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HOFFMANN'S SIGN OR REFLEX FOR CERVICAL SPONDYLOTIC MYELOPATHY (CSM) Next to fractures, another red flag we have to screen for in the cervical spine is cervical spondylotic myelopathy (CSM), which is an encroachment of the spinal cord at cervical level by degenerative changes (uncinate process and facet joint osteophytosis, ossification or hypertrophy of the posterior longitudinal ligament and the ligamntum flavum or subluxations of the vertebral body). If the spinal cord is compressed, our patie

Hoffmann's reflex : is used for assessing patients with symptoms of Cervical Myelopathy. The test is done by quickly snapping or flicking the patient's middle fingernail. The test is positive when the tip of the index finger, ring finger, and/or thumb suddenly flex in response. | Medicine E-Library