Spine interventions

what is the difference between spondylosis and spondylolysis?

spondylosis is loss of disc height often from aging- degeneration of disc

spondylolysis: defect in the pars interarticularis

what is the difference between spondylolisthesis and retrolisthesis?

spondylolisthesis: anterior splippage of the disc

retrolisthesis: posterior slippage of the disc

what actions will people with the S’s want?

will prefer flexion, will be bothered by extension, standing, and bending to lift objects

what conditions will have a positive straight leg raise?

disc herniation and spinal stensosis

what test is used for spondylolisthesis and spinal stenosis, and spondylolysis?

spondylolisthesis: stork test

spinal stenosis: van buergen bicycle test

quadrant test: spondylolysis or facet interruption

for the ostwestry index do you want a low or high score?

the lower the less disability one has

Scoliosis factors- for a right sided thoracic curve

Vertebral bodies go to the R

Spinous processes go to the L

elevated R shoulder

Shorter R leg

Rib hump on the R

Strengthen the R side

Stretch the L side

what are some additional muscles in scoliosis that should be evaluated?

quadratus lumborum

latissimus dorsi

external oblique muscles

what spinal segment should you mobilize for opening/closing down?

opening- mobilize the top

closing down issues- mobilze the bottom

what direction should mobes be done in?

should always mobilize posterior to anterior

how do you know whether to do it on the spinous process or transverse process?

spinous process- bilateral pain/ restriction

transverse process- one sided pain/ restriction

what are the directions of movement with rotation and side bending in the cervical, thoracic and lumbar spine?

cervical and thoracic- same side of rotation and side bending

lumbar- opposite sides of rotation and side bending