Common Clinical Syndromes and Pathologies of the Thoracolumbar Spines Flashcards Preview

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Flashcards in Common Clinical Syndromes and Pathologies of the Thoracolumbar Spines Deck (22)
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1

A 25 yo male comes into the clinic with lower back pain walking delicately. You diagnose them with HLA-B27, what disease do they have?

ankylosing spondylitis

2

A patient comes in with AS (ankylosing spondylitis) what do you recommend for them?

stay active! get to the gym! :p

3

A 14 year old patient comes in with a sharp angle change in their T7 through T10 spinal curve, what do you think they have?

Scheuermann's disease (congenital disease)

4

What vertebrae are most commonly effected by Scheuermann's disease?

T7 to T10

5

Osteoporosis is very common in post menopausal women, but can men get osteoporosis?

Yes! When they are > 50 yo.

6

Which of the following is NOT a risk factor for osteoporosis

a) having a fracture or family hx of having a fracture
b) > 50 yo
c) post-menopausal woman
d) a smoker
e) weigh 72 kg

e) weight 72 kg [less than 70kh risk factor]

7

Which of the following is NOT a risk factor for osteoporosis:

a) a drinker
b) sedentary
c) taken estrogen replacement
d) taken corticosteroids
e) Vitamin D deficiency/don't drink a lot of milk

b) sedentary

8

What is the curve in osteoporosis called?

Dowenger's hump

9

What is the definition of spondylolisthesis?

forward slippage of one vertebra on the next vertebra

ex. car accident

On XRAY: see dog decapitated and head shifted

10

What is spondololysis?

a pars inarticularis defect fracture (between superior and inferior facets)

ON XRAY: see the collar on a dog

11

A patient comes in with lower back pain that gets worse with extension, what do they have?

spondolylolisthesis

12

If a patient is diagnosed with spondolyolisthesis, and has a 15% slippage, what grade spondylolisthesis do they have?

Grade 1 [0 - 25%]

13

If a patient is diagnosed with spondolyolisthesis, and has a 45% slippage, what grade spondylolisthesis do they have?

Grade 2 [25% -50%]

14

If a patient is diagnosed with spondolyolisthesis, and has a 55% slippage, what grade spondylolisthesis do they have?

Grade 3 [51 - 75%]

15

If a patient is diagnosed with spondolyolisthesis, and has a 87% slippage, what grade spondylolisthesis do they have?

Grade 4 [76 - 100%]

16

What is a spondolyolisthesis with over 100% slippage called?

spondlyopsis

17

Pectus carinatus is also called...

pigeon chest

18

Pectus excavatum is also called...

funnel chest

19

T or F: In a fractured rib, the pain is along the entire rib

True!

20

What is the most common type of disc herniation?

posterior lateral herniation in lumbar spine

21

A patient presents with a positive SLR (straight leg test) of > 30 degrees, pain in their lower back, and pain that radiates down the leg below the knee. What do you think they have?

A herniated lumbar disc

22

You suspect has a patient has a herniated lumbar disc, would you suspect they have more pain with sitting and Flexion or Extension? Why?

Increased pain with flexion b/c flexion causes disc to move posterior more.