SPINE Flashcards

1
Q

Tx pannus assoc w RA

A

occipitocervical fusion +/- posterior decompression

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2
Q

when vertebral artery can’t be controlled w tamponade

A

embolization/stent/clip

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3
Q

cervical decompression alone contraindicated when

A

in pts w cervical kyphosis

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4
Q

fx pattern of type 2 odontoid assoc w incr nonunion

A

posterior displ/angulation

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5
Q

degradation of large proteoglycans in nucleus pulposus

A

intervertebral disc degeneration

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6
Q

water content change with intervertebral disc degen

A

water content decr

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7
Q

where is vertebral artery at risk

A

cephalad to posterior arch of C1 when more than 1.5 cm lateral to midline

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8
Q

surgery for symptomatic disc herniation

A

good early pain relief to 2 yrs

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9
Q

synovial cyst histology

A

synovial cells surround vascular granulation tissue

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10
Q

is smoking assoc w airway complications after ACDF

A

no

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11
Q

fasciculations UMN or LMN

A

LMN

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12
Q

nerve root risk w laminoplasty

A

C5

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13
Q

Tx cervical spondylolysis wo gait changes or pathologic reflexes

A

nonop w PT, NSAIDs

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14
Q

MC nerve inj assoc w halo traction

A

CN 6 - lateral eye movment

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15
Q

changes w disc aging

water
cartilage
proteoglycan
pH

A
water = decr
cartilage = fibrocartilage
proteoglycan = decr
pH = decr
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16
Q

Laminoplasty contraindicated

A

pts w more than 10 deg of rigid cervical kyphosis

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17
Q

far lateral disc herniation at L3-4 affects which

A

L3 nerve root

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18
Q

far lateral affects which

A

exiting nerve root (nerve root above)

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19
Q

central/paracentral affect which

A

traversing nerve root (nerve root below)

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20
Q

C7 root exits btwn

A

C6-7

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21
Q

posterolateral pathologies impinge on ___ roots

foraminal pathologies impinge on ___ roots

A

posterolateral = traversing (root below)

foraminal = exiting (root above)

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22
Q

DISH affects anterior or postrior bone formation

DISH affects disc space

DISH affect RIGHT or LEFT T spine

A

anterior bone formation

NO DISC

RIGHT t spine

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23
Q

if compression fx exhausts nonop tx

A

kyphoplasty

24
Q

when can u determine asia level

A

when out of spinal shock

if no bulbo reflex, pt still in spinal shock

25
variable loss of motor/pain/temp w preserved proprioception
anterior cord syndrome
26
cervicomedullary angle less than 135 suggests
basilar invagination
27
posterior ADI indication for surgery anterior ADI indication for surgery
pADI less than 14 aADI greater than 10
28
peds Halo configurations
6-12 pins 2-4 lbs torqque
29
adult Halo configuration
4 pins 6-8 lbs torque
30
C6-7 disk herniation typically affects what
C7 nerve root
31
TX transverse lig disruption
C1-2 fusion w sublaminar wiring
32
myelopathy hand incl
+hoffman weak grip/pinch small finger escape impaired rapid alternating movement (dysdiadochokinesia)
33
ADI more than 7 mm means
ruptured transverse, alar lig + tectorial membrane
34
what is predictive of risk of incr slip w spondy
slip angle
35
smallest pedicle at lvl
L1
36
if sum of lateral mass displacements more than 7 mm means
transverse lig rupture and unstable
37
AS vs DISH higher rate of neuro injury w trauma mortality rate
AS Same mortality rate
38
which has incr rate of isolated R thoracic spine dz AS vs DISH
DISH
39
mc complication with PSO
Pseudarthrosis
40
# define hangman fracture tx type 1 | 2-3
hyperextension compression type 1- rigid c collar type 2- disrupt PLL reduction w extension then halo
41
if pt has cervical myelopathy with kyphosis how does that change tx
must do anterior decompression to correct kyphosis then posterior decompression
42
mc location of tb in kids
anterior aspect of lower thoracic spine
43
tx thoracic disk herniation
anterior diskectomy with or without fusion
44
PSO yields how much correction
30 deg
45
VCR yields how much correction
45 deg
46
smallest pedicle diameter
T6
47
largest pedicle diameter
T1, T12
48
how does safe approach zone for lateral transpsoas approach change as move down lumbar spine
decr due to more ventral position of lumbar plexus
49
center of rotation for soft tissue chance fx
abdominal viscera
50
what has highest numeric contribution to TLICS
Posterior lig complex integrity
51
which pedicle has largest diameter
T12
52
smallest pedicle diameter
L1
53
mech of burst fx
axial load + flexion
54
structures in anterior column
ALL | anterior 2/3 body
55
structures in middle column
PLL | posterior 1/3 body
56
structures in posterior column
``` pedicle lamina facet lig flavum spinous process PLC ```
57
conus medullaris syndrome
paralysis of bowel/bladder w sparing of motor nerve roots to lower extremity