Spine disorders - Cervical radiculopathy, myelopathy, spondylosis, disc degeneration, facet joint arthrosis, facet joint dislocation Flashcards
1
Q
Vertebral column
Vertebrae
Structures
Ligaments
Disc structure
A
2
Q
Intervertebral foramina
Boundaries
A
3
Q
Vertebral column ROM
A
4
Q
Bony landmarks for vertebrae level
A
5
Q
Denis Classification of Thoracolumbar Trauma
A
6
Q
Spinal cord
Segments
A
7
Q
Spinal cord
Nerve roots
A
8
Q
Spinal cord
Myotomes
A
9
Q
Motor power scale
A
10
Q
Dermatomes
A
11
Q
Key muscle power ASIA Chart
A
12
Q
C-spine
typical cervical vertebrae
A
13
Q
C1-C2 anatomy
A
14
Q
C-spine ROM
A
15
Q
Neck pain
Ddx
Ix
A
16
Q
Neck pain
General management
A
17
Q
Neck exam
Look Feel Move
A
18
Q
C-spine
Neurological exam
A
19
Q
C-spine
Spurling test
A
20
Q
Scapulohumeral reflex
Inverted supinator relfex
A
21
Q
Hoffman sign
A
22
Q
10 second test
A
23
Q
Finger escape sign
A
24
Q
Lhermitte’s sign
A
25
Waddell's sign
26
Cervical radiculopathy
Cause
Clinical presentation
Ddx
27
Cervical radiculopathy
Mx
Management:
Conservative treatment is the first-line approach: physical therapy, nonsteroidal anti-inflammatory drugs (NSAIDs), and short-term oral corticosteroids if indicated.
Activity modification and ergonomic adjustments are also part of the conservative management strategy.
Surgical Options:
If conservative management fails after a trial period (usually 6-12 weeks), surgical options like anterior cervical discectomy and fusion (ACDF) may be considered.
Prognosis of Cervical Radiculopathy - ~80% self-limiting and affect sensory only- Progression is uncommon
28
Cervical myelopathy
Cause
29
Cervical myelopathy
Clinical presentation
30
Cervical myelopathy
Signs
31
Cervical myelopathy
Spasiticity scale
0 = no increase in tone
1 = minimal increase in tone at end of ROM
2 = increased tone throughout ROM, Passive movement easy
3 = Passive movement difficult
4 = Rigid in flexion or extension
32
Cervical myelopathy
Ix
33
Cervical myelopathy
Mx
Prognosis
34
C-spine
Xray views
35
C-spine X ray
Technical qualities
36
C-spine X-ray
ABCDEF approachh
Normal alignment, lines, thickness of soft tissue
37
Cervical spondylosis
Pathogenesis
38
Cervical spondylosis
Clinical presentation
Signs
Special tests
39
Cervical spondylosis
Dx
40
Cervical Spondylosis
Mx
41
Facet joint arthrosis
Pathogenesis
Cause of pain
Clinical presentation
Mx
42
Cervical facet dislocation
Cause
Pathogenesis
Clinical presentation
43
Facet dislocation
Dx
44
Unilateral facet dislocation
Radiological features
45
Facet dislocation
CT feature
Bilateral dislocation feature
46
Opacification of Posterior Longitudinal Ligament
Cause
Clinical presentation
Dx