DI 6

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  1. Spondylosis
    General term for degenerative changes (look for osteophytes)
  2. DDD
    • Is disc in or out
    • Capsular or no capsular
  3. DJD
    • Osteoarthritis, FACET jt
    • Encroachment on NR
  4. To remember if image is L or R
    If R lat then R side on film and cut off everything from middle spine to L
  5. Spurling’s test
    • Full lat flexion then ext
    • Local pain → facet arthritis
    • Reproduction of radicular findings (LMN signs) → NR compression
  6. Causes of NR compression
    • Disc lesion
    • Osteophyte (causing Foraminal stenosis)
  7. Capsular pattern of C/S
    • Loss or ext, equal of SB, possible loss of flexion
    • Usually arthritic, can be fx or bone CA
  8. How many NR can a C/S disc lesion affect?
    Only one
  9. Pressure on dural sleeve
    Dermatomal pain
  10. Pressure on NR or extreme pressure on dural sleeve
    N+T, possible weakness
  11. Spinal 5 step check list
    • 1. count the vertebrae
    • 2. alignment: 4 lateral lines
    • 3. irregularity of vertebral body (schmorl node, fx, OP, osteophyte)
    • 4. is the disc space maintained? Usual tissue densities?
    • 5. examine the parts of the vertebrae
  12. 4 lateral lines
    • ant and post longitudinal lig
    • post aspect of spinal canal
    • tips of SP
  13. examine the parts of the vertebrae
    • 1. vertebral body
    • 2. pedicle and laminate
    • 3. pars interarticularis
    • 4. superior/inferior facets
    • 5. DJD
    • 6. SP, TP
    • 7. intervertebral disc space/foramen
  14. what view is best to see pedicles?
    AP

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Author:
jld15
ID:
321430
Filename:
DI 6
Updated:
2016-06-26 02:08:40
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DI
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DI 6
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