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Flashcards in 1 for 1 Deck (109):
1

What is the spurlings test?

Extention/Axial rotation of neck causes arm/shoulder pain

2

Thoracic involvment of Metastatic DZ includes what S/S?

Band like pain around chest

3

Clay shovelers fracture

Spinous processes fx of C6-7 + T1-2

4

TXT of Lumbar stenosis

NSAIDS, PT, water active
Meds
Surg

5

Surg indications of scoliosis? degrees

>45-50

6

AKA for Anklylosing spondylitis

Bamboo spine (late)

7

TXT meds for seronegativearthopathies

NSAIDs,
Immunomods
TNF inhibitors

8

Indications for MRI in scoliosis pt?

Cafe Au lait spots
Neuro finds
Spinal pain
Cavus feet
hair tuff
L- Side curve (ABNL)

9

MC ass/w condition w/ kyphosis?

Scheuermans DZ

10

Distal end of spinal cord

Conus medullaris terminates L1 - L2

11

spondylosis indicates?

DEGEN - OA (Pars interarticulars defect)

12

Cervical/Lumbar Metastatic DZ have what additional S/S?

Radiculopathy

13

TXT Cervical Radiculopathy

Spon resolution 2-8 weeks
NSAIDS
Head halter/PT

14

MRI is good for

Eval disc DZ or lig injury - spinal cord and nerve roots

15

PT CI for MRI w/ CES - 2nd line DX test?

CT/Myelogram -confirms

16

Other DX tests for Cervical Radiculopathy?

EMG/NCV

17

What sports players may develop spondylo -lysis/listhesis

Football, GYmnastics, swimmers

18

CES radiographs

AP/LAT - spondylothesis
Flex/Ext - spondylothesis high sens

19

Flex/ext cervical XR should only be used after

3 view series is cleared

20

What is the hall mark of a flexion-distraction or burst fracture of V. Body?

Hematoma, Step-off, gap between Spinal processes

21

When to refer spondylo -lysis/listhesis

<10yo - Rheum consult

22

What relieves Metastatic DZ Pain?

Lying down

23

Lhermitte sign indicates?

Electirc shock thru spine, arm, legs w/ neck flexion = cervical myelopathy(spondylosis)

24

When is eval required for Scoliosis in respect to degree measurement?

<5-7 degrees

25

What sign can be sign with Metastatic DZ in what DX test?

Winking owl sign in AP - pedical loss

26

Lateral degenerative changes at L5-S1 cause?

L5 compression

27

SPondylolisthesis is?

Fx of pars

28

Angle used to determinge Standard of degree in scoliosis

Cobb angle

29

What does hoffman sign indicate w/in Cervical Radiculopathy?

UMN lesion - other test is Babinski's

30

CT is good for

Fx/bone eval

31

Which tendons have enesthesitis in Reiters?

Achilles and plantar fascia

32

What extra articular findings are there with Anklylosing spondylitis

IBS, Uveitis

33

What DX test is a reflext to AP/LAT for spondylo -lysis/listhesis?

Bone scan

34

What can occur within muscles w/ Cervical Radiculopathy

Muscle spasms/fasciculations in myotomes

35

What is best screening tool for Metastatic DZ?

Technetium Tc-99m

36

Classic traid fo reiters syndrome

Cant - see, pee, tree
- uveitis
- sterile pyruia
- Enthesitis

37

TXT for CES

Surgical ER decompression

38

When is resp fxn affected w/ kyphosis?

>90-100

39

What is ABNL for lateral curvature of spine?

>10

40

EMG/NCV is good for?

ID nerve dysfx location

41

When does a fx vertebrae not req bracing?

Simple, Stable w/ <20 wedging w/ no other involvement

42

Dx test for thecal sac compression of CES?

MRI

43

CES causes/is

Compression causing paralysis w.out spasticity

44

Simple fractures of anterior half of veretebral body are stable or unstable?

Stable

45

What meds can be used to TXT Lumbar stenosis?

Epidural CCS INJ 3x(6mo)

46

Adam forward bends test good for?

Scoliosis/Kyphosis (lat view)

47

What DX tests for cervical spondylosis/myeopathy?

Everything

48

Spot lateral view is good for?

Eval lumbosacral jx

49

RED/REF kyphosis pts?

<10yo - rheum

50

Is back pain common with scoliosis?

NO - neither neuro

51

What sign can be seen with Lumbar stenosis?

Shopping cart sign

52

DIfficulty buttoning blouse may indicate?

Early cervical myelopathy (cervical spondylosis)

53

What causes increased Lumbar stenosis

Back extention

54

Is CES a ER?

Yes

55

Types of seronegativearthopathies

PAIR

56

What does female menses indicate for growth/development?

Peak growth

57

Loss of vibration or proprioception indicates what type of defecits?

Posterior column defecits

58

XR for Cervical Radiculopathy is good for

ID regions of Spondylosis/DEGEN

59

What is a head halter?

Head traction

60

DX tests for Cervical Radiculopathy?

MRI/CT w/ intrathecal contrast + correlate w/ S/S = high false+ MRI

61

MC level of Spondylosis?

L5

62

What should be screened w/ spondylo -lysis/listhesis

Polyarthralgias
Uveitis
IBS
Inconteninace

63

What organisms are ass/w Reiters syndrome?

Campylobacter
Salmonella
Shigella

64

How long should someone use a C-Collar w/ persistant pain but NL PE?

7-10D

65

Scapular pain pain w/ no UE radiation indicates

Root pressure above C5

66

Do you brace kyphosis?

NO - PT core muscles

67

Stopping when walking stops neurogenic claudication?

NO - (only vascular claudication)

68

What is a sentinal S/S of spondylitis?

IBS

69

Vertebral body collapse can indicate?

Kyphosis

70

What score can be used to tell if Pt has stopped growing?

Risser score

71

What DX test helps eval cervicothoracic jx

Swimmers view XR

72

What PE test is appropriate for Cervical Radiculopathy?

Spurlings test

73

What is Scheumers DZ?

Ant wedging of >3 vert (Schmorl nodes) >5 degree ang
irreg/frag endplates

74

Cause if Cervical Radiculopathy in older adults?

Foramen narrowing + arthritis = lateral nerve entrapment

75

What muscles weak w/ CES

Quads/hip ext
Dorsi/plantar-flex - cant walk heel to toe

76

Hangman fx is

C2 separation from posterior elements
Pedicle/Pars fx bilaterally

77

Bracing indication for scoliosis? degrees

>25

78

What type of braces are use for spinal fx?

Jewett
Thoracolumbar corset

79

7 degrees on scoliometer equals how much w/in XR?

20 degrees

80

Surg indication for kyphosis? degrees

>90
Fail

81

Cauda equina location/composed

Spinal canal of L2 - S4 nerve roots

82

DX tests of Lumbar stenosis

AP
Lat

83

Jefferson fx is

bursting fx of C1 ring

84

What neuro tests are potentially impaired w/ Lumbar stenosis?

Proprioception - Rombergs

85

Dx tests for Anklylosing spondylitis

POS Fabers, SI pain

86

When should an MRI be given for spondylo -lysis/listhesis?

Red flags, <10yo, or >6weeks S/S

87

Condition w/ symmetric footdrop

CES

88

Lumbar stenosis is typically a

Degen DZ (MC)
L2-3
L3-4
L4-5

89

UMN inolvement w/ Cervical Radiculopathy means?

Spinal cord compression

90

SPinal cord DZ related to Scoliosis?

Neoplasms
Syrinomyelia

91

WHich seronegativearthopathies is ass/w HLA-B27?

Anklylosing spondylitis

92

Cervical Radiculopathy is

Neurogenic pain in cervical root map (w/ or w/out numb/weak/areflexia)

93

What may confound DX CES?

Narcotic injection causing urinary retention

94

Common S/S of Lumbar stenosis

Neurogenic claudication

95

Surg wound complications w/ Metastatic DZ

radiation
CCS

96

Kyphosis ABNL degrees?

>40
>50 = hyperkyphosis

97

TXT for cervical spondylosis

NSAIDS - Doxepin/amitriptyline - sleep
Cervical pillow

98

Psoritatic arthritis - key points

Monoarticular - knee - asymmetric progress
Nail pitting/tenosynovitis of digits

99

Lumbar stenosis must be what to have S/S?

Severe

100

Cause if Cervical Radiculopathy in young adults?

Cervical herniation - entrapping in foramen

101

Highest rate of Metastatiz DZ of spine include what carcinomas?

BLTKP
P- prostate

102

What labs taken for CES?

CBC, CRP, ESR

103

Lateral veiws are good for

Looking at HGT of spine vertebrae

104

What scale is used to assess hypermobility of scoliosis?

Beighton scale 4/9

105

DX tests for Metastatic DZ

AP/LAT - radiopaque marker at TTP
Odontoid if cervical
Lumbar - include T10 to Coccyx tip
Spot lat view

106

Lateral XR of cervical spine must include

Occiput to T1

107

Radiculopathy is bilateral or unilateral w/ Cervical Radiculopathy?

Unilateral

108

Sacral roots controlling Bladdar/Anal

S2-S4

109

What classification is used for spondylo -lysis/listhesis?

Meyerding classification ( Type I-II do fine)