Cervical Instability

Question 1

What is the definition of upper cervical instability?

Answer 1

Loss of structural integrity or pathological increased mobility of C1 and/or C2

This condition indicates a compromise in the stability of the upper cervical spine.

Question 2

Name the causes of cervical instability.

Answer 2

• Neck trauma (e.g. RTA or sports injury)
• Inflammatory arthritis (e.g. RA)
• Congenital or genetic disorders (e.g. Ehlers-Danlos or Down syndrome)

These factors can lead to ligamentous injury or fracture affecting cervical stability.

Question 3

List the early presentation symptoms of cervical instability.

Answer 3

• Neck and head pain
• Feeling of instability
• Cervical muscle hyperactivity
• Constant support needed for head
• Worsening symptoms

Early symptoms can indicate the onset of cervical instability.

Question 4

List the later presentation symptoms of cervical instability.

Answer 4

• Bilateral foot and hand dysesthesia
• Feeling of lump in throat
• Metallic taste in mouth (VII)
• Arm and leg weakness
• Lack of coordination bilaterally

These symptoms may indicate a progression of cervical instability.