The spine Flashcards
what is the most common site of disc herniation
L5/S1
what are the clinical features of spinal stenosis
heaviness/pain down the legs on walking
worse going UP
relieved by sitting
what is the Ix of choice for spinal stenosis
MRI
how do you manage spinal stenosis
lumbar decompression
what is spondylolithesis
ANTERIOR translation of a vertebrae
what is a retrolythesis
POSTERIOR translation of a vertebrae
what is spondylosis
defects in the pars interarticularis of the vertebral arch
what is the pars interarticualris
space between joints in the spine
how do spinal infections usuallly present
localised tenderness and pain is worse with movement
fever
slow, insidious onset
what is disci tis
collection of pus/inflammatory granulation tissue between the dura and adipose
what investigations do you need to do in disci tis
bloods
MRI
blood cultures, CT guided biopsy
what are the clinical features of discitis
fever
pain (severe, insidious, unrelenting, worse with activity)
neurology
