VC of the Neck

Question 1

Table of features of the C vertebrae

Answer 1

Snell, (2011)
Dalton, (2011)
Lippert, (2006)
Bogduk, (2016)
Cunningham et al., (2016)

Question 2

IVDs are 2 cartilgaenous joints stabilised by rim of AF attaching to adjacent VB and longitudinal ligaments, allow all range of movements

Answer 2

Moore et al., (2016)

Question 3

Facet joints synovial plane, stabilisers and movements

Answer 3

Moore et al., (2016)

Snell, (2012)

Question 4

AO joint stabilised by nuchal ligament, posterior and anterior atlanto-occipital membrane

Answer 4

Tubbs, (2011)

Question 5

ROM at the AA joint mainly rotation, contributes approx 40-50d to cervical rotation and 20d to flexion extension

Answer 5

White and Panjabi, (1990)

Question 6

Ligaments of the neck

Answer 6

Tubbs, (2011)

Question 7

AA joint stabilised by cruciate ligament, alar ligament, tectorial membrane and apical ligament (sometimes not present)

Answer 7

Tubbs, (2011)

Question 8

Most prominent ligaments are the alar and transverse

Answer 8

Tubbs, (2011)

Question 9

Alar ligament responsible for limiting lateral flexion and rotation as well as resisting anterior displacement of the atlas

Answer 9

Tubbs, (2011)

Question 10

Nuchal ligament resists hyperflexion and muscle attachment site

Answer 10

Tubbs, (2011)

Question 11

Uncovertebral joints are rudimentary at birth and evolve with age
Become clinically relevant as can impinge spinal nerves and vertebral arteries
As IVD degenerates uncinate processes bear greater load and flatten

Answer 11

Hartman, (2014)

Question 12

Uncovertebral joints provide stability and guide the motion of the C spine, limits lateral flexion and posterior translation

Answer 12

Hartman, (2014)

Question 13

Most common mechanism of C spine injury through accidental falls and second most common in motor vehicle accidents

Answer 13

Torretti and Sengupta, (2007)

Question 14

Upper C spine motion segements make up for a lot of C spine overall motion predisposing it to injuries

Answer 14

Toretti and Sengupta, (2007)