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Case Studies & Clinical Pearls 208 — at a Glance
| Course: | The Cervical Spine II — Red Flags, Radiculopathy & VBI Screening · 2 CE hours · $40 |
| Faculty: | Monte Horne, DC · founder of CCEDseminars, 39+ years in practice, expert witness and peer reviewer |
| Format: | On-demand online video with case walk-throughs and assessment · downloadable handouts · instant certificate |
| Pricing: | $20/hr · automatic 10% off at 6–9 hrs, 20% off at 10+ hrs in one order · no promo codes |
| Approval: | PACE Provider #34015544 · co-sponsored by Texas Chiropractic College · acceptance varies by state |



Board-approved · PACE Provider #34015544 · CE Broker auto-reporting for states served · Instant certificate
Case Studies & Clinical Pearls 208 returns to the cervical spine for a second pass — the region that demands the highest degree of diagnostic precision and clinical caution, where a missed red flag changes everything. Dr. Monte Horne moves beyond basic anatomy into the subtle presentations of cervical pathology: case studies in cervical radiculopathy, cervical myelopathy, and cervicogenic vertigo, with the vertebrobasilar insufficiency (VBI) screen and the disc-versus-facet differentiation that decide whether, and how, you adjust.
For cervical patients, neurological relief is the ultimate audit. This 2-hour online course draws on 39 years of practice to turn Bakody's sign (the shoulder abduction relief test) and cervical distraction into immediate Clinical Audit measures that demonstrate the physiological effect of your adjustment on nerve root compression — and to make every cervical decision evidence-based and defensible in the record. Every completion generates an instant certificate for your renewal file.
Choose Your Case Study Path — Three Lanes, One Curriculum
The catalog is organized as a curriculum, not a pile of hours — 23 courses and 42 CE hours covering every region head-to-foot across two series, plus specialist case files. Start in the lane that matches your patient mix; the full catalog lives on the Case Studies & Clinical Pearls category page.
1 · The Regional Series — First Pass (201–206)
A complete head-to-foot tour of case-based diagnosis — the foundation lane.
201: Headache Diagnosis & Clinical Pearls
202: The Cervical Spine
203: Upper Extremities
204: Thorax Conditions & Clinical Pearls
205: Lumbar Spine Diagnosis
206: Lower Extremity Conditions & Clinical Pearls
2 · The Regional Series — Second Pass (207–212)
The same regions revisited with new cases and deeper differentials — the lane that turns pattern recognition into judgment. You are here: Case Studies & Clinical Pearls 208.
207: The Head II
208: The Cervical Spine II
209-A / 209-B: The Upper Extremities II, Parts I & II
210-A / 210-B: The Thorax II, Parts I & II
211: Lumbar Spine Conditions II
212: Lower Extremity Conditions II
3 · Specialist Case Files (213–221)
Board-credentialed faculty open their own files — condition-specific cases from orthopedic, sports, extremity, and nutrition practice.
213: Headache Management & Diagnosis
214: From Anatomy to Diagnoses
215: Case Studies Related to the TMJ
216: Disc Herniation
217: Spondylolisthesis Treatment
218: Carpal Tunnel Syndrome Treatment
219: TMD
220: Soft Tissue Injuries
221: Headache Management & Treatment
New case files are added to these lanes as faculty release them.
What You'll Learn in Case Studies & Clinical Pearls 208
• Recognize the red flags and subtle presentations of cervical pathology — cervical radiculopathy vs. myelopathy, and the cervicogenic vertigo cases that mimic vestibular disease — through real case studies.
• Use Bakody's sign (shoulder abduction test) and cervical distraction as immediate Clinical Audit measures that demonstrate the physiological impact of your adjustment on nerve root compression.
• Master the functional screening protocols for vertebrobasilar insufficiency (VBI) and the clinical cluster of symptoms that demands immediate imaging before any cervical manipulation is performed.
• Refine palpation and orthopedic test sequencing to distinguish acute cervical facet syndrome from early-stage disc protrusion — a distinction that changes your entire line of drive — and document it in courtroom-defensible form.
Your Case Studies & Clinical Pearls Faculty
Monte Horne, DC — instructor of this course — authors the fourteen-course regional core (201–212), drawing on 39+ years of practice, service as a former Designated Doctor for the Texas Department of Insurance, and ongoing work as an expert witness and peer reviewer. Founder of CCEDseminars and postgraduate faculty for Texas Chiropractic College, Dr. Horne teaches clinical reasoning, orthopedics, documentation, and medicolegal standards; his cases teach decision-making the way case review demands it — reasoning a second reader can follow.
Steven Yeomans, DC, FACO brings orthopedic board credentials to the three highest-stakes structural files — disc herniation, spondylolisthesis, and carpal tunnel syndrome (216–218) — the same conditions at the center of his documentation and personal injury teaching.
Heather Wright, DC, CCEP teaches headache management and diagnosis, the anatomy-to-diagnosis bridge, and TMJ case studies (213–215) with an extremity-certified chiropractor's structural precision.
Howard Benedikt, DC, DCBCN — board-certified in clinical nutrition — works the TMD and headache management files (219, 221) where structure, physiology, and nutrition intersect.
Dennis O'Hara, DC, DACBSP opens the soft tissue injury file (220) with a sports diplomate's tissue-healing timeline.
Full bios and the complete instructor roster: CCEDseminars faculty page.
Where Case Study Hours Count — State Rules Worth Knowing
Case study coursework is clinical subject matter — assessment, diagnosis, and case management — which is exactly what several state boards ask for. In Iowa, these hours serve the 36-hour clinical case-management minimum (this category is case management, by name and by content); in Rhode Island, they address the 50-of-60 clinical requirement; and in Vermont — where practice-building coursework earns nothing — patient-care education like this counts fully under the clinical-focus rule.
Online-format allowances still vary by state — some accept every hour online, others cap distance learning or require in-person blocks. Check your state's guide in the full state directory before building your renewal plan.
Build Your Case Study Block
Most courses in the series run 2 hours at $40 (the four Series II split-courses, 209-A/B and 210-A/B, run 1 hour at $20 each), so the automatic discounts do the bundling for you: 6–9 hours in one order earns 10% off, and 10 or more earns 20% off — the full second-pass series, or all 42 hours at roughly $672 instead of $840, with no promo codes. The natural pairing for this course is the rest of the Second Pass lane: 207 The Head II sits directly above it, 209-A / 209-B The Upper Extremities II follow the nerve roots down the arm, and 202 The Cervical Spine is the first-pass companion to this course. Browse Case Studies & Clinical Pearls Courses
Case Studies & Clinical Pearls 208 — Frequently Asked Questions
What does Case Studies & Clinical Pearls 208 cover?
Second-pass case studies of the cervical spine: the red flags and subtle presentations of cervical pathology; cervical radiculopathy vs. cervical myelopathy differentiation; cervicogenic vertigo; vertebrobasilar insufficiency (VBI) screening and the symptom cluster that requires imaging before manipulation; disc-versus-facet differentiation of acute cervical facet syndrome and early disc protrusion; and Bakody's sign and cervical distraction as Clinical Audit measures. Also known as cervical spine examination for chiropractors, cervical radiculopathy case studies, cervical myelopathy screening, VBI test training, and neck pain differential diagnosis CE.
How many CE hours is Case Studies & Clinical Pearls 208, and what is the format?
2 CE hours, fully online and self-paced — course video with case walk-throughs plus downloadable handouts, followed by an assessment. Your certificate is available in your account immediately upon completion, and enrollment includes one year of access.
Does this course help with neck pain patients who have arm symptoms or dizziness?
Yes. Arm pain, numbness, or weakness with neck pain raises the cervical radiculopathy vs. myelopathy question, and dizziness with neck pain raises cervicogenic vertigo against vestibular and vascular causes — the course works those exact case types, including the vertebrobasilar insufficiency screen that must be cleared before any cervical manipulation and the disc-versus-facet call that sets your line of drive. No prerequisites; the series may be taken in any order.
Is this course accepted for my state's chiropractic license renewal?
Case Studies & Clinical Pearls 208 is a PACE Provider #34015544 program co-sponsored by Texas Chiropractic College and is accepted in most U.S. states plus the District of Columbia and Puerto Rico, six Canadian provinces, and more than 50 international jurisdictions. The complete approval list appears at the bottom of this page, and your state's online-hour rules are summarized in its CE guidelines page.
How do discounts and certificates work?
Courses are $20 per credit hour, and discounts apply automatically in a single order — 10% off at 6–9 hours, 20% off at 10 or more. No promo codes. Each completion generates an instant certificate with a permanent copy in your account dashboard, and CE Broker reporting is handled automatically for states served.
State Approval and Licensing Reminder
Continuing education requirements — including online-hour caps and clinical-hour minimums — vary by jurisdiction. Review the online chiropractic CE guidelines page and contact CCEDseminars with questions about your specific licensing requirements before registering.
Ready to Enroll in Case Studies & Clinical Pearls 208?
2 CE hours · $40 · online & self-paced · instant certificate. Add it to your cart, or pair it with 209-A and 209-B to follow the second pass down the upper extremities.
CCEDseminars · PACE Provider #34015544 · Reviewed by Monte Horne, DC · Last updated September 3, 2026 (CT)

