Week 3 - Cervical Spine Instability Flashcards
1
Q
what are 2 common conditions which are associated with cervical spine instability?
A
down syndrome
rheumatoid arthritis
2
Q
where in the cervical spine do RA and down syndrome typically affect?
A
cause atlanto-axial subluxation due to destruction of the synovial joint between the atlas and the dens and rupture of the transverse ligament in the case of RA
3
Q
what can subluxation of C1 and C2 cause?
A
spinal cord compression which can fatal
4
Q
how is minor atlanto-axial subluxation treated?
A
use of a collar to prevent flexion
5
Q
how is more severe atlanto-axial subluxation treated?
A
surgical fusion
6
Q
what can cause lower cervical subluxations?
A
destruction of the synovial facet joints and uncovertebral joints
7
Q
what symptoms can cervical subluxation cause?
A
cord compression (myelopathy) upper motor neuron signs (wide based gait, weakness, increased tone, upgoing plantar response
