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13 Cards in this Set

  • Front
  • Back
Intervertebral discs are present in the cervical spine except?
Between the occiput and C1 and between C1 and C2
What shape are the discs in both the cervical and lumbar portions?
Elliptical
Why is an ellipitical shaped disc a bad thing?
Because it can lead to posterior and posterolateral stress concentrations because of torsion or twisting
What is the advantage of having an elliptical shaped disc?
Such an arangement places a larger proportion of the reinforcing annular fibers posterior to the axis of forward bending; thus complete failure of the posterior annulus is potentially avoided
The cervical discs to do do what to the lateral rims of the vertebral bodies?
They are different from thoracic and lumbar in that the discs do not extend to the lateral rims of the vertebral bodies
The direction of the annulus is what?
The direction of the fibers alternate by about 90 degrees with each successive layer.
The fiber orientation is usually between 30 and 40 degrees to the horizontal
What is the primary checkrein for any horizontal translation between adjacent vertebrae?
The annulus fibrosis
What is the nucleus pulposis comprised of?
hydrated gel of proteoglycans with some collagen. Water accounts for 80%
How much of the nucleus pulposis is collegen?
5%
What is one reason why there is so much motion in the cervical spine?
The height of the cervical disc in relation to its surface area
What is the primary reason for the cervical Lordosis?
The cervical discs are wedge shaped being higher anteriorly than posterioly
Pain in Disc degeneration might result because of what?
Because they have found that there might be free nerve endings such as Pacinian corpuscles within the annulus fibrosis that detects mechanical pressure
What can happen with disc degeneration?
herniated nucleus pulposis,
fissuring
cracking of the annulus fibrosis
diffuse bulging or local extrusion of the disc material