Chapter 26: Recognizing Some Common Causes Of Neck And Back Pain Flashcards Preview

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Flashcards in Chapter 26: Recognizing Some Common Causes Of Neck And Back Pain Deck (29):
1

Where does the anterior longitudinal ligament of the spine connect?

anterior surfaces of vertebral bodies

2

Where does the posterior longitudinal ligament of the spine connect?

posterior surfaces of vertebral bodies

3

Where does the ligamentum flavum ligament of the spine connect?

laminae of adjacent vertebral bodies and lies in posterior portion of spinal canal

4

Where does the interspinous ligament of the spine connect?

between spinous processes

5

Where does the supraspinous ligament of the spine connect?

tips of spinous processes

6

What is the study of choice to evaluate the spine?

MRI

7

What are some common causes of back pain?

muscle and ligament strain
herniation of an intervertebral disk
degeneration of an intervertebral disk
arthritis involving the synovial joints
compression fractures
trauma to the spine
malignancy

8

Where do most herniated discs occur?

posterolaterally in the lower cervical or lower lumbar spine

9

What is postlaminectomy syndrome?

persistent pain in the back or legs following spine surgery

10

What can detect the cause of postlaminectomy syndrome?

Gadolinium-enhanced MRI

11

What causes degenerative disk disease?

nucleos pulposus dehydrates and degenerates with increasing age

12

What are the facet joints subject to?

osteoarthritis

13

What is facet osteoarthritis frequently associated with?

degenerative disk disease and radicular pain

14

How does Diffuse idiopathic skeletal hyperostosis manifest?

thick, bridging, or flowing calcification/ossification of the ant. longitudinal ligament

Occurs in men over the age of 50

Disk spaces and facet joints are preserved

15

What are compression fractures caused by and who gets them more commonly?

Secondary to osteoporosis and women

16

Can compression fractures be seen on xrays?

YES

17

What do compression fractures usually produce that can be seen on a Xray?

Involve the anterior portion of the body disproportionately causing exaggerated kyphosis in the thoracic spine

18

What is spinal stenosis and where is it most common?

Narrowing of the spinal canal or neural foramina

Most commonly seen in cervical or lumbar regions

19

Where are metastatic lesions to the spine most common?

Blood rich posterior aspect of vertebral bodies - especially Pericles

20

What metastases are most commonly associated with the spine?

Lung
Breast
Prostate

21

Does multiple myeloma involve the spine and if so, what is it associated with?

YES

Severe osteoporosis = compression fractures
Lyric destruction of the vertebral body

22

What are important landmarks connecting the lateral cervical spine on Xray and what do they assess?

Three parallel white lines

These lines assess for fracture os subluxation before the patient is moved

23

What is a Jefferson fracture?

Fracture of C1 commonly seen on Xray as bilateral, lateral fractures offset of the lateral masses of C1

Doesn’t cause neurological deficit

4 fractures in all are produced

24

What is a hangman’s fracture?

Fracture of the posterior elements of C2

Caused by hyperextension-compression injury

Doesn’t cause neurological deficits

25

What is a burst fracture?

High-energy axial loading injuries occurring in the cervical, thoracic, or upper lumbar spine

Bony fragments are seen in posterior spinal canal and anterior vertebral body displaced forward

Neurological Deficits occur

26

What is a chance fracture?

Transverse fractures through the entire vertebral body, pedicles, and spinous process

Occur in upper lumbar-lower thoracic spine

27

What are locked facets?

Occur due to hyperflexion injury

Inferior facets of one vertebral body slide over and in front of the superior facets of the body below

28

How will locked facets appear on a lateral Xray of the spine?

Inferior articular facets will lie in front of the superior facets of the body below

29

What is the naked facet sign?

Occurs in locked facets when the superior articular facets are no longer covered by the inferior facets