Cervical degeneration

Question 1

Isolated neck pain. Should you image?

Answer 1

only if severe pain (waking from sleep), hx of trauma, hx of malignancy, hx of neck trauma

Question 2

What are differentials for neck pain?

Answer 2

cervical spondylosis, cervical radiculopathy, myelopathy

Question 3

Loss of biceps reflex. Which root is affected?

Answer 3

C5

Question 4

Loss of supinator reflex. Which nerve root and muscle are affected?

Answer 4

C6, brachioradialis

Question 5

Loss of triceps reflex. Which nerve root is affected?

Answer 5

C7

Question 6

For cervical radiculopathy, what is the imaging of choice?

Answer 6

MRI

Question 7

What is cervical myelopathy?

Answer 7

compression of whole spinal cord by osteophyte or extruded disc material