Degenerative disease of the lumbar spine, radiograph
Claim CME CreditPOINT OF CARE INFORMATION
This CME activity consists of the student reviewing the video of the professor reviewing the case as well as the associated DICOM image set related to the case in question.
Learning Objectives
As a result of participation in this activity, participants should be able to:
- Provide improved patient care.
- Greater knowledge of the imaging characteristics of the patient's disease.
- Understand a better approach to interpretation of studies.
Faculty Disclosure
Mehmet Albayram, MD, Ivan Davis, MD, Mariam Hanna, MD, Anthony Mancuso, MD, Ronald Quisling, MD, Dhanashree Rajderkar, MD, Priya Sharma, MD, Roberta Slater, MD and Joann Stamm, MBA have disclosed that they have no relevant financial relationships. No one else is a position to control content have any financial relationship to disclose.
CME Advisory Committee Disclosure:
Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.
Continuing Medical Education Credit
Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CB1246-Degenerative disease of the lumbar spine, radiograph
View Images
CB1246-Degenerative disease of the lumbar spine, radiograph
Case ReportHistory
Exam
Prior Study
Findings
Technique
The thoracolumbar junction and the lumbosacral junction are included on the exam.
The exam is not limited by technique.
Prevertebral and paravertebral soft tissues
There may be calcifications in the abdominal aorta.
Spinal alignment
The anterior and posterior vertebral body lines are interrupted with grade 1 retrolisthesis of L2 on L3 and L3 on L4. There is also grade 1 anterolisthesis of L5 on S1.
The visualized spinous processes are not malaligned or distracted.
There is levoscoliosis (convex left) at the thoracolumbar junction.
Vertebral bodies, posterior elements, and included sacral segments
There are 5 non rib-bearing vertebral bodies.
There is no fracture or distraction of a vertebral body, transverse or spinous process, or other posterior element.
There is disruption of the trabecular pattern of the end plates at T12-L1 and L1-L2 from Schmorl's nodes.
There is mild sclerosis and narrowing of the SI joints from degenerative change.
Disc spaces and facet joints
There is grade 1 retrolisthesis of L2 on L3 and L3 on L4, and grade 1 anterolisthesis of L5 on S1, related to degenerative disc and facet changes as well as scoliosis.
There is no widening, rotational abnormality, or displacement of facets at any motion segment.
There is no facet joint narrowing or sclerosis other than from degenerative change.
There is no narrowing or encroachment of a neural foramen other than from degenerative change.
The previously noted degenerative changes may or may not be symptom generators and might explain the patient’s symptoms.
Additional soft tissues and bones (lower thorax, abdomen, and pelvis)
The bowel gas pattern is normal.
There may be calcifications in the abdominal aorta.
The included abdominal and pelvic soft tissues, thoracic spine, ribs, chest, and remainder of the bony pelvis are normal.
Other findings
There are no other existing conditions that might be contributing to symptoms which can or should be further evaluated non-emergently.
