REIDER PART 201

Chaptf.k 9_Lumbar Spine 361

TAKE HOME POINTS

1.    Lumbar spine examination should include careful inspection, gait, rangę of motion testing, and a thorough neurologie examination.

2.    Palpation of the lumbar spine should be performed to identify any areas of tenderness or "step-off."

3.    Neurologie examination should include motor, sensory, and reflex testing in the distribution of the lumbar nerve roots.

4.    Nerve tension tests are helpful at identifying pressure on a nerve root such as that caused by a herniated disk. The straight-leg raising test is morę sensitive for nerve root compression, while the crossed straight-leg raising test is morę specific.

5.    Profound or progressive neurologie deficit mandates immediate patient work-up.

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