Cervical Spine Flashcards
Where do the cervical nerves exit the spine?
Exit Above the vertebral body
What is special about the Atlas?
Rotates only around Dens
No Vertebral Body
Cruciform ligaments help stabilize; specifically the transverse atlatal ligament
What is special about Axis?
Vertebral Body extends superiorly form Dens (odontoid process)
What is another name for the Lateral Masses?
Articular Pilar
When do you order a radiography of the C-Spine during emergent use?
Trauma; MVA
When order a radiography of the C-Spine during office use?
Chronic Neck pain despite conservative treatment
Neurological Changes
What are the 4 lines to look for on a lateral C-Spine X-Ray?
Anterior Vertebral Line
Posterior Vertebral Line
Spinal Laminar Line
Posterior Spinous Process Line
What is a Hangman’s fracture?
Results from Hyper-extension Fracture of vertebral arch of C2 and Spondylolisthesis of C2
What can be seen on a AP Radiograph?
Superior and Inferior Endplates
Spinous Processes no more than 50% distance between the two
Lateral Masses
What are the two fractures can be seen with a Open Mouth Radiograph (C1/C2)?
Hangman’s Fracture
Burst Fracture
What is 45 degree oblique view good for?
Intervertebral Foramina
Osteophtyte Encrouchment in Spondylosis
What are the major movements of OA Occiput and C1?
Flexion and Extention
In what direction do the rotation and sidebending move in for OA and C1 joint?
Opposite directions
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What is the major movement of the AA joint?
Rotation
In what direction do the rotation and sidebending move in C2 - C7?
In the same direction
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