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Science Medicine Surgery Lecture -5_ Orthopedic Surgery (Spine surgery and total joint arthroplasty) Questions & answers latest update 2024/2025 with complete solution$11.49
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Science Medicine Surgery Lecture -5_ Orthopedic Surgery (Spine surgery and total joint arthroplasty) Questions & answers latest update 2024/2025 with complete solution
Science Medicine Surgery Lecture -5_ Orthopedic Surgery (Spine surgery and total joint arthroplasty) Questions & answers latest update 2024/2025 with complete solution
STUVIA 2024/2025
1. Science
2. Medicine
3. Surgery
Lecture #5: Orthopedic Surgery (Spine surgery
and total joint arthroplasty)
Terms in this set (93)
Original
discogenic pain; radiculopathy; myelopathy
MRI
_________________
Spurling's test
What cervical special test?
- Used to assess nerve root pain (radicular pain)
- Compression causes pain on the ipsilateral side
- Examiner turns the patient's head to the affected side while extending and applying downward
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pressure to the top of the patient's head
Brainpower
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Lhermitte's Sign
What cervical special test?
- Sudden transient electric-like shocks extending down the spine to anus, triggered by flexing the
head forward
- (+) due to a disorder such as compression of the cervical spine (myelopathy)
Hoffman's test
What cervical special test?
- Used to assess for Spinal Cord Compression or UMNL
- Characterized by flexion and adduction of the thumb and flexion of the index finger with flicking the
middle finger
straight leg raise
What lumbar special test?
- Determines whether a patient with low back pain has an underlying nerve room compression
- Looks for foraminal stenosis, lateral recess stenosis, central stenosis, HNP
Lumbar spine exam nerve roots
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Lumbar spine exam nerve roots
Lumbar and sacral spinal roots
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Lumbar and sacral spinal roots
Cervical spinal roots
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Cervical spinal roots
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MRI
Spine imaging:
GOLD STANDARD imaging for the spine
- Excellent to evaluate soft tissue
x-ray
Spine imaging:
- Access for fracture, instability, tumor, infection
- Poor visualization of soft tissues
CT
Spine imaging:
- Excellent to evaluate spinal bony canal
- Used to evaluate intraspinal structures
CT myelogram
Spine imaging:
- Contrast is placed in spinal subarachnoid space via spinal needle
- Useful for evaluation of spinal cord, nerve roots, meninges
- Used when MRI is CI or patient has had previous instrumented surgery
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discogram
Spine imaging:
- Provocative test that detects if disc is source of pain/sx
- Injection of dye/contrast into the intervertebral disc
- Needle position confirmed with fluoroscopy
- Pain, pressure, volume and image are recorded --> if normal, contrast remains in disc; if contrast
escapes disc space, may be indicative of tear
lumbar disc herniation
disc's jelly-like nucleus pushes against its outer ring due to wear and tear or a sudden injury
spinal stenosis
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What spine condition?
- Occurs when the space around the spinal cord narrows
- Pressure on the spinal cord and or the spinal nerve roots may cause pain, numbness, or weakness
in the legs
- MCC = arthritis
spondylolysis
What spine condition?
- A crack or stress fracture develops through the pars interarticularis, which is a small, thin portion of
the vertebra that connects the upper and lower facet joints
- MC occurs in L5; sometimes in L4
- Fracture can occur on one side or both sides of the bone
arthritis
MCC of spinal stenosis
L5
What vertebrae is most commonly affected by spondylosis?
spondylolisthesis
MC occurs at L4-L5
scoliosis
What spine condition?
- A sideways curvature of the spine that occurs most often during the growth spurt just before puberty
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