MSC SPINE ACTUAL UPDATED QUESTIONS AND ANSWERS
GRADED A+
✔✔What is the most popular type of pedicle screw?
Most common type for spondys?
Addresses osteoporosis
Considered MIS? - ✔✔Polyaxially
Reduction
Fenestrated
Percutaneous
✔✔Image (interbody w three screws)
Benefit
- decrease cage resorption and subsidence
- screw threading twice as fast
- three screw construct provides lag effect
- steep cephalad screw and two inferior shallow screws for cortical purchase - ✔✔-
three screw construct provides lag effect
- steep cephalad screw and two inferior shallow screws for cortical purchase
✔✔Spondylaptosis definition - ✔✔Grade 5 subluxation
✔✔Would we use VBR for
- C1-C2 fusion
- basic 1 lvl disc herniation
- Corpectomy cage for burst fracture (trauma) - ✔✔- Corpectomy cage for burst fracture
(trauma)
✔✔Image 10 - ✔✔Curets
✔✔What is in tradition disc prep set:
- curets
- pituitary
- osteotome - ✔✔- curets
- pituitary
✔✔On T2 Weighted MRI, what shows up in white? - ✔✔Disc and CSF
✔✔ What does PLIF stand for? - ✔✔Posterior Lumbar Interbody Fusion
✔✔What does TLIF stand for? - ✔✔Transforaminal Lumbar Interbody Fusion
✔✔The spine market is broken down into three categories; what are they? - ✔✔-
Trauma
, - Deformity
- Degenerative
✔✔As the spine segment degenerates, what joints are effected? - ✔✔2 facets, 1 disc
✔✔What's another name for bone spurs? - ✔✔osteophytes
✔✔Definition of spondylosis? - ✔✔Spinal arthritis
✔✔Spondylolysis definition - ✔✔pars fracture
✔✔Spondylolisthesis definition - ✔✔anterior slip of one vertebrae over another
✔✔Stenosis definition - ✔✔narrowing of the spinal canal/ foramen
✔✔What are some of the surgical options when addressing stenosis? -
✔✔Laminectomy
Laminotomy
Foraminotomy
Micro discectomy
✔✔In the normal anatomical alignment of the spine, how should it appear in the coronal
plane? / Sagittal plane? - ✔✔Straight line/ S-curved
✔✔What's another way to describe secondary curve? - ✔✔Compensatory
✔✔Is the compensatory curve considered more ridged or less ridged? - ✔✔Less ridged
✔✔Definition of scoliosis - ✔✔Lateral curvature of the spine > 10 degrees over midline
in coronal plane
✔✔Implants to address a grade 1 or 2 spondy, what are they? - ✔✔spondy reduction
screw
interbody cage
✔✔What are some of the instruments we may use to compress and distract a pedicle
screw construct? - ✔✔Distractor, compressor, facet screw driver
✔✔When compressing over an interbody, what are we helping? - ✔✔promote wolfs law
promote fusion
prevent migration
induce lordosis
✔✔What are the two best instrument options to reduce a grade 1 or grade 2 spondy?
GRADED A+
✔✔What is the most popular type of pedicle screw?
Most common type for spondys?
Addresses osteoporosis
Considered MIS? - ✔✔Polyaxially
Reduction
Fenestrated
Percutaneous
✔✔Image (interbody w three screws)
Benefit
- decrease cage resorption and subsidence
- screw threading twice as fast
- three screw construct provides lag effect
- steep cephalad screw and two inferior shallow screws for cortical purchase - ✔✔-
three screw construct provides lag effect
- steep cephalad screw and two inferior shallow screws for cortical purchase
✔✔Spondylaptosis definition - ✔✔Grade 5 subluxation
✔✔Would we use VBR for
- C1-C2 fusion
- basic 1 lvl disc herniation
- Corpectomy cage for burst fracture (trauma) - ✔✔- Corpectomy cage for burst fracture
(trauma)
✔✔Image 10 - ✔✔Curets
✔✔What is in tradition disc prep set:
- curets
- pituitary
- osteotome - ✔✔- curets
- pituitary
✔✔On T2 Weighted MRI, what shows up in white? - ✔✔Disc and CSF
✔✔ What does PLIF stand for? - ✔✔Posterior Lumbar Interbody Fusion
✔✔What does TLIF stand for? - ✔✔Transforaminal Lumbar Interbody Fusion
✔✔The spine market is broken down into three categories; what are they? - ✔✔-
Trauma
, - Deformity
- Degenerative
✔✔As the spine segment degenerates, what joints are effected? - ✔✔2 facets, 1 disc
✔✔What's another name for bone spurs? - ✔✔osteophytes
✔✔Definition of spondylosis? - ✔✔Spinal arthritis
✔✔Spondylolysis definition - ✔✔pars fracture
✔✔Spondylolisthesis definition - ✔✔anterior slip of one vertebrae over another
✔✔Stenosis definition - ✔✔narrowing of the spinal canal/ foramen
✔✔What are some of the surgical options when addressing stenosis? -
✔✔Laminectomy
Laminotomy
Foraminotomy
Micro discectomy
✔✔In the normal anatomical alignment of the spine, how should it appear in the coronal
plane? / Sagittal plane? - ✔✔Straight line/ S-curved
✔✔What's another way to describe secondary curve? - ✔✔Compensatory
✔✔Is the compensatory curve considered more ridged or less ridged? - ✔✔Less ridged
✔✔Definition of scoliosis - ✔✔Lateral curvature of the spine > 10 degrees over midline
in coronal plane
✔✔Implants to address a grade 1 or 2 spondy, what are they? - ✔✔spondy reduction
screw
interbody cage
✔✔What are some of the instruments we may use to compress and distract a pedicle
screw construct? - ✔✔Distractor, compressor, facet screw driver
✔✔When compressing over an interbody, what are we helping? - ✔✔promote wolfs law
promote fusion
prevent migration
induce lordosis
✔✔What are the two best instrument options to reduce a grade 1 or grade 2 spondy?
