spine stuff Flashcards Preview

MSK > spine stuff > Flashcards

Flashcards in spine stuff Deck (21):
1

slow onset stiffness in neck which can radiate to shoulder and occiput

cervical spondolysis

2

cervical spndolysis treatment

physio and analgesia
if symptoms persist then decompression surgery

3

cervical disc prolapse symptoms

neck pain and potential nerve root compression
shooting neuralgic pain down dermatomal distribution as well as weakness and loss of reflexes

4

Myelopathy with upper motor neurone symptoms and signs is what

a large central prolapse which compresses the cord

5

treatment of cervical disc prolapse

conservative or disscetomy

6

cervical spine instability can be due to what

RA or downs syndrome

7

what is the treatment of cervical spine instability

less severe - collar
more severe - stabilisation/fixation

8

how does a disc tear occur

lifting a heavy object

9

symptoms of an acute disc tear

severe pain - classically on coughing

10

treatment of acute disc tears

analgesia and physio
symptoms eventually remove over 2-3 months

11

what can a disc tear lead to

sciatica - gelatinous pulps can herniate though tear and impinge on exiting nerve roots
pain and altered sensation in dermatomal distribution and reduced power in myotomal distribution

12

how does bony nerve root entrapment occur

OA of facet joints can result in osteophytes impinging on exiting nerve roots resulting in nerve root pain and sciatica

13

treatment of bony nerve root entrapment

surgical decompression with trimming of impinging osteophytes

14

symptoms of spinal stenosis

distant inconstant
pain burning not cramping
pain less now walking uphill
pedal pulses present

15

treatment of spinal stenosis

conservative - wight loss, physio
If conservative fails and MRI evidence of spinal stenosis then decompression surgery can be done to alleviate symptoms

16

acute pain and kyphosis is indicative of what

osteoporotic crush fracture

17

causes and treatment of mechanical back pain

obesity, poor posture, lack of physical activity, decompression, degenerative disc prolapse, facet joint OA, spondolysis
analgesia and physio

18

symptoms of caudal equina

bilateral leg pain
pareasthesia/numbess in saddle area
urinary retention/incontinance
faecal incontincence/retention

19

what exam is mandatory in causda equine syndrome

PR

20

treatment for cauda equina

prompt surgical intervention

21

red flag symptoms

back pain 60
constant, unremitting, severe, worse at night
systemic upset present