Omm The Lumbar Spine

Front 1

Spinal stenosis results in ____ of the facet joints

Back 1

hypertrophy

Front 2

Describe the degenerative changes with spinal stenosis

Back 2

Hypertrophy of facet jointsCalcium deposits in ligamentum flavum and posterior longitudinal ligament
Loss of interveterbral disc height

Front 3

What position worsens the pain in spinal stenosis?

Back 3

Extension

Front 4

Can you have spondylysis and not have spondylolisthesis?

Back 4

Yes

Front 5

What is the usual fracture that causes spondylolisthesis?

Back 5

Usually due to a fracture in the pars interarticularis

Front 6

Where does spondylolisthesis usually occur?

Back 6

L4/L5

Front 7

What degenerative changes lead to spondylolisthesis?

Back 7

degenerative changes on posterior facet joints and disc

Front 8

What are the signs and symptoms of spondylolisthesis?

Back 8

. Increased pain with extension based activities
2. bilateral tight hamstrings
3. stiff-legged, short stride , waddling type gait
4. no neuro deficits
5. positive vertebral step-off sign over spinous process

Front 9

What syndrome normally gives you saddle anesthesia, decreased rectal tone, and loss of bowel and bladder function

Back 9

Cauda equina

Front 10

What is the orientation for the lumbar superior articular facets?

Back 10

Posteriormedially ( backwards and medial)