Spine Measurements Flashcards

1
Q

Scoliosis is defined as lateral curvature of the spine in the coronal (frontal) plane with Cobb angle more than what?
● A. 8 degrees
● B. 10 degree
● C. 12 degrees
● D. 14 degrees
● E. 16 degrees

A

B. 10 degree

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Cobb angle can be measured between two lines, first drawn tangential to the superior endplate of superior vertebra and the second is drawn tangential to the inferior endplate of inferior vertebra. How can this angle be obtained?
● A. Sagittal X-ray
● B. Coronal X-ray
● C. Sagittal CT scan
● D. Coronal MRI films
● E. None of the above

A

B. Coronal X-ray

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

The absolute value of lumbar spinal lordosis should be about 30 degrees greater than the absolute value of the thoracic kyphosis (e.g., a patient with thoracic kyphosis of 20 degrees should have a lumbar lordosis of approximately–50 degrees). What should be range of lumbar lordosis in normal individuals?
● A. 10 to 30 degrees
● B. 10 to 40 degrees
● C. 20 to 40 degrees
● D. 20 to 50 degrees
● E. 20 to 60 degrees

A

B. 10 to 40 degrees

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Sagittal vertical axis is a horizontal distance from the posterior edge of the S1 endplate to a plumb line dropped from the mid C7 vertebral body. What is its normal value?
● A. < 3 cm
● B. < 7 cm
● C. < 5 cm
● D. < 9 cm
● E. < 1 cm

A

C. < 5 cm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Pelvic tilt is the angle between the vertical reference line and a line drawn from the midpoint of the femoral head to the midpoint of the S1 endplate. What should be the normal value
of this angle?
● A. 5 to 15 degrees
● B. 10 to 20 degrees
● C. 10 to 25 degrees
● D. 15 to 30 degrees
● E. 20 to 30 degrees

A

C. 10 to 25 degrees

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Pelvic incidence is the angle between a point perpendicular to the S1 endplate and a line drawn from the midpoint of the femoral head to the midpoint of the S1 endplate. What is its normal value approximately?
● A. 35 degrees
● B. 45 degrees
● C. 50 degrees
● D. 55 degrees
● E. 60 degrees

A

C. 50 degrees

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Sacral slope is the angle between the horizontal reference line and the S1 endplate and it normal value is 36 to 42 degrees. Which of the following statements is correct?
● A. SS = PI− PT
● B. SS = PT− PI
● C. SS = PI + PT
● D. SS = PT multiplied by PI
● E. None of the above

A

A. SS = PI− PT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Lumbar lordosis is the angle between the top of S1 and the top of L1 vertebra. What is its normal value?
● A. 10 to 30 degrees
● B. 20 to 40 degrees
● C. 20 to 50 degrees
● D. 10 to 40 degrees

A

B. 20 to 40 degrees

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Thoracic kyphosis is the angle between top of T4 and the bottom of the T12 vertebrae. What is its normal value?
● A. 41 ± 12 degrees
● B. 39 ± 12 degrees
● C. 37 ± 12 degrees
● D. 43 ± 12 degrees

A

A. 41 ± 12 degrees

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

The spine is generally kyphotic between T1 and T12 while between L1 and L5 it is what?
● A. Scoliotic
● B. Lordotic
● C. Kyphotic
● D. Hyperacusis
● E. None of the above

A

B. Lordotic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Scoliosis is defined as lateral curvature of the spine in the coronal plane with what Cobb angle?
● A. > 10 degrees
● B. > 15 degrees
● C. > 20 degrees
● D. > 25 degrees
● E. > 30 degrees

A

A. > 10 degrees

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

The vertebra whose center is most laterally displaced from the central line is called what?
● A. Center
● B. Apex
● C. Master
● D. Dextro
● E. Levo

A

B. Apex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

As compared to thoracic spine, the lumbar spine should have lordosis more than what?
● A. 5 degrees
● B. 10 degrees
● C. 15 degrees
● D. 20 degree
● E. 30 degrees

A

E. 30 degrees

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Pelvic tilt is the angle between the vertical reference line (VRL) and a line drawn from the midpoint of the femoral head to the midpoint of the S1 endplate. Normally, it should be less than what?
● A. 20 degrees
● B. 30 degrees
● C. 40 degrees
● D. 90 degrees
● E. 180 degrees

A

A. 20 degrees

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Patients with higher sacral slope have a higher chance of developing which of the following?
● A. Spinal stenosis
● B. Spondylolisthesis
● C. Scoliosis
● D. Kyphosis
● E. Lordosis

A

B. Spondylolisthesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Lumbar lordosis (LL) is the angle between the top of S1 and the top of L1. For pelvic harmony, LL should be within how many degrees of pelvic incidence (PI)?
● A. 9
● B. 11
● C. 13
● D. 15
● E. 20

A

A. 9

16
Q

According to Roussouly classification of lumbar lordosis if the SS = 35–45 degrees, apex of LL is at the center of L4 VB. What is the implication of this type?
● A. LL is distributed over only approximately 3 lumbar levels
● B. Entire spine is hypolordotic and hypokyphotic
● C. Well-balanced spine
● D. LL is distributed over > 5 levels
● E. PI is usually high

A

C. Well-balanced spine