Magee Cervical Spine

upper cervical spine =
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Terms in this set (51)
principle motion at C1-C2rotation = 50 flex/ext = 10 side flexion = 5main ligament at C1-C2 =transverse ligament of the atlasfunction of transverse ligament of the atlas- holds dens against anterior arch of the atlas - has superior & inferior projections (crus) that taken together with the transverse ligament = CRUCIFORM ligamentANATOMY PICS look in book-where do the vertebral arteries entertransverse processes at C6 generallywhat motions significantly decrease blood flowrotation & extensionsx due to decreased blood flowvertigo, nausea, tinnitus, drop attacks, visual disturbances could lead to stroke or deathwhat manipulation can you use to help the cervical region indirectlythoracic manipulationC3-C7 lower c-spine principle motion =flex/extensionfacet orientation results in "___" of rotation & side bendcouplingmain ligaments in cervical spineALL, PLL, LF like L-spineuncinate process goes fromsuperior projection from lateral vertebral bodyuncinate process functionsforms the uncovertebral joint (joint of Lushka) from C3-T1 - limits side flexion - w/DDD, osteophytes can form & project to IV foramencervical spine characteristics include all except: a) no IV disc between CO-C1, C1-C2 b) spinous process absent from C1 c) 1st palpable s. process is C2 d) 8 vertebrae, 8 nerve roots e) C1 nerve root exits between occiput & C1 vertebrae f) nerve root named for vertebra below g) switch occurs @ C7/T1 vertebrae8 vertebrae, 8 nerve roots *** ONLY 7 vertebraelateral foraminal stenosis & herniation affects the ___ nerve rootSAMET/F: there is no cauda equina in the cervical spineTRUEwhere do herniation's occur in the spineC2 belowunless congenitally small spinal canal, spondylosis & stenosis occurs w/increase inageMOI involving MVA can be very __ & potentially have a diverse trauma such that __acute; delayed onset due to lots of microtraumaMOI: lateral flexion to contralateral side causes"burner" or "stinger" stretch of brachial plexushyperflexion injuries you would want to treat it howavoid hyperflexionactivities/postures: type of work - clerical --> ___ wear bifocals --> ___postural issues head tiltlocation & boundaries of pain- C4 or above not into armT/F: scapular/upper thoracic pain coming from cervical spine until proven otherwiseTRUEsx to look for cervical myelopathy: a) spasticity b) bilateral parasthesia c) incoordination d) gait disturbanceall of them TABLE 3.6 MAGEEhoffman's sign indicatesUMN lesion in cervical spineHA can occur fromcervicogenic, commonly from upper segments cervical movementsparasthesia: unilateral w/___ & bilateral from __radiculopathy; central stenosisLE symptoms could begait disturbances bilateral = severe issuesymptoms such as dizziness, fainting, seizures could be fromdizziness --> inner ear or vertebral arteries drop attacks --> vertebral arteries visual disturbances --> diplopia, nystagmus, neurologic injury, intracranial pressuredifficulty swallowing from 2 thingsmechanical pressure i.e. vertebral subluxation neurologic issueis sleep an important issue for cervical painYES quality, position, number & thickness of pillowsthin pillows causes closing down of __ side, thick pillows causes closing down of __ sideipsilateral, contralateralforward head results in upper c spine __ lower c spine __extension/ flexionpalpation done insupine to cause max relaxation, sitting with head resting on foreheadbias cervical flexion bynodding v mass flexionPROM greater in seated or supinesupineneck flexion myotome: __ side flexion: __ shoulder elevation: __ shoulder abduction: __ elbow flexion & wrist extension: __ elbow extension & wrist flexion: __ thumb ext: __ finger ab/add: __C1-C2 C3 & cranial nerve XI C4 & cranial nerve XI C5 C6 C7 C8 T1ability to turn an automobile requires whatturning their head either waydrinking a glass of water requiresfair amount of extension, can get scapular ache overhead items also causes painnumerical inventory =neck disability index