CERVICAL SPINE

Question 1

Which condition involves the formation of OA in facet joints following gradual disc degeneration?

Answer 1

Spondylosis

Question 2

Clinical feature of cervical spondylosis?

Answer 2

Slow onset stiffness and pain in the neck which can radiate to shoulders and back of head.

Question 3

what is the result of acute or degenaritive prolapse in cervical spine?

Answer 3

Neck pain and potential nerve root compression.

Question 4

Clinical features of cervical acute/degenerative disc prolapse involving N root compression?

Answer 4

shooting pain down dermatomal distribution w/ weakness and loss of reflexes in those particular nerves.

Question 5

the HIGHER nerve root is usually involved for a particular disc affected by cervical disc prolapse? TRUE or FALSE

Answer 5

FALSE. The lower (as w lumbar disc prolapse). E.g. C7 root for C6/7 disc

Question 6

Large central cervical prolapse results in?

Answer 6

Myelopathy w/ upper motor neurone symtoms

Question 7

Investigation for cervical disc prolapse?

Answer 7

MRI to see affected level

Question 8

Treatment of cervical disc prolapse?

Answer 8

conservative and if resistance …DISCECTOMY

Question 9

Conditions that cause ATRAUMATIC cervical spine instability?

Answer 9

Down syndrome

RA

Question 10

Which spinal levels are most at risk of instability and subluxation for children with down syndrome and thos ewith RA?

Answer 10

C1/2 - atlanto-axial

Question 11

Investigation for spinal instability?

Answer 11

Flexion-extension XR. Demonstrates abnormal motion.

Question 12

What surgery may severe cases of cervical instability require?

Answer 12

Stabilisation and fusion.