spine disorders Flashcards
which portion of the spine is more likely to be affected ?
cervical and lumbar spine are more affected
what is Spondylolisthesis ?
anterior slippage of one vertebrae over the other
what is Spondylolysis ?
fracture or stress fracture of the pars interarticularis
what is the scottie dog sign ?
stress fracture of the pars interarrticularis rom the oblique view
what are the different types of spondylosis in children and adults ?
dysplastic - congenital abnormalities of lumbosacral spine
lytic - in gymnasts
what are the clinical features of spondylosis ?
mechanical back pain
radiculopathy
what are the causes of cervical myelopathy ?
directly by compression on the spinal cord
indirectly by cord and nerve root ischemia
what are the clinical features of cervical myelopathy ?
chronic neck pain
brachialgia
paraesthesia
gait abnorrmalities
UMNL
bowel and bladder dysfunctioin
what is the gold standard for diagnosis of cervical myelopathy ?
MRI
what is the clinical presentation of cauda equina ?
lower back pain
alternating or bilateral radicular pain
saddle anesthesia - can’t feel toilet paper when wiping
bowel and bladder disturbances
what is the treatment for cauda equina ?
surgically decompress in 48 hours
what are the different morphologies associated with spinal deformities ?
hyperkyphosis - sagittal plane
hyperlordosis - sagittal plane
scoliosis - coronal
what angle is used to measure the curvature in scoliosis ?
cobbs angle
what aree some raree but serious features associated with scoliosis ?
cardiopulmonary features
rapid deformity progression
neurological deficit
what is the aim for cobbs angle in scoliosis ?
less than 30
