Flashcards in 1 for 1 Deck (109):
What is the spurlings test?
Extention/Axial rotation of neck causes arm/shoulder pain
Thoracic involvment of Metastatic DZ includes what S/S?
Band like pain around chest
Clay shovelers fracture
Spinous processes fx of C6-7 + T1-2
TXT of Lumbar stenosis
NSAIDS, PT, water active
Surg indications of scoliosis? degrees
AKA for Anklylosing spondylitis
Bamboo spine (late)
TXT meds for seronegativearthopathies
Indications for MRI in scoliosis pt?
Cafe Au lait spots
L- Side curve (ABNL)
MC ass/w condition w/ kyphosis?
Distal end of spinal cord
Conus medullaris terminates L1 - L2
DEGEN - OA (Pars interarticulars defect)
Cervical/Lumbar Metastatic DZ have what additional S/S?
TXT Cervical Radiculopathy
Spon resolution 2-8 weeks
MRI is good for
Eval disc DZ or lig injury - spinal cord and nerve roots
PT CI for MRI w/ CES - 2nd line DX test?
Other DX tests for Cervical Radiculopathy?
What sports players may develop spondylo -lysis/listhesis
Football, GYmnastics, swimmers
AP/LAT - spondylothesis
Flex/Ext - spondylothesis high sens
Flex/ext cervical XR should only be used after
3 view series is cleared
What is the hall mark of a flexion-distraction or burst fracture of V. Body?
Hematoma, Step-off, gap between Spinal processes
When to refer spondylo -lysis/listhesis
<10yo - Rheum consult
What relieves Metastatic DZ Pain?
Lhermitte sign indicates?
Electirc shock thru spine, arm, legs w/ neck flexion = cervical myelopathy(spondylosis)
When is eval required for Scoliosis in respect to degree measurement?
What sign can be sign with Metastatic DZ in what DX test?
Winking owl sign in AP - pedical loss
Lateral degenerative changes at L5-S1 cause?
Fx of pars
Angle used to determinge Standard of degree in scoliosis
What does hoffman sign indicate w/in Cervical Radiculopathy?
UMN lesion - other test is Babinski's
CT is good for
Which tendons have enesthesitis in Reiters?
Achilles and plantar fascia
What extra articular findings are there with Anklylosing spondylitis
What DX test is a reflext to AP/LAT for spondylo -lysis/listhesis?
What can occur within muscles w/ Cervical Radiculopathy
Muscle spasms/fasciculations in myotomes
What is best screening tool for Metastatic DZ?
Classic traid fo reiters syndrome
Cant - see, pee, tree
- sterile pyruia
TXT for CES
Surgical ER decompression
When is resp fxn affected w/ kyphosis?
What is ABNL for lateral curvature of spine?
EMG/NCV is good for?
ID nerve dysfx location
When does a fx vertebrae not req bracing?
Simple, Stable w/ <20 wedging w/ no other involvement
Dx test for thecal sac compression of CES?
Compression causing paralysis w.out spasticity
Simple fractures of anterior half of veretebral body are stable or unstable?
What meds can be used to TXT Lumbar stenosis?
Epidural CCS INJ 3x(6mo)
Adam forward bends test good for?
Scoliosis/Kyphosis (lat view)
What DX tests for cervical spondylosis/myeopathy?
Spot lateral view is good for?
Eval lumbosacral jx
RED/REF kyphosis pts?
<10yo - rheum
Is back pain common with scoliosis?
NO - neither neuro
What sign can be seen with Lumbar stenosis?
Shopping cart sign
DIfficulty buttoning blouse may indicate?
Early cervical myelopathy (cervical spondylosis)
What causes increased Lumbar stenosis
Is CES a ER?
Types of seronegativearthopathies
What does female menses indicate for growth/development?
Loss of vibration or proprioception indicates what type of defecits?
Posterior column defecits
XR for Cervical Radiculopathy is good for
ID regions of Spondylosis/DEGEN
What is a head halter?
DX tests for Cervical Radiculopathy?
MRI/CT w/ intrathecal contrast + correlate w/ S/S = high false+ MRI
MC level of Spondylosis?
What should be screened w/ spondylo -lysis/listhesis
What organisms are ass/w Reiters syndrome?
How long should someone use a C-Collar w/ persistant pain but NL PE?
Scapular pain pain w/ no UE radiation indicates
Root pressure above C5
Do you brace kyphosis?
NO - PT core muscles
Stopping when walking stops neurogenic claudication?
NO - (only vascular claudication)
What is a sentinal S/S of spondylitis?
Vertebral body collapse can indicate?
What score can be used to tell if Pt has stopped growing?
What DX test helps eval cervicothoracic jx
Swimmers view XR
What PE test is appropriate for Cervical Radiculopathy?
What is Scheumers DZ?
Ant wedging of >3 vert (Schmorl nodes) >5 degree ang
Cause if Cervical Radiculopathy in older adults?
Foramen narrowing + arthritis = lateral nerve entrapment
What muscles weak w/ CES
Dorsi/plantar-flex - cant walk heel to toe
Hangman fx is
C2 separation from posterior elements
Pedicle/Pars fx bilaterally
Bracing indication for scoliosis? degrees
What type of braces are use for spinal fx?
7 degrees on scoliometer equals how much w/in XR?
Surg indication for kyphosis? degrees
Cauda equina location/composed
Spinal canal of L2 - S4 nerve roots
DX tests of Lumbar stenosis
Jefferson fx is
bursting fx of C1 ring
What neuro tests are potentially impaired w/ Lumbar stenosis?
Proprioception - Rombergs
Dx tests for Anklylosing spondylitis
POS Fabers, SI pain
When should an MRI be given for spondylo -lysis/listhesis?
Red flags, <10yo, or >6weeks S/S
Condition w/ symmetric footdrop
Lumbar stenosis is typically a
Degen DZ (MC)
UMN inolvement w/ Cervical Radiculopathy means?
Spinal cord compression
SPinal cord DZ related to Scoliosis?
WHich seronegativearthopathies is ass/w HLA-B27?
Cervical Radiculopathy is
Neurogenic pain in cervical root map (w/ or w/out numb/weak/areflexia)
What may confound DX CES?
Narcotic injection causing urinary retention
Common S/S of Lumbar stenosis
Surg wound complications w/ Metastatic DZ
Kyphosis ABNL degrees?
>50 = hyperkyphosis
TXT for cervical spondylosis
NSAIDS - Doxepin/amitriptyline - sleep
Psoritatic arthritis - key points
Monoarticular - knee - asymmetric progress
Nail pitting/tenosynovitis of digits
Lumbar stenosis must be what to have S/S?
Cause if Cervical Radiculopathy in young adults?
Cervical herniation - entrapping in foramen
Highest rate of Metastatiz DZ of spine include what carcinomas?
What labs taken for CES?
CBC, CRP, ESR
Lateral veiws are good for
Looking at HGT of spine vertebrae
What scale is used to assess hypermobility of scoliosis?
Beighton scale 4/9
DX tests for Metastatic DZ
AP/LAT - radiopaque marker at TTP
Odontoid if cervical
Lumbar - include T10 to Coccyx tip
Spot lat view
Lateral XR of cervical spine must include
Occiput to T1
Radiculopathy is bilateral or unilateral w/ Cervical Radiculopathy?
Sacral roots controlling Bladdar/Anal