Vishnu Koneru MD
Vishnu Koneru MD

@vikrikon

7 Tweets 40 reads Mar 17, 2023
Spondy๐—น๐—ผ๐˜€๐—ถ๐˜€ vs
Spondy๐—น๐˜†๐˜๐—ถ๐˜€ vs
Spondy๐—น๐—ผ๐—น๐˜†๐˜€๐—ถ๐˜€ vs
Spondy๐—น๐—ผ๐—น๐˜†๐˜€๐˜๐—ต๐—ฒ๐˜€๐—ถ๐˜€ vs
Prolapsed Inter Vertebral Disk (๐—ฃ๐—œ๐—ฉ๐——) -
๐—” ๐˜€๐—ต๐—ผ๐—ฟ๐˜ ๐˜๐—ต๐—ฟ๐—ฒ๐—ฎ๐—ฑ ๐Ÿงต
๐—ฆ๐—ฝ๐—ผ๐—ป๐—ฑ๐˜†๐—น๐—ผ๐˜€๐—ถ๐˜€-
๐——๐—ฒ๐—ด๐—ฒ๐—ป๐—ฒ๐—ฟ๐—ฎ๐˜๐—ถ๐˜ƒ๐—ฒ osteoarthritis: Mainly involving the joints between the vertebral body and foraminal neurons--> The space between two adjacent vertebrae narrows--> compression of nerve roots. Can even cause cervical myelopathy(cord damage)
๐—ฆ๐—ฝ๐—ผ๐—ป๐—ฑ๐˜†๐—น๐—ผ๐˜€๐—ถ๐˜€- 
๐——๐—ฒ๐—ด๐—ฒ๐—ป๐—ฒ๐—ฟ๐—ฎ๐˜๐—ถ๐˜ƒ๐—ฒ osteoarthritis: Mainly involving the joints between the vertebral body an...
๐—ฆ๐—ฝ๐—ผ๐—ป๐—ฑ๐˜†๐—น๐—ถ๐˜๐—ถ๐˜€-
๐—œ๐—ป๐—ณ๐—น๐—ฎ๐—บ๐—บ๐—ฎ๐˜๐—ผ๐—ฟ๐˜† arthritis:specifically sacroiliac & facet joints -->with multiple changes- erosions, sclerosis,calcification of vertebral and paravertebral structures-->finally leads to ankylosis.Spinal stenosis less common.Cervical myelopathy +-
๐—ฆ๐—ฝ๐—ผ๐—ป๐—ฑ๐˜†๐—น๐—ถ๐˜๐—ถ๐˜€- 
๐—œ๐—ป๐—ณ๐—น๐—ฎ๐—บ๐—บ๐—ฎ๐˜๐—ผ๐—ฟ๐˜† arthritis:specifically sacroiliac & facet joints -->with multiple...
๐—ฆ๐—ฝ๐—ผ๐—ป๐—ฑ๐˜†๐—น๐—ผ๐—น๐˜†๐˜€๐—ถ๐˜€(mostly L5)-
Stress(hyperextension) fracture in a segment of vertebra(that connects superior and inferior articular facets) called ๐—ฝ๐—ฎ๐—ฟ๐˜€ ๐—ถ๐—ป๐˜๐—ฒ๐—ฟ๐—ฎ๐—ฟ๐˜๐—ถ๐—ฐ๐˜‚๐—น๐—ฎ๐—ฟ๐—ถ๐˜€ -->Exertional pain (mostly asymptomatic)
Common ๐— ๐—–๐—ค: Scottish-Dog sign on Xray
๐—ฆ๐—ฝ๐—ผ๐—ป๐—ฑ๐˜†๐—น๐—ผ๐—น๐˜†๐˜€๐—ถ๐˜€(mostly L5)-
Stress(hyperextension) fracture in a segment of vertebra(that connects sup...
๐—ฆ๐—ฝ๐—ผ๐—ป๐—ฑ๐˜†๐—น๐—ผ๐—น๐˜†๐˜€๐˜๐—ต๐—ฒ๐˜€๐—ถ๐˜€(mostly L5-S1)-
Spinous-process fracture--> Breakaway of vertebral body from spinous process-->Vertebral body ๐˜€๐—น๐—ถ๐—ฝ๐˜€ ๐—ณ๐—ผ๐—ฟ๐˜„๐—ฎ๐—ฟ๐—ฑ to the underlying vertebra--> Progressive deformation of lower back with exertional pain.
๐—ฆ๐—ฝ๐—ผ๐—ป๐—ฑ๐˜†๐—น๐—ผ๐—น๐˜†๐˜€๐˜๐—ต๐—ฒ๐˜€๐—ถ๐˜€(mostly L5-S1)-
Spinous-process fracture--> Breakaway of vertebral body from spi...
๐—ฃ๐—œ๐—ฉ๐——/Disk prolapse/Slipped disc/Disc herniation(mostly L4-L5 or L5-S1):
Protrusion/extrusion of ๐—ป๐˜‚๐—ฐ๐—น๐—ฒ๐˜‚๐˜€ ๐—ฝ๐˜‚๐—น๐—ฝ๐—ผ๐˜€๐˜‚๐˜€ ๐˜๐—ต๐—ฟ๐—ผ๐˜‚๐—ด๐—ต ๐—ฎ๐—ป๐—ป๐˜‚๐—น๐˜‚๐˜€ ๐—ณ๐—ถ๐—ฏ๐—ฟ๐—ผ๐˜€๐—ถ๐˜€ of the disk-->into vertebral canal --> impingement & inflammation and of nerves/spinal cord--> Pain
๐—ฃ๐—œ๐—ฉ๐——/Disk prolapse/Slipped disc/Disc herniation(mostly L4-L5 or L5-S1):
Protrusion/extrusion of ๐—ป๐˜‚๐—ฐ๐—น...
More than exam prep,I hope this thread helps everyone and myself to conceptually understand what exactly is written in our patients' MRIs.

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