Cervical Spine

Question 1

Tseng et al: six predictors for pts who exp. immediate improvement after cervical HVLA

Answer 1

1. initial scores <11.5 on NDI
2. Have B involvement pattern
3. Not performing sedentary work >5 hours/day
4. Feeling better while moving the neck
5. Did not feels worse with neck ext.
6. Dx of spondylosis without radiculopathy
   4 of 6: 60% improved 89% probability of success with cervical spine manip.

Question 2

Carotid artery stressed with what motion?

Answer 2

Upper cervical rotation

Question 3

Psychosocial factors that impact WAD prognosis

Answer 3

Anxiety, depression, and fear

Question 4

Atlantooccipital subluxation posturing of neck

Answer 4

Cock-robin posture

Question 5

Sp and Sn (high, mod, low?) of cervical flexion rotation test

Answer 5

High Sp and Sn

Question 6

What is a Jefferson’s fracture?

Answer 6

Burst fracture of the C1

Question 7

Best radiographic view for Jefferson’s fracture?

Answer 7

Open mouth view

Question 8

What is a Hangman’s fracture?

Answer 8

Odontoid fracture of C2

Question 9

Best radiographic view for Hangman’s fracture?

Answer 9

Lateral view of C2

Question 10

What is Brudzinski’s test/sign?

Answer 10

Cervical flexion with involuntary knee and hip flexion paired with severe cervical spine stiffness

Question 11

What is Brudzinski’s test/sign helpful in identifying (what diagnosis)?

Answer 11

Meningitis

Question 12

CPR for radiculopathy, which is most indicative part for cervical radiculopathy?

Answer 12

• ULTT A - median n. (tension test)
• involved side cervical rotation <60 deg
• positive distraction test
• positive Spurling’s test A

Question 13

Hoffman’s sign

1. technique
2. positive finding

Answer 13

1. flicking distal phalange of third finger down with examination of thumb
2. positive: thumb adducts and flexes rapidly

Question 14

Supinator sign:

1. technique
2. positive finding

Answer 14

1. series of taps along the insertion of the brachioradialis
2. positive: rapid flexion of fingers.

Question 15

Spurling’s tests A and B variants: how are they different in testing

Answer 15

A - side bend with axial loading/compression

B - side bend with contralateral rotation (ex. R SB with L rotation) with addition of axial compression at the end

Question 16

Cervical closed fracture CPR

Answer 16

>55 y/o 
single (marital status) 
condition involved with traumatic onset 
acute condition 
condition involved an ER visit 
- 98% sp. w/ 4; 88% sp. w/ 3