Cervical + Thoracic Spine Conditions Flashcards

1
Q

What is cervical spondylosis?

A

Age related changes of the cervical spine

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2
Q

What is the triad of cervical spondylosis?

A

Loss of disc height
Osteophytes
Facet joint OA

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3
Q

What can pressure on nerve roots lead to?

A

Radiculopathy

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4
Q

What can radiculopathy cause?

A

Dermatomal sensory symptoms

  • pain
  • parasthesia

Myotomal motor weakness

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5
Q

What can pressure of the cord lead to?

A

Myelopathy

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6
Q

What can myelopathy cause?

A

Global weakness
Gait disturbance
Loss of blader/bowel control

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7
Q

What is a C2 fracture also known as?

A

Hangman’s fracture

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8
Q

What is the mechanism of a C1 fracture?

A

Axial loading - hyperextension of head on neck

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9
Q

Which part of the axis tends to fracture?

A

Pars interarticularis

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10
Q

What displacement occurs in a C1 fracture?

A

Forward displacement of C1 and body of C2 on C3

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11
Q

What is the mechanism of an odontoid fracture?

A

Hyperextension

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12
Q

What is the best X-ray view for an odontoid racutre?

A

Open mouth AP x-ray

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13
Q

What is a C1 fracture also known as?

A

Jefferson’s fracture

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14
Q

What is the mechanism of a C1 fracture?

A

Axial loading

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15
Q

What is whiplash?

A

Forceful hyperextension-hyperflexion injury

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16
Q

What is cervical myelopathy?

A

Cervical cord compression as the result of spondylosis

17
Q

What is the presentation of cervical myelopthay?

A

Progressive disorder

Clumsiness
Loss of fine motor movements
Gait disturbance

18
Q

What can cause thoracic cord compression?

A

Fracture of vertebrae

Tumour in canal

19
Q

What is spondylodiscitis?

A

Inflammation of vertebrae and intervertebral discs

20
Q

Who does spondylodiscitis effect?

A

Immunocompromised

21
Q

What is the commonest organism of spondylodiscitis?

A

Staph aureus