spine Flashcards
example degenerative condition
spondylosis
example instantly condition
spondlyolsithesis, spondylosis
example development condition
scoliosis
example traumatic donation
whiplash
vert disc function
spacer, resist compression, sheer
facet joint function
segmental movement, , extension
overload of facets can lead to ?
hypertrophy, OA
function interverrt foramen
nerve root
disc pathology presentation
low back/leg pain
cough sneexse
flexion hurts
extension is ok
why disc pathology the way it is
cus bulging disc impinge nerve in foramen with flexion for example
spondylosis clinic presentation
morning/night stiffness
improves w mobility
xray - osteophycytes
whats stenosis
narrowing
types of stenosis
central and lateral
whats central n lateral effect
central: spinal canal
lateral: size of IVF
presentation of stenosis
lower back pain, bi/uni leg pain
extension hurts
age
progressive
why uni or bi leg pain
central effect both lat doesn’t
why extension hurts
closes IVF
where is spondylosis usually
l5
spondylosis common in
gymnastic, young ppl, figure skater, football
spondylosis from
hyperextension during growth years
spondylolisthesis
what
grades
anterior slippage vert
1-5 (1 25% vert ant)
pagets
interferes with normal bone remodelling (fast)
genetics
skull pelvis spin
pagents can lead to
deformity (genu varum), hearing loss, nerve compression
hows pagents diagnosed
blood
xray
treat pagets
oral, joint protection, exercise
scoliosis classifications
congenital, idiopathic neuro
congenital scoliosis
vertebra deformities
idiopathic scoloiosis
most common unknown cause
neuromuscular scoliosis
secondary to other condition (cerebral palsy, spina bifida)
grades of WAD
1 ,2,3,4
grade 1 wad
grade 2
neck pain stiffness no physical sings
2: neck / msk signs, ROM down
grade 3, 4, WAD
3- neck complaint near signs decrease senation/weakness
4 - neck complain fracture/dislocation
postural (garden) back
prolonged poor postures
shorting of hamstring etc.
treatable
Pain required med management
WAD, acute disc
things that need X-ray or MRI
sponthesis, scoliosis, stenosis
irreversible conditions
stenosis, structural scoliosis, osteoporosis, pagets, spondylthesis grade 1
what has step deformity
sponthesis