Lumbar Theory Flashcards
Facet joints of the L/s face…
medially and laterally, 90* to the transverse plane and 45* to the frontal plane
SAP faces medially and backward
IAP faces laterally and forward
Which lumbar segment allows for the most rotation?
L5/S1
Meralgia parasthetica is d/t compression of what nerve?
lateral femoral cutaneous nerve
Lumbar facet pain commonly refers to…
the gluteal region and proximal thigh/groin area
What is the most common disc herniation location in L/spine?
the LUMBOSACRAL DISC
then L4-L5
Disc bulge against ligaments and the dura will cause ______ pain. Disc bulges posterolaterally against nerve roots will cause ______ pain.
dull, deep, poorly localized pain in back/SI region
sharp nerve pain (like sciatica)
The IVF is at what level related to the disc in the L/s?
same level
What are the 4 stages of disc herniation? When can RMTs be helpful up to?
Disc degeneration > prolapse > extrusion > sequestration
Only up till and including prolapse
What is spondylosis?
spinal degeneration d/t natural effects of aging causing a defect of the pars interarticularis
What is spondylolisthesis?
separation of the pars interarticularis, which anteriorly slipped vertebra
What is the scotty dog sign?
bright colouration at the neck of the scotty dog in x-rays
With spondylolisthesis, what are the expected results for SLR, segmental instability, and standing stork tests?
(+)
What is spondylosis?
degeneration of the IVD
Lumbarization means ____, sacralization means _____.
lumbarization: S1 is a mobile segment like a 6th L vertebra
sacralization: L5 is fused to sacrum/ilium
The iliolumbar ligament attaches between… for what purpose?
TVP of L5 and ilium, to prevent anterior displacement of L5
