Bootcamp 59: Omt Ch 4

Front 1

What nerve root is effected by an intervertebral disc herniation?

Back 1

the nerve root of the the disc below is effected.

If L4 herniates, L5 nerve root is effected.

Front 2

What is a large Ferguson's angle? Small?

Back 2

Large - big butt, gravity goes forward. Lumbar lordosis - sway back.

small - flatt butt, straight spine - disc degeneration.

Front 3

What is the difference between spina bifida meningocele and meningomyeolocele?

Back 3

meningocele is herniation of meninges through the defect.

Meningomyeolocele is herniation of meninges and nerve roots.

Front 4

What is spondylolysis?

Back 4

fracture, disintegration, or dissolution of a vertebra. Causes low achy back pain made worse with activity. Pars interarticularis fracture is usually seen (collar on scotty dog)

Front 5

What is spondylolisthesis?

Back 5

anterior displacement of 1 vertebra in respect to the inferior vertebra.

usually occurs between L4/5, and usually due to fracture of parts interarticularis. "beheaded scotty dog"

achy low back pain made worse with activity

Front 6

What are the 5 classifications of spondylolisthesis?

Back 6

1) dysplastic - congenital involving deficiency of L5 or sacral neural arch and deficiencies of superior sacral facets

2) Isthmic - most common - pathology of pars interarticularis. A - fatigue fracture. B - elongated pars. C - acute fracture of the pars.

3) Degenerative - changes to the zygopophyseal joints, secondary to chronic segmental instability.

4) Traumatic - fractures anywhere except the pars.

5) Pathologic - due to bone dx

Front 7

What is ankylosis?

Back 7

fusion of bones that form a joint. Causes restriction of movement.

Can be accompanied by muscle spasms and achiness.

Front 8

What is the most common congenital anomaly in the lumbar region?

Back 8

zygopophyseal tropism

2nd most is sacralization