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180 Cards in this Set

  • Front
  • Back

The spine consists of seven ___ cervical vertebrae,
___ thoracic vertebrae,
___ lumbar vertebrae,
___ fused sacral vertebrae,
and ___ fused coccygeal vertebrae.

7 Cervical

(12) thoracic

(5) lumbar

(5) fused sacral vertebrae

four (4) fused coccygeal vertebrae

7 Cervical

(12) thoracic

(5) lumbar

(5) fused sacral vertebrae

four (4) fused coccygeal vertebrae

The spine consists of ___ moveable vertebrae
24

Size of the vetrebral body ___ as we go down.

increases
The spine is curved to support ___
weight
There are __- normal curves that are formed by the vertebral column.
two
The curves function like connected arches adding additional ___ and ___.
flexibility

shock absorption
The additional flexibility (shock absorbance) is dynamic and maintained by ___ muscle groups

–___ flexors resist hyperlordosis in LS
–Long ___ resist hyperkyphosis in TS
antagonistic

Abdominal

back extensors
Primary curves: also known as ___ curves are found in the ___ and ___ regions.
kyphotic

thoracic

sacral
___ curves are concave anteriorly due mainly to a decreased ___ anteriorly and an increased height ___ of the vertebral bodies.
Kyphotic

height

posteriorly
The kyphoses develop during ___ when the fetus is in a C-shaped position (fetal position) and are maintained throughout life
gestation
Secondary curves: also known as ___ curves are found in the cervical and lumbar regions.
lordotic
Lordotic curves are concave ___ and are maintained due to height differences in the intervertebral discs.
posteriorly
Cervical ___ develops when the infant begins to hold the head up (___ months)
lordosis

~4
Lumbar ___ develops when the infant begins to stand erect and walk (___ months)
lordosis

10-18
Bone markings that are common to cervical, thoracic, and lumbar vertebrae:

Body - Thick anterior portion that is designed for ___ bearing. The size of the vertebral bodies ___ as you descend the spinal column. In situ, the superior and inferior surfaces of the body are covered with ___ cartilage and are known as the vertebral end plates.
weight

increase

hyaline
Bone markings that are common to cervical, thoracic, and lumbar vertebrae:

___ (little feet) - Two short, thick processes located on the posterior body. They will project posteriorly
Pedicle
Bone markings that are common to cervical, thoracic, and lumbar vertebrae:

___ - Two flat processes that come off the pedicles and meet in the midline.
Lamina
Bone markings that are common to cervical, thoracic, and lumbar vertebrae:

The pedicles and laminae along with the spinous process form the ___.

Along with the body they form the ___.
vertebral arch

vertebral foramen
Vertebral foramina of multiple levels form the ___.
vertebral canal
Vertebral Body

Vertebral Body

Lamina

Lamina

Vertebral Arch

Vertebral Arch

Pedicle

Pedicle

Vertebral Foramen

Vertebral Foramen

___ processes that extend off of the vertebral arch:

Seven

Seven processes that extend off of the vertebral arch:

___ - located in the midline off the convergence of the laminae. Projects posteriorly and, usually, inferiorly. •The base of the SP helps form the arch

Spinous Process

Seven processes that extend off of the vertebral arch:

2)___ - extend laterally to either side of the vertebra at the junction of the pedicle and lamina.
Transverse Processes

Seven processes that extend off of the vertebral arch cont:

___ - 2 superior and 2 inferior form the ___ joints between vertebrae. They also arise from the junction of the pedicles and laminae. Each process has an articular ___.

•The articular processes stack on top of each other and form the ___ (column).

Fill in*****

Spinous Process
Transverse Process
Superior Articular Facet
Inferior Articular Facet
portion of articular pillar

portion of articular pillar

Zygoapophyseal Joint

Zygoapophyseal Joint

ligamentum Flavum

ligamentum Flavum

Articular Pillar

Articular Pillar

C1, C2 and C7 are ___ C3-C6 are __-

atypical typical

Body

Body

Lamina

Lamina

Pedicle

Pedicle

Spinous process

Spinous process

Vertebral arch

Vertebral arch

Transverse process

Transverse process

Vertebral foramen

Vertebral foramen

Typical Cervical Vertebrae C3-C6:

Spinous Process - C2-C6 have a ___ spinous process (cleaved in 2)

bifid

Typical Cervical Vertebrae C3-C6:

Vertebral (spinal) foramen - large and ___ shaped
triangle
Typical Cervical Vertebrae C3-C6:

In the cervical spine C1-C7 have foramen of the ___ process (foramen transversarium).
transverse
foramen transversarium (foramen of the transverse process)
foramen transversarium (foramen of the transverse process)

The superior facets face ___, ___, & ___.

posteriorly, superiorly, and medial.

The __- processes in C/S consist of anterior (costal process) and posterior (true transverse process) parts joined together by the intertubercular lamella.

transverse

Anterior Tubercle of Transverse Process
posterior Tubercle of Transverse Process
Intertubercular lamella of Transverse Process

Intertubercular lamella of Transverse Process

The anterior tubercle at C6 is also known as the ___ because the common ___ artery can be compressed against the tubercle at this level.

carotid tubercle

carotid
The foramen of the transverse process is located in the TP B/L ___.
C1-C7

The vertebral a. enters the foramen of the TP at the ___ level and runs up through C1 where it enters the ___.

C6

foramen magnum

C6

foramen magnum

Running with the vertebral a. is a ___ of nerves
sympathetic plexus
The vertebral v enters the foramen of the TP at the ___ level and continues through C7 and then drains into the ___.
C1

subclavian v

On the superior surface of each cervical vertebra the ___ form a lateral and slightly posterior raised rim

uncinate processes

Uncinate processes help to limit ___ and to prevent IVD protrusion.

lateral flexion
Unicate Process

Unicate Process

The uncinate processes may form a ___ (uncovertebral joints/joints of von Luschka) with the vertebra above, C3-C6.

synovial joint

The joint formed by uncinate processes is a common site of ___ formation
osteophyte

osteophyte

Superior Vertebral Notch

Superior Vertebral Notch

C1 does not have a vertebral body, but has two ___ connected by anterior and posterior arches

lateral masses

Each lateral mass of C1 has a superior and inferior ___ and a TP.
articular process
The superior articular facets are shaped like a ___ and articulate with the occipital condyles.
peanut
The inferior articular c1 facets are regularly shaped ___ and articulate with C2.
oval
Lateral Mass of C1

Lateral Mass of C1

Anterior Arch of C1

Anterior Arch of C1

Anterior Tubercle of C1

Anterior Tubercle of C1

Posterior Arch of C1

Posterior Arch of C1

Posterior Tubercle of C1

Posterior Tubercle of C1

Superior Articular Facet of C1

Superior Articular Facet of C1

Inferior Articular Facet of C1

Facet for Dens of C1

Anterior Arch of C1

The anterior arch is the ___ of the two arches.

smaller
Anterior Arch of C1

Roughly in the middle of the arch on the anterior surface is the ___. This tubercle is the attachment site for the anterior longitudinal ligament, and the longus colli muscles.

anterior tubercle

Anterior Arch of C1

On the posterior surface of the arch is found a smooth surface, the facet for the ___. It is covered in hyaline cartilage and forms a diarthrodial, synovial pivot joint with the ___ (dens). This joint allows the majority of rotation in the C/S.

dens

odontoid process

Posterior Arch of C1

The ___ of the two arches, the posterior arch also has a posterior elevation called the ___, which serves as an attachment for the ligamentum nuchae and the origin of rectus capitis posterior minor mm.

larger

posterior tubercle

The distinguishing characteristic of C2 is the tooth-like process that protrudes superiorly off the body, the ___
dens/odontoid process.
The dens has a ___ lined articular facet anteriorly, and a ___ posteriorly for the transverse portion of the cruciform l. (transverse ligament of atlas).

hyaline

groove

Odontoid Process/ Dens of C2

Odontoid Process/ Dens of C2

Articular facet for anterior arch of C1

Articular facet for anterior arch of C1

Inferior Articular Process of C2

Inferior Articular Process of C2

The superior articular processes of C2 are on the ___ (not the pediculolaminar junction) and appear more as a smoothed out region than an actual process.

pedicles

Like the inferior articular facets of C1, the superior articular facets of C2 are smooth and ___ shaped.
oval
C7 is also called the ___ because of its prominent spinous process. The SP usually projects directly posterior and is not bifid.
vertebra prominens
The foramen of the TP is usually a little smaller and only the ___ passes through. NO VERTEBRAL A. OR SYMPATHETIC PLEXUS!
vertebral v.
The most prominent bump of the Occiput is known as the ___

external occipital protuberance (EOP) / Inion

External Occipital Protuberace
External Occipital Protuberance
External Occipital Crest

External Occipital Crest

Supreme Nuchal Line

Supreme Nuchal Line

Superior Nuchal Line

Superior Nuchal Line

Inferior Nuchal Line

Inferior Nuchal Line

Foramen Magnum

Foramen Magnum

Occipital Condyle

Occipital Condyle

Continuing inferiorly from the EOP is the ___

external occipital crest (EOC)
The EOP is the attachment site for the ___
trapezius muscle

There may be as many as ___ horizontal lines on the posterior occiput.

three (3)
The ___ nuchal line is not always present, but may be located superior to the EOP.
highest/supreme
The ___ nuchal line is almost always present and runs horizontally on either side of the EOP. This line is the attachment for the ___, ___, and ___ mm.
superior

trapezius

splenius capitis

SCM

The ___ line extends laterally from the EOC about halfway between the EOP and the foramen magnum. Attachment site for ___ post major/minor mm.

inferior nuchal

rectus capitis

Inferiorly on the occipital bone are two (2) ___. The condyles are convex and are located on either side of the foramen magnum. The condyles articulate with the superior articular processes of C1 to form the ___ joints.

occipital condyles

atlanto-occipital
Internally, extending anteriorly from the foramen magnum is the basilar portion of the occipital bone. It articulates with the basilar portion of the sphenoid bone and together they are called the ___.
clivus (basi-occiput)
clivus (basi-occiput) of occipital bone

clivus (basi-occiput) of occipital bone

The body of T/S is more ___ shaped and they increase in size as they descend the spine. Also, the bodies are usually a little flattened anteriorly on the left d/t the pulsations of descending aorta.

heart

Most T/S bodies have four ___, two superior and two inferior, that articulate with the ribs.

costal demifacets

The ___ costal demifacets of T/S will articulate with the rib of the same number

superior

The pedicles attach high on the vertebral body so there is usually no ___ associated with the T/S, but there is an extra large ___.

superior notch

inferior notch
Each TP has an articulation for the rib of the same number called the ___ of the TP.
•The TP of the 4th vertebra articulates with the 4th rib.
transverse costal facet or costal facet
The T/S costal demifacets are half facets located at the superior and inferior borders of the body. A pair of ___ (inferior and superior) articulate with a single rib
costal demifacets

___ have both superior and inferior costal demifacets. Other T/S vertebrae are abnormal:

–T1 has a full facet for 1st rib and an inferior demifacet
–T10 can have either a full facet (no articulation with T9), or only a superior demifacet
–T11-T12 only have full costal facets

T2-T9
The ___ articular facets of thorax face posteriorly, superiorly, and laterally. (PLS)
superior
T/S Superior Articular Process

T/S Superior Articular Process

T/S Inferior Vertebral Notch

T/S Inferior Vertebral Notch

T/S Mamillary Process

T/S Mamillary Process

Typical ribs are ribs 3-9, and each has a ___, ___, ___ and a ___.

head, neck, tubercle and a shaft.

The head of each rib will articulate with two vertebral bodies and the IVD between. It, therefore, has a superior and inferior articular facet.

–The inferior articular facet will articulate with the ___ demifacet of the SAME NUMBER vertebra.

superior

Between the two facets is the ___ of the head. This projects between the two vertebral bodies.

crest

Head of Rib

Head of Rib

Neck of Rib

Neck of Rib

Costal Groove of Rib

The neck of the rib is located between the head and the tubercle and is an attachment for the ___ and the ___

superior costotransverse l.

costotransverse l.

The tubercle of the rib is usually located on the posteroinferior margin of the rib. The tubercle articulates with the transverse costal facet of the TP of the ___ number.

same

The non-articular portion of the tubercle is the attachment site for the ___
lateral costotransverse l.
The shaft of the rib runs anteriorly and inferiorly. It attaches to the costal cartilage anteriorly and then to the ___.
sternum
On the anterior inferior surface of the shaft is the ___. This groove shelters the intercostal vein, artery, and nerve.

costal groove

The first rib is very flat and short. It runs almost completely horizontal. There are markings for muscle attachments and for vascular depressions. It usually only articulates with ___
T1.
The second rib is almost typical, but it does have a large ___ that serves as an attachment for the serratus anterior muscle.
tubercle
The 10th rib only has a single ___ because it usually only articulates with T10. As such there is also no crest on the head.
facet
The lumbar vertebral bodies are rather large and are ___ shaped.
They are also wide left to right, and they are thicker anteriorly (helps maintain lumber ___).
floating( fix)

??

kidney

lordosis

L/S There is a small superior vertebral notch, but a very prominent ___ vertebral notch.

inferior

Each L/S TP has an ___ process.

•The ___ process is found just lateral to the lamina on the root of the TP.
•Serves as an attachment for the longissimus thoracis muscle.

accessory

accessory
The L/S superior articular facets face ___ & ___
posterior and medial

Projecting posteriorly off of the superior articular process is the ___ process



•Serves as an attachment for the ___ muscle.

mamillary

multifidus lumborum

Thoracic Superior Costal Facet/ Costal Demifacet
Thoracic Inferior Costal Facet/ Costal Demifacet
Thoracic Transverse Process
Thoracic Superior Articular Process
Thoracic Inferior Articular Process
Sacrum: Superior Articular Process
Sacral Ala
Auriticular Surface
Median Sacral Crest
Lumbar Accessory Process

Lumbar Accessory Process

The area between the superior articular process and the inferior articular process is known as the ___.

pars interarticularis

The Pars interarticularis is commonly fractured, which is known as ___

spondylolysis

Spondylolysis is associated with ___, which is an anterior displacement of the body, pedicles, TPs, and superior articular processes.

spondylolisthesis
spondylolysis

spondylolysis

Dorsal Sacral Foramen

Dorsal Sacral Foramen

Sacral Canal

Sacral Canal

Sacral Hiatus

Sacral Hiatus

The sacrum consists of five fused vertebrae. The base is located ___ and the apex is located ___.
superiorly

inferiorly
Unique Characteristics of the Sacral Base

There is a superior articular ___ & ___, which articulate with the inferior articular process of L5.
process and facet
Unique Characteristics of the Sacral Base

The anterosuperior margin of S1 is known as the ___
sacral promontory
Unique Characteristics of the Sacral Base

Left and right sacral ___, also known as lateral sacral masses. On each ala are found the ___ and the ___, which help form the sacroiliac joints.

alae (ala = wing)

auricular surfaces

sacral tuberosities

Unique Characteristics of the Sacral Base

The vertebral canal continues through the sacrum, but is now known as the ___
sacral canal.
Cornu(a) of Sacrum

Cornu(a) of Sacrum

There are ___ vertical ridges on the posterior surface of Sacrum.
five (5)

five (5)

Sacrum:

___ sacral crest is in the midline and is homologous to spinous processes
Median

Median

Sacrum:

the ___ sacral crests, which are homologous to transverse processes
lateral

lateral

Sacrum:

Lateral to the median crest are two ___ sacral crests, which are homologous to ___
intermediate
intermediate

articular processes
On the ventral and dorsal surfaces there are four pairs of sacral ___
foramina

The Sacrum

The ___ primary divisions of S1-S4 exit through the posterior sacral foramina

posterior

The Sacrum

The ___ primary divisions of S1-S4 exit through the anterior sacral foramina

anterior

The Sacrum

On the dorsal side we also find the sacral ___ at the S5 level, which is the inferior opening of the sacral canal

hiatus

hiatus

Sacrum: Linea Transversaria

Sacrum: Linea Transversaria

Sacrum: Sacral Tubercle

Sacral Hiatus

The sacral hiatus is a naturally occurring ___ (S5 lamina don’t fuse) located at the inferior end of the median sacral crest.
spina bifida

spina bifida

Sacral Hiatus

The left and right margins of the hiatus, called the ___, are formed by the inferior tubercles of the intermediate sacral crests.
sacral cornua

sacral cornua

Sacral Hiatus

Exiting the sacral hiatus are the left and right ___ & ___ nerve roots and the ___.

S5 & coccygeal nerve roots,

and the filum terminale externum

S5 & coccygeal nerve roots,

and the filum terminale externum

The male sacrum is usually ___ right to left and ___ superior to inferior.

narrower

longer

narrower

longer

The female sacrum is usually ___ right to left, oriented in a more horizontal plane, and is more concave.

–The differences in the female sacrum allow a deeper and wider pelvic cavity, which assists in the fetal delivery process.

wider

wider

The coccyx Greek for ___ (it supposedly looks like a bird’s beak) is made of 4 fused vertebrae.
cuckoo

Coccyx

The first segment has right and left __-. Projecting superiorly are the coccygeal cornua.

transverse processes

The coccyx serves as an attachment site for

Coccygeal Cornu(a)
Transverse processs of Coccyx