PIVD ( PROLAPSED INTERVERTEBRAL DISC ) Flashcards
DEFINITION
PROTRUSION OR EXRUSION OF NUCLEUS PULPOSUS THROUGH RENT IN ANNULUS FIBROSUS
SEQUENCE OF CHANGES
NUCLEUS DEGENERATION
NUCLEUS DISPLACEMENT
NUCLEUS FIBROSIS
IVD CONSISTS OF
CARTILAGE DISC
NUCLEUS PULPOSUS
ANNULUS FIBROSUS
NUCLEUS DEGENERATION
SOFTENING OF NULEUS
WEAKENING OF POSTERIOR PART OF ANNULUS
NUCLEUS DISPLACEMENT
DISC PROTRUSION = BULGING OF NUCLEUS THROUGH DEFECT IN ANNULUS
DISC EXTRUSION = NUCLEUS COMES OUT AND LIES BEHIND POSTERIOR LONGITUDINAL LIGAMENT . CONTACT NOT LOST WITH PARENT DISC
SEQUESTRATED DISC = NUCLEUS LOSES CONTACT WITH PARENT DISC
STAGE OF FIBROSIS
RESIDUAL NUCLEUS BECOMES FIBROSED
EXTRUDED NUCLEUS FIBROSED AND CALCIFIED
AGE
20 TO 40 YEARS
SITE
L4 L5 AND C5 C6
LIFESTYLE
SEDENTARY
PRESENTING COMPLAINTS
LOW BACK PAIN WITH OR WITHOUT RADIATING TO BACK OF LEG
HISTORY OF TRAUMA OR LIFTING HEAVY OBJECT
CLINICAL FEATURES
LOW BACKACHE
SCIATICA
NEUROLOGICAL SYMPTOMS
LOW BACK ACHE
ACUTE = SEVERE WITH SPINE HELD RIGID BY MUSCLE SPASM
CHRONIC= DULL AND DIFFUSE , RELIEVED BY REST
SCIATICA
IF COMPRESSION OF
L2 L3 NERVE ROOT = PAIN ON FRONT OF THIGH
L5 NERVE ROOT = PAIN ON ANTEROLATERAL ASPECT OF LEG AND ANKLE
S1 NERVE ROOT = PAIN ON POSTEROLATERAL ASPECT OF CALF AND ANKLE
NEURLOGICAL SYMPTOMS
PARESTHESIA
NUMBNESS
WEAKNESS
CAUDA QUINA SYNDROME
CAUDA EQUINA SYNDROME
BOWEL AND BLADDER INCONTINENCE
BILATERAL ANKLE JERK ABSENT
HYPOESTHESIA IN L5 TO S4 DERMATOME
IRREGULAR LMN PARALYSIS IN LOWER LIMB
