Case History:
89 yo male with pain, stiffness and tightness in his cervical and upper thoracic spine
Contributed By:
Paul Sherman, DC
Case Presentation: Page 4 of 7 Plain film x-rays were taken of this patient?s cervical spine, which revealed the following: Severe degenerative changes at C3 through C7 with large flowing spurs at the anterior vertebral bodies of C3 through C7, with degenerative disc space narrowing at C3-4 and at C4-5. The remaining intervertebral disc spaces revealed some mild degenerative changes, but are still somewhat maintained. The posterior apophyseal joints were unaffected. In addition, it should be noted there is the presence of an increase in the atlantodental interspace (ADI) with anterior displacement of C1. Please note for purposes of this case only the most significant views will be displayed.






Question: Based upon the x-ray findings what laboratory tests would you consider ordering if any?
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