Spine Secrets

Magnetic resonance imaging of the spine

1 What is magnetic resonance imaging (MRI)? Magnetic resonance imaging (MRI) is a noninvasive imaging technology that uses magnetic fields and radiofrequency (RF) current to generate three-dimensional anatomical images without the use of ionizing radiation. The components of an MRI…

Radiographic assessment of the spine

General 1 What features distinguish screen-film radiography (SFR) versus computed radiography (CR) versus digital radiography (DR)? Screen-film radiography (SFR), also known as conventional or film-based radiography, utilizes a light-sensitive silver halide–coated film placed within a cassette containing two intensifying screens,…

Evaluation of impairment, disabilty, and workers’ compensation

1 Distinguish between impairment, disability, and handicap. An impairment is the “deviation of an anatomic structure, physiologic function, intellectual capability, or emotional status from that which the individual possessed prior to an alteration in those structures or functions or from…

Evaluation of spinal deformities

1 What is a spinal deformity? A spinal deformity is an abnormality of the alignment, formation, or shape of the spinal column. Traditionally, spinal deformities have been classified into those that predominantly affect the coronal plane (e.g., idiopathic scoliosis) and…

Evaluation of thoracic and lumbar spine disorders

Thoracic spine examination 1 What are the most common reasons for referral to evaluate the thoracic spinal region? Pain and spinal deformity. The differential diagnosis of thoracic pain is extensive and includes both spinal and nonspinal etiologies. Spinal deformities (e.g.,…

Evaluation of cervical spine disorders

1 How does the evaluation of a patient with a spine complaint begin? A complete history and physical examination are performed. The purpose of the history and physical examination is to make a provisional diagnosis that is confirmed by subsequent…

Clinically relevant anatomy of the thoracic region

Osteology 1 Describe a typical thoracic vertebra. T1 and T10 through T12 possess unique anatomic features due to their transitional location between the cervicothoracic and thoracolumbar spinal regions, respectively. Thoracic vertebra two through nine are termed typical thoracic vertebra because…

Clinically relevant anatomy of the cervical region

Osteology 1 Describe the bony landmarks of the occiput. The occiput forms the posterior osseous covering for the cerebellum. The foramen magnum is the opening through which the spinal cord joins the brainstem. The anterior border of the foramen magnum…