Name the red, brown, green, and blue lines on the picture below.
(C-Spine Lateral View)
Red: anterior vertebral line
Brown: posterior vertebral line
Green: spinal laminar line
Blue: posterior spinous process line
If we see a significant misalignment of the spinous processes in an AP radiograph, what diagnosis might we expect?
Unilateral facet joint dislocation
If we see a significant widening of the spinous processes on an AP radiograph, what diagnosis might we expect?
Anterior cervical dislocation
How could an open mouth radiograph assist us in visualizing the spine?
It gives us a unique view of C1/C2
If the lateral masses of C1 overhang the lateral masses of C2, what diagnosis might we expect?
Jefferson burst fracture
Which foramina is visible in a right posterior oblique (45°) view?
The left foramina
(posterior oblique views show the other foramina)
What are the major motions of the OA joint?
What are the minor motions?
Major motions: flexion and extension
Minor motions: side bending and rotation
Which way do side bending and rotation occur for the OA joint?
Which way do side bending and rotation occur for C3/C7?
OA: opposite directions
C3/C7: same directions
What two muscles are in charge of rotation of the AA joint?
Obliquus Capitis Inferior
Theoretically, why does the rotation of C2-C7 occur in the same direction?
There uncinate processes
What are the indications for soft tissue cervical treatment?
Cervical somatic dysfunction with significant soft tissue component
What are the contraindications for soft tissue cervical treatment?
Fractures, open wounds, surgical sites, infection (bony or soft tissue), DVT, coagulopathy, neoplasm
What are the indications for HVLA, and ART?
Cervical somatic dysfunction with identified range of motion restriction attributable to a somatic dysfunction in the cervical facet joint, a joint
What are the contraindications for HVLA and ART?
Vertebral / Carotid Artery Disease
What are the indications for Still's Technique or MET?
What are the contraindications for MET or Still's?
Undiagnosed joint swelling, severe osteoporosis, neoplasm, infection, hematoma, RA, fracture, dislocation
What are the three stages of Spurling's Maneuver?
1. Compression of the head in neutral
2. Compression of the head in extension
3. Sidebend away from the affected side, then toward the affected side and add compression
What does a positive Spurling's test indicate?
Nerve root compression