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Cervical Spine
Gil lecture
| Question | Answer |
|---|---|
| What is the function of the discovertebral joint? | Converts compression load to radial tension, Balance between mobility & stability |
| What is the function of the zygapophyseal joint? | WEIGHT BEARING (MORE THAN LUMBAR), RESTRICTS ANTERIOR TRANSLATION |
| 50% of cervical rotation occurs at what segment? | C1-2 |
| What could loss of lordosis be caused by in the cervical spine? | muscle spasm |
| What is quadrant loading used for? | reproduction of facet pain in the cervical spine |
| What is the distraction test used for? | reduction of pain |
| Distraction test is a prognosticator for what? | Traction |
| Spurling's test is used for reproduction of what kind of pain? | Radicular |
| Lhermitte's sign reproduces what? | electrical shock sensation down the spine and or extremities. |
| In lhermitte's sign, if the sensation is reproduced with extension the cause is likely due to what? | Spinal cord compression |
| In lhermitte's sign, if the sensation is reproduced with flexion the cause is likely due to what? | dorsal column pathology |
| What are the three phases of the spine pathogenesis degenerative cascade? | dysfunction, instability, stenotic |
| Pathology in what cervical joint often causes tension headaches? | atlantoaxial(C1-C2) |
| tenderness of right C4/5 lateral mass/facet, provocation of pain w/ extension & ipsilateral rotation (“quadrant loading sign”) are signs of what? | Cervical facet pain |
| right sub-occipital area tenderness w/ increased pain on right rotation but not w/ extension are signs of what? | LATERAL ATLANTOAXIAL OA |
| loss of lordosis, limited AROM, reproduction of the pain w/ flexion > extension and w/ valsalva test,are often signs of what? | CERVICAL DISC INTERNAL DISC DISRUPTION |
| loss of lordosis, limited AROM, reproduction of the neck and arm pain w/ extension combined w/ rotation (Spurling’s Sign), diminished biceps reflex and sensation are signs of what? | Cervical radiculopathy |
| What are common c-spine pain generators? | Facet joint, disc, and root(esp C5-C6 level) |
| Always evaluate lower extremity reflexes to rule out what? | myelopathy |
| What might be the cause of LMN FINDINGS IN UE’s (ESP. C5-7 LEVELS) & UMN FINDINGS IN LE’s (PATHOLOGICAL REFLEX)? | Cervical Spondylitic Myelopathy |
Created by:
txst spr 2009
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