MSC SPINE UPDATED EXAM SCRIPT QUESTIONS AND
ANSWERS GRADED A+
✔✔Two types of derotation maneuvers in deformity? - ✔✔Unblock and segmental
✔✔Challenges when doing perc screws?
- only address one lvl
- inserting the rod
- instruments or towers becoming disengaged
- rod holders becoming disengaged - ✔✔- instruments or towers becoming disengaged
- rod holders becoming disengaged
✔✔Two most common fractures in the lumbar column? - ✔✔Compression and Burst
✔✔How many incisions in the mini open TLIF and what are they used for? - ✔✔3; 2 for
perc screws on contralateral side and 1 in ipsilateral
✔✔Mini Open TLIF, what is happening here... - ✔✔2 incisions are for perc screws on
contralateral side, use our retractor, interbody approach, facetectomy, decompression,
one longer incision, pack biologics in the lateral gutters
✔✔Cervical Spine Image - ✔✔a- vertebral foramen/ central foramen
b- lateral mass
g- odontoid
✔✔Thoracic Spine Image - ✔✔d- Lamina
b- spinous process
e- pedicle
f- SAP Superior Articulating Process
g- transverse process
i- IAP
h- vertebral body
k- superior costal facet
✔✔Herniation image - ✔✔Extrusion
✔✔Image 4 - ✔✔Type: T2 Weighted MRI
View: Mid Sagittal
Area: C-spine
Pathologies: DDD, Myelopathy
✔✔5 Steps for pedicle screw placement - ✔✔AWL
Pedicle probe
Ball tip probe
Tap
, Screw
✔✔What is the most common type of screw placement in the posterior cervical spine?
- Polyaxial
- Percutaneous
- Facet screw
-Translaminar
- Modular
- Lateral mass - ✔✔Lateral mass
✔✔What is significant about Mobi-C - ✔✔First 2 lvl FDA approval
✔✔What are two advtgs to using robot and navigation system? - ✔✔Less radiation
accuracy of the screws
✔✔How are the ligaments acting in the motion segment? - ✔✔Passive restraints
✔✔What is the disc acting as in motion segment... - ✔✔Pivot point
✔✔What are the muscles in the motion segment... - ✔✔Actuators
✔✔What are the spinous process acting as in motion segment... - ✔✔Levers
✔✔What are the facets acting as in motion segment... - ✔✔Pivot
✔✔In flexion, where does the nucleolus pulpous move? Extension? - ✔✔Posterior/
Anteriorly
✔✔What plains can we attain w navigation? - ✔✔All 3 ( coronal, sagittal, axial)
✔✔What are we trying to access when looking at AP films to look at rotational
deformities in relation to midline? - ✔✔pedicles
✔✔When a disc becomes completely black, why is this happening? - ✔✔Loss of
hydration
✔✔FDA approved disc arthroplasty devices...
- Mobi C
- M6 Orthofix
- Sea spine shore line
- globus secure c
- nuvasive simplify
- nuvasiv PCM
- globus coalition - ✔✔mobi c
ANSWERS GRADED A+
✔✔Two types of derotation maneuvers in deformity? - ✔✔Unblock and segmental
✔✔Challenges when doing perc screws?
- only address one lvl
- inserting the rod
- instruments or towers becoming disengaged
- rod holders becoming disengaged - ✔✔- instruments or towers becoming disengaged
- rod holders becoming disengaged
✔✔Two most common fractures in the lumbar column? - ✔✔Compression and Burst
✔✔How many incisions in the mini open TLIF and what are they used for? - ✔✔3; 2 for
perc screws on contralateral side and 1 in ipsilateral
✔✔Mini Open TLIF, what is happening here... - ✔✔2 incisions are for perc screws on
contralateral side, use our retractor, interbody approach, facetectomy, decompression,
one longer incision, pack biologics in the lateral gutters
✔✔Cervical Spine Image - ✔✔a- vertebral foramen/ central foramen
b- lateral mass
g- odontoid
✔✔Thoracic Spine Image - ✔✔d- Lamina
b- spinous process
e- pedicle
f- SAP Superior Articulating Process
g- transverse process
i- IAP
h- vertebral body
k- superior costal facet
✔✔Herniation image - ✔✔Extrusion
✔✔Image 4 - ✔✔Type: T2 Weighted MRI
View: Mid Sagittal
Area: C-spine
Pathologies: DDD, Myelopathy
✔✔5 Steps for pedicle screw placement - ✔✔AWL
Pedicle probe
Ball tip probe
Tap
, Screw
✔✔What is the most common type of screw placement in the posterior cervical spine?
- Polyaxial
- Percutaneous
- Facet screw
-Translaminar
- Modular
- Lateral mass - ✔✔Lateral mass
✔✔What is significant about Mobi-C - ✔✔First 2 lvl FDA approval
✔✔What are two advtgs to using robot and navigation system? - ✔✔Less radiation
accuracy of the screws
✔✔How are the ligaments acting in the motion segment? - ✔✔Passive restraints
✔✔What is the disc acting as in motion segment... - ✔✔Pivot point
✔✔What are the muscles in the motion segment... - ✔✔Actuators
✔✔What are the spinous process acting as in motion segment... - ✔✔Levers
✔✔What are the facets acting as in motion segment... - ✔✔Pivot
✔✔In flexion, where does the nucleolus pulpous move? Extension? - ✔✔Posterior/
Anteriorly
✔✔What plains can we attain w navigation? - ✔✔All 3 ( coronal, sagittal, axial)
✔✔What are we trying to access when looking at AP films to look at rotational
deformities in relation to midline? - ✔✔pedicles
✔✔When a disc becomes completely black, why is this happening? - ✔✔Loss of
hydration
✔✔FDA approved disc arthroplasty devices...
- Mobi C
- M6 Orthofix
- Sea spine shore line
- globus secure c
- nuvasive simplify
- nuvasiv PCM
- globus coalition - ✔✔mobi c
