Comprehensive Review of Spondy Disorders and Diagnostic Imaging Techniques in Medicine

Spondylosis

Degeneration of IV disc

Spondylolysis

Defect in pars interarticularis or arch of vertebra

Spondylolisthesis

Forward displacement of one vertebra over another

Retrolisthesis

Backwards displacement of one vertebra over another

Spondylosis age

> 50

Spondylosis location

Back (unilateral)

Spondylosis aggravating factors

Extension

Standing

Spondylosis relieving factors

Sitting

Bending

Spondylosis SLR

Negative

Spondylosis diagnostic imaging

Xray positive for arhtritic changes

Spondylolysis age

15-20

Spondylolysis location

Back

Spondylolysis aggravating factors

Extension

Standing and bending to lift objects

Spondylolysis relieving factors

Sitting

Spondylolysis SLR

Negative

Spondylolysis diagnostic imaging

Xray oblique view shows fracture of pars interarticularis

Spondylolisthesis age

20 - it can progress to degenerative spondylolisthesis with age

Spondylolisthesis location

Back

Spondylolisthesis aggravating factors

Extension

Standing and bending to lift objects

Spondylolisthesis relieving actors

Sitting

Spondylolisthesis SLR

Negative

Spondylolisthesis diagnostic imaging

Xray lateral view shows slippage of vertebrae

Disc herniation age

30-50

Disc herniation location

Back, leg (unilateral)

Disc herniation aggravating factors

Sitting

Bending

Ascending stairs

Disc herniation relieving factors

Extension

Standing

Descending stairs

Disc herniation SLR

Positive

Disc herniation diagnostic imaging

MRI, CT indicates bulging disc

Spinal stenosis age

> 60

Spinal stenosis location

Back, legs (bilateral)

Spinal stenosis aggravating factors

Extension

Standing

Spinal stenosis relieving factors

Sitting

Bending

Spinal stenosis SLR

Positive

Spinal stenosis diagnostic imaging

CT

MRI

Xray

Patient has Xray showing anterior slippage of vertebrae. What other special test will be positive to confirm diagnosis?

Stork standing test

Gillet test

Van Gelderen bicycle test

Quadrant test

Stork standing test

Stork standing test

identifies spondylolisthesis

Gillet test

SI joint dysfunction

Van Gelderen bicycle test

spinal stenosis

Quadrant test

Facets

Patient has spondylolisthesis. What is most appropriate intervention based on presentation?

Bed rest for 2 weeks along with hot packs 3x/day for 15 mins each

Flexion biased exercises

High velocity thrust to lumbar spine to improve lumbar extension

Extension biased exercises

Flexion biased exercises

Patient has spondylolisthesis. After 4 weeks of PT, patient was reevaluated again and score on ODI was 25. What can be interpreted from this score?

Patient's condition is improving

Patient's condition is getting worse

Patient can be discharged from care as the patient is fine

Patient needs to see their physician for pain management

Patient's condition is improving

Higher ODI score means

More disability

ODI no disability

0-4 (0-8%)

ODI mild disability

5-14 (10-28%)

ODI moderate disability

15-24 (30-48%)

ODI severe disability

25-34 (50-68%)

ODI complete disability

35-50 (70-100%)