WEEK 3: POST OP

Question 1

PEACE stands for

Answer 1

early phase
PROTECTION
ELEVATION
AVOID NSAIDS
COMPRESSION
EDUCATION: avoid passive tx

Question 2

LOVE stands for

Answer 2

LOAD
OPTIMISM
VASCULARIZATION
EXERCISE

Question 3

during max protection phase (days-6 weeks)

Answer 3

1. WB precautions
2. bracing
3. PROM to AAROM

Question 4

moderate protection phase (4-12 weeks)

Answer 4

return full pain free AROM

Question 5

min protection phase 6 weeks-12 months

Answer 5

restore functional strength!
specific patient education

Question 6

indication for back surgery

Answer 6

1. cauda equina
2. loss of function ACUTE
3. failure of 3 months conservative PT

Question 7

What are BLT precautions?

Answer 7

no bending, lifting over 10 lbs, twisting

Question 8

The __column is important for stability

Answer 8

posterior column!

Question 9

What is removed in laminectomy?

Answer 9

1. mm retracted, ligamentum flavum
2. LAMINA/STABILITY OF POST COLUMN

Question 10

WHAT IS REMOVED IN MICRODISCECTOMY

Answer 10

1. posterior column is compromised!
   detach flavum from lamina
   take out some bone and ligament
   may cut disc, may remove loose disc parts

Question 11

medial facetotomy removes

Answer 11

part of superior facet

Question 12

lateral facetotomy removes

Answer 12

inferior facet

Question 13

lumbar fusion precautions post op 4 weeks

Answer 13

NO AROM 12 WEEKS
bracing

Question 14

Transforaminal LUmbar interbody fusion is a what/

Answer 14

posterolateral fusion

Question 15

What is a ALIF

Answer 15

anterior lumbar interbody fusion
*bad: going through the front
retrograde ejaculation in men
visceral injury

Question 16

biomechanical effects of surgery on disc….

Answer 16

increased compression!

Question 17

considerations for post op back management

Answer 17

Disc hydration/dehydration
Changing positions every 15-30 minutes
Avoiding stretching and rotation of the lumbar spine
Avoiding prone/flat sleeping
Think about healing times

Question 18

Which ligaments tighten during sacral nutation

Answer 18

ST and sacrospinous

Question 19

what is an inflare?

Answer 19

hip internal rotation _innominate moves in)

Question 20

outflare is…

Answer 20

hip external rotation innominate moves out