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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