Discogenic Back Pain and Degenerative Disc Disease (DDD)
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Questions and Answers

Which of the following is NOT a symptom of cauda equina syndrome?

  • Saddle anesthesia
  • Back pain
  • Fever and chills (correct)
  • Lower leg weakness
  • What is the common imaging finding in patients with Degenerative Disc Disease (DDD)?

  • Disc space narrowing (correct)
  • Spinal Stenosis
  • Facet Arthropathy
  • Spondylolisthesis
  • Which condition is characterized by the forward displacement of one vertebra over another?

  • Spondylolisthesis (correct)
  • Discogenic pain
  • Facet arthropathy
  • Ligament sprains
  • What is the primary cause of Discogenic Back Pain?

    <p>Loss of proteoglycans and fluid in the disc</p> Signup and view all the answers

    Which condition involves the inflammation and degeneration of the facet joints in the spine?

    <p>Facet arthropathy</p> Signup and view all the answers

    What is a common feature of mechanical back pain due to Ligament Sprains?

    <p>Decreased range of motion (ROM)</p> Signup and view all the answers

    Which condition involves the slipping forward of one vertebra over another without a fracture?

    <p>Spondylolisthesis</p> Signup and view all the answers

    Which imaging modality is best for visualizing disc protrusion or herniation?

    <p>MRI scan</p> Signup and view all the answers

    Which of the following conditions is characterized by a vertebra sitting forward on the one below it?

    <p>Spondylolisthesis</p> Signup and view all the answers

    In which case is a CT or MRI scan more useful compared to X-rays for imaging purposes?

    <p>Discogenic back pain</p> Signup and view all the answers

    Which condition is often related to aging and presents with unilateral neck or low back pain?

    <p>Spondylolisthesis</p> Signup and view all the answers

    Pain exacerbated by lumbar extension or lateral flexion to the affected side is characteristic of which condition?

    <p>Facet arthropathy</p> Signup and view all the answers

    Which condition can cause neurologic findings such as weakness, sensory dermatomic pain, and reflex loss?

    <p>DDD</p> Signup and view all the answers

    Which type of joint is affected in facet arthropathy?

    <p>&quot;Zygaphyseal joints&quot;</p> Signup and view all the answers

    What is one of the key differentiating factors between Spinal Claudication and Vascular Claudication?

    <p>Spinal Claudication gets better when sitting, while Vascular Claudication worsens with sitting.</p> Signup and view all the answers

    What symptom is commonly associated with SI Ligament Sprain?

    <p>Buttock pain</p> Signup and view all the answers

    Which condition is characterized by the narrowing of facet joints leading to neural foraminal stenosis?

    <p>Facet Arthropathy</p> Signup and view all the answers

    What is a common risk factor for Peripheral Vascular Disease or known atherosclerosis as mentioned in the text?

    <p>Weak pedal pulses</p> Signup and view all the answers

    When does Mechanical Back Pain typically warrant imaging investigations according to the text?

    <p>Within 3-6 months if symptoms are not settling or significantly impacting functioning</p> Signup and view all the answers

    What is a characteristic feature of Scoliosis mentioned in the text?

    <p>Progressive sideways curvature of the spine</p> Signup and view all the answers

    Which condition often presents with nerve root pain that can be reproduced by leaning to one side?

    <p>Facet Arthropathy</p> Signup and view all the answers

    What is the common developmental variation of the neural arches that can lead to spondylolisthesis?

    <p>Spondylolysis</p> Signup and view all the answers

    Which imaging modality is best suited for assessing spinal cord signal in the context of spinal stenosis?

    <p>MRI</p> Signup and view all the answers

    What condition is characterized by narrowing of the spinal canal?

    <p>Spinal stenosis</p> Signup and view all the answers

    Which process can contribute to spinal stenosis by causing ligamentum flavum hypertrophy or facet hypertrophy?

    <p>Degenerative disease</p> Signup and view all the answers

    What kind of pain is typically experienced by individuals with spinal or neurogenic claudication when walking?

    <p>Pain in legs worsening with walking</p> Signup and view all the answers

    Which condition is often associated with worse back pain during forward flexion because of the forward slip moving more forward?

    <p>Spondylolisthesis</p> Signup and view all the answers

    What can lead to non-union or lysis often mistaken for a 'fracture' seen on lateral X-ray views?

    <p>Spondylolysis</p> Signup and view all the answers

    "Imagine that the forward slip moves more forward with bending forward" refers to which condition associated with worse back pain during such movement?

    <p>Spondylolisthesis</p> Signup and view all the answers

    In the context of back pain, which imaging modality is best suited for visualizing disc protrusion or herniation?

    <p>MRI scan</p> Signup and view all the answers

    Which imaging technique can demonstrate increased uptake suggesting active bone turnover in patients with facet arthropathy?

    <p>Bone scan</p> Signup and view all the answers

    What is the common etiology of spondylolisthesis as mentioned in the text?

    <p>Aging</p> Signup and view all the answers

    Which condition is characterized by the forward displacement of one vertebra over another?

    <p>Spondylolisthesis</p> Signup and view all the answers

    When investigating facet arthropathy, which imaging modality can be more useful than plain X-rays?

    <p>CT scan</p> Signup and view all the answers

    In cases where disc protrusion or herniation needs to be visualized, which imaging technique is NOT recommended?

    <p>X-ray</p> Signup and view all the answers

    What is a characteristic feature of discogenic back pain that helps differentiate it from other back conditions?

    <p>&quot;Pinched or compressed nerve&quot;</p> Signup and view all the answers

    Which imaging modality is commonly used to detect degenerative changes in facet joints associated with facet arthropathy?

    <p>X-ray</p> Signup and view all the answers

    What is the primary reason for diagnosing Cauda Equina Syndrome with a CT or MRI scan?

    <p>To confirm bladder and bowel dysfunction</p> Signup and view all the answers

    In the context of back pain, what is a common finding associated with Facet Arthropathy?

    <p>Decreased range of motion (ROM)</p> Signup and view all the answers

    Which imaging modality is best suited for visualizing spondylolisthesis in patients with back pain?

    <p>X-ray</p> Signup and view all the answers

    What is a distinguishing feature of Discogenic Back Pain in the context of Degenerative Disc Disease (DDD)?

    <p>Microfracture of collagen and loss of proteoglycans</p> Signup and view all the answers

    When should a CT scan be preferred over X-rays for imaging mechanical back pain?

    <p>To confirm narrowing of facet joints</p> Signup and view all the answers

    What is a common symptom associated with Spondylolisthesis?

    <p>Lower leg weakness</p> Signup and view all the answers

    Which condition is NOT commonly associated with Facet Arthropathy?

    <p>Degenerative Disc Disease (DDD)</p> Signup and view all the answers

    What is a significant feature of MRI scans compared to CT scans for assessing back pain issues?

    <p>Enhanced soft tissue contrast</p> Signup and view all the answers

    What is the primary imaging modality for assessing spinal cord signal in the context of spinal stenosis?

    <p>MRI</p> Signup and view all the answers

    Which imaging technique is best suited for visualizing non-union, lysis, or 'fracture' often seen on lateral X-ray views?

    <p>X-rays</p> Signup and view all the answers

    Which condition involves the forward displacement of one vertebra over another without a fracture?

    <p>Spondylolisthesis</p> Signup and view all the answers

    Which type of joint is primarily affected in facet arthropathy?

    <p>Facet joint</p> Signup and view all the answers

    In the context of back pain, what is a common feature of discogenic back pain?

    <p>Central disc herniation</p> Signup and view all the answers

    Which imaging modality is most appropriate for evaluating the severity of spondylolytic spondylolisthesis?

    <p>X-rays</p> Signup and view all the answers

    What is a common feature of mechanical back pain due to Ligament Sprains?

    <p>Facet hypertrophy</p> Signup and view all the answers

    In the context of back pain diagnosis, which imaging modality is best suited for visualizing soft tissue structures like the spinal cord signal?

    <p>MRI scan</p> Signup and view all the answers

    Which condition is characterized by the forward displacement of one vertebra over another, often seen on imaging studies like X-rays or CT scans?

    <p>Spondylolisthesis</p> Signup and view all the answers

    Which type of spine condition is commonly associated with Discogenic Back Pain due to degeneration or damage to the intervertebral discs?

    <p>Spondylolisthesis</p> Signup and view all the answers

    When investigating back pain, which imaging modality is more useful compared to X-rays for visualizing detailed bony structures and soft tissues like the spinal cord signal?

    <p>MRI scan</p> Signup and view all the answers

    Facet arthropathy involves which type of joint in the spine?

    <p>Facet joints</p> Signup and view all the answers

    Which spine condition can lead to non-union and lytic changes often mistaken for a fracture on lateral X-ray views?

    <p>Spondylolisthesis</p> Signup and view all the answers

    In the context of back pain, what is a common developmental variation of the neural arches that can contribute to spondylolisthesis?

    <p><code>Pars Interarticularis Defect</code></p> Signup and view all the answers

    Individuals with which spine condition often experience pain exacerbated by lumbar extension or lateral flexion to the affected side?

    <p><code>Facet Arthropathy</code></p> Signup and view all the answers

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