rehab after LS and CS surgery

Question 1

best if looking for neural compression

also excellent for infection

Answer 1

MRI

Question 2

used for younger patients with spondylolisthesis and older patients with possible compression fracture

Answer 2

Plain radiographs

Question 3

surgical treatment for herniated lumbar disc

Answer 3

discectomy

microdiscectomy

Question 4

disc material removed with incision and laminotomy

Answer 4

discectomy

Question 5

disc material removed with guide wires

Answer 5

endoscopic microdiscectomy

Question 6

B classification

Answer 6

protrusion

Question 7

D classification

Answer 7

extrusion

Question 8

E classification

Answer 8

sequestration

Question 9

cauda equina
severe motor deficit
no low back pain: absence of degenerative cond.
few psychosocial stressors

Answer 9

surgical candidates for discectomy

Question 10

surgical spinal stenosis tx

Answer 10

epidurals
nothing
laminectomy (decompression)

Question 11

surgical treat for spondylolisthesis

Answer 11

bracing, pain meds, PT (grades 1 and 2)
Epidurals
grade 3 and 4 requires and arthrodesis +/- decompression

Question 12

complications of fusion

Answer 12

additional dx: DDD or instability
bone mineral density
segmental instability above or below

Question 13

Spinal fusion precautions

Answer 13

Log roll
orthotics
no hip flex >90
no twisting/bending/rot
no fwd bending/stooping
no lifting >5-10#
no sitting >30 min (compression)

Question 14

Surgery addressed source of pain therapy should address

Answer 14

cause

Question 15

surgical indications for the CS

Answer 15

facture
myelopathy
neoplasm

Question 16

Main types of CS surgery

Answer 16

decompression

fusion

Question 17

failed conservative management of at least 2-3 months
progression of neurologic dysfunction, especially weakness
persistent numbness, especially if dominant hand involved

Answer 17

when surgery is recommended for radiculopathy