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47 Cards in this Set

  • Front
  • Back
intervertebral foramina
transmit the spinal nerves from the vertebrae
What innervates the deep muscles of the back and the skin of the back; Also posterior head and neck?
dorsal rami of spinal nerves
Extrinsic back (superficial and intermediate) and
Upper & Lower limbs
are NN by what?
ventral rami of spinal nerves
*dermatome
region of skin NN by a single spinal nerve
Is the vertebral column a part of the axial or appendicular skeleton?
axial, which also includes the cranium, rib cage, sternum; appendicular is all other bones
vertebral column tapers at which vertebra
SII
primary curves of the vertebral column
thoracic kyphosis and sacral ky; secondary are cervical and lumbar
think: primary, developed first
hunchback v.s. swayback
excessive thoracic kyphosis (contributing: poor posture, compression fracture due to osteoporosis)
v.s. excessive lumbar lordosis (contributing: poor postural habit, muscle imbalances (weak abdominal muscles), large abdomen (obesity and pregnancy))
scoliosis
-lateral curvature of the spine in the frontal plane; always associated with rotation
-It causes a rib hump on convex side when a person bends forward (posterior view)
-The spinous processes point toward the concavity of the abnormal lateral curvature
scoliosis can result from:
-congenital disorders (e.g. hemivertebra)
-muscular disorders (cerebral palsy, poliomylitis)
-idiopathic (unknown cause)
spina bifida
vertebral arch open; s.b. occulta, commonest: asymptomatic, tuft of hair
type of joint for vertebral bodies and intervertebral disk
symphysis (secondary cartilaginous)
zygopaphysial joints are what type of joints?
synovial, fluid filled; inner synovial membrane produces nutrient rich fluid and outer fibrous membrane confers pain (nociception) and proprioception
inferior and superior to the vertebral bodies lies ___, before the intervertebral disk
hyaline cartilage
annulus fibrosis composed of what?
layers of (fibrocartilage) concentric laminae, which consist of fibers which alternate directions for strength
nucleus pulposis is an embryonic remnant of what?
notocord
In what regions is the anterior part of the intervertebral disc is thicker than the posterior?
cervical and lumbar
a herniated L4-L5 intervertebral disk likely compress which spinal nerve?
L5 spinal nerve
joints of Luschka
-Uncovertebral joints, C3-C6
-Site of arthritic changes (spur formation)
ligamentum flava
-between laminae
-made of mostly elastic fibers, therefore resists flexion & aids in extension
What aspect of intervertebral disk is vulnerable to herniation?
posterolateral
Regional variation in articular facet planes: cervical
-region of most mobility
-flexion, extension, lateral bending, rotation
-this region allows most flexion
Regional variation in articular facet planes: thoracic
lateral bending, rotation, limited flexion extension
Regional variation in articular facet planes: lumbar
flexion extension, lateral bending, limited rotation
1/2 of all cervical roation is permitted by what one joint?
AA joint
nodding occurs mainly due to what joint?
atlantoccipital joint
rupture of the transverse ligament is likely to cause what?
spinal cord compression
tectorial membrane is an extension of what?
posterior longitudinal ligament
AA joint is what type of joint?
synovial
How many sacral vertebrae present in lumbarization?
4
How many sacral vertebrae present in sacralization?
6
Scottie dog
-neck: pars interarticularis
-eye: pedicle
-ear: superior articular process
-head & nose: transverse process
-legs: inferior articular processes
-body: spinous process
spondylolysis
-scottie dog has a collar in oblique radiograph
-fracture of pars interarticularis
spondylolisthesis
-scottie dog is decapitated
-bilateral fracture of par interarticularis
-anterior shift of vertebra relative to the one below
spinal stenosis
-abnormal narrowing of vertebral foramina
-may cause spinal cord or spinal nerve compression
vertebral a. passes through what in cervical vertebrae
transverse foramina of C6-C1, * skipping the transverse foramen of C7
C3-C6
-bifid spinous processes &
-uncinate processes
If you are checking a patient for a fracture of the dens, what view clearly demonstrates the atlas and axis vertebrae with the dens?
upper cervical AP radiograph
Superior costal facet articulates with what?
rib of same vertebral level, e.g. superior costal process of T2 articulates with 2nd rib
Articular facet on transverse processes articulates with what?
tubercle of corresponding rib
Ribs 11 & 12 articulate with what?
each articulates with a single costal facet of corresponding vertebra
unique processes of lumbar vertebrae
mammillary and accessory processes
what sacral structure is sometimes used to deliver epidural anesthesia?
sacral hiatus
Where does cauda equina reside?
sacral canal
Does sacrum contain intervertebral foramina?
yes, the sacral spinal nerves reside here
Where are the costal elements of cervical and lumbar vertebrae incorporated?
transverse processes