Cervical Spine SD Flashcards

1
Q

atypical vertebrae

A

C1 C2 C7

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2
Q

where do nerves exit in the cervical spine

A

above the vertebral body

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3
Q

where do the nerves exit in the thoracic and lumbar spine

A

below the vertebral body

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4
Q

how many c vertebrae are visible on lateral view x-ray

A

C1-C7

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5
Q

advantage of x-ray in emergent use

A

easy to use with backboard

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6
Q

when is an x-ray indicated for office use

A

chronic neck/head pain despite conservative tx, neurological changes

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7
Q

anterior displacement of body of C2 fracture of vertebral arch of C2 tearing of ligaments between C2 and C3 (traumatic spondylolisthesis of C2) - what fx?

A

hangman’s fracture

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8
Q

no spinous process should be ____% wider than the one above or below, or else it is indicative of dislocation

A

50

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9
Q

open mouth radiograph shows _____

A

view of C1 and C2

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10
Q

lateral mass of C1 extends wider than the lateral masses of C2 - what fx?

A

burst (jefferson) fracture

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11
Q

what does a 45 degree oblique view show

A
  • intervertebral foramina - presence of osteophyte encroachment in spondylosis
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12
Q

right posterior oblique shows what foramina

A

left foramina

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13
Q

right anterior oblique shows what foramina

A

right foramina

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14
Q

left posterior oblique shows what foramina

A

right

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15
Q

left anterior oblique shows what foramina

A

left

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16
Q

oblique view shows narrowing of vertebral foramina - what is indicated

A

MRI to assess soft tissue

17
Q

why do C2-C7 behave type II like

A

the uncinate process causes sidebending and rotation to occur in the same direction

18
Q

cervical flexion/extension degrees

A

45-90

19
Q

cervical sidebending degrees

A

20-45

20
Q

cervical rotation degrees

A

70-90

21
Q

what is the fulcrum in sidebending

A

the side towards which you’re inducing sidebending

  • if you’re sidebending to the right, the fulcrum is on the right
  • if you’re sidebending to the left, the fulcrum is on the left
22
Q

cervical ST indications

contraindications

A

cervical SD w/ significant ST component

fractures, open wounds, infection, DVT, coagulopathy, neoplasm

23
Q

cervical HVLA, ART indications

contraindications

A

cervical SD w/ identified ROM RB most likely from cervical facet joint, AA, or OA

RA, Down’s, vertebral/carotid artery disease, arthritidies, acute radiculopathy, Klippel-Feil, Chiari, dwarfism

24
Q

cervical MET/Still’s indications

contraindications

A

cervical SD

joint swelling, severe osteoporosis, neoplasm, infection, hematoma, RA, dislocation, fx

25
Q

why are RA and Down’s contraindications to cervical HVLA

A

they can be associated with alar ligament instability

dislocation of dens can cause rupture or laxity of the transverse ligament of the atlas –> death or quadriplegia