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intramedullary tumor S/S
- 1. slow evolution
- 2. pain in neck, not radicular (bc in SC, cant compress dural sheath)
- 3. local hyperesthesia
- 4. motor/sensory loss at LOL (early)
- 5. cord signs (late)
- 6. no articular signs bc not in foramen
-
Metastatic bone tumor S/S
- Adults: more common than primary bone tumors
- Sources: breast, lung, thyroid, kidney, prostate, colon, skin
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Warning signs of cervical osseous tumors
- 1. gradually increasing pain (especially at night)
- 2. expanding pain
- 3. bilat arm pain
- 4. Muscle spasm or empty PROM
- 5. capsular pattern (bone fx or CA)
- 6. painful/weak neck MMT
- 7. 2-3 NR involved
- 8. BLT KP & CS (metastases)
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Spinal tumor warning signs
- 1. >50
- 2. elderly w/ neck pain for 1st time
- 3. children = primary bone tumor
- 4. PMHx CA
- 5. unexplained weight loss
- 6. constant progressive pain at night
- 7. pain lasting >1 mo
- 8. PT doesn’t help within 1 mo
-
5 serious conditions that may present as LBP
- 1. bone metastatic CA
- 2. spinal infection
- 3. endocarditis
- 4. vertebral fx
- 5. cauda equina syndrome
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C/S radiograph lateral view
facets
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C/S radiograph oblique view
foramen
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