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31 Cards in this Set
- Front
- Back
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low back pain is second only to ___ as a cause of pain in industrialized world
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headache
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low back pain is second only to ______ as cause of clinic visits, with 60-80% lifetime prevalence.
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upper respiratory infection
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prevalence of LBP is greatest in ___ to ___ year age
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55-64 year age
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d/dx of disorders in the lumbar spine: children (3)
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1 congenital
2. infection 3. primary tumors |
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d/dx of disorders in the lumbar spine: young adults (3)
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1. disc disease
2. spondylolisthesis 3. acute fracture |
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d/dx of disorders in the lumbar spine: older adults (3)
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1. spinal stenosis
2. metastasis 3. osteopenic compression fx |
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lumbar disc disease is caused by ___ injury
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flexion
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lumbar disc disease most often involve ____ segment
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L4L5
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where the posterior ligament is the weakest and present as back pain and nerve root pain
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posterolateral herniations
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what test is the most specific for HNP
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contralateral straight leg raising test
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femoral nerve stretch tests what nerve segments
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L2L3
L3L4 |
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intact annulus fibrosus and sharpey's fibers
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bulding
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incomplete defect annulus fibrosus
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prolapsed
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complete defect in the annulus fibrosus
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extruded
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part of the nucleus pulposus is extruded and lost continuity
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sequestered
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usually with back pain only
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central prolapse
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intradiscal pressure is lowest when ___
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lying supine
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intradiscal pressure is highest when ____
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sitting and flexed forward with weights in hands
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narrowing of the spinal canal or neural foramina, producing nerve root compression, root ischemia and variable syndrome of back and leg pain
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lumbar stenosis
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the most common type of central stenosis is ___
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acquired type
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neurogenic claudication occurs in 50% of these patients
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central stenosis
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impingement of nerve roots lateral to the thecal sac as they pass through the lateral recess and into the neural foramne
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lateral stenosis
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secondary to medial overgrowth of the superior articular facet at a given facet joint
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lateral stenosis
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defect in pars interarticularis
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spondylolysis
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most common cause of low back pain in children and adolescents
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spondylolysis
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defect in pars is due to fatigue fracture from repetitive hyperextension stresses
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spondylolysis
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scottie dog with collar
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spondylolysis
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forward slippage of one vertebrae on another
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spondylolisthesis
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severity of slip based on the amount or degree is measured by ___ scale
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meyerding's scale
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grade V spondylolisthesis is called
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spondyloptosis
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scottie dog decapitated
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spondylolisthesis
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