Examination of the range of motion of a patient's cervical spine is flexion, 45°; hyperextension, 55°; lateral bending, 40° to left and right; and rotation, 70° to left and right. These findings most likely indicate
a. normal range of motion.
b. Klippel-Feil syndrome.
c. degenerative joint disease of the cervical vertebrae.
d. spondylosis.
A
The cervical spine's alignment is straight and the head is held erect. The normal ROM for the cervical spine is flexion, 45°; hyperextension, 55°; lateral bending, 40° to left and right; and rotation, 70° to left and right. Therefore, the ROM for the patient's cervical spine is normal. Klippel-Feil syndrome is the congenital absence of one or more cervical vertebrae along with fusion of the upper cervical vertebrae and bilateral elevation of the scapulae, resulting in a shortened neck appearance. It may be accompanied by a low hairline, webbing of the neck, and decreased neck mobility. Degenerative joint disease of the cervical vertebrae can result in lateral tilting of the head and neck. Spondylosis can cause cervical spine signs and symptoms such as inability of the patient to perform ROM, and pain and tenderness on palpation.
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