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Modern trauma care includes a step called clearing the cervical spine, ruling out spinal cord injury if the patient is fully conscious and not under the influence of drugs or alcohol, displays no neurological deficits, has no pain in the middle of the neck and no other painful injuries that could distract from neck pain. [35]
In anatomy, the atlas (C1) is the most superior (first) cervical vertebra of the spine and is located in the neck.. The bone is named for Atlas of Greek mythology, just as Atlas bore the weight of the heavens, the first cervical vertebra supports the head. [1]
The spinal nerves arise from the spinal column. The top section of the spine is the cervical section, which contains nerves that innervate muscles of the head, neck and thoracic cavity, as well as transmit sensory information to the CNS. The cervical spine section contains seven vertebrae, C-1 through C-7, and eight nerve pairs, C-1 through C-8.
In tetrapods, cervical vertebrae (sg.: vertebra) are the vertebrae of the neck, immediately below the skull. Truncal vertebrae (divided into thoracic and lumbar vertebrae in mammals ) lie caudal (toward the tail) of cervical vertebrae. [ 1 ]
Acute calcific tendinitis of the longus colli muscle can occur. This presents with acute onset of neck pain, stiffness, dysphagia and odynophagia, and must be distinguished from retropharyngeal abscess and other sinister conditions. Imaging diagnosis is by CT or MRI, demonstrating calcification in the muscle in addition to retropharyngeal oedema.
The Hangman's fracture which is a fracture of the C2 vertebral body or dens of the cervical spine upon which the skull base sits to allow the head to rotate, can also be associated with atlanto-occipital dislocation. Despite its eponym, the fracture is not usually associated with a hanging mechanism of injury.
It arises by a series of small tendons from the transverse processes of the sixth to the tenth thoracic vertebrae, and is inserted, by tendons, into the spinous processes of the upper four thoracic and lower two cervical vertebrae. The semispinalis muscles are innervated by the dorsal rami of the cervical spinal nerves.
Occipito-cervical junction This disorder may result from rheumatoid arthritis, causing the hypermobility of the connection between the neck and head, resulting in paralysis or pain. [ 6 ] Cerebrovascular disease Cerebrovascular disease is a type of cervical spine disorder that can cause tetraplegia .
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