Week 4 - MSK: Spine and Pelvis fractures and surgeries Flashcards
What is Spondylosis?
Progressive age-related degenerative changes of the IV discs, characterized by disc herniation or osteophyte formation
Patient Presentation of Spondylosis?
2 points
- Axial neck pain, stiffness, and headaches
- Axial back pain +/- leg pain
What is a Laminectomy?
Remove back part of vertebra
What is a Foraminaotomy?
2 points
- Remove bone around the foramen
- Relieves pinched nerve
What is a Discectomy?
- Remove part/all of disk
What does ACDF stand for?
Anterior Cervical Discectomy and Fusion
7 factors that affect bone healing?
- Nicotine
- Age
- Nutrition
- Comorbidities (chronic disease, diabetes)
- Steroid use
- Radiation
- Chemotherapy
What is Phase 1 of bone healing called and how long does it last?
- Inflammation phase
- 0-14/365 post surgery
What occurs in Phase 1 of bone healing?
5 points
- VC in the immediate area
- VD in surrounding areas
- Wound Closure
- Removal of foreign and necrotic tissue
- Hematoma formation in the bone
What is Phase 2 of bone healing called and how long does it last?
- Reparative Phase
- 0-21/365 post surgery
What occurs in Phase 2 of bone healing?
3 points
- Fibroblast enter region to create dense connective tissue scars
- Angioblasts enter region for revascularization
- Soft callus formation in the bone
What is Phase 3a of bone healing called and how long does it last?
- Reparative Phase
- 22- 60/365 post surgery `
What occurs in Phase 3a of bone healing?
2 points
- Dense connective tissue is converted from cellular to fibrous
- Hard callus formation in the bone
What can excessive motion at the fusion site lead to?
Excessive callus formation which can delay that reparative phase
What is the goal of Phase 3a?
Strenthening of the newly formed connective tissue`
