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Spinal Column
Lecture 1 and 2
24
Anatomy
Graduate
03/29/2011

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Cards

Term
Klippel-Feil Syndrome
Definition
Cervical vertebrae have fused together causing Sprengel deformity (can't raise arm all the way)
Term
Sprengel Deformity
Definition
Scapula is hypoplastic and high riding, fixated to c-spine by omovertebral fibrous band or bone
Term
conus medularis syndrome
Definition
tethered spinal cord due to a thickened filum terminale
Term
Queckenstedt's Test/Sign
Definition
old way to determine is CSF is flowing w/o stenosis by pressing on jugular area (intracranial pressure should rise rapidly in a normal pt)

- a positive test will have a delay in pressure increase due to stenosis
Term
Kernig's Test
Definition
Positive when the leg is bent at the hip and knee at 90 degree angles, and subsequent extension in the knee (kick) is painful (leading to resistance). This may indicate subarachnoid haemorrhage or meningitis.
Term
Batsons Vertebral Venous Plexus
Definition
-Hematogenous Route for CA cells to body/pedicles and for bacteria (septic spondylitis and/or septic diskitis)

-tussive syncope due to compromised structure
Term
Artery of Adamkiewicz
Definition
-anterior radicular artert from T8-T12 on left side of body.

-stenosis from aoritc dissection or aneurysm can cause PARAPLEGIA
Term
Myelomeningocele
Definition
-10x mor common than meningocele
-NTD with neral placode aka rachischisis (split open cord)
Term
lumbago
Definition
shift in nucleus pulposas causing back pain
Term
Scheuermann Disease Type 1
Definition
Fixed thoracic Kyphosis
Term
Ankylosing spondylitis
Definition
inflammation of IVD causing bamboo spine
Term
Pott's dz
Definition
TB spreads to spine and collapses a vertebral body
-will see vertebra plana (flat)
Term
hemangioma
Definition
-tangle of bv's, benign tumor

-will see honeycomb or corduroy vertebra
Term
multiple myeloma
Definition
-gives punched out lesions in vertebral bodies
Term
L3 and L4 dorsal rami
Definition
innervate the L4/L5 zygopophyseal joint causing referred pain to the L3/L4 dermatome

*irritation to L4/L5 IVD will give referred pain to L4/L5 dermatome
Term
spondylosis deformans
Definition
A degenerative disease of the spinal column, especially one leading to fusion and immobilization of the vertebral bones.
Term
limbus vertebrae
Definition
intravertebral herniation separating a triangular piece of bone from the advacent vertebrae
Term
Schmorl Node
Definition
intravertebral herniation with a cephalad or caudad pertrusion
Term
Clinical Rule of Herniated Nucleus Pulposus
Definition
If the IVD btwn L4/L5 is herniated, then it is the L5 spinal nerve that is affected.
Term
Cobb-Spinous Process Method and Moe pedicle method
Definition
method for determining degree of rotation
Term
True Spondylolisthesis (Isthmic-type)
Definition
L4 and L4/L5 IVD slide forward over L5 but L4 spinous process stays aligned with L5 spinous process
Term
Pseudospondylolisthesis (degenerative Type)
Definition
The L4/L5 zp joints degenerate..L4 and L4/L5 IVD slide forward over L5 but L4 spinous process slides forward also.
Term
paraspinal bulge on CXR
Definition
caused by metastatic CA to vertebra, infectious spondylitis or a hematoma form vertebra fracture
Term
Pott's Dz/Gibbus Deformity
Definition
tuberculosis spondylitis causing a paraspinal bulge
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