Cervical Presentations pt. 3

Question 1

what segments commonly affected from radiculopathy

Answer 1

C6/C7

Question 2

hx for radiculopathy

Answer 2

traumatic event
can also be degenerative

Question 3

is radiculopathy typically unilateral or bilateral

Answer 3

unilateral

Question 4

bakody’s sign

Answer 4

placing hand on top of head
clinical sign for radiculopathy
will feel better

Question 5

what is wainner’s test item cluster

Answer 5

test cluster for radiculopathy

ipsi C-spine rotation AROM < 60 deg
spurlings
cervical distraction
ULTT

Question 6

whiplash associated disorder

Answer 6

WAD

trunk thrust upward
lower c-spine rotation into extension
anterior distraction moment

Question 7

what is strained in a WAD

Answer 7

anterior annulus, ALL and facet capsules

Question 8

what other damage is done due to a WAD

Answer 8

meniscoid contusion
intra-articular hemorrhage of facets
fx of articular pillars/subchondral plates, dens, laminae C2, occipital condyles

Question 9

symptomology of WAD

Answer 9

neck, shoulder, UE pain
radicular or referred symptoms
glove like distribution possible
weakness
dizzy
difficulty focusing vision
tinnitus

Question 10

physical exam of WAD

Answer 10

radicular signs
motion limited
weakness
muscle guarding
tinnitus

Question 11

cervicogenic HA

Answer 11

HA from the c-spine

Question 12

53% of people experience what after whiplash

Answer 12

cervicogenic HA

Question 13

what are 2 criteria that mainly describe a cervicogenic HA

Answer 13

unilateral HA without side shift
pain starting in the neck spreading to the oculo-fronto-temporal areas

Question 14

what else could it be other than a cervicogenic HA

Answer 14

migraine
dissecting aneurysm
posterior cranial fossa tumor
greater ocipital neuralgia
neck tongue syndrome
C2 neuralgia

Question 15

what 3 things will cause dizziness when the pt has a cervicogenic HA

Answer 15

deep palpation
neck motion (esp extension and rotation)
joint mob testing

Question 16

what is a laminectomy

Answer 16

removal of spinous process and bilateral laminae
posterior approach
sometimes remove zygapophysial joint

Question 17

what is anterior cervical arthrodesis

Answer 17

removal of structures causing compression on nerve tissue

Question 18

what does the anterior cervical arthrodesis do

Answer 18

prevents motion at disc level to improve stability
distraction of vertebral segments

Question 19

what is an adverse event of the anterior cervical arthrodesis

Answer 19

degenerative problem occuring at other vertebrae not taking up the slack of motion

Question 20

cervical disc arthropathy

Answer 20

cervical discectomy
disc is taken completely out and disc space is distracted to typical disc height

Question 21

what is implanted in a disc arthropathy

Answer 21

prosthetic
relieves radicular pain and increases height and foramen space

Question 22

what is required when you have a disc arthropathy

Answer 22

serial x-ray series 1-3 months out
looking for osteointegration