Week 1

Question 1

Spondylosis

Answer 1

progressive degenerative process affecting the cervical vertebral bodies and intervertebral discs

Question 2

Myelopathy

Answer 2

caused by compression of the spinal cord due to narrowing (stenosis) of the central spinal cord.

Question 3

Cervical spondylosis

Answer 3

disc herniation, osteophyte formation, hypertrophy of the posterior longitudinal ligament and ligamenta flava
narrowing of spinal cervical canal

Question 4

Clinical Prediction Rule

Answer 4

1. Gait deviation
2. Positive Hoffmann’s test
3. Positive inverted supinator sign
4. Positive Babinski test
5. Age > 45 years

Question 5

Positive Hoffman’s Test

Answer 5

Adduction of thumb and/or flexion of fingers

Question 6

Positive Inverted Supinator

Answer 6

finger flexion

Question 7

Common surgical complication for cervical myelopathy

Answer 7

Nerve or nerve root injury, usually C5 or C6, recurrent laryngeal nerve, may be permanent or temporary
Wound infections
Epidural hematoma
Dural tear

Question 8

Most affected nerve root in cervical radiculopathy?

Answer 8

C7

followed by C6

Question 9

In cervical radiculopathy, what do noncompressive causes affect more?

Answer 9

ventral and dorsal root more diffusely

Question 10

Clinical Prediction Rule for cervical radiculopathy?

Answer 10

1. Positive Upper Limb Tension Test A

2. Involved cervical rotation