3. Cervical Spine Flashcards
Where do nerves exit in the cervical spine?
above vertebral body
(thoracic and lumbar exit below vertebral body)
Identify parts of typical cervical vertebrae (C3-C7).
no vertebral body
rotates around dens (odontoid process) of C2
bound anteriorly on dens by anterior arch
bound posteriorly by transverse atlantal ligament (part of cruciform ligaments)
Atlas (C1)
vertebral body extends superiorly to form dens (odontoid process)
axis (C2)
Identify these ligaments.
connection between rectus capitis posterior major & dura mater
contains neural component
anchors the muscle, monitor dural tension, role in cervicogenic pathologies
myodural bridge
What does this show?
Hangman’s fracture
hyperextension caused traumatic spndylolisthesis of C2 (axis) w/ fracture of vertebral arch of C2, as well as tearing of ligaments between C2 and C3
What does this show?
unilateral facet joint dislocation
What does this show?
anterior cervical dislocation w/ widening SPs
What does this show?
open mouth radiograph (C1/C2) showing Jefferson burst fracture
What does this show?
45 degree oblique view showing osteophyte encroachment-spondylosis
- Rotation and sidebending of C2-C7 occurs in ___ direction.
- This is due to ___.
- same direction
- uncinate process
In what plane do C2-C7 somatic dysfunctions occur?
sagittal plane
Shape of the OA joint allows for more motion in which plane?
sagittal plane
Due to the shape of the joint, side-bending and roation occur in ___ directions.
opposite
What is the primary motion at the AA joint?
rotation (atlas about the dens)
no sidebending or flexion/extension
Rotational testing of the cervical spine occurs in what plane?
transverse plane
Cervical rotation to the left is induced by ____.
anterior pressure on posterior aspect of the right lateral mass
Cervical rotation to the right is induced by ____.
anterior pressure on posterior aspect of left lateral mass
Translation/sidebending of the cervical plane occurs in what plane?
coronal plane
Translation from L to R causes sidebending to the ___.
left
Translation from R to L causes sidebending to the ___.
right
Which is the fulcrum side?
Fulcrum side is the side towards which you’re inducing sidebending
“sidebending concave side”
Contraindications for cervical OMT
Contraindications to HVLA (cervical)
Cervical OMT steps
Cervical OMT Considerations
