Thoracolumbar disc narrowing (TID)


Screenshot 2023-09-07 at 13.17.22
  • View:
    Lateral
    Screenshot 2023-09-07 at 13.16.55
  • Defining characteristics:
    Narrowing or collapse of a disc space in the thoracolumbar spine

  • Common differential diagnoses:
    Intervertebral disc extrusion, positional artifact
    Screenshot 2023-09-07 at 13.18.53
  • Helpful additional data:
    Has the patient been dragging their rear feet or is there nail wear on the toes? Has there been a change in the gait? Is the patient ambulatory? Does the patient appear painful in the abdomen due to referred pain?

  • Commonly associated diagnostics:
    A thorough neurologic evaluation should be done. Consider *SignalCare MDB in advance of medical or surgical therapy.

  • Commonly associated treatments:
    Discuss analgesia and cage confinement vs surgical options.

  • Commonly associated home care:
    Based on treatment, cage rest vs surgery

 

*SignalCare MDB = CBC/Chemistry/Urinalysis/Thoracic ultrasound/Abdominal ultrasound