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Ctp > Cervical Spine Anatomy > Flashcards

Cervical Spine Anatomy Flashcards

0
Q

What puts the cervical spine at such a high risk for injury

A

Mobility is greater than stability

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1
Q

Unless you know the EXACT SITE OF LESION what must be assessed when treating the cervical spine

What did Cyriax call this assessment?

A

Cervical spine occiput/c1- c7
Upper lim or portion there of

Scanning examination

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2
Q

There are ___vertebrae and ___ nerve roots in the cervical spine

A

7

8

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3
Q

Of which joint in the cervical spine does most of the rotation come from ? Which is more responsible for flexion and extension?

A

C1-C2 (axis) atlanto-axial joint

CO-C1 atlanto-occipital joint

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4
Q

Rotation past ____ degrees may lead to kinking of the _____ on the contra lateral side; while the ipsilateral side may become kinked at ____degrees.

A

50
Vertebral artery
45

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5
Q

What are some symptoms of vertebral artery compression

A 
Vertigo 
Nausea
Tinnitus
Fainting
Visual disturbances
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6
Q

What do the facet joints C4/C5; C5/C6; C6/C7 have in common (2 major things)

A

Greatest amount of flexion/extension of all facets joints as well as greatest amount of degeneration

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7
Q

Whee does the greatest amount of degeneration occur in the C-spine

A

C4-C7 (joints between)

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8
Q

Vertebral discs make up___% of cervical spine height however they are absent in which joints?

A

25%

C0/C1 and C1/C2

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9
Q 
MOI in the C-spine: 
(Sounds like....feels like...is like....) 
Trauma =..? 
Burning/stinging might be....?
Common overuse could lead to..?
Onset was insidious.....?
A

Whip lash
Brachial plexus compression
Thoracic outlet syndrome
Spondylosis

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10
Q

Myotomal; dermatomal; and decreased reflexes are indicative of what in the cervical spine?

A

Cervical radiculopathy or nerve root injury

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11
Q

Spinal cord injury presentation in the cervical spine:

A

Spastic weakness
Paresthesia
Lack of coordination in one or both limbs
Loss of propripception or sphincter dysfunction

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12
Q

List signs that headaches have a cervical origin

A 
Occipital or sub occipital headache
Mvmt of neck alters headache
Limitation of neck movement is painful 
Neck/head posture is abnormal 
Sub occipital/nuchal tenderness 
C0/C1 abnormal mobility 
Occipital and sub occipital abnormalities
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13
Q

_____ can occur when pressure is applied to a nerve root

A

Paresthesia (pins&needles)

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14
Q

Injuries in the cervicoencephalic region lead to symptoms of_____(5-6) and show the relationship between ____.

A 
Headache
Fatigue 
Vertigo
Irritability 
Poor concentration 
Hypertonia of SNS

C0/C1

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15
Q

Injuries at the cervicocranial region have potential to involve what structures

A

Brain
Spinal cord
Brain stem (medulla pons midbrain)

16
Q

Cervicomyelopathy more likely to present as:

What’s another term for this

A

Spastic weakness(LMN lesion)
Paresthesia
Lack of coordination in one or both limbs
Possible sphincter dysfunction and proprioception loss

Spinal cord injury

17
Q

Cervico radiculopathy usually appears as:

Is also termed what?

A 
Myotome weakness 
Dermatomal changes
Deceased reflexes 
Unilateral***** 
Nerve root injury
18
Q

What are some clinical signs that a headache is cervical in orgin

A

Occipital or sub occipital location to headache
Neck mvmt alters headache
Painful and limited neck movement
Abnormal head and neck posture
Occipital and nuchal tenderness
Abnormal mobility in C0/C1
Sensory changes in occipital and suboccipital area

19
Q

Name for a short neck

A

Klippel-Feil syndrome

20
Q

Rom of cervical spine

A

Flexion 80-90
Extension 70
Lateral flex 20-45
Rotation 70-90

21
Q

Absolute CIs when treating C-spine

A

Metastic spinal tumor
Acute anterior disc herniation with cord signs
Actuate brachial neuritis
Positive vertebral artery/carotid occlusion signs
Severe jugular vein distension
Tracheal displacement

22
Q

Local CIs for C-spine

A

Bilateral C1/2 instability
Acute fracture or dislocation
Deep suboccipital or cranial traction in alar/transverse ligament instability
Deep suboccipital techniques with vertebral artery insufficiency

23
Q

Precautions of C-spine

A

Deep bilateral medial pressure hyoid horns

No bilateral anterior neck work

24
Q

Reflex test for C6
C5/6?
CNV
C7/8?

A

Brachioradialis
Biceps
Trigeminal jerk
Triceps

25
Q

Myotome dance for C-spine

A 
C1/2= neck flexion 
C3= lateral flexion 
C4= shoulder shrug 
C5= abduction 
C6= elbow flex/wrist extension 
C7= elbow extension/ wrist flexion 
C8= thumb ext/ ulnar deviation 
T1= hand intrinsically abd and add
26
Q

List the 4 places greatest stress is placed on the vertebral artery

A

Where it enters tvp at C6
Within bony canals of vertebral tvps
Between C1/2
Between C1 and entry into skull

27
Q

During coupled movements of rotation and side flexion explain where in the c spine they occur in the same direction and where they occur in opposite directions

A

C0-C2 and C7/T1 they occur in opposite directions

C2-C7 they occur in the same direction

28
Q

Regarding facet joint referral:

What facets are said to refer to the scapula and lower shoulder?

A

C6/C7

29
Q

Your client comes in complaining of pain around the ear and extending down just below the occiput on the right side which facets would you consider testing to see if they were causing this

A

C2/3

30
Q

What facets joints are very similar in refera, both posterior and inferior to the ear and into the upper shoulder region above the scapula?

A

C3/4 C4/5

31
Q

Where does C5/6 facet joints radiate pain often

A

Spine of scapula post shoulder up to the lateral aspect of the SPs of about C2-C7

32
Q

What is upper crossed syndrome

A

Deep neck flexors are weak
Rhomboids serratus anterior and lower traps weak

Pec major and minor, Levator scap and upper traps tight

33
Q

Origin and insertion of rhomboid major

A

SPs T2-5
Vertebral border of scapula below the spine

Dorsal scapular nerve C5

34
Q

Rhomboid minor origin and insertion

A

SPs C7-T1

Vertebral border of scapula spine and above including root

Dorsal scapular nerve C5

35
Q

Serratus anterior origin and insertion

A

Ribs 1-9

Anterior vertebral border of scapula and inferior angle

Long thoracic nerve C5-C8

Ctp (10 decks)

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