Cervical Spine Flashcards

1
Q

What are some common symptoms associated with a Cervical Strain/Sprain?

A

Pain

Neck stiffness

cervicogenic headache (radiating pain in the head)

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2
Q

Which rules are used to determine is a healthy patient should obtain cervical radiography?

A

Canadian C-spine rules

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3
Q

What are physical exam findings that would be seen with a cervical strain/sprain?

A

Tenderness to palpitation over injured area

ROM limitations

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4
Q

What views are ordered for a cervical x-ray?

A

Lateral
AP
Dons

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5
Q

What symptoms are associated with sprains/strains vs muscle spasms?

A

Sharp pain = strains/sprains

Tightness + pain = muscle spasms

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6
Q

During examination what levels of spine are tested for a cervical sprain/strain?

A

C5-T1

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7
Q

What does the Range of motion Spurling’s Test assess?

A

Helps diagnose cervical disc herniation or cervical spondylosis

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8
Q

How is the Spurling’s test performed and what is considered a positive test?

A

Patient laterally flexes the neck to the affected side
Downward compression is applied

Positive Test= reproduction of radicular arm pain

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9
Q

What is the method of injury for a Whiplash injury?

A

MC is a stopped vehicle rear ended

Acceleration–deceleration of the neck with rapid flexion and extension

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10
Q

Classic presentation seen with Whiplash

A
  1. Delayed pain for 12-24 hours
  2. Pain peaks on the 3-5th day
  3. Pain and stiffness with flexion and extension
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11
Q

What are treatments given for Whiplash injuries

A

Cervical collars
NSAIDS
Muscle relaxers - Cyclobenaprine, Metaxalone

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12
Q

What is a cervical facet dysfunction and how is it caused?

A

Caused by a shift in the vetebral column that causes “locking of facet joints”

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13
Q

What is a common phrase associated with a Cervical Facet Dysfunction

A

“When i woke up i couldn’t turn my head”

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14
Q

What is the clinical presentation of a Cervical Facet Dysfunction?

A

Sharp unilateral pain

TTP at the focal facet

ROM limitation –> sharp pain that increases with added cervical extension

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15
Q

Treatment for Cervical Facet Dysfunction?

A

Anti inflammatories & muscle relaxers

Referral to PT/DO

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16
Q

What structure is damaged with a cervical manipulation complication?

What symptoms then occur?

A

Cerebral artery occlusion can occur

Symptoms:
Cervical pain
Dizziness
Vision loss

17
Q

What is Cervical Radiculopathy?

A

Pain at the cervical roots

18
Q

What are causes to radiculopathy?

Which ones are more common in young vs older adults

A

Traumatic stretching of the nerve root
Cervical disc bulge (young/ old adults)
Cervical foraminal narrowing (older adults)

19
Q

How do symptoms of cervical radiculopaty occur in a young vs older adult

A

Young adult –> abrupt pain

Older adult –> gradual

20
Q

What are Hallmark symptoms associated with Cervical Radiculopathy?

A
  1. Cervical pain increased with extension

2. Pain with lateral flexion and rotation towards effected side

21
Q

What are 3 neurological deficits that can occur with Cervical radiculopathy based on nerve root compression/inflammation?

A
  1. Burner-stinger syndrome
  2. Disc buldge/herniation
  3. Foraminal narrowing
22
Q

What are x-ray views ordered for suspected cervical radiculopathy

A

AP
Odontoid
Lateral
R & L oblique views

23
Q

What part of the cervical spine and cause compression of the nerve roots?

A

The uncinate process

24
Q

Treatment for cervical radiculopathy?

A

Anti-inflammatories

Physical therapy

25
Q

What is Cervical spondylosis?

A

Wear and tear of the spine

Degenerative disease

26
Q

What are possible causes of cervical spondylosis?

A
  1. Oseophyte formation
  2. Ligementum flavum thickenening
  3. Disk space narrowing
  4. Vertebral subluxation
27
Q

What the most common locations for cervical spondylosis to occur

A

c5-c6

c6-c7

28
Q

What is the clinical presentation of cervical spondylosis?

A

Progressive ROM loss/stiffness

Pain is intermittent at initial onset but becomes gradual

Cervcial crepitus

Diffuse tenderness along spinous processes

29
Q

What is myelopathy?

What are complications associated with?

A

Compression of the spinal cord tissue

Weak hands,
Leg weakness
Unstead gait
Hyperreflexia

30
Q

What sign, when positive is associated with possible myelopathy?

A

Lhermitte’s sign

Electric shock like sensation down the center of the back following flexion of the neck

31
Q

Treatment for Cervical spondylosis?

A

NSAIDS

Duloxetine (Norepinephrine/serotonin reuptake inhibitor)

Amitriptyline helps with sleep

Neurotontin

Cervical pillow and Physical therapy