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Spondys
| Question | Answer |
|---|---|
| Spondylosis | degeneration of intervertebral discs and/or vertebral bodies, that may cause compression on spinal cord, nerves, or roots; may lead to radiculopathies: pain, weakness, numbness, and tingling; can occur at any spinal level |
| age, wear and tear, genetics, lifestyle | |
| Clinical presentation of spondylosis in Cervical vertebra: | headaches, intermittent pain and/or weakness in neck, shoulders, or arms, loss of balance |
| Clinical presentation of spondylosis in thoracic vertebrae: | stiffness, intermittent pain, discomfort accentuated by certain motions |
| Clinical presentation of spondylosis in lumbar vertebrae: | low back tenderness, numbness/tingling, sciatica (L4 origin), difficulty walking |
| Spondylolysis | a defect or stress fracture in the pars interarticularis of the vertebral arch; typically unilateral; most common at L5-S1 and L4-L5 |
| Spondylolisthesis | anterior slippage of one vertebra on another; typically assoc. with bilateral fractures of the pars interarticularis, but can occur without fracture (older adults); most common at L5-S1 and L4-L5 |
| How is spondylolisthesis graded? | 5 grades; categorized based on the amount of anterior slippage |
| Spondyloptosis | complete slippage |
| Spondylolysis visual presentation | scotty dog fracture; fracture is the collar |
| Spondylolisthesis visual presentation | scotty dog fracture (the collar) (spondylolysis) with anterior slippage |
| Clinical presentation of spondylolysis | back pain that is increased with standing, walking, extension, and decreased with sitting and rest; radiating pain to buttocks and back of thighs, and restricted spinal motion |
| Clinical presentation of spondylolisthesis | symptoms similar to spondylolysis |
| Clinical presentation in spondyloptosis | all associated with spondylolisthesis but overall trunk shortening is present, decreasing someone’s overall height |
| Causes of spondylolisthesis | congenital, genetics (vulnerability to fx), sports involving hyperextension, trauma, pathological (tumors, malignancy), multiple stress fractures, post-surgical |
| Hyperextension sports that may lead to spondylolisthesis | gymnastics, pole-vaulting, weightlifting, and football |
| What orthosis can be used in the treatment of spondylolisthesis? | Overlap LSO |
| What are the goals of an overlap LSO | alignment of the vertebra, decrease lordosis, decrease axial loading of the spine, increase intra-abdominal pressure, decrease pain |
| What are the concerns with an Overlap LSO? | Atrophy |
| Specifically, how much of a decrease of patient’s natural lumbar lordosis recommended with an overlap LSO? | 1/2 of patient’s natural lordosis |
Created by:
emcaro