Spinal Ox Review Exam Flashcards

1
Q

Recommendation for a 20-year-old male who sustained a L1 burst Fx

A

TLSO: Polymer

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2
Q

Which orthosis is BEST suited to manage a T6, 1-column compression Fx

A

TLSO: Sagittal/Coronal Control

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3
Q

Which Ox is BEST suited to manage a compression Fx (20% anterior compression at T11)

A

TLSO: Anterior Control

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4
Q

The pectoral membrane fibers combine with which ligament

A

Posterior longitudinal ligament

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5
Q

Correct anterior pin placement for a HALO is ________ in the __________

A

10mm superior to the eyebrow; lateral 1/3 of eyebrow

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6
Q

An adolescent female with idiopathic scoliosis presents in your facility with a prescription for Ox management. Base on this prescription, how is the patient most likely to present

A

Risser sign of +1, Cobb angle of 35 degrees

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7
Q

On which side of the Ox should the trochanteric extension be placed

A

The side of decompensation

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8
Q

The Ox management of a T1 level Fx will have its best 3-point pressure system with which Ox

A

Cervical thoracic Ox

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9
Q

What is the correct posterior superior trim line for a polymer TLSO (not for scoliosis)

A

10mm inferior to the level of the spine of the scapula

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10
Q

Upon looking at the surface anatomy of the back, it can be said that the spinal of the scapula is at which approximate vertebral level

A

T3

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11
Q

What makes up the erector spinae

A

Spinalis, Longissimus, Iliocostalis

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12
Q

The end point vertebrae in a scoliotic curve are the

A

Last convergent vertebrae most superior and inferior to null point

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13
Q

Of the 3 types of odontoid Fx, which is most common and tends to have the least favorable outcome

A

Type 2

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14
Q

Characteristics of Scheuermann’s kyphosis

A

Wedge vertebrae
Schmoris nodes
Osteochondrosis
Self limiting disease

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15
Q

Which condition should be positioned in sagittal flexion when managing with an Ox

A

Spinal Stenosis

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16
Q

The axillary’s extension of a Boston style scoliosis Ox for a double curve should extend from the

A

Window to about T5

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17
Q

What does it mean when there is a Grade 2 pedicle rotation

A

Pedicle is rotated 2/3 towards midline

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18
Q

Which modification should be made to a scoliosis Ox for a Pt with hypokyphosis

A

Extend the posterior superior trim line to T3

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19
Q

Spastic paralysis may result from

A

Spinal cord injury or brain injury

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20
Q

Pt has suffered a single level burst Fx. The greatest instability, given the nature of the Fx, would bin in which plane

A

Transverse

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21
Q

For the assembly of the TLSO: anterior control, what should be done to the overall height measurement

A

Decreased by 72mm

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22
Q

Placement of a thoracic band on a conventional lumbosacral Ox should be

A

10mm inferior to the most inferior angle of the scapula

23
Q

In fitting a Milwaukee CTLSO, the height of the neck ring is located _______ to the mandible

A

36mm inferior

24
Q

Considered neuromuscular scoliosi

A

Spina bifida
Polio
Cerebral palsy

25
Q

What is the most important biomechanical principle when managing a neuromuscular spine

A

Total contact

26
Q

In a scoliotic curve, the spinous processes rotate towards the

A

Concavity

27
Q

In an adult, the spinal cord terminates at about the level of

A

L1

28
Q

What is the method used to find the baseline for corset measurement

A

(inferior costal margin to iliac crest) divided by 2

29
Q

If you use a TLSO: sagittal control and found the Pt could not tolerate the strap pressure in the axilla, what might be done?

A

Pad the straps
Use a harness chest strap with sternal plate

30
Q

The nucleus pulposus of an intervertebral disc

A

Absorbs shock and equalizes stress

31
Q

An individual with neuromuscular scoliosis will most likely exhibit cardiopulmonary compromise when the curve reaches what magnitude

A

70 degrees

32
Q

The lower motor neuron cell body is found in the _______, while the upper motor neuron cell body is found in the ______

A

Ventral horn of the spinal cord; motor cortex of the brain

33
Q

For a typical right thoracic, left lumbar adolescent idiopathic scoliosis curve, the superior aspect of the window should be _____, while the superior aspect of the axillary extension should be approximately at the level of ______

A

At least one rib superior to the apical rib; T5

34
Q

Another name for a Knight Ox is a

A

LSO: Sagittal/coronal control

35
Q

In what position should spinal Ox be tightened on a patient

A

Supine

36
Q

Clinical signs of scoliosis

A

Positive Adams test
Asymmetrical gapping between arm and waist
Shoulder asymmetry

37
Q

In scoliosis, an apical vertebra at T12 would indicate what kind of curve pattern

A

Thoracolumbar

38
Q

Which stage of menarche would be most suitable for Ox management

A

Greater than six months PRE-menarche

39
Q

When under axial load, there is pressure on the nucleus pulposus, which in turn causes the annulus fibrosis to stretch. This phenomenon is most consistent with which biomechanical mechanism

A

Load Sharing

40
Q

Where is the appropriate placement of the paraspinal bars for a LSO

A

Follow the apices of the paraspinal muscles

41
Q

Hypokyphosis can be defined as having sagittal curve magnitude in the range of:

A

0-20 degrees

42
Q

The TLSO: anterior control has 2 anterior pads that provide a posteriorly directed force. The anteriorly directed force by the posterior pad should provide what amount of force

A

Equal to that posteriorly directed force

43
Q

What is the most likely mechanism of injury for a seatbelt Fx (Chance Fx)

A

Flexion and distraction

44
Q

In the spine, the most rotation occurs at which joint

A

Antlantoaxial joint

45
Q

What characteristic is unique to the cervical spine

A

Transverse foramen

46
Q

2 adjacent vertebrae and their intervening tissue are known as a

A

Motion segment

47
Q

A Pt presents in your office with an atypical scoliosis curve (L-thoracic, R-lumbar). This is most likely associated with which of the following

A

Springomyelia

48
Q

A burst Fx of the vertebral body is most likely associated with which mechanism of injury

A

Axial load

49
Q

What could be considered the Fx site for sponylolysis

A

Isthmus
Pars interarticularis
Neural arch

50
Q

A Jefferson Fx is a Fx of:
A Hangman Fx is a Fx of:

A

C1
C2

51
Q

Wedged vertebra, bar vertebra and hemi vertebra are seen most frequently in which type of scoliosis

A

Congenital

52
Q

What measurements are needed to fabricate a Milwaukee CTLSO

A

Sagittal diameter of neck
Coronal diameter of neck
Height to mandible

53
Q

What effect does reducing decompensation have on the critical load of the spine

A

Increases

54
Q

An idiopathic scoliotic curve with an apex of T12 should be managed with which type of pad

A

Extended lumbar pad