Spondylosis Flashcards
What is Spondylosis?
Degenerative disorder of the spine involving the facet joints and intervertebral discs and spaces (Cervical, Thoracic, Lumber)
Spondylosis is a common condition that affects the spinal column.
What characterizes Spondylolysis?
A process manifesting in the pars area, characterised by breakdown and weakening
Spondylolysis refers specifically to a defect in the vertebral arch.
Define Spondylolisthesis.
Anterior translation of one vertebra over another
This condition can lead to nerve compression and pain.
What is Anterolisthesis?
Anterior spondylolisthesis
It refers specifically to the forward slippage of a vertebra.
What does Ankylosis refer to?
Fusion of joint resulting in reduced motion of the joint
This condition can severely limit mobility in affected joints.
What does ‘C spine’ refer to?
Cervical spine
The cervical spine consists of the first seven vertebrae in the neck.
What is indicated by spinal ‘Red Flags’?
Serious pathology which needs to be efficiently diagnosed and managed
Examples include age factors, history of cancer, and unexplained weight loss.
What is the initial clinical process for Spondylosis?
History Taking, Physical examination, General Assessment
This includes assessing pain, stiffness, and associated neurological signs.
What are common symptoms of Cervical Spondylosis without neurology?
Axial neck pain
This pain may radiate down the back.
What are the neurological signs associated with Cervical Spondylosis?
Lower limb weakness, Romberg sign, reverse radial reflex, clonus
These signs indicate more serious involvement of the spinal cord.
What characterizes Thoraco-lumber Spondylosis?
Degenerative disorder of the Thoracic and/or Lumber spine
This condition can result from both idiopathic and secondary causes.
What are symptoms of Thoraco-lumber Spondylosis without neurology?
Axial back pain
This pain may radiate down the lower back.
List common non-operative management options for degenerative spine conditions.
- Analgesia
- Physiotherapy
These treatments aim to relieve pain and improve function.
What is the main cause of acute spinal infections?
Bacterial infection of vertebral body or disc
Staphylococcus Aureus is the most common pathogen.
What is a common site for extrapulmonary TB?
TB Spine
This condition often presents with chronic illness and possible deformities.
What is the management protocol for extrapulmonary TB including TB spine?
- 9 months anti-TB treatment
- Intensive phase (2 months): 4 drugs (RHZE)
- Continuation phase (7 months): 2 drugs (RH)
Monitoring includes ESR and clinical response from 2 months.
