1.12 Lumbar Spine Stenosis Quiz
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Questions and Answers

What does lumbar spinal stenosis (LSS) involve?

  • Enlargement of the spinal canal
  • Compression of the thoracic spine
  • Compression of neural and vascular elements in the lumbar spine (correct)
  • Compression of the cervical spine
  • What is the estimated prevalence of LSS in the general population?

  • 2%
  • 15%
  • 25%
  • 9% (correct)
  • What percentage of older people with signs of spinal stenosis remain asymptomatic?

  • 50%
  • Less than 10%
  • More than 80% (correct)
  • Around 30%
  • Which condition represents 28% of hospitalizations in Australia?

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

    What is the most frequent indication for spinal surgery in patients older than age 65 years?

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

    How do the clinical characteristics of spinal stenosis and lumbar radiculopathy differ?

    <p>Stenosis involves narrowing of the spinal canal while radiculopathy does not</p> Signup and view all the answers

    Which condition is characterized by an acute, severe onset of axial back pain and radicular pain?

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

    What type of bladder dysfunction is associated with cauda equina syndrome?

    <p>Flaccid bladder</p> Signup and view all the answers

    Which condition is characterized by faecal incontinence at the later stage of the disease?

    <p>Cauda equina syndrome</p> Signup and view all the answers

    Which condition presents with saddle anaesthesia?

    <p>Cauda equina syndrome</p> Signup and view all the answers

    What is the best surgical outcome associated with before surgery for clients with spinal conditions?

    <p>Clients with the least neurological deficit before surgery</p> Signup and view all the answers

    Which investigation is considered the most reliable and immediate to confirm the cause of Cauda Equina Syndrome?

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

    What type of muscle weakness is associated with Cauda Equina Syndrome?

    <p>Asymmetrical, hyporeflexia-based weakness</p> Signup and view all the answers

    What is a common symptom seen in lumbar spinal stenosis?

    <p>Whole leg pain that worsens with sitting</p> Signup and view all the answers

    Which age group is typically associated with lumbar spinal stenosis?

    <p>50-60 years</p> Signup and view all the answers

    What symptom is commonly relieved by sitting, forward bending, and supine lying in lumbar spinal stenosis?

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

    What condition can be mistaken for lumbar spinal stenosis but can be ruled out by history of tobacco use and pedal pulses examination?

    <p>Peripheral arterial disease (PAD)</p> Signup and view all the answers

    What is a common reason for acquired or degenerative lumbar spinal stenosis?

    <p>Intervertebral disc lesion</p> Signup and view all the answers

    Which type of lumbar spinal stenosis involves compression of the nerve root at the intervertebral foramen?

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

    What is a typical presentation of intermittent neurogenic claudication in lumbar spinal stenosis?

    <p>Back pain, leg pain, and weakness during walking</p> Signup and view all the answers

    'Pseudo claudication' is another name for which symptom related to lumbar spinal stenosis?

    <p>'Intermittent neurogenic claudication'</p> Signup and view all the answers

    What is the primary role of a physiotherapist in identifying Conus medullaris syndrome and Cauda equina syndrome?

    <p>To refer clients for timely surgical management</p> Signup and view all the answers

    Which condition results from damage to neural structures of the spinal cord segment T12 to S5 nerve root?

    <p>Conus medullaris syndrome</p> Signup and view all the answers

    Which management option is considered optional for pain management in clients with lumbar spinal stenosis?

    <p>Imagine guided epidural injection therapy</p> Signup and view all the answers

    What is a common clinical presentation that can be a precursor to Cauda equina syndrome and Conus medullaris syndrome?

    <p>Unilateral or bilateral radicular pain</p> Signup and view all the answers

    Which surgical management option involves decompressing the spinal canal and foraminal stenosis?

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

    What is a potential outcome if Conus medullaris syndrome or Cauda equina syndrome is not timely managed?

    <p>Life-changing outcomes like ongoing bladder dysfunction</p> Signup and view all the answers

    Which disorder involves damage to neural structures of L3 to S5 nerve root?

    <p>Cauda equina syndrome</p> Signup and view all the answers

    What type of therapy is considered as part of conservative management for lumbar spinal stenosis in clients with mild to moderate symptoms?

    <p>Pain neuroscience education and cognitive functional therapy</p> Signup and view all the answers

    What is the primary purpose of post-operative physiotherapy in clients who have undergone spinal decompression and fusion procedures?

    <p>To assist in rehabilitation after surgery</p> Signup and view all the answers

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