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 (B)</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 (D)</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 (B)</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 (D)</p> Signup and view all the answers

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

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

Which condition presents with saddle anaesthesia?

<p>Cauda equina syndrome (C)</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 (A)</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 (B)</p> Signup and view all the answers

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

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

Which age group is typically associated with lumbar spinal stenosis?

<p>50-60 years (C)</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 (D)</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) (C)</p> Signup and view all the answers

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

<p>Intervertebral disc lesion (D)</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 (D)</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 (A)</p> Signup and view all the answers

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

<p>'Intermittent neurogenic claudication' (C)</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 (D)</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 (A)</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 (A)</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 (C)</p> Signup and view all the answers

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

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

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

<p>Cauda equina syndrome (B)</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 (C)</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 (B)</p> Signup and view all the answers

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