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Questions and Answers
What is the more common region of the spine where fractures occur?
What is the more common region of the spine where fractures occur?
Cervical spine
List two types of fractures and provide an example for each.
List two types of fractures and provide an example for each.
Acute: Compression; Insidious: Stress
Which two spinal structures are associated with spondylolithic fractures?
Which two spinal structures are associated with spondylolithic fractures?
Pars interarticularis and vertebral end plate
Define Rust's sign and its significance in assessment.
Define Rust's sign and its significance in assessment.
What are two important elements of a fracture rule-out?
What are two important elements of a fracture rule-out?
Is it possible to be asymptomatic with a stable acute fracture in the vertebral column?
Is it possible to be asymptomatic with a stable acute fracture in the vertebral column?
What should be done if a person with a recent MVC is unwilling to move their neck?
What should be done if a person with a recent MVC is unwilling to move their neck?
What is the international equivalent of Canadian C-spine rules?
What is the international equivalent of Canadian C-spine rules?
What are the four inflammatory types of spondylopathies?
What are the four inflammatory types of spondylopathies?
Define spondylosis in the context of non-inflammatory spondylopathies.
Define spondylosis in the context of non-inflammatory spondylopathies.
List three structures that should be palpated to assess for spondylopathies.
List three structures that should be palpated to assess for spondylopathies.
What is the significant consequence of osteoporosis mentioned in the content?
What is the significant consequence of osteoporosis mentioned in the content?
Describe the difference between a Grade 1 and a Grade 3 sprain.
Describe the difference between a Grade 1 and a Grade 3 sprain.
What is the primary factor involved in acute torticollis?
What is the primary factor involved in acute torticollis?
Identify one type of neurodynamic examination relevant to spondylopathies.
Identify one type of neurodynamic examination relevant to spondylopathies.
In whiplash associated disorders, what does Grade 2 describe?
In whiplash associated disorders, what does Grade 2 describe?
What is crucial when dealing with cases of spondylopathies?
What is crucial when dealing with cases of spondylopathies?
Which type of stenosis is specifically characterized by narrowing of the spinal canal?
Which type of stenosis is specifically characterized by narrowing of the spinal canal?
What are the most common regions for insidious fractures?
What are the most common regions for insidious fractures?
Name two structures involved in spondylolithic fractures.
Name two structures involved in spondylolithic fractures.
What role does axial compression play in fracture evaluations?
What role does axial compression play in fracture evaluations?
What are the associated symptoms to be monitored during assessments for acute fractures?
What are the associated symptoms to be monitored during assessments for acute fractures?
List two situations that may indicate a red flag during an assessment.
List two situations that may indicate a red flag during an assessment.
Explain the significance of Rust's sign in neck assessments.
Explain the significance of Rust's sign in neck assessments.
What should be done if no appropriate imaging is available for a patient with neck concerns after a recent MVC?
What should be done if no appropriate imaging is available for a patient with neck concerns after a recent MVC?
Identify an important examination protocol related to acute neck injuries.
Identify an important examination protocol related to acute neck injuries.
What defines a Grade 2 sprain in terms of damage and loss of function?
What defines a Grade 2 sprain in terms of damage and loss of function?
What characterizes spondylolisthesis among the non-inflammatory types of spondylopathies?
What characterizes spondylolisthesis among the non-inflammatory types of spondylopathies?
Name two neurological signs included in Grade 3 of whiplash associated disorders.
Name two neurological signs included in Grade 3 of whiplash associated disorders.
What is the significant feature of Baastrup’s disease in the context of spondylopathies?
What is the significant feature of Baastrup’s disease in the context of spondylopathies?
In the context of spondylopathies, what are the implications of 'adverse neurodynamics'?
In the context of spondylopathies, what are the implications of 'adverse neurodynamics'?
How does central stenosis differ from foraminal stenosis?
How does central stenosis differ from foraminal stenosis?
What is the primary risk associated with untreated osteoporosis as noted in the provided content?
What is the primary risk associated with untreated osteoporosis as noted in the provided content?
Which structures are palpated to assess spondylopathies involving the lumbosacral junction?
Which structures are palpated to assess spondylopathies involving the lumbosacral junction?
What type of pain characterizes a Grade 1 sprain based on the provided content?
What type of pain characterizes a Grade 1 sprain based on the provided content?
What is an important consideration when assessing acute torticollis in patients?
What is an important consideration when assessing acute torticollis in patients?
In which two regions of the spine do insidious fractures most frequently occur?
In which two regions of the spine do insidious fractures most frequently occur?
What does axial compression refer to in the context of vertebral fractures?
What does axial compression refer to in the context of vertebral fractures?
What significance does Rust's sign hold in the assessment of cervical stability?
What significance does Rust's sign hold in the assessment of cervical stability?
What are two associated symptoms to monitor during fracture assessments that may indicate a serious underlying condition?
What are two associated symptoms to monitor during fracture assessments that may indicate a serious underlying condition?
List two common traumatic forces that can result in axial compression injuries.
List two common traumatic forces that can result in axial compression injuries.
What three immediate actions should be taken if Rust's sign is observed during an assessment?
What three immediate actions should be taken if Rust's sign is observed during an assessment?
Name two elements of the fracture rule-out process indicated by the acronym 'CLear Beads Dangle Near Heads to Note Cranial Signs.'
Name two elements of the fracture rule-out process indicated by the acronym 'CLear Beads Dangle Near Heads to Note Cranial Signs.'
What are the two specific structures most commonly involved in spondylolithic fractures?
What are the two specific structures most commonly involved in spondylolithic fractures?
What distinguishes vestibular joint pathology from spondylopathy in clinical assessment?
What distinguishes vestibular joint pathology from spondylopathy in clinical assessment?
How does age-related wear and tear contribute to spondylosis?
How does age-related wear and tear contribute to spondylosis?
In what way does whiplash commonly relate to acute torticollis?
In what way does whiplash commonly relate to acute torticollis?
What are potential consequences of untreated spondylolisthesis?
What are potential consequences of untreated spondylolisthesis?
Describe the significance of careful palpation of the erector spinae in spondylopathies.
Describe the significance of careful palpation of the erector spinae in spondylopathies.
What defines the clinical impact of Baastrup’s disease in the context of lumbar disorders?
What defines the clinical impact of Baastrup’s disease in the context of lumbar disorders?
How does central stenosis differ in presentation from foraminal stenosis?
How does central stenosis differ in presentation from foraminal stenosis?
What are the implications of adverse neurodynamics in the evaluation of spondylopathies?
What are the implications of adverse neurodynamics in the evaluation of spondylopathies?
How would you classify a Grade 2 strain in terms of clinical features?
How would you classify a Grade 2 strain in terms of clinical features?
What role does referral play when addressing cases of spondylopathies?
What role does referral play when addressing cases of spondylopathies?
What are the common regions of the spine where acute fractures typically occur?
What are the common regions of the spine where acute fractures typically occur?
Identify a structure involved in both acute and insidious fractures of the spine.
Identify a structure involved in both acute and insidious fractures of the spine.
What is a possible cause of fragility fractures in the thoracic spine?
What is a possible cause of fragility fractures in the thoracic spine?
In the assessment of cervical spine injuries, what condition might lead a patient to exhibit Rust's sign?
In the assessment of cervical spine injuries, what condition might lead a patient to exhibit Rust's sign?
What immediate assessment strategy should be applied if Rust's sign is observed?
What immediate assessment strategy should be applied if Rust's sign is observed?
Describe the symptoms associated with an acute fracture involving axial compression.
Describe the symptoms associated with an acute fracture involving axial compression.
What role does the mechanics of injury (MOI) play in assessing spinal fractures?
What role does the mechanics of injury (MOI) play in assessing spinal fractures?
What may indicate a red flag during patient assessment after a motor vehicle collision?
What may indicate a red flag during patient assessment after a motor vehicle collision?
What are the main characteristics of Grade 3 sprains in terms of strength and pain?
What are the main characteristics of Grade 3 sprains in terms of strength and pain?
Describe the distinction between central and foraminal stenosis.
Describe the distinction between central and foraminal stenosis.
What role does referral play in the management of spondylopathies?
What role does referral play in the management of spondylopathies?
How is spondylolisthesis classified among non-inflammatory spondylopathies?
How is spondylolisthesis classified among non-inflammatory spondylopathies?
What is the clinical significance of palpating the erector spinae in patients with spondylopathies?
What is the clinical significance of palpating the erector spinae in patients with spondylopathies?
What is the primary injury mechanism associated with whiplash and acute torticollis?
What is the primary injury mechanism associated with whiplash and acute torticollis?
Identify two key symptoms that are monitored during assessments of acute fractures.
Identify two key symptoms that are monitored during assessments of acute fractures.
What distinguishes limited range of motion in Grade 2 whiplash associated disorders from Grade 3?
What distinguishes limited range of motion in Grade 2 whiplash associated disorders from Grade 3?
Describe the features of Baastrup's disease in the context of spondylopathies.
Describe the features of Baastrup's disease in the context of spondylopathies.
What is the significance of understanding the difference in symptoms between strains and sprains?
What is the significance of understanding the difference in symptoms between strains and sprains?
Which type of fracture is characterized by a bony fragment being torn off?
Which type of fracture is characterized by a bony fragment being torn off?
Infrequent fractures in the spine mostly occur in the lumbar region.
Infrequent fractures in the spine mostly occur in the lumbar region.
Name one associated symptom to monitor during assessments for acute spine fractures.
Name one associated symptom to monitor during assessments for acute spine fractures.
The structures commonly involved in fractures are the spinous process, transverse process, and ________.
The structures commonly involved in fractures are the spinous process, transverse process, and ________.
Match the following fracture types with their characteristics:
Match the following fracture types with their characteristics:
What should be done if a person presents with Rust's sign during an assessment?
What should be done if a person presents with Rust's sign during an assessment?
It is possible for someone with a stable acute fracture in the vertebral column to be asymptomatic.
It is possible for someone with a stable acute fracture in the vertebral column to be asymptomatic.
What are the two types of fractures mentioned that can occur in the spine?
What are the two types of fractures mentioned that can occur in the spine?
Which of the following is NOT an inflammatory type of spondylopathy?
Which of the following is NOT an inflammatory type of spondylopathy?
Spondylolisthesis involves a bilateral defect of the pars interarticularis with displacement of the vertebral body.
Spondylolisthesis involves a bilateral defect of the pars interarticularis with displacement of the vertebral body.
What is the primary factor associated with acute torticollis?
What is the primary factor associated with acute torticollis?
Whiplash involves injury to both contractile and _______ tissues of the cervical spine.
Whiplash involves injury to both contractile and _______ tissues of the cervical spine.
Match the following grades of sprains with their characteristics:
Match the following grades of sprains with their characteristics:
Which of these statements is TRUE regarding Grade 2 sprains?
Which of these statements is TRUE regarding Grade 2 sprains?
In Grade 3 sprains, there is typically no pain at the time of injury.
In Grade 3 sprains, there is typically no pain at the time of injury.
List one common structure palpated during the assessment of spondylopathies.
List one common structure palpated during the assessment of spondylopathies.
Spondylosis is characterized by degeneration of spinal _______ and _______.
Spondylosis is characterized by degeneration of spinal _______ and _______.
Which condition is specifically described by narrowing of the spinal canal?
Which condition is specifically described by narrowing of the spinal canal?
Flashcards
Insidious Spinal Fractures
Insidious Spinal Fractures
Spinal fractures that develop gradually over time, often associated with osteoporosis or other conditions.
Spinal Fracture MOI
Spinal Fracture MOI
The mechanism of injury (like a car accident) that caused the spinal fracture.
Cervical Spine Fractures
Cervical Spine Fractures
Fractures that are more frequent in the neck region of the spine.
Rust's Sign
Rust's Sign
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Axial Compression
Axial Compression
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NEXUS
NEXUS
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Spinal Fracture Symptoms
Spinal Fracture Symptoms
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Stable Acute Fracture
Stable Acute Fracture
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Spondylopathies
Spondylopathies
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Ankylosing Spondylitis
Ankylosing Spondylitis
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Spondylosis
Spondylosis
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Spinal Stenosis
Spinal Stenosis
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Central Stenosis
Central Stenosis
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Foraminal Stenosis
Foraminal Stenosis
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Spondylolisthesis
Spondylolisthesis
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Facet Joint Pathology
Facet Joint Pathology
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Whiplash
Whiplash
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Acute Torticollis
Acute Torticollis
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Spinal Fracture Types
Spinal Fracture Types
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Common Spinal Fracture Locations
Common Spinal Fracture Locations
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What are the 5 Ds & 3 Ns?
What are the 5 Ds & 3 Ns?
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What is Rust's Sign?
What is Rust's Sign?
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What are the 2 most important elements of a spinal fracture rule-out?
What are the 2 most important elements of a spinal fracture rule-out?
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What is axial compression?
What is axial compression?
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What is NEXUS?
What is NEXUS?
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What is a stable acute fracture?
What is a stable acute fracture?
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Insidious Fractures
Insidious Fractures
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Common Locations for Insidious Fractures
Common Locations for Insidious Fractures
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Spondylolithic Fractures
Spondylolithic Fractures
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Important Rule-Out Elements
Important Rule-Out Elements
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International Equivalent to Canadian C-spine Rules
International Equivalent to Canadian C-spine Rules
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Spinal Fracture Mechanism of Injury
Spinal Fracture Mechanism of Injury
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Spinal Fracture Regions
Spinal Fracture Regions
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Study Notes
Bony Conditions of the Spine
- Fractures: Occur infrequently, with insidious types (e.g., stress, fragility) more common, especially in the cervical spine.
- Types of Spinal Fractures:
- Acute:
- Compression
- Avulsion (bony fragment torn off).
- Insidious:
- Stress (potentially related to spondylosis/spondylolisthesis)
- Fragility.
- Acute:
- Common Locations for Insidious Fractures:
- Thoracic spine (associated with osteoporosis)
- Lumbar spine (associated with spondylosis/spondylolisthesis).
- Structures Involved in Fractures:
- Spinous process
- Transverse process
- Vertebral arch
- Pars interarticularis
- Vertebral end plate
- Vertebral body.
- Spondylolytic Fractures: Involve pars interarticularis and vertebral end plate.
- Axial Compression: Force from the head (neutral or not).
- Important Fracture Rule-Out Elements (Acronym):
- MOI: Axial compression, motor vehicle collisions.
- Associated Symptoms: Central/local pain, bilateral paresthesia, neck symptoms (the 5 Ds and 3 Ns, headaches, tinnitus, nausea, cranial nerve symptoms).
- Rust's Sign: Self-stabilizing neck; a crucial sign demanding immediate stabilization and referral for imaging. This is observed as the patient grabbing the back of their neck to aid in sitting up. This sign implies upper cervical instability and is a critical finding.
- Canadian C-Spine Rules Equivalent: National radiography utilization study (NEXUS).
- Red Flag: Inability/unwillingness to move the neck (even without Rust's sign) after an MVC (motor vehicle collision) indicates possible injury necessitating imaging prior to further assessment.
- Spondylopathies: Disorders of the vertebrae.
- Inflammatory Types: Ankylosing spondylitis, sacroiliitis, psoriatic arthritis, Reiter's syndrome.
- Non-inflammatory Types: Spondylosis, spinal stenosis (central, foraminal), spondylolysis, spondylolisthesis, Baastrup's disease, vertebral stress fracture.
Sprains and Strains
- Classification of Sprains and Strains (Grade 1-3): Based on the level of damage, loss of function, strength, and pain (with 3 being complete). Severity of swelling also correlates with the grade.
- Whiplash: Concurrent injury to the contractile and inert tissues of the cervical spine in high-velocity trauma.
- Acute/Acquired Torticollis: Frequently associated with whiplash and cervical strains.
- Whiplash Associated Disorder Classification (Grades 0-4): Different grades categorize complaints of pain, stiffness, tenderness, neurological signs, and/or fracture/dislocation.
- Crucial Consideration for Spondylopathies: Referral.
- Osteoporosis: Progressive deterioration of bone tissue, resulting in decreased bone density and porosity.
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