MSC SPINE STUDY GUIDE EXAM QUESTIONS AND
ANSWERS GRADED A+
✔✔In a deformity correction case, what would be a type of derotation manuever?
- compression
- decompress laterally with DLIF approach
- segmental derotation
- onblock technique - ✔✔- compression - no
- decompress laterally with DLIF approach - no
- segmental derotation - yes
- onblock technique - yes
✔✔What are the techniques used in deformity cases? - ✔✔compression, distraction,
translation, cantilever
✔✔What is the shared benefit of:
- double barrel drill guide
- stab and grab
- single locking mechanism - ✔✔all save time in the OR
✔✔What are some advantages of the ALIF procedure?
- direct decompression
- we only need 1 surgeon
- avoid posterior neural elements
- surgeon has a straight shot to the disc space
- using a larger cage for height restoration - ✔✔- direct decompression - no
- we only need 1 surgeon - no
- avoid posterior neural elements - yes
- surgeon has a straight shot to the disc space - yes
- using a larger cage for height restoration - yes
✔✔What is the major cause of adjacent level disease:
- retrolisthesis
- stenosis
- fusion - ✔✔- retrolisthesis - no
- stenosis - no
- fusion - yes
✔✔what is the term for the breakdown of a joint, loss of cartilage in the joint which
results in hypertrophy and stenosis? - ✔✔facet disease
✔✔The tech hands what instrument to surgeon after he gets cage and inserter handed
to him? - ✔✔the mallet
, ✔✔what does idiopathic mean? - ✔✔no known cause
✔✔what does congenital mean? - ✔✔from birth
✔✔What is the angle of measurement called that is used to determine the degrees of
curvature in the spine? - ✔✔the cobb angle
✔✔In lateral bending x-rays, what are we looking for? - ✔✔rigidity of the curve
✔✔Is the primary or secondary curve more rigid? - ✔✔the primary is more rigid
✔✔is the primary or secondary curve more flexible? - ✔✔the secondary curve is more
flexible
✔✔what is another name for the secondary curve? - ✔✔compensatory curve
✔✔Is compensatory curve more rigid or less rigid than primary - ✔✔less rigid
✔✔Can we surgically address stenosis with:
- laminectomy
- discectomy
- vertebroplasty
- foraminotomy - ✔✔- laminectomy - yes
- discectomy - yes
- vertebroplasty - no
- foraminotomy - yes
✔✔what are the 3 categories of the spine market? - ✔✔- trauma/tumor
- deformity
- degenerative
✔✔what does DDD mean? - ✔✔degenerative disc disease
✔✔TLIF:
- indirect
- transperitoneal
- direct
- facetectomy
- transforaminal - ✔✔- indirect - no
- transperitoneal - no
- direct - yes
- facetectomy - yes
- transforaminal - yes
ANSWERS GRADED A+
✔✔In a deformity correction case, what would be a type of derotation manuever?
- compression
- decompress laterally with DLIF approach
- segmental derotation
- onblock technique - ✔✔- compression - no
- decompress laterally with DLIF approach - no
- segmental derotation - yes
- onblock technique - yes
✔✔What are the techniques used in deformity cases? - ✔✔compression, distraction,
translation, cantilever
✔✔What is the shared benefit of:
- double barrel drill guide
- stab and grab
- single locking mechanism - ✔✔all save time in the OR
✔✔What are some advantages of the ALIF procedure?
- direct decompression
- we only need 1 surgeon
- avoid posterior neural elements
- surgeon has a straight shot to the disc space
- using a larger cage for height restoration - ✔✔- direct decompression - no
- we only need 1 surgeon - no
- avoid posterior neural elements - yes
- surgeon has a straight shot to the disc space - yes
- using a larger cage for height restoration - yes
✔✔What is the major cause of adjacent level disease:
- retrolisthesis
- stenosis
- fusion - ✔✔- retrolisthesis - no
- stenosis - no
- fusion - yes
✔✔what is the term for the breakdown of a joint, loss of cartilage in the joint which
results in hypertrophy and stenosis? - ✔✔facet disease
✔✔The tech hands what instrument to surgeon after he gets cage and inserter handed
to him? - ✔✔the mallet
, ✔✔what does idiopathic mean? - ✔✔no known cause
✔✔what does congenital mean? - ✔✔from birth
✔✔What is the angle of measurement called that is used to determine the degrees of
curvature in the spine? - ✔✔the cobb angle
✔✔In lateral bending x-rays, what are we looking for? - ✔✔rigidity of the curve
✔✔Is the primary or secondary curve more rigid? - ✔✔the primary is more rigid
✔✔is the primary or secondary curve more flexible? - ✔✔the secondary curve is more
flexible
✔✔what is another name for the secondary curve? - ✔✔compensatory curve
✔✔Is compensatory curve more rigid or less rigid than primary - ✔✔less rigid
✔✔Can we surgically address stenosis with:
- laminectomy
- discectomy
- vertebroplasty
- foraminotomy - ✔✔- laminectomy - yes
- discectomy - yes
- vertebroplasty - no
- foraminotomy - yes
✔✔what are the 3 categories of the spine market? - ✔✔- trauma/tumor
- deformity
- degenerative
✔✔what does DDD mean? - ✔✔degenerative disc disease
✔✔TLIF:
- indirect
- transperitoneal
- direct
- facetectomy
- transforaminal - ✔✔- indirect - no
- transperitoneal - no
- direct - yes
- facetectomy - yes
- transforaminal - yes
