Cms Ortho Cervical Spine Lecture 2 General

Front 1

How many cervical vertebrae?

typical?

atypical? name the atypcial?

which one doesn't have vertebral body?

which one most prominent?

Back 1

7

5

2 c1= atlas c2 = axis

no ver body = c1

c7 prominent

Front 2

spinous process projects

transverse process projects

superior and inferior articular processes from

Back 2

posteriorly

laterally

facet joints

Front 3

type of curvature for cervical spine?

Back 3

lordodic

Front 4

ligament that is applied to front and back of vertebral body

where pulposa comes thru

Back 4

anterior and posterior longitudinal ligamant

Front 5

ligament that binds articular joints

Back 5

capsular ligaments

Front 6

ligaments that are betweent adjacent laminae

Back 6

ligamentum flavum

Front 7

ligaments that provide posterior support

Back 7

nuchal ligament and interspinous ligaments

Front 8

describe vertabrae disc

Back 8

annulus firbrosus on exterior

nucleus pulposus interior = very high water content

Front 9

how many cervical nerves?

where does cervical nerve 8 lie btwn?

Back 9

8

btwn c7 and t1

Front 10

herniated disk usually protrude

Back 10

posteriorly laterally

Front 11

2 special tests you can do during pe?

Back 11

spurlings test

Lhermitte's sign

Front 12

what can you see with c spine oblique view?

Back 12

intervertebral foramen, pedicle fractures

Front 13

what can you see with swimmers view? for

Back 13

c7-t1

for trauma

Front 14

what can you see with odontoid view - mouth open?

Back 14

dens duh

Front 15

the 2 diagnostic studies besides imaging metioned in notes

Back 15

emg and snrb(selective nerve root block)

Front 16

confirsm nerve root dysfunction when diagnosis uncertain or to distinguis cervical radiulopathy from other lesions

a negative test doesn't rule out cervical radicul

Back 16

emg

Front 17

small amount of local anesthetic is used to anesthetize the nerve root and dorsal root ganglion to determine if the pt pain is coming fromthe specific nerve root

diagnostic and therapeutic

Back 17

snrb

Front 18

mechanical cervical pain can last up to

Back 18

6 weeks

Front 19

other symptoms of whiplash?

Back 19

ha, malaise, and fatigue

Front 20

when is it considered chronic whiplash syndrome

Back 20

symptoms up to 6 months

Front 21

disc herniation leads to

Back 21

cervical spine radiculopathy

Front 22

most common nerve root affected with cervical radiculopathy

located btwn?

Back 22

c7 nerve root

c6 and c7

Front 23

c7 nerve root issues

parestesia of

weaknes of

diminished reflex of?

read over c5 and c6 ones

Back 23

middle finger

triceps, wrist flexors and extensor

tricep reflex

Front 24

causes of cervical myelopathy

Back 24

spondylosis, ddd, stenosis, tumor,Larger disc herniation

Front 25

common symptoms of cervical myelopathy

Back 25

gait changes

leg spasticity

Front 26

most commonly involved vertebrae and nerve

when it comes to cervical oa/spondylosis/ddd

Back 26

c4-c7 vert

c5 - c7 roots

Front 27

how do you diagnose fibromyalgia?

chronic pain of atleast how many months?

Back 27

clinically

6 months

Front 28

most pts of firbomyalgia

male or female?

prevalance inceases with age

Back 28

female

Front 29

in pt with fibromyalgia

general medical and neuroexam will be normal

so palpate tender points with just enought pressure to blanch your fingers

pain in atleast how many paired tender points?

Back 29

11/18

Front 30

heriditary elongation of which transverse process

c rib syndrome

Back 30

c7

Front 31

most common type of thoracic outlet syndrome

compressing what?

Back 31

neurogenic = compressing brachial plexus

vascular is the 2nd one = compressing subclavian artery

Front 32

thoracic outlet syndrome

clinical manifestation

venous=edema cynosis

arterial= pallor/coolness

neurogenic = ULNAR nerve, atrohy

Back 32

ehh

Front 33

3 classification of cervical spine fracture

Back 33

flexion

flexion rotation

extenstion

Front 34

see image of fractures and quiz yourself

while you are it

visualize the 3 fractures: jefferson,dens fracturs,hangman fracture

Back 34

doo it

Front 35

hyperflexion injury causes dens to displace

Back 35

anteriorly

Front 36

hyperextension injury causes dents to displace

Back 36

posteriorly

Front 37

type 1 dense fracture

Back 37

apical tip

Front 38

type 2 dense fracture

type of surgery

Back 38

body fracture

surgical infusion

Front 39

type 3 dense fracture

Back 39

basilar fracture with fracture line passing into body of axis

Front 40

of the 3 types of dens fractures which one stable and unstable

visualize fractures

Back 40

1 = stable

2 and 3 unstable

Front 41

most common place for vertical compression fracture

Back 41

middle and lower cervical

Front 42

name the 2 types of flexion compression fractures

which one more serous

Back 42

wedge and

flexion tear drop = more serious

Front 43

where is fracture in flexion teardrop

Back 43

inferior anteir corner of the body(whole body)

Front 44

is bilater face dilcaton a stable injury

Back 44

no, unstable

Front 45

fracture of spinous process c6-t1

Back 45

clay shoverles fracture

Front 46

hyperflexion with paraspinous contracot on spinous process

heavy lifting(shoveling)

Back 46

clay shovelers

Front 47

tenderness on flexion and palpation of spinous process

Back 47

clay shovelers

Front 48

clay shover fracture occurs with what?

fracture of what?

which vertab

Back 48

heavy lifting

spinous process

c6-t1