A Journey through Cervical Radiculopathy: Evaluation and ...
A Journey through Cervical Radiculopathy:
Evaluation and Treatment
Philip K. Louie, MD Spokane Pain Conference
December 4-5, 2020
Disclosures
No direct/relevant conflicts of interest
Royalties from textbooks which contains content discussed in this presentation: - Elsevier - Springer - Thieme
? 2019 Virginia Mason Medical Center
About Me
Undergraduate & Medical School
Residency: Orthopaedic Surgery
Fellowship: Spine Surgery
? 2019 Virginia Mason Medical Center
Slight PIVOT!
Common Cervical Spine (Neck) Problems
Cervical "Strain/Sprain" Soft-tissue/Muscle injury
Cervical Spondylosis Arthritis
? 2019 Virginia Mason Medical Center
Cervical Radiculopathy "Pinched nerve"
Cervical Myelopathy Spinal cord involved
PHYSICAL EXAM Cervical Spine
1st things 1st: The basic anatomy
- C1 (atlas) - C2 (axis) - C1 to C7
- transverse foramen vertebral artery travels through transverse foramen of C1 to C6
- C2 to C6 - bifid spinous process
- C7 - despite having a transverse foramen, the vertebral artery does NOT travel through it in the majority of individuals - there is no C8 vertebral body although there is a C8 nerve root
? 2019 Virginia Mason Medical Center
C1-2
C2-3 C3-4 C4-5 C5-6 C6-7 C7-T1
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