is the likelihood that a patient will recover bowel and bladder function after delayed surgical decompression of acute caudal equine syndrome?
21-40%
Which type of congenital scoliosis has the worst prognosis and is an indication for surgery?
hemivertebrae with a unsegmented bar
What is the normal range for thoracic kyphosis?
20 to 50 degrees
What is the most likely neurologic complication following cervical laminoplasty?
C5 (biceps and deltoid weakness) palsy
What post op complication are patients with ankylosing spondylitis most likely to experience after total hip arthroplasty?
anterior hip dislocation