Term
| What may extrude through annulus causing nerve roots to be compressed? |
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Definition
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Term
| What can nerve compression cause in severe cases? |
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Definition
| Quadriplegia or paraplegia |
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Term
| Where will a bone graft be commonly taken from the patient to stabilize an intervertebral space? |
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Definition
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Term
| What type of drain system is commonly placed after a Lumbar Laminectomy for Discectomy with Spinal Fixation? |
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Definition
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Term
| What bony structure must be removed to allow visualization |
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Definition
| The spinous process from the appropriate vertebrae. |
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Term
| Where do the majority of these cases occur? |
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Definition
| In the L4-L5 and L5-S1 intervertebral spaces. |
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Term
| What is the annulus fibrosis of an intervertebral disc? |
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Definition
| It is the tough outer layer of the disc |
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Term
| What is the soft core of an intervertebral disc called? |
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Definition
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Term
| Other than a bone spur or damaged intervertebral disc, what pathology might be present when this procedure is performed? |
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Definition
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Term
| What should be done with the removed bony material while excising down to the damaged disc? |
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Definition
| It should be saved for reimplantation |
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Term
| When packing paraspinous muscles laterally for exposure, sponges are prepared in a specific way, what is this? |
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Definition
| Ray-tec's are opened and folded lengthwise |
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Term
| When positioning a patient on a Wilson Frame what special considerations should be made? |
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Definition
| bony prominences should be padded and breasts or penis and testicles should be checked to make sure they are not impinged |
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Term
| Why should Nurilon be readily available? |
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Definition
| In case the dura is inadvertently opened and a dura leak needs to be repaired |
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Term
| What is the purpose of a Wilson frame? |
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Definition
| The Wilson frame cradles the patient in the prone position while arching their back to open up the intervertebral spaces |
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Term
| Fusion of an unstable disc may accomplished with a bone graft from the iliac crest only, what is the alternative method of fusion? |
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Definition
| Fusion may be accomplished with bone grafts, screws and plates as well. |
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