Cervical Spine

Description

In this lecture by Nick Birch, the intricacies of cervical spine disorders are explored, emphasizing their prevalence and the necessity for orthopedic and trauma (T&O) trainees to acquire comprehensive knowledge about these conditions. The discussion covers various types of cervical disorders, including degenerative issues such as cervical spondylosis and disk herniation, as well as more severe conditions like cervical radiculopathy and cervical myelopathy, detailing their symptoms and clinical features. Key signs of myelopathy, gait disturbances, and other neurological deficits are highlighted alongside the importance of physical examinations and provocative tests in confirming diagnoses.



Birch further elaborates on the significance of obtaining a thorough patient history, particularly following trauma, and diagnosing potential infections related to immune compromise. Emphasis is placed on utilizing imaging techniques such as X-rays, MRIs, and CT scans for accurate diagnosis and understanding the underlying issues causing neck pain and neurological symptoms.



Regarding treatment, the approach includes conservative management such as rest and physical therapy or more invasive solutions like surgery in cases of significant neurological deficits or instability. Surgical options, along with precautions regarding complications like C5 palsy, are discussed. Ultimately, Birch outlines treatment goals to relieve spinal cord pressure, stabilize the area, restore functionality, and enhance patient quality of life.

DOI: 10.1302/3114-251103

Specialties