72 Questions
What is the estimated total cost of low back pain in the United States per year?
Greater than $100 billion
After what age do complaints of back pain begin to increase in prevalence in men?
50 years
What is the most common symptom associated with sciatica?
Radiating pain from buttock to the thigh & calf
What is the possible cause of urinary retention or incontinence in the context of low back pain?
Pressure on cauda equina
What is the most common cause of structural kyphosis?
Osteoporosis
What is the characteristic feature of Scheuermann’s disease?
Irregular or fragmented end plate appearance in X-Ray lateral view
What treatment is generally recommended for curves up to 40 degrees in adolescents?
Back strengthening exercises & postural training
What is the cause of kyphosis in elderly individuals?
Degenerative changes of the spine
What is the characteristic feature of kyphosis in Scheuermann’s disease?
Anterior wedging of severe vertebral bodies
What might be a type of Osteochondritis of the vertebral epiphyseal endplate in Scheuermann’s disease?
Irregular or fragmented end plate appearance in X-Ray lateral view
What is the characteristic presentation of Scheuermann’s disease in girls?
Twice as common as in boys
What condition may cause kyphosis if it occurs in the thoracic spine during puberty?
Scheuermann’s disease
What are the clinical features of scoliosis?
Deformity and backache
Which imaging techniques are used for the diagnosis of spinal deformities?
X-ray, CT scan, MRI, and radioisotope scanning
What is the most appropriate management approach for postural kyphosis?
Postural exercises
Which conditions may be associated with neuropathic and myopathic scoliosis?
Poliomyelitis and cerebral palsy
What are the different types of idiopathic scoliosis mentioned in the text?
Adolescent, juvenile, and infantile
What is the aim of the management of scoliosis?
To prevent severe deformity and stop further progression
Which positions are used in the clinical examination of spinal deformities?
Standing, prone, and supine
What may be required for the management of congenital scoliosis?
Surgical fusion
What is the characteristic of abnormal kyphosis mentioned in the text?
It may be postural and voluntarily correctable
What are the different causes of scoliosis mentioned in the text?
Idiopathic, osteopathic, neuropathic, and connective tissue disorders
What is the type of curvature seen in scoliosis?
Lateral curvature of the spine
What type of examination is performed to assess muscle power and sensation in spinal deformities?
Full neurological exam
Low back pain accounts for more patient visits to the physician’s office per year in the United States than any other health condition.
True
The estimated total cost of low back pain in the United States per year is less than $100 billion.
False
Symptoms of low back pain include numbness or paraesthesia in the upper limbs.
False
Sciatica is a radiating pain from buttock to the thigh & calf, following the distribution of the sciatic nerve.
True
Kyphosis is always correctable
False
Scheuermann’s disease is a growth disorder of the spine that only affects boys
False
Kyphosis in adults is primarily due to degenerative changes of the spine
True
Structural kyphosis is associated with changes in the shape of the vertebrae
True
The cause of Scheuermann’s disease is known to be a type of Osteochondritis of the vertebral epiphyseal endplate
False
Curves up to 40 degrees in adolescents with scoliosis always require surgical correction
False
Senile kyphosis is primarily due to senile osteoporosis
True
Compensatory kyphosis is always secondary to a fixed flexion deformity of the hip joint
False
True or false: Clinical examination of spinal deformities includes sitting, standing, and lying down positions to assess scar, pigmentation, abnormal hair, spine shape, muscle power, and sensation?
False
True or false: Different tests like leg raising and full neurological exam are not performed as part of the clinical examination of spinal deformities?
False
True or false: Imaging techniques like X-ray, CT scan, and MRI are used for the diagnosis of spinal deformities?
True
True or false: Scoliosis is exclusively caused by idiopathic factors?
False
True or false: Management of scoliosis depends on the type and may involve observation, bracing, or surgery?
True
True or false: Abnormal kyphosis is not voluntarily correctable?
False
True or false: Treatment for postural kyphosis may involve surgical intervention?
False
True or false: Infantile scoliosis has the same management approach as juvenile scoliosis?
False
True or false: Congenital scoliosis is not due to vertebral anomalies?
False
True or false: Neuropathic and myopathic scoliosis are not associated with specific conditions like poliomyelitis and cerebral palsy?
False
True or false: The aim of the management of scoliosis is to only prevent severe deformity?
False
True or false: The prognosis and treatment of scoliosis do not depend on the type and severity of the condition?
False
Kyphosis is a growth disorder of the spine in which the vertebrae become slightly wedged shaped. If this occurs in thoracic spine will cause mild ______.
kyphosis
Curves up to 40 degrees needs no treatment except back strengthening exercises & postural ______.
training
Kyphosis of elderly due to degenerative changes of the spine and narrowing of the intervertebral spaces may cause the senile ______
kyphosis
Structural kyphosis: is fixed , and associated with changes in the shape of the ______.
vertebrae
Kyphosis in adults: Kyphosis of elderly due to degenerative changes of the spine and narrowing of the intervertebral spaces may cause the senile ______
kyphosis
The term (Kyphos or Gibbus) means a sharp posterior angulation due to localized collapse or wedging of one or more ______.
vertebrae
It might be due to fracture, congenital anomaly or TB of those ______.
vertebrae
Curves up to 40 degrees needs no treatment except back strengthening exercises & ______ training.
postural
Imaging techniques like X-ray, CT scan, MRI, and radioisotope scanning are used for ______
diagnosis
Clinical features of scoliosis include deformity and ______, and diagnostic features include X-rays and special tests
backache
Management of scoliosis aims to prevent severe deformity and stop further progression, with prognosis and treatment depending on the type and ______ of the condition
severity
Kyphosis can be normal or abnormal, and abnormal kyphosis may be postural and voluntarily ______
correctable
Different types of idiopathic scoliosis include adolescent, juvenile, and ______, each with specific management approaches
infantile
Congenital scoliosis is due to vertebral anomalies and may require surgical ______
fusion
Neuropathic and myopathic scoliosis may be associated with conditions like poliomyelitis and cerebral palsy, and treatment may involve observation, ______, or surgery
bracing
Treatment for postural kyphosis may involve postural ______
exercises
Management of scoliosis depends on the type and may involve observation, ______, or surgery
bracing
Scoliosis is a lateral curvature of the spine with various causes including idiopathic, osteopathic, ______, and connective tissue disorders
neuropathic
Clinical examination includes standing, prone, and supine positions to assess scar, pigmentation, abnormal hair, spine shape, tenderness, muscle power, and ______
sensation
Different tests like leg raising, full neurological exam, and peripheral pulse examination are ______
performed
Low back pain accounts for more than 15 million patient visits to the physician’s office per year in the United States, second only to the number of patient visits for respiratory infections. Complaints of back pain begin around age 35 years and increase in prevalence up to age 50 years in men and age 60 years in women. Symptoms: Pain, stiffness and deformity of the back. Pain, paraesthesia or weakness of the lower limbs. The mode of onset is so important, (sudden. gradual. After lifting heavy object.) Any other associated illnesses or malaise. ______ Stiffness : Sudden & almost complete (after disc prolapse) , continuous & predominantly at morning ( arthritis or ankylosing spondylitis). Deformity : any shoulder asymmetry ( scoliosis , kyphosis). Numbness or paraesthesia in the lower limbs: matching which dermatome.aggrevating factor. Standing. Walking. Sitting. With intermittent claudication. Urinary retention or incontinence: can be due to pressure on cauda equina. May be associated with faecal incontinence, urgency, or impotence.
Sciatica: it is a radiating pain from buttock to the thigh & calf , more or less in the distribution of the distribution of the sciatic nerve.
The total cost of low back pain in the United States is ______ than $100 billion per year; one third are direct costs for care, with the remaining costs resulting from decreased productivity, lost wages, and absenteeism. Low back pain accounts for more than 15 million patient visits to the physician’s office per year in the United States, second only to the number of patient visits for respiratory infections. Complaints of back pain begin around age 35 years and increase in prevalence up to age 50 years in men and age 60 years in women. Symptoms: Pain, stiffness and deformity of the back. Pain, paraesthesia or weakness of the lower limbs. The mode of onset is so important, (sudden. gradual. After lifting heavy object.) Any other associated illnesses or malaise. Sciatica: it is a radiating pain from buttock to the thigh & calf , more or less in the distribution of the distribution of the sciatic nerve. Stiffness : Sudden & almost complete (after disc prolapse) , continuous & predominantly at morning ( arthritis or ankylosing spondylitis). Deformity : any shoulder asymmetry ( scoliosis , kyphosis). Numbness or paraesthesia in the lower limbs: matching which dermatome.aggrevating factor. Standing. Walking. Sitting. With intermittent claudication. Urinary retention or incontinence: can be due to pressure on cauda equina. May be associated with faecal incontinence, urgency, or impotence.
greater
The mode of onset is so important, (sudden. gradual. After lifting heavy object.) Any other associated illnesses or malaise. Sciatica: it is a radiating pain from buttock to the thigh & calf , more or less in the distribution of the distribution of the sciatic nerve. Stiffness : Sudden & almost complete (after disc prolapse) , continuous & predominantly at morning ( arthritis or ankylosing spondylitis). Deformity : any shoulder asymmetry ( scoliosis , kyphosis). Numbness or paraesthesia in the lower limbs: matching which dermatome.______. Standing. Walking. Sitting. With intermittent claudication. Urinary retention or incontinence: can be due to pressure on cauda equina. May be associated with faecal incontinence, urgency, or impotence.
aggrevating factor
Pain, stiffness and ______ of the back. Pain, paraesthesia or weakness of the lower limbs. The mode of onset is so important, (sudden. gradual. After lifting heavy object.) Any other associated illnesses or malaise. Sciatica: it is a radiating pain from buttock to the thigh & calf , more or less in the distribution of the distribution of the sciatic nerve. Stiffness : Sudden & almost complete (after disc prolapse) , continuous & predominantly at morning ( arthritis or ankylosing spondylitis). Deformity : any shoulder asymmetry ( scoliosis , kyphosis). Numbness or paraesthesia in the lower limbs: matching which dermatome.aggrevating factor. Standing. Walking. Sitting. With intermittent claudication. Urinary retention or incontinence: can be due to pressure on cauda equina. May be associated with faecal incontinence, urgency, or impotence.
deformity
Study Notes
Clinical Examination and Management of Spinal Deformities
- Clinical examination includes standing, prone, and supine positions to assess scar, pigmentation, abnormal hair, spine shape, tenderness, muscle power, and sensation
- Different tests like leg raising, full neurological exam, and peripheral pulse examination are performed
- Imaging techniques like X-ray, CT scan, MRI, and radioisotope scanning are used for diagnosis
- Scoliosis is a lateral curvature of the spine with various causes including idiopathic, osteopathic, neuropathic, and connective tissue disorders
- Clinical features of scoliosis include deformity and backache, and diagnostic features include X-rays and special tests
- Management of scoliosis depends on the type and may involve observation, bracing, or surgery
- Kyphosis can be normal or abnormal, and abnormal kyphosis may be postural and voluntarily correctable
- Treatment for postural kyphosis may involve postural exercises
- Different types of idiopathic scoliosis include adolescent, juvenile, and infantile, each with specific management approaches
- Congenital scoliosis is due to vertebral anomalies and may require surgical fusion
- Neuropathic and myopathic scoliosis may be associated with conditions like poliomyelitis and cerebral palsy, and treatment may involve observation, bracing, or surgery
- Management of scoliosis aims to prevent severe deformity and stop further progression, with prognosis and treatment depending on the type and severity of the condition
Clinical Examination and Management of Spinal Deformities
- Clinical examination includes standing, prone, and supine positions to assess scar, pigmentation, abnormal hair, spine shape, tenderness, muscle power, and sensation
- Different tests like leg raising, full neurological exam, and peripheral pulse examination are performed
- Imaging techniques like X-ray, CT scan, MRI, and radioisotope scanning are used for diagnosis
- Scoliosis is a lateral curvature of the spine with various causes including idiopathic, osteopathic, neuropathic, and connective tissue disorders
- Clinical features of scoliosis include deformity and backache, and diagnostic features include X-rays and special tests
- Management of scoliosis depends on the type and may involve observation, bracing, or surgery
- Kyphosis can be normal or abnormal, and abnormal kyphosis may be postural and voluntarily correctable
- Treatment for postural kyphosis may involve postural exercises
- Different types of idiopathic scoliosis include adolescent, juvenile, and infantile, each with specific management approaches
- Congenital scoliosis is due to vertebral anomalies and may require surgical fusion
- Neuropathic and myopathic scoliosis may be associated with conditions like poliomyelitis and cerebral palsy, and treatment may involve observation, bracing, or surgery
- Management of scoliosis aims to prevent severe deformity and stop further progression, with prognosis and treatment depending on the type and severity of the condition
Clinical Examination and Management of Spinal Deformities
- Clinical examination includes standing, prone, and supine positions to assess scar, pigmentation, abnormal hair, spine shape, tenderness, muscle power, and sensation
- Different tests like leg raising, full neurological exam, and peripheral pulse examination are performed
- Imaging techniques like X-ray, CT scan, MRI, and radioisotope scanning are used for diagnosis
- Scoliosis is a lateral curvature of the spine with various causes including idiopathic, osteopathic, neuropathic, and connective tissue disorders
- Clinical features of scoliosis include deformity and backache, and diagnostic features include X-rays and special tests
- Management of scoliosis depends on the type and may involve observation, bracing, or surgery
- Kyphosis can be normal or abnormal, and abnormal kyphosis may be postural and voluntarily correctable
- Treatment for postural kyphosis may involve postural exercises
- Different types of idiopathic scoliosis include adolescent, juvenile, and infantile, each with specific management approaches
- Congenital scoliosis is due to vertebral anomalies and may require surgical fusion
- Neuropathic and myopathic scoliosis may be associated with conditions like poliomyelitis and cerebral palsy, and treatment may involve observation, bracing, or surgery
- Management of scoliosis aims to prevent severe deformity and stop further progression, with prognosis and treatment depending on the type and severity of the condition
Test your knowledge of clinical examination and management of spinal deformities with this quiz. Explore the different types of scoliosis, diagnostic features, imaging techniques, and treatment options including observation, bracing, and surgery.
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