Thoracic Spine Flashcards
Round Back
Kyphotic
Full round back look
Scheuremann’s Disease
Kyphotic
Congenital
Uneven growth in the A-P direction contributing to a kyphotic look more lumbar
Hump back
Kyphotic hump
Gibbus (sharp angular ion)
Structural deformity
Flat back
Decreased curve, Tx more mobile
Dowagers Hump
Seen in older woman- post menopausal osteoporosis
Due to anterior wedge fracture- upper to mid thoracic spine
Contributes to loss of height
Interventions for deformities
Posture
Extension
Stabilization
Stretching
Mobilization’s
Contraindications- joint manias and aggressive mobs will be back for Scheurmanns and dowagers hump
Compression fracture
Due to a decrease in bone density - osteoporosis
F>M
Typically anterior vertebral body (b/c of flexion)
Common in thoracolculmar region due to falls, trauma, trunk flexion
May have increased kyphosis (multiple #s = increased kyphosis)
Compression #s interventions
Postural ed
Extension approach
Stabilizations
Scapula stab
Weight bearing activities and exercises
Light mobs as need
Contraindications- joint manips, aggressive mobs, trunk flexion exercises
Scoliosis
Lateral curvature of the spine (labeled after the convex side of the curve and where the apex is (Tx, Cx, Lx))
Two curves- major is the bigger one and lesser is the minor
Greater than 10 Degs is when it is tougher
Non- structural scoliosis
Curve goes away when flexes down- usually due to musculature imbalance, other soft tissue issues OR leg length discrepancy
Also known as functional, or postural scoliosis
Structural scoliosis
Doesn’t disappear with flexion (Adam’s test)
Changes in the bone itself, fixed rotation of the vertebral body causing curvature. you will see a rib hump
Congenital or acquired
In severe cases (Cobb angel >60 deg) may compromise cardio resp- restrictive disease
Scoliosis intervention
Posture ed
Stretch concavity side
Strengthen convexity side
Stabilization exercises
Mobs
Bracing
Surgery (in major cases)
Herpes Zoster
Shingles
Follows a pattern of a Tx Dermatome
