Spine Disorders

Card Set Information

Author:
amills1
ID:
239862
Filename:
Spine Disorders
Updated:
2013-10-09 22:45:12
Tags:
PTA 202 Spine
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Description:
Description of SCI and extension vs flexion bias conditions
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  1. Facet Joint Lesion Definition
    Stress on joint from degenerative changes though vertebrae
  2. Facet Joint Lesion General Info
    • Hyper or hypo mob
    • Spurring/osteophytes
    • Facet joint subluxation
    • Facet joint impingement
    • Trauma
    • RA
  3. Spondylolysis Definition
    Anterior dislocation of vertebrae
  4. Spondylolysis SnS
    • Pain or paresthesias from specific nerve root
    • Progressive
  5. Spondylolysis General Info
    • Defect in lamina
    • If <21 y/o cast
    • Spinal Fusion
  6. Spondylolysis Etiology
    • Hereditary defect
    • Excessive lumbar lordosis
    • Aseptic necrosis of lamina
    • Fatigue fx or trauma fx
  7. Spondylolysis Conservative Approach
    • Bracing
    • Exercises
    • -Posture, movement training
    • -Abdominal strengthening
    • -Avoidance of extension biased activities
    • NSAIDs
    • Activity modification
    • Education
  8. Spinal Stenosis
    • Spinal canal or intervertebral foramen narrowing
    • Nerve root entrapment
    • Flexion biased
    • External lumbar support
  9. SI Joint Dysfunction
    • Usually a hypermobile condition but can also be a hypomobile, instability, or combination
    • Mobilization and soft tissue techniques
    • Treat noted impairments
    • -Stabilization exercises
    • -Flexibility
    • -Posture/foot mechanics
  10. Herniated Disk Defintion
    • Degenerated, ruptured, or buldged
    • Usually posterior/lateral direction
    • Commonly L4/L5 or L5/S1
  11. Herniated Disk Etiology
    • Vibration
    • Lift and twist
    • Weakened system
    • -Poor posture
    • -Poor body mechanics
    • -Poor muscle tone
  12. Herniated Disk Patho
    • NP tears thru AF
    • Compresses nerve roots
    • -Pain
    • -Sensory changes
    • -Motor changes
    • -Autonomic changes
  13. Herniated Disk Clinical Findings
    • Sudden LBP with lifting (series or episode)
    • Often pain in leg/thigh on same side
    • Pain in dermatomes
    • Paresthesias
    • Decrease in strength of myotome
    • Possible muscle spasm
    • Decreased ADL TOL
  14. Herniated Disk Dx
    • Myelogram
    • EMG
    • CT and/or MRI
    • X-ray for degenerative disk/OA
    • SLR+ for radicular pain L4, L5, S1
    • DTR changes
  15. Herniated Disk Interventions
    • Rest (brief)
    • Muscle relaxors to decrease spasm/guarding
    • Traction
    • Surgery
    • -Laminectomy= for disc herniations to increase nerve root space
    • -Disectomy= remove part of ruptured disc
    • -Fusion= to support area of no integrity
    •  >Maintain position, prevent progression
    •  >Uses a bone graft from iliac crest
  16. Potentially either extension or flexion bias
    • DJD
    • Lateral or central stenosis
    • Myelopathy
    • Radiculopathy
    • Confounding pathos
    • Radicular pain
  17. Flexion Bias Conditions
    • OA
    • Joint swelling and/or spurring and lipping
    • Spondylolisthesis
    • Stenosis
    • Tension HA
  18. Extension Bias Conditions
    • Herniated disc
    • Compress fx from osteoporosis
    • Schewermann's disease
    • Ankylosing Spondylitis

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