Surface Anatomy for Spinal Levels / Other Spine Facts, Scheuermann's Flashcards
Waist roll
L2-L3
Height of Illiac Crests
L4
Superior Angle of Scapula
T2
Sternal notch
T2
Inferior Angle of Scapula
T7
PSIS
S2
Mobility of Cervical Spine
Most mobile of the spinal sections
Motion in all planes
Flexion/extension
Lateral Flexion
Rotation
Mobility of Thoracic Spine
Second most mobile
ONLY
Lateral flexion
Rotation
No flexion/extension
Mobility of Lumbar Spine
Least mobile
ONLY
Flexion/extension
No Lateral flexion or rotation
Orientation of facets for cervical region
Superior Facets face
BUM (back, up, and medial)
Posterior, Superior, Medial
Inferior Facets face
Anterior, Inferior, Laterally
Orientation of facets for thoracic region
Superior Facets face
BUL (Back, up, lateral)
Posterior, Superior, Lateral
Inferior facets face
Anterior, Inferior, Medial
Orientation of facets for lumbar region
Superior Facets face
BM (Backwards, Medial)
Posterior, medial
Inferior Facets face
Anterior, lateral
Scheurmann’s
Increased thoracic kyphosis > 40
Structural changes in vertebrae
3 adjacent vertebrae wedges 5 degrees each
Pain, apex usually T7
Equal M:F
Etiology uncertain
Detection of Scheuermann’s
Identified on x ray
Usually thoracic or thoracolumbar region
Pathological changes - Schmorl’s nodes
Patient anable to actively correct within normal limits
Scheuermann’s Treatment
Initially conservative - exercise, anti inflammatory
Brace- orthotic management shown to be effective in controlling and correcting curvatures
40-50 degrees curve is watched
> 55 degrees=bracing intervention
Bracing shown to be effective up to 80 degrees
Surgery
