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Spinal Stenosis Overview Quiz
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Spinal Stenosis Overview Quiz

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Questions and Answers

Which age group is most commonly affected by spinal stenosis?

  • Children and adolescents
  • Young adults
  • Middle-aged and elderly individuals (correct)
  • Elderly individuals only
  • What is the most common form of spinal stenosis?

  • Sacral spinal stenosis
  • Thoracic spinal stenosis
  • Lumbar spinal stenosis (correct)
  • Cervical spinal stenosis
  • What exacerbates the pain in patients with lumbar spinal stenosis?

  • Lumbar flexion (sitting or walking uphill)
  • Lumbar extension (standing or walking downhill) (correct)
  • Lumbar rotation and twisting
  • Rest and relaxation
  • How does cervical and thoracic spinal stenosis typically present?

    <p>With symptoms of myelopathy</p> Signup and view all the answers

    What is the initial treatment for lumbar spinal stenosis?

    <p>Conservative therapy (analgesia and physiotherapy)</p> Signup and view all the answers

    What is the characteristic feature of spinal stenosis?

    <p>Progressive nerve root compression</p> Signup and view all the answers

    Which imaging modality is preferred for confirming the diagnosis of spinal stenosis?

    <p>MRI without IV contrast</p> Signup and view all the answers

    What causes load-dependent lower back pain in lumbar spinal stenosis?

    <p>Lumbar extension</p> Signup and view all the answers

    What is the most common form of spinal stenosis?

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

    What is the primary cause of spinal stenosis?

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

    Which form of spinal stenosis is the most common?

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

    In which type of spinal stenosis do patients typically present with symptoms of myelopathy?

    <p>Cervical spinal stenosis</p> Signup and view all the answers

    What modality is preferably used for confirming the diagnosis of spinal stenosis?

    <p>MRI without IV contrast</p> Signup and view all the answers

    What activity exacerbates the pain in patients with lumbar spinal stenosis?

    <p>Lumbar flexion (sitting or walking uphill)</p> Signup and view all the answers

    What is the incidence of cervical stenosis in the population?

    <p>Affects 1–2 individuals per 100,000 population</p> Signup and view all the answers

    Study Notes

    Age and Prevalence

    • Spinal stenosis primarily affects individuals aged 50 and older.
    • Lumbar spinal stenosis is the most common form diagnosed in patients.

    Symptoms and Pain Exacerbation

    • Pain intensifies in lumbar spinal stenosis during activities such as walking or standing for extended periods.
    • Cervical and thoracic spinal stenosis typically present with neck pain, numbness, weakness, and myelopathy symptoms, depending on the severity.

    Initial Treatment and Characteristics

    • Initial treatment options for lumbar spinal stenosis include physical therapy, medications for pain relief, and lifestyle changes.
    • A characteristic feature of spinal stenosis is the narrowing of the spinal canal, which puts pressure on the spinal cord and nerves.

    Diagnosis Methods

    • MRI is the preferred imaging modality to confirm the diagnosis of spinal stenosis due to its detailed views of soft tissues.
    • Load-dependent lower back pain in lumbar spinal stenosis is primarily caused by increased pressure on the nerve roots when upright, which typically alleviates when sitting or leaning forward.

    Causes and Incidence

    • The primary cause of spinal stenosis is age-related degeneration of the spine, including conditions like osteoarthritis.
    • Cervical stenosis has an incidence rate affecting approximately 5-10% of the general population.

    Myelopathy and Common Forms

    • Cervical spinal stenosis is associated with symptoms of myelopathy, which may include weakness and coordination difficulties.
    • Lumbar spinal stenosis remains the most prevalent form experienced by patients.

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    Description

    Test your knowledge about spinal stenosis, a condition characterized by the narrowing of the spinal canal and nerve compression. Learn about the causes and symptoms of this common spine issue.

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