Which compression test is performed with rotation of the cervical spine?

• A. Spurling's test
• B. Jackson's test
• C. Tension test
• D. Bowstring test

Answer: (B)

The correct choice is Spurling's test because it specifically assesses for radicular pain or nerve root compression in the cervical spine. This test is performed by extending the patient's neck and applying downward pressure while also incorporating a slight rotational movement to the head. The rotation component helps to further narrow down the assessment of neural structures and can highlight areas of pain that may indicate pathology such as a herniated disc or nerve root compression.

While Jackson's test might also be relevant in testing for cervical nerve root issues, it does not involve the rotation of the cervical spine as Spurling's test does. Instead, Jackson's test typically involves applying axial compression while the patient’s head is held neutral or in lateral flexion.

Tension test and Bowstring test are more specific for assessing neurological involvement in peripheral nerves rather than focusing on cervical spine compression through the use of rotational motion.