Clinical Anatomy of the Spine Flashcards

1
Q

What type of joints are facet joints?

A

Synovial

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2
Q

What is the purpose of spinal curvature?

A

To aid posture and balance

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3
Q

Which two curves of the spine are examples of lordosis?

A
  1. Cervical
  2. Lumbar
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4
Q

Which two curves of the spine are examples of kyphosis?

A
  1. Thoracic
  2. Sacral
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5
Q

Where does disc prolapse most commonly occur?

A
  1. L4/5
  2. L5/S1
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6
Q

Lifing a heavy object may cause tear of what part of the intervertebral disc?

A

Annulus fibrosis

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7
Q

Why is MRI not diagnostic for disc pain?

A

Many people have bulging discs, yet are asymptomatic

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8
Q

What is the tip of the spinal cord called and at what vertebral level is it found?

A

Conus medullaris

L1

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9
Q

When does most disc prolapse settle by?

A

Within 3 months

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10
Q

Nerve root compression can cause what?

A

Radiculopathy which involves pain down the sensory distribution (dermatome) of the nerve root.

This may also result in muscle weakness and reduced reflexes

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11
Q

Why does spinal stenosis cause radiculopathy?

A

Osteophytes form and can compress the nerve roots

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12
Q

In spinal stenosis, there may be pain on walking, what is this called?

A

Neurogenic claudication

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13
Q

Where do sensory neurones exit the spinal cord?

A

At the dorsal root ganglion

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14
Q

Where do motor neurones exit the spinal cord?

A

Anterior grey horn

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15
Q

Anterior and posterior dorsal root pass through what after exiting the spinal cord?

A

Intervertebral foramen

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16
Q

What is cauda equina syndrome?

A

It involves pressure on all lumbosacral nerve roots including sacral nerve roots which supply the bladder and bowel

Signs include:

  • Bilateral lower motor neurone signs
  • Bladder and bowel control lost
  • Saddle anaesthesia
  • Loss of anal tone
17
Q

What is a chance fracture?

A

When a fractured vertebrae causes disruption of the posterior ligaments

This may require surgical stabilisation

18
Q

What is the treatment for mechanical back pain?

A

Not usually surgery

  • Anagesia
  • Physiotherapy
  • Chiropractor
  • Pain clinic
19
Q

When would surgery be suggested for sciatica?

A

When pain does not settle after 3 months

Decompression or a discectomy