Cervical Vertebral Mechanisms

Question 1

Nerves exit
Cervical Vertebra
Thoracic
Lumbar

Answer 1

ABOVE
BELOW
BELOW

Example: if C6 is effected, so it will come out between C5/C6

Question 2

C3-C7

Answer 2

Transverse Foramen: vertebral A
Small transverse process
Bifid Spinous process
Lateral Mass= Articular Pillar that we push on

Question 3

C1

Answer 3

Atlas
Dens articular facet 
Lateral Mass= Superior Articular Facet 
Transverse process (con be used to palpate)
Posterior Tubercle (NO SPINOUS PROCESS)
Vertebral foramen

Question 4

C2

Answer 4

Axis
Odontoid Process (DENS)
Lateral Mass that we palpate= Inferior articular process
Small transverse process 
Bifid Spinous process 
Vertebral Foramen

Question 5

Vertebral Body

Answer 5

C1: none, has transverse alar ligament to wrap around the dens
C2: none, has dens

Question 6

Dura has direct contact with

Answer 6

C2
Monotoring dura tension
Can play role at headaches or neck ridgidity
(Myodural Bridge) connects to rectus capitis posterior of C2

Question 7

Hangman’s Fracture

Answer 7

Anterior vertebral line is distorted 
Pedicure fracture (vertebral arch is fractured)
Due to hyper extension = spondylolisthesis

Question 8

Unilateral Facet Joint dislocation

Answer 8

The spinous processes don’t line up and trachea is not midline

Question 9

Atypical Articulations

Answer 9

OA and C1

Question 10

C2- C7

Articulations

Answer 10

Rotation and side bending in SAME DIRECTION
(Due to uncinate process)
Flex ion and Extension can be painful= Spinous Arthritis

EX:if C4 is R left, then it is S left

Question 11

OA Articulations

Answer 11

Occiput on C1
MOSTLY FLEXION AND EXTENSION (Sagittal motion)
Side bending and rotation in OPPOSITE Directions

Question 12

AA joint C1/C2 articulations

Answer 12

Rotation around odontoid process
Capitis Inferior Muscle does this
(Almost no flex, ext, side bending)

Question 13

ME

Answer 13

Patient pushes: indirect

Physician pushes: direct to barrier

Question 14

Neck flexion degrees

Answer 14

45-90

Question 15

Neck extension degrees

Answer 15

45-90

Question 16

Neck Sidebending degrees

Answer 16

45

Question 17

Neck Rotation degrees

Answer 17

70-90

Question 18

Transverse Plane

Answer 18

Rotation

Question 19

Translation (sidebending)

Answer 19

Left to right= SB to left

LEFT is the pressure side

Question 20

Order of Testing Somatic Dysfunction

Answer 20

1. Test for SB and Rotation and which is worse

2. Test Ext vs Flex

Question 21

HARD END FIELD

Answer 21

Restricted motion

Question 22

Assessment (Diagnosis)

Answer 22

Somatic Dysfunction of (Region) Ex: Cervical region

Question 23

Objective

Answer 23

Finding
C5NSrRr
Sx reproduced with palpate on at C5 lateral mass (so you know this is what is causing the chief complaint pain)

Question 24

Subjective

Answer 24

Patient comes in and says Neck Pain

Question 25

Plan

Answer 25

Treatment OMT
Consent obtained, HVLA to cervical region. To successful
Write this in detail

Question 26

RA and Downs; contraindications for HVLA

Answer 26

Alar ligament instability and dislocated dens can cause rupture or laxity of the transverse ligament on the atlas= death or quadriplegia

Question 27

Vertebral Artery Disease and Advanced Carotid disease Contraindications for HVLA

Answer 27

Can cause thrombosis especially in flexion extension)

Question 28

Inferior Myodural Bridge

Answer 28

Rectus capitis Posterior Major and Body of C2

Question 29

Superior Myodural Bridge

Answer 29

Rectus Capitis Posterior Minor