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44 Cards in this Set
- Front
- Back
vascular bone located in the vertebral body
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trabecular (spongy cancellous), its enclosed by a thin layer of compact bone
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formed by superior and inferior vertebral notches
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intervertebral foramina
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describe C vertebrae
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smaller, large triangular vertebral foramen, transverse foramina absent in C7, articular facets are nearly horizontal, short and bifid
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List the special characteristics of C vertebrae
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C1 - atlas, lateral masses instead of body,no spinous process's, occipital condyles rest in articular surfaces, posterior arch has groove for vertebral artery/C1 nerve
C2 - Axis dens(odontoid process) C6 - carotid tubercles, carotid artery may be compressed here b/w the tubercle and body C7 - vertebra prominens, spinous long and not bifid |
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what is the dens held by?
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the transverse ligament of atlas
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what is the characteristic feature of thoracic vertebrae
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costal facets for articulation with ribs
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describe thoracis vertebrae
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heart shaped body, circular vertebral foramen, more vertical articular processes, spinous processes point down
rotation |
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T12
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the most commonly fractured vertebrae, subject to transitional stresses
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what is the largest moveable vertebrae
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L5
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narrow vertebral foramin
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lumbar spinal stenosis
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what holds the cauda equina (bone), where does the equina start
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sacral canal, cauda equina arises inferior to L1 vertebrae
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important sacral obstetrical landmark
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sacral promonotory, anterior projecting edge of the bodu of S1
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Sacral crests
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median crest - fusion of the spinous processes,
intermediate crest - fused articular processes lateral crest - fusion of the transverse processes |
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sacral hiatus
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results from absence of laminae and spinous process of S5, leads into the sacral canal,
marked by the sacral cornua |
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what type of joints are the joints of the vertebral bodies?
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symphyses (secondary cartilaginous) weight bearing and strength
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Describe IV discs
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anulus fibrosus, concentric lamellae of fibrocartilage and nucleus pulposus, avascular
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what vertebral junction is lacking a IV disc
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C1 and C2
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where is the most inferior functional IV disc?
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L5 and S1
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what special joints are located in C3-C6?
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uncovertebral joints (lateral and posterio margins of the IV disc) join the uncinate process
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Where does the anterior longitudinal ligament connect?
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pelvic surface of sacrum to the anterior tubercle of C1, LIMITS EXTENSION
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Posterior longitudinal ligament
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thinner, weakly resists hyperflexion, prevents redirects posterior herniation of nucleus pulposus
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Connects laminae
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ligamenta flava
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connects tips of spinous process
- where does it connect |
supraspinous
from c7 to sacrum, merges superiorily with the nuchal ligament |
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connects the rest of the spineous process
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interspinous
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zygapophysial joints are innervated by?
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medial branches of the posterior rami of spinal nerves, each joint is supplied by two nerves,
resists separation of vertebral lamina by arresting abbrupt flexion of the vertebral column |
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connects adjacent transverse processes
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intertransverse ligaments
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What are the superficial muscles
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TRapezius - cranial nerve 11
Latissimus Levator scalpulae rhomboid major rhomboid minor everything else innervated by brachial plexus |
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intermediate group muscles
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serratus posterior superior
serratus posterior inferior |
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four subgroups of the deep muscles
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splenius
erector transversospinalis segmental |
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Splenius
muscles - ? action - ? |
splenius capitus and splenius cervicis, variably fused with one another
unilateral action: ipsilateral rotation of head and neck bilateral: extension of head and neck |
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Erector spinae group
muscles action |
iliocostalis
longissimus spinalis actions: extensors of the back erect posture unilateral: lateral flexion of vertebral column and head bilateral:extension of vertebral column |
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Transversospinalis group
muscles action |
transvers processes to superior spinous processes
semispinalis (superficial, 4-6 vertebrae, origin: transverse processs of C4-T12)) multifidus (2-4 vertebrae,origin: posterior sacrum/iliac spine, aponeurosis of erector spinae, transverse processes T1-T3 articular processes of C4 to C7) rotatores(deep, 1-2 vertebrae, origin: transverse processes of vertebrae) actions unilateral: lateral flexion or contralateral rotation (semispinalis, rotatores) bilateral: extension of vertebral column or head(semispinalis, rotatores) multifidus: stabalizes |
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Segmental
muscles action |
between adjacent vertebrae
interspinalis (extend vertebral column) intertransversarii(lateral flexion) |
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SEE PAGE 98!
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page 98 I say
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IV discs, ligaments, most bone (periosteum), and coverings of the spinal cord are innervated by?
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reccurent meningeal branches of spinal nerves
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describe the coverings(meninges) of the spinal cord
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pia mater
arachnoid mater dura mater |
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what are intrinsic back muscles innervated by?
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posterior rami of spinal nerves
posture |
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list the muscles of the suboccipital region
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rectus capitus posterior major/minor
obliquus capitis superior/inferior |
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what are the muscles of the subocciptial region innervated by
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dorsal ramus of C1
suboccipital nerve |
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which of the muscles of the suboccipital region does not attach to the skull
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obliquus capitus inferior
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where do the muscles of the suboccipital region attach?
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Transverse process C1 – obliquus capitis inferior, obliquus capitis superior
Spinous process C2 – rectus capitus posterior major, obliquus capitus inferior Posterior tubercle C1 – rectus capitus posterior minor Occipital bone of skull |
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what are the actions of the suboccipital muscles
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bilateral: extension
unilateral: lateral flexion: obliquus capitis superior ipsilateral rotation: all others |
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contents of the suboccipital triangle
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vertebral artery
suboccipital nerve greater occipital nerve - closley related to the triangle, dorsal ramus of C2, passes inferior to the obliquus capitis inferior, ascends to become cutaneous to part of the posterior scalp |
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where does adult vs infant spinal cord end?
where does adult subarachnoid end? |
adults spinal cord ends l1 l2
infants l2 l3 adults subarachnoid S2 |