Spinal Orthotics Oral Questions

Question 1

Name 3 ways to manage a T11 anterior compression fracture orthotically.

Answer 1

Jewett
Taylor
Body Jacket

Question 2

What is the biomechanical principle of a Jewett?

Answer 2

3 point pressure system for hyperextension

Question 3

What is your orthotic recommendation for a patient with an odontoid fracture who was just removed from a halo?

Answer 3

SOMI

Extended Philidelphia

Question 4

Recommend an orthosis to control flexion and extension for a stable C3 fracture.

Answer 4

4 poster
SOMI
2 poster

Question 5

What is spondylolisthesis?

Answer 5

anterior slippage of L4 on L5 or L5 on S1

4 grades of slippage

Question 6

How would you orthotically treat spondylolisthesis?

Answer 6

BOB
Williams
Raney flexion jacket

Question 7

A 47-y/o male sustained an L4 compression fracture during a fall. What is your orthotic recommendation?

Answer 7

BOB
Jewett
?

Question 8

What is your orthotic recommendation for a 68 y/o with osteoporotic kyphosis?

Answer 8

dorsal lumbar corset

Taylor

Question 9

How would you treat a fracture at T3?

Answer 9

body jacket with cervical extension

Question 10

For stable compression fractures of the cervical spine, the head should be positioned in flexion or extension?

Answer 10

extension

Question 11

Describe the orthotic treatment and rx rationale for burn patients.

Answer 11

pressure garments, burn masks

reduce hypertrophic scarring

Question 12

What is torticollis?

Answer 12

contracture of sternocleidomastoid muscle

Question 13

What is the recommended torque for halo pins in adults and in children?

Answer 13

adults: 8 inch pounds
children: 4-6 inch pounds

Question 14

What is the reasoning behind using non-ferrous components in halos?

Answer 14

MRI compatible

Question 15

What tool would you use to apply halo pins?

Answer 15

Torque screwdriver

Question 16

The pins on a halo should be re-tightened at what time interval after application?

Answer 16

48 hours

Question 17

An inflamed halo pin site, pain at pin site, noise, or movement are indications of what?

Answer 17

loose pin

Question 18

Your patient comes into your office with a loose halo pin. You try to re-tighten and no resistance is met. What is your next step?

Answer 18

call the doctor

Question 19

What two nerves could be compromised with incorrect positioning of anterior halo pins?

Answer 19

supraorbital

supratrochlear

Question 20

What is Risser sign?

Answer 20

method of determining bone maturity

graded 0-5

Question 21

What is the purpose of the neck ring on a Milwaukee?

Answer 21

upper pressure point for high scoliotic curves or kyphosis

not used for distraction/traction

Question 22

What is proper placement for a thoracic pad on a CTLSO?

Answer 22

two ribs inferior to the apex of the curve

the pad is L shaped

Question 23

Name and describe two other types of pads.

Answer 23

shoulder ring
lumbar
anterior de-rotation

Question 24

What is proper clearance of the throat mold on a CTLSO?

Answer 24

two fingers (1”) below the chin

Question 25

How long does a patient normally wear a scoliosis orthosis?

Answer 25

until skeletal maturity

then weaning period

Question 26

What is the most common type of scoliosis?

Answer 26

idiopathic

most common in girls

Question 27

Do you treat functional and structural scoliosis the same?

Answer 27

no

functional: corrective device
structural: accommodative device

Question 28

What are the upper and lower limits, in degrees, for treatment of scoliosis orthotically?

Answer 28

25-40* and progressive

Question 29

At what level would you consider using a CTLSO instead of a TLSO for scoliosis?

Answer 29

T6-T8

Question 30

How do you determine which is the primary curve and which is compensatory?

Answer 30

primary: more structural and will have rotation
compensatory: accommodates primary curve to center head over pelvis