[cervical spondylosis] Flashcards Preview

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Flashcards in [cervical spondylosis] Deck (26)
1

[cervicalspondylosis]: causes ...-paresis

quadri

2

[cervicalspondylosis]: below what structure is the distribution of sensory loss

neck

3

[cervicalspondylosis]: what causes myelopathy

degeneration of annulus fibrosis
neck flexion drags cord over bony spurs
cord compressed between osteophytes anteriorly and ligamentum flavum posteriorly

4

[cervicalspondylosis]: what sign is present in a patient ?

painful neck movement

5

[cervicalspondylosis]: what causes radiculopathy

damage to nerve at root or near root

6

[cervicalspondylosis]: A radiculopathy will result in what pattern of muscle damage at the level of the compression

LMNL

7

[cervicalspondylosis]: below the level of the affected root what pattern of muscle damage might you expect

UMNL

8

[cervicalspondylosis]: What is a dynatome

area of pain/pins and needles caused by a trapped nerve

9

[cervicalspondylosis]: neck and trapezius pain is caused by C... and C... damage

3
4

10

[cervicalspondylosis]: shoulder pain radiating to elbow is caused by C... damage

5

11

[cervicalspondylosis]: pain down dorsal arm into middle finger indicates C... damage

7

12

[cervicalspondylosis]: Pain down inferior aspect of arm into 4th and 5th digits is caused by C... damage

8

13

[cervicalspondylosis]: what is the 1st line Ix?

MRI

14

[cervicalspondylosis]: what is the ligamentum flavum?

they connect the lamina of the adjacent vertebra and are in contact with the cord dorsally

15

[cervicalspondylosis]: what is 1st line Mx for mild cases?

neck collar
(restricts AP neck movement)

16

[cervicalspondylosis]: what is 1st line management for significant MRI abnormality? (2)

Laminectomy
Laminoplasty

17

[cervicalspondylosis]: what is a laminectomy

removal of section of lamina - decompression surgery

18

[cervicalspondylosis]: what is a laminoplasty

removal of section of lamina, the spinous process is swung open to decompress and screws are placed to hold it open.

19

[cervicalspondylosis]: what is a laminoplasty

removal of section of lamina, the spinous process is swung open to decompress and screws are placed to hold it open.

20

[cervicalspondylosis]: what questions would you ask to rule out malignancy (3)

night sweats
fever
weight loss

21

[cervicalspondylosis]: what causes myelopathy

degeneration of annulus fibrosis
neck flexion drags cord over bony spurs
cord compressed between osteophytes anteriorly and ligamentum flavum thickened posteriorly

22

[cervicalspondylosis]: what questions would you ask to rule out malignancy (3)

night sweats
fever
weight loss

23

[cervicalspondylosis]: what are 4 symptoms that patients may complain of?

Heavy legs
spastic leg weakness (1 leg can be > other)
weak clumsy hands
arm pain

24

[cervicalspondylosis]: what are 5 symptoms that patients may complain of?

Heavy legs
spastic leg weakness (1 leg can be > other)
weak clumsy hands
arm pain
neck pain

25

[cervicalspondylosis]: What is a dynatome

area of pain/pins and needles caused by a trapped nerve, affected by areas of referred pain

26

[cervicalspondylosis]: what are 5 symptoms that patients may complain of?

Heavy legs
spastic leg weakness (1 leg can be > other)
weak clumsy hands
arm pain
neck pain/stiffness