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Flashcards in Spine Deck (32):
1

Factors associated with improved outcome for surgical treatment of lumbar decompression

> 41
no joint problems
married

2

Treatment algorythm for AARD

1 week - head halter and analgesia
> 1 month - halo halter and analgesia
> 3 months or neuro - C1/2 fusion

3

Outcomes of surgical treatment of lumbar herniation pain without weakness

Improved pain and function at 4 years

4

What is the appropriate prednisone dosing for acute SCI

Only delivered if the patient arrived

5

Main tract affected by central cord syndrome

lateral corticospinal

6

Changes associated with an aging disc

decreased water
decreased protein
increased ratio keratin sulfate:chondroitin
decreased nutrition
increased enzymes

7

Risk of THA in ank spond

anterior hip dislocation

8

red snappers on a blue background

TB

9

Best position for occipitocervical 8mm unicortical screw

2 cm lateral to EOP

10

Smallest pedicle diamter

T6

11

primitive tissues

neural crest - peripheral
neural tube - spinal cord
notochord - anterior bodies and discs

12

which recurrent laryngeal nerve has a more variable course

right
50% will cross into the field (tracheoesophageal groove)

13

biggest predictor of symptoms in adult spinal deformity

saggital plane imbalance

14

characteristics of de novo spine deformity

smaller, shorter curve
fewer levels
more commonly in lumbar spine

15

most useful test to identify spinal stenosis in adult scoliosis

myelography

16

nonunion risk factors for T2 odontoid

fracture gap (> 1 mm)
posterior displacement (> 5 mm)
delayed start of treatment (> 4 days)
posterior redisplacement (> 2 mm)

17

surgical indications for discitis

unsuccessful antibiotic treatment after 6 weeks
vertebral deformity or instability
neurological deficit
MRI showing >50% compression of thecal sac
depressed host immune response.

18

best method to assess progression of idiopathic curve by skeletal maturity

tanner-whitehouse III
(Hand XR looking at radius and ulna)

19

what is the most common complication following cervical laminoplasty

C5 palsy resulting in biceps weakness

20

what is the most common complication following endoscopic transthoracic approach

intercostal neuralgia

21

where does the saggital plumb line fall

C7 to the posterior aspect of S1

22

what is true about revision micordiscectomy

equal outcomes to primary discectomy

23

electrical simulation for SCI patients has the most effect on which of the following

skeletal muscle

24

what has the highest negative predictive value of failure of nonoperative treatment with back pain

Visual analog scale

25

Factors associated with pseudoarthrosis in adult spinal deformity correction

> 55
anterior approach
saggital balance > 5cm
smoking
kyphosis > 20 deg

26

what is the most powerful predictor of outcomes regarding lumbar stenosis

medical co-morbidities

27

when does the odontoid ossification center appear

appears at 3, fuses at 12yo

28

what percentage of patients with SCI suffer from depression

11%

29

what is the most sensitive test to diagnose # in ank spond

CT

30

when do you need to decompress cauda equina

48 hours

31

lower functional level following surgery for degenerative spondylolisthesis

smoking

32

risk of adjacent disease in lumbar spinal stenosis

adjacent level laminoplasty