Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

South College MSK 3 > Week 4: Cervical Spine Stenosis > Flashcards

Week 4: Cervical Spine Stenosis Flashcards

1
Q

What is cervical spinal stenosis?

A
  • Narrowing of the spinal canal

- Most common cause of spinal cord disorders in patients over 55

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Where can a cervical spinal stenosis be found?

A
  • Central

- Lateral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is cervical spinal stenosis associated with?

A

Spondylosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How old are patients with cervical spinal stenosis?

A

Usually in patients over 50

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Classes of cervical spinal stenosis

A
  • Degenerative
  • Congenital
  • Traumatic
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Degenerative cervical spinal stenosis

A

Osteophyte formation, degenerative disc, hypertrophy of ligamentum flavum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Congenital cervical spinal stenosis

A

Present due to spinal development

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Traumatic cervical spinal stenosis

A

Single incident

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Bony structures implicated in cervical spinal stenosis

A
  • Osteophytes on vertebral bodies (posterior or posterolateral)
  • Facet joint ostephytes
  • Uncovertebral joint osteophytes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Soft tissue structures implicated in cervical spinal stenosis

A
  • Disc protrusion or calcification
  • Ossified posterior longitudinal ligament
  • Ligamentum flavum hypertrophy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Characteristics of cervical spinal stenosis

A
  • Chronic and slowly progressive
  • Usually episodes of worsening symptoms
  • May have focal radicular symptoms
  • May present w/ cervical spondylotic myelopathy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Spinal canal mechanics

A
  • Flexion –> widening of canal by 31%
  • Extension –> narrowing of canal by 20%
  • Rotation –> Ipsilateral narrowing, contralateral widening
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Spondylosis

A

Degeneration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Symptoms complexes associated w/ symptomatic spondylosis

A
  • Axial spine pain
  • Radicular pain
  • Myelopathy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Axial spine pain

A

Most common in middle ages

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Radicular pain

A

Herniated disc, neuroforaminal stenosis, or both

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Myelopathy

A

Central stenosis leading to cord compression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is cervical myelopathy?

A

A disorder in the cervical region that disrupts or interrupts the normal transmission of the neural signals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Major mechanisms of cervical myelopathy

A
  • Direct compression of the spinal cord
  • Ischemia caused by compromise of the vascular supply to the cord
  • Repeated trauma secondary to normal flexion and extension of the neck
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Risk factors for cervical myelopathy

A
  • In 90% of people over 70
  • Most spinal cord dysfunction is in people over 55
  • Males > females
  • Asian descent
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Prognosis for cervical myelopathy

A

Variable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Signs and symptoms for cervical myelopahty

A
  • Neck and UE pain
  • Weakness and sensory impairments
  • LMN signs at level of lesion
  • UMN signs below level of lesion
  • Parasthesia w/ weakness and wasting of the hands
  • Gait disorders
  • Bowel and bladder dysfunction
  • Loss of deep touch, vibration, and joint position sense
  • Lhermitte’s sign
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Syndromes associated with CSM

A
  • Transverse syndrome
  • Motor system syndrome
  • Mixed radicular and long tract syndrome
  • Partial Brown-Squard syndrome
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Transverse syndrome

A

Corticospinal, spinothalamic, and dorsal column

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Motor system syndrome

A

Corticospinal and anterior horn

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Mixed radicular and long tract syndrome

A

-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Partial Brown-Sequard syndrome

A

-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Spinal tracts involved in cervical myelopathy

A
  • Corticospinal
  • Posterior columns
  • Anterior foraminal
  • Lateral thalamic
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Corticospinal info conveyed

A

Ipsilateral motor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Posterior columns info conveyed

A

Ipsilateral vibration/proprioception

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Anterior foraminal info conveyed

A

Ipsilateral motor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Lateral thalamic info conveyed

A

Contralateral pain, temp, and touch

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Corticospinal symptoms from compression

A

LE weakness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Posterior columns symptoms from compression

A

Ataxia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Anterior foraminal symptoms from compression

A

UMN signs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Lateral thalamic symptoms from compression

A

Sensory changes

37
Q

Stages of myelopathy

A
  • Mild
  • Moderate
  • Severe
38
Q

Mild myelopathy

A

Involves hand and arm symptoms, but not prevent normal ADLs

39
Q

Moderate myelopathy

A

Considerable difficulty using arms and legs, affects ADLs

40
Q

Severe myelopathy

A

Requires ambulatory aids, often confined to bed, chair, or home

41
Q

Clinical cluster signs for cervical myelopathy

A
  • Gait deviation
  • Hoffmann’s test
  • Inverted supinator sign
  • Babinski test
  • > 45 years
  • 3 or more
42
Q

Imaging to use for diagnosis

A
  • X-ray
  • CT scan
  • MRI
43
Q

-

A

-

44
Q

-

A

-

45
Q

-

A

-

46
Q

-

A

-

47
Q

-

A

-

48
Q

-

A

-

49
Q

-

A

-

50
Q

-

A

-

51
Q

-

A

-

52
Q

-

A

-

53
Q

-

A

-

54
Q

-

A

-

55
Q

-

A

-

56
Q

-

A

-

57
Q

-

A

-

58
Q

-

A

-

59
Q

-

A

-

60
Q

-

A

-

61
Q

-

A

-

62
Q

-

A

-

63
Q

Possible treatment categories for cervical myelopathy

A

-

64
Q

-

A

-

65
Q

-

A

-

66
Q

-

A

-

67
Q

-

A

-

68
Q

-

A

-

69
Q

-

A

-

70
Q

-

A

-

71
Q

-

A

-

72
Q

-

A

-

73
Q

-

A

-

74
Q

-

A

-

75
Q

-

A

-

76
Q

Surgical risk, complications

A

-

77
Q

-

A

-

78
Q

-

A

-

79
Q

-

A

-

80
Q

-

A

-

81
Q

-

A

-

82
Q

-

A

-

83
Q

-

A

–

84
Q

-

A

-

85
Q

-

A

-

86
Q

-

A

-

87
Q

-

A

-

88
Q

Post operative PT for surgery

A

-

South College MSK 3 (22 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions