MSC SPINE FINAL EXAM ACTUAL QUESTIONS AND
ANSWERS GRADED A+
✔✔What are the two best instrument options to reduce a grade 1 or grade 2 spondy?
- Pistol grip persuader
- Threader tower reducer
- interbody cage
- rod pusher - ✔✔Pistol grip persuader
Threader tower reducer
✔✔What are we looking for in lateral bending x-rays (AP) in deformity? - ✔✔trying to
see the rigidity or flexibility of curve
✔✔The thoracic spine is what type of curve? - ✔✔Kyphotic
✔✔If there isn't enough kyphosis in the curve, what do we call that? - ✔✔Hypo-kyphotic
or flat back
✔✔The lumbar spine is what type of curve? - ✔✔Lordotic
✔✔If there was a flat back or loss of lordosis in Lumbar spine, we would call the curve?
- ✔✔Hypo-lordotic or kyphotic
✔✔When doing a PLIF, do we have to resect...
- Ligamentum nuchae
- interspinous lig
- ALL
- Supraspinous
- Flavum
- PLL - ✔✔interspinous
Supraspinous
flavum
PLL
✔✔What do we call the angle of measurement that we use to determine the degrees of
curvature in the spine? - ✔✔Cobb angle
✔✔What is another word for unknown origin? - ✔✔Idiopathic
✔✔What instrument follows the cage and inserter when we are handing off to the
surgeon? - ✔✔The mallet
✔✔What is the symptom when talking about radiculopathy? - ✔✔Numbness; pinched
nerve
, ✔✔What might happen if we have a breakdown of the annulus fibrosus? - ✔✔Herniated
Nucleus pulposis
✔✔Breakdown or thickening of the ligamentum flavum is called... - ✔✔Hypertrophy of
the ligamentum flavum
✔✔What do we call loss of cartilaginous surface on the facet joint, hypertrophy, or
osteophytes being caused by? - ✔✔Facet disease, hypertrophy, arthropathy
✔✔What can cause ASD? Where do they usually occur? - ✔✔Fusions/ Superior lvl
✔✔What is it called when we have ASD caused by a surgery or surgeon? -
✔✔Iatrogenic
✔✔Why do we prep the endplates? - ✔✔Get bony bleeding to help with fusion
✔✔ALIF stands for - ✔✔Anterior Lumbar Interbody Fusion
✔✔Is the ALIF a direct decompression? - ✔✔Indirect
✔✔Advantages of ALIF...
- Avoid posterior elements
- dont need approach surgeon
- use larger cage
- straight shot to disc space - ✔✔- Avoid posterior elements
- use larger cage
- straight shot to disc space
✔✔The shared value of a double barreled drill guide, dts guide, zero step locking mech
is... - ✔✔saves OR time
✔✔Major goal when looking at trauma cases are... - ✔✔stability
✔✔Describe friction head feature and what it is designed to do... - ✔✔Manipulate heads
of tulip to help w rod placement
✔✔Correctional maneuvers in deformity case:
- set screw tightening
- spondy reduction instrument
- corpectomy
- compression and distraction
- torqueing
- translation
ANSWERS GRADED A+
✔✔What are the two best instrument options to reduce a grade 1 or grade 2 spondy?
- Pistol grip persuader
- Threader tower reducer
- interbody cage
- rod pusher - ✔✔Pistol grip persuader
Threader tower reducer
✔✔What are we looking for in lateral bending x-rays (AP) in deformity? - ✔✔trying to
see the rigidity or flexibility of curve
✔✔The thoracic spine is what type of curve? - ✔✔Kyphotic
✔✔If there isn't enough kyphosis in the curve, what do we call that? - ✔✔Hypo-kyphotic
or flat back
✔✔The lumbar spine is what type of curve? - ✔✔Lordotic
✔✔If there was a flat back or loss of lordosis in Lumbar spine, we would call the curve?
- ✔✔Hypo-lordotic or kyphotic
✔✔When doing a PLIF, do we have to resect...
- Ligamentum nuchae
- interspinous lig
- ALL
- Supraspinous
- Flavum
- PLL - ✔✔interspinous
Supraspinous
flavum
PLL
✔✔What do we call the angle of measurement that we use to determine the degrees of
curvature in the spine? - ✔✔Cobb angle
✔✔What is another word for unknown origin? - ✔✔Idiopathic
✔✔What instrument follows the cage and inserter when we are handing off to the
surgeon? - ✔✔The mallet
✔✔What is the symptom when talking about radiculopathy? - ✔✔Numbness; pinched
nerve
, ✔✔What might happen if we have a breakdown of the annulus fibrosus? - ✔✔Herniated
Nucleus pulposis
✔✔Breakdown or thickening of the ligamentum flavum is called... - ✔✔Hypertrophy of
the ligamentum flavum
✔✔What do we call loss of cartilaginous surface on the facet joint, hypertrophy, or
osteophytes being caused by? - ✔✔Facet disease, hypertrophy, arthropathy
✔✔What can cause ASD? Where do they usually occur? - ✔✔Fusions/ Superior lvl
✔✔What is it called when we have ASD caused by a surgery or surgeon? -
✔✔Iatrogenic
✔✔Why do we prep the endplates? - ✔✔Get bony bleeding to help with fusion
✔✔ALIF stands for - ✔✔Anterior Lumbar Interbody Fusion
✔✔Is the ALIF a direct decompression? - ✔✔Indirect
✔✔Advantages of ALIF...
- Avoid posterior elements
- dont need approach surgeon
- use larger cage
- straight shot to disc space - ✔✔- Avoid posterior elements
- use larger cage
- straight shot to disc space
✔✔The shared value of a double barreled drill guide, dts guide, zero step locking mech
is... - ✔✔saves OR time
✔✔Major goal when looking at trauma cases are... - ✔✔stability
✔✔Describe friction head feature and what it is designed to do... - ✔✔Manipulate heads
of tulip to help w rod placement
✔✔Correctional maneuvers in deformity case:
- set screw tightening
- spondy reduction instrument
- corpectomy
- compression and distraction
- torqueing
- translation
