Flashcards in Back pain Deck (8)
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1
Which IV disc is most likely to rupture?
lumbar discs esp L4/5 and L5/S1
2
what is the presentation of pain in a prolapsed disc?
severepain on coughing, sneezing or twisting a few days after back strain, may radiate to buttock or leg if the herniated nucleus pulposus compresses a nerve root
3
When is a discectomy required with a disc prolepse?
in cauda equina syndrome; progressive muscular weakness or continuing pain
4
When might cause cauda equina in a disc prolapse
if the disc prolapses in the lower lumbar region centrally
5
What causes spinal claudication?
when there is a narrowing of the lumbar spinal canal or its lateral recesses caused by facet joint OA
6
how does spinal claudication present?
pain worse on walking with aching and heaviness in one or both legs causing the person to stop walking- pain improves which leaning forward, pain on extension
7
what is the surgical option for spinal stenossi?
canal decompression and stabilisation (fusion)
8
