Neurosurgery notes/Clinical assessment of spine injuries

Clinical assessment of spine injuries

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Jul 13, 2026 08:48 PM GMT+0

Assessing range of movement in the neck

  • Be aware that range of movement in the neck when there is clinical suspicion of a cervical spine injury can only be assessed safely before imaging in people with a head injury if they have no high-risk factors
  • Only do the assessment if they have at least 1 of these low-risk features
    • They were in a simple rear-end motor vehicle collision
    • They are comfortable in a sitting position
    • They have been ambulatory at any time since injury
    • There is no midline cervical spine tenderness
    • They present with delayed onset of neck pain.

Neurological assessment

Relationship between the bony spinal canal and the spinal cord and nerves

  • Since there are 8 pairs of cervical nerves and only 7 cervical vertebra
    • Cervical nerves 1 through 8 exit above the pedicles of their like-numbered vertebra
    • Thoracic, lumbar and sacral nerves exit below the pedicles of their like-numbered vertebra
  • Due to disproportionately greater growth of the spinal column than the spinal cord during development, the following relationships of the spinal cord to the vertebral column exist
    • To determine which segment of the cord underlies a given vertebra
      • From T2 through T10: add 2 to the number of the spinous process
      • For T11, T12 and L1, remember that these overlie the 11 lowest spinal segments (L1 through L5, S1 through S5, and Coxygeal-1)
    • The conus medullaris in the adult lies at about L1 or L2 of the spine
SpinaI nerve Vertef)ral body spinal cord segment (2 18 spinous process Т12 [1 [2 (3 [4 [3 [4 тј2 [2 [3 [4 [5 [5 51 conus тесЈ'.Ј\Ы [1 terminus 0f thecaI sac (S2)

Motor level assessment general information

Segment/Level
Muscle
Action to test
C4
Diaphragm
Tidal volume (TV), FEV1, and vital capacity (VC)
C5
Biceps
Flex elbow
C6
Wrist extensors
Cock up wrist
C7
Triceps
Extend elbow
C8
Flexor digitorum profundus
Flex middle distal phalanx
T1
Hand intrinsics
Abduct little finger
T2–9
Intercostals
Sensory level, abdominal reflexes, Beevor’s sign
T9-T10
Upper abdominals
Sensory level, abdominal reflexes, Beevor’s sign
T11–12
Lower abdominals
Sensory level, abdominal reflexes, Beevor’s sign
L2
Iliopsoas
Flex hip
L3
Quadriceps
Straighten knee
L4
Tibialis anterior
Dorsiflex foot
L5
EHL
Dorsiflex big toe
S1
Gastrocnemius
Plantarflex foot
Segment
Muscle(s)
Action to test
Reflex
C1-4
Neck muscles
C3-5
Diaphragm
Inspiration, TV, FEV1, VC
C5, 6
Deltoid
Abduct arm > 90°
C5, 6
Biceps
Elbow flexion
Biceps
C6, 7
Extensor carpi radialis
Wrist extension
Supinator
C7, 8
Triceps, extensor digitorum
Elbow and finger extension
Triceps
C8, T1
Flexor digitorum profundus
Grasp (flex distal phalanges)
C8, T1
Hand intrinsics
Abduct little finger, adduct thumb
T2–9
Intercostals
T9, 10
Upper abdominals
Beevor’s sign
Abdominal cutaneous reflex
T11, 12
Lower abdominals
Beevor’s sign
Abdominal cutaneous reflex
L2, 3
Iliopsoas, adductors
Hip flexion
Cremasteric reflex
L3, 4
Quadriceps
Knee extension
Infrapatellar (knee jerk)
L4, 5
Medial hamstrings, tibialis anterior
Ankle dorsiflexion
Medial hamstrings
L5, S1
Lateral hamstrings, posterior tibialis, peroneals
Knee flexion
L5, S1
Extensor digitorum, EHL
Great toe extension
S1, 2
Gastrocs, soleus
Ankle plantarflex
Achilles (ankle jerk)
S2, 3
Flex digitorum, flex hallucis
S2–4
Bladder, lower bowel, anal sphincter
Clamp down during rectal exam
Anal cutaneous reflex, bulbocavernosus & priapism
  • Beevor sign
    • This sign was an indication for rectus abdominis weakness or paralysis due to spinal cord lesions between T10-12.
    • The patient should be in a supine position. To elicit the sign, the patient is asked either to flex his neck or to sit up from the recumbent position without using the arms (the patients can keep their arms across their chest).
      • Once the umbilicus moves upward, it is a positive Beevor sign.
      • It is negative if the umbilicus remains in its position.
  • NB: most muscles receive innervation from two adjacent spinal levels, the levels listed in

Sensory level assessment (dermatomes and sensory nerves)

  • ASIA standards 28 key points identified in
    • Pinprick
    • Light touch
  • NB: regarding the “C4 cape” AKA “bib” region across the upper chest and back: sensory segments “jump” from C4 to T2 with the intervening levels distributed exclusively on the UEs . The location of this transition is not constant from person to person.
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  • Key sensory landmarks
  • Level
    Dermatome landmark
    Level
    Dermatome landmark
    C2
    Occipital protuberance
    T7
    Seventh IS (midway between T6 & T8)
    C3
    Supraclavicular fossa
    T8
    Eighth IS (midway between T6 & T10)
    C4
    Top of acromioclavicular joint
    T9
    Ninth IS (midway between T8 & T10)
    C5
    Lateral side of antecubital fossa
    T10
    Tenth IS (umbilicus)
    C6
    Thumb, dorsal surface, proximal phalanx
    T11
    Eleventh IS (midway between T10 & T12)
    C7
    Middle finger, dorsal surface, proximal phalanx
    T12
    Inguinal ligament at mid-point
    C8
    Little finger, dorsal surface, proximal phalanx
    L1
    Half the distance between T12 & L2
    T1
    Medial (ulnar) side of antecubital fossa
    L2
    Mid-anterior thigh
    T2
    Apex of axilla
    L3
    Medial femoral condyle
    T3
    Third intercostal space (IS)
    L4
    Medial malleolus
    T4
    Fourth IS (nipple line)
    L5
    Dorsum of foot at 3rd MTP (metatarsal phalangeal) joint
    T5
    Fifth IS (midway between T6 & T8)
    S1
    Lateral heel
    T6
    Sixth IS (xiphoid process)
    S2
    Popliteal fossa in the mid-line
  • Additional sensory exam
    • The following elements are considered optional but it is recommended that they be graded as absent, impaired, or normal
      • Position sense: test index finger and great toe on both sides
      • Awareness of deep pressure/deep pain

Rectal exam

  • External anal sphincter
    • Method
      • Insertion of the examiner’s gloved finger
    • Perceived sensation is recorded as present or absent.
      • Any sensation felt by the patient indicates that the injury is sensory incomplete
    • Record resting sphincter tone and any voluntary sphincter contraction
  • Bulbocavernosus (BC) reflex
    • Absence suggests the presence of spinal shock, and it may not be possible to declare a suprasacral SCI as complete because there might be spinal shock which could transiently suppress spinal cord function
    • A polysynaptic spinal cord mediated reflex relayed via S2–4 nerve roots.
    • Method: Contraction of anal sphincter in response to
      • Squeezing the glans penis in males, OR
      • Tugging on the Foley catheter in either sex is a normal response
        • Must be differentiated from the movement of the Foley catheter balloon
    • Loss of reflex can occur with
      • Spinal shock: the BC reflex may be lost with spinal shock as can occur with suprasacral injuries. Reportedly, the return of the BC reflex may be the earliest clinical indicator that spinal shock has subsided
      • Injuries involving the cauda equina or conus medullaris
    • Presence of BC reflex used to be taken as an indication of an incomplete injury, but its presence alone is no longer considered to have a good prognosis for recovery.

ASIA impairment scale

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