Chapter 2 - Cervical Spine

Question 1

Atypical segments?

Answer 1

C1 & C2

Question 2

C1 is atypical bc

Answer 2

it lacks a spinous process & vertebral body

Question 3

C2 is atypical bc

Answer 3

it has a dens that projects superiorly to articulate with C1

Question 4

C2-C6 have

Answer 4

bifid spinous processes, articular pillars posterior to TPs, & foramen transversarium allowing vertebral a. to pass

Question 5

Origin of anterior & middle & posterior scalene

Answer 5

posterior tubercle of cervical spine TPs

Question 6

Insertion of anterior & middle scalene

Answer 6

Rib 1

Question 7

Unilateral Action of anterior & middle & posterior scalene

Answer 7

sidebend to same side

Question 8

Bilateral Action of anterior & middle & posterior scalene

Answer 8

flex neck

Question 9

During forced inhalation, which mm elevate Rib 1

Answer 9

anterior & middle scalene

Question 10

Insertion of posterior scalene

Answer 10

rib 2

Question 11

During forced inhalation, which mm elevate Rib 2

Answer 11

posterior scalene

Question 12

With a rib 1 or 2 inhaled dysfunction, where might you find a TP?

Answer 12

in scalene mm (posterior to clavicle at base of neck)

Question 13

SCM Origin

Answer 13

mastoid process & lateral half of superior nuchal line

Question 14

SCM Insertion

Answer 14

Medial 1/3 of clavicle & sternum

Question 15

SCM unilateral action

Answer 15

SB ipsilateral & rotate opposite

Question 16

SCM bilateral action

Answer 16

flexion of neck

Question 17

SCM restrictions result in

Answer 17

torticollis

Question 18

SCM divides the neck into

Answer 18

posterior & anterior triangles

Question 19

Alar ligament

Answer 19

sides of dens -> lateral margins of foramen magnum

Question 20

Transverse ligament

Answer 20

lateral masses of C1 to dens

Question 21

Atlanto-axial subluxation is often seen with what conditions

Answer 21

RA & Down’s Syndrome

Question 22

Rupture of transverse ligament

Answer 22

catastrophic neuro damage

Question 23

Joints of Luschka or Uncovertebral Joints

Answer 23

uncinate processes of C3-C7 articulation w/ superior vertebra

Question 24

Joints of Luschka play an important role in what motion

Answer 24

cervical SB

Question 25

Degenerative changes & hypertrophy of the Joints of Luschka can cause

Answer 25

stenosis of the intervertebral foramina leading to nerve root compression

Question 26

MOST common cause of cervical nerve root compression is

Answer 26

degeneration of the Joints of Luschka + hypertrophic arthritis of the intervertebral joints

Question 27

Cervical nerves exit

Answer 27

ABOVE corresponding vertebrae (C8 exits b/w C7 & T1)

Question 28

Brachial plexus nerve roots

Answer 28

C5-T1

Question 29

OA

Answer 29

occipital condyles on C1

Question 30

OA primary motion

Answer 30

Flexion/Extension

Question 31

OA atypical motion

Answer 31

SB & R occur to opposite sides

Question 32

AA

Answer 32

atlas on axis

Question 33

AA primary motion

Answer 33

rotation (AA rotated R - C1 rotated R on C2)

Question 34

C2-C7 motion

Answer 34

SB & R occur to same side

Question 35

Major motion of C2-C4

Answer 35

Rotation

Question 36

Major motion of C5-C7

Answer 36

SB

Question 37

OA determining SB component

Answer 37

determine sulci depth (L SB = deep right OA sulcus)

Question 38

AA motion testing

Answer 38

Flex neck to 45 degree angle & rotate head (locks out C2-C7 rotation)

Question 39

Acute injury to cervical spine, Tx w/

Answer 39

indirect (counterstrain)

Question 40

Cervical foraminal stenosis - HPI

Answer 40

dull achy/shooting pain/paresthesias

Question 41

Cervical foraminal stenosis - Testing

Answer 41

+Spurlings test, increased pain with neck extension

Question 42

Cervical foraminal stenosis - Treatment

Answer 42

maintain ROM (ART, ME, MFR, CS, FPR)