Spine: Stenosis, Spondylolisthesis, and Facet-Mediated Pain. Part of the Musculoskeletal series of the Reflex PM&R Board Review podcast. The full companion chapter and a linked board-style Q-bank set for this topic are at https://www.reflexpmr.com/read/MSK-15.
Chapters:
0:00 Intro
0:31 Cervical Stenosis - Why the Canal Numbers Work
8:01 Radiculopathy versus Myelopathy
10:51 The Upper Motor Neuron Exam
12:56 Imaging and Grading Cervical Myelopathy
15:21 What Else Compresses a Cord - Seven Non-Degenerative Causes
19:11 Rheumatoid Pannus, and Why Myelopathy Goes to Surgery
21:01 Lumbar Spinal Stenosis - Three Places the Canal Narrows
26:56 Neurogenic versus Vascular Claudication
30:01 Treating Lumbar Stenosis - Flexion In, Extension Out
31:41 Spondylolysis - the Pars Stress Fracture
33:56 Imaging the Pars
35:26 Spondylolysis Treatment - and the Two Criteria for Return to Sport
37:06 Spondylolisthesis and the Meyerding Grades
40:01 The Wiltse Classification - Six Types
42:16 Evaluating and Managing a Slip
45:46 Facet-Mediated Pain
48:16 Dual Medial Branch Innervation
50:11 The Medial Branch Block and Radiofrequency Ablation
52:06 Radiofrequency Ablation and Facet Rehab
54:16 Discitis and Vertebral Osteomyelitis
57:21 Who Gets It - Five Host Risk Factors
59:01 Imaging and Treating Spinal Infection
1:01:56 Scheuermann Disease
1:04:56 Five Things to Know Cold