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
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2
Q

Intervertebral foramina

Boundaries

A
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3
Q

Vertebral column ROM

A
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4
Q

Bony landmarks for vertebrae level

A
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5
Q

Denis Classification of Thoracolumbar Trauma

A
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6
Q

Spinal cord

Segments

A
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7
Q

Spinal cord

Nerve roots

A
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8
Q

Spinal cord

Myotomes

A
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9
Q

Motor power scale

A
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10
Q

Dermatomes

A
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11
Q

Key muscle power ASIA Chart

A
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12
Q

C-spine

typical cervical vertebrae

A
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13
Q

C1-C2 anatomy

A
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14
Q

C-spine ROM

A
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15
Q

Neck pain

Ddx
Ix

A
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16
Q

Neck pain

General management

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17
Q

Neck exam

Look Feel Move

A
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18
Q

C-spine

Neurological exam

A
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19
Q

C-spine

Spurling test

20
Q

Scapulohumeral reflex
Inverted supinator relfex

21
Q

Hoffman sign

22
Q

10 second test

23
Q

Finger escape sign

24
Q

Lhermitte’s sign

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
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Cervical myelopathy Cause
29
Cervical myelopathy Clinical presentation
30
Cervical myelopathy Signs
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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
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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
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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
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Opacification of Posterior Longitudinal Ligament Cause Clinical presentation Dx