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95 Cards in this Set
- Front
- Back
Where does the vertebral column extend?
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From the cranium (skull) to the apen of the coccyx
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What comprises the axial skeleton?
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articulated bones of the cranium, vertebral column, ribs and sternum
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How many/what kind of vertebrae
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33 in all, 7 cervical, 12 throacic, 5 lumbar, 5 sacaral all fused to make the sacrum, and 4 coccygeal to form the coccyx
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Where does significant motion of the back occur?
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in the first 25 vertebrae, the five sacral are fused and so are the 4 coccyx
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lumbosacral angle
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occurs where L 5 meets with S 1 and is the largest angle (above 70 degrees)
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Zygapophysial joints
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where the vertebrate articulate and come together, these joints facilitate flexability through the vertebral column
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What percent do the vertebrate make up of the column and what about the IV disks?
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the IV disks are 25% and the bones are 75%
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Which direction are the curves in the spine?
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Cervical and lumbar are convex anteriorly and thoracic and sacral are concave anteriorly
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Lordosis
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increased curviture of the lumbar curviture "hollow back"
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Kyphosis
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incrased thoracic and sacral curviture (humpbacked)Dowager's hump
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Primary curvitures
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cervical and lumbar
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Secondary curvitures
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appear in the cervical region during fetal period but do not become apparent until infancy--maintained by differences in the IV disks
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scoliosis
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crooked or curved back because of rotation by vertebrae or additional partial vertebrae
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What does a typical vertebrae consist of?
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vertebral body, vertebral arch, and seven processes
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Vertebral body
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anterior, more massive part of the vertebrae
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Epiphysial rim
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on the periphery of the vertebrae body where there is a ring of smooth bone derived from anular epiphysis
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Vertebral arch
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formed by the right and left pedicles and the lamina
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Pedicles
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short, stout processes that join the vertebral arch to the vertebral body and project laterally to connect to the laminae
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Laminae
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flat sheets of bone that connect to the pedicle, these two sheets meet in the midline
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Vertebral foramen
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formed by the vertebral arch and the posterior surface of the vertebral body
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What forms the vertebral canal?
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The consecutive vertebral foramen, contains the spinal cord, meninges (protective membranes), fat, spinal nerve roots and vessels
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Vertebral notches
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formed by the projections from the body: inferior and superior vertebral notch
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Intervertebral foramen
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formed by the inferior and superior vertebral notches
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What are the seven processes of the vertebrae?
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Spinous process,2 transverse processes, articular processes (4-two superior and two inferior)
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Spinous process
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projects posteriorly (and usually inferiorly)from the vertebral arch at the junction of the laminae and overlaps with vertebrae below
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Transverse processes (2)
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project from the junctions of the pedicles and laminae
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articular processes (4)
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two superior and two inferior that bear an articular surface (facet-come together and form the zygopophysial (facet) joints)
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Laminectomy
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sergical excision of one or more spinous processes to provide access to the vertebral canal
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Spondylolisthesis of L5
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when L5 slips off of S1, and slides into the spinal cord, creating pressure on the spinal cord and causing back pain
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spina bifida occulta
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the laminae of L5 and/or S1 fail to fuse, no severe back problems
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spina bifida cystica
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one or more vertebral arches fail to develop; vertebral column grows on the outside of the body
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Transverse foramina
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the cervical vertebrae have a hole in the transverse process that allows the vertebral artery to pass through C1-C6
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Atlas
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C1, kidney shaped when viewed from above of below, superior articular facets form a joint with the occipital condyles; no spinous process or body
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Axis
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C2-strongest cervical vertebrae; projects a dens of atlas to pivot and turn the cranium
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Vertebral body of cervical vertebrae
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small and wider from side to side than anteroposteriorly, superior face is concave, inferior face is convex
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Cervical vertebral foramen
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large and triangular
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Cervical transverse process
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transverse foramina, small or absent in C7
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Cervical articular processes
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superior facets directed superoposteriorly , inferior facets directed inferioanteriorly
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cervical spinous process
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C3-C5 short and bifid, C6 is long but C7 is longer
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C7
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vertebra prominens
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Thoracic vertebrae body
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heart shaped, one or two facets for articulation witht he head of the ribs
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Throacic vertebral foramen
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circular and smaller than those in the cervical or lumbar region
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Throacic transverse process
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long and strong, posterolaterlly, length diminishes from T1 to T12
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Thoracic Articular process
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superior facets directed posteriorly and slightly laterally; inferior facets directed anteriorly and slightly medially
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Thoracic Spinous processes
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long, slopes posteroiferiorly, tip extends to one vertebrae below
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Lumbar body
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massive, kidney shaped when viewed superiorly
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Lumbar vertebral foramen
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triangular, larger than in thoracic and smaller than in cervical
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Lumbar transverse process
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long and slender, accessory process on posterior surface or base of each process
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Lumbar articular process
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superior facets directed posteromedially, inferior facets directed aneterolaterally; mammillary process on posterior surface of each superior articular process
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Lumbar spinous process
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short and sturdy, hatchet shaped
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sacral transverse lines
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where the five vertebrae fused
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median sacral crest
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fused spinous processes
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intermediate sacral crest
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formed by the fused articular processes
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lateral sacral crests
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fused tips of the transverse processes
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sacral hiatus
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inverted U shaped formed by the absence of laminae and spinous processes of S4 and S5; leads into the sacral canal
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Joints of the vertebral bodies
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symphyses (secondary cartilaginous joints) for weight bearing and strength
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IV disk contains?
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anulus fibrosus, a ring of concentric lamellae of fibrocartilage forming the circumference; nucleus pulposus, a gelatinous central mass
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anulus fibrosis
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the outer fibrous part of the IV disk (fibrocartilage); insert into the epiphysial rims; fibers of lamella run at right angles to adjacent ones
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nucleus pulposus
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gelatinous central mass of the IV disk; start out 88% water and then get dry and grainy-hurniates into the anulus fibrosis and causes back pain
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IV disks are thickest in which region? thinnest?
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Lumbar thickest and thinnest in superior thoracic region. they are thickest anteriorly in cervical and lumbar
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Uncovertebral joints
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b/t the unci of the bodies of the unci process of the C3-C6 vertebrae and the bevelled inferolateral surfaces of the vertebral bodies superior to them.
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anterior longitudinal ligament ALL
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connects the anteriolateral aspects of vertebral bodies with IV disks (C1 to the sacrum to the occipital bone)limits extension of the vertebral column
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posterior longitudinal ligament PLL
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runs within the vertebral canal along the posterior aspect of the vertebral bodies, prevents hyperflexion
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sygopophysial joints (facet joints)
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synovial joint b/t the superior and inferior articular processes of adjacent vertebrae. Each joint is surrounded by a joint (articular) capsule; permit gliding movements b/t the articular processes; innervated by the medial branches of the posterior rami of spinal nerves
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ligamenta flava
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yellow elastic fibrous tissue extending vertically from lamina above and below; resist abrupt flexion; helps restore hyperflexed and hyper extended movements back to their normal position
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herniation of IV disks
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occurs when the nucleus pulposus protrudes into the anulus fibrosis; usually occurs posteriolaterally, where the anulus is thin and does not recieve support from the longitudinal ligaments
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sciatica
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pain in the lower back and hip and radiating down the back of the thigh into the leg
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Herniation of L4L5 causes effects where?
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in the root of the L5 nerve
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Interspinous ligaments
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weak, almost membranous ligament that connects the spinous process
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supraspinous ligament
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strong and fibrous ligament that connects the spinous processes; this merges with the nuchal ligament, a strong ligament of the neck
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Nuchal ligament
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ligament of the neck that is the same thing as the supraspinous ligament. extends from the external occupital protuberance and posterior border of the forament magnum to the spinous processes of the cervical vertebrae
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intertransverse ligaments
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connect adjacent transverse processes; skattered fibers in the cervical region and fibrous cords in the thoracic region, thin and membranous in the lumbar region
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craniovertebral joints
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atlanto occipital joints b/t the C1 and the occipital bone; atlantoaxial joints between C1 and C2
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atlanto-occipital joint
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bt the lateral masses of C1 and the occipital condyles; permit the nodding of the head in the yes and sideways tilting
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Tuffier's line
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connects the highest points of each iliac crest, is used by clinicians as a guide for the site of lumbar puncture (near L4 or L5)
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lamina
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borad base for the spinous process
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scapula location
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between the 2nd and 7th thoracic certebrae
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uncinate processes
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lateral lip of the bone lock with one another at uncovertebreal joints
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odontoid process
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spicule of bone that was the body of C1 and how is the rod on C2 about which C1 rotates
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Where does the spinal cord end?
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T12 to L1
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sacrum comes from
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sacred-thought it was the only bone that did not decompose
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Where do you inject the needle for numb the spine?
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in the sacral hiatus which is the 4th and 5th sacrum
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sacroiliad joint
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the joint b/t sacrum and coccyx
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What innervates the zygapophyseal joints?
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the spinal nerves of the doral rami.
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Batson's plexus
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elaborate venous system found in the vertebral foramen providing movement of blood to the brain from the pelvis (prostate cancer spreads to the brain this way)
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Trapezius muscle
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attached to the base of the skull and to the spinus process of T12; attaches to the scapula and clavicle; shrugging the shoulders, innervated by the 11th cranial nerve (spinal accessory)
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Latissmus dorsi muscle
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arises from the lower half of the thoracic vertebrae down to the sacrum and ilium. attaches to the lumbodorsal fascia and ends by attaching to the humerous. Innervated by a spinal nerve
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Serratus posterior inferior
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inferior to the latissmus dorsi
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PAO-Posterior Atalanto-Occipital Membrane
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membrane that connects C1 to the occipital bone
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Alar ligament
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extend from the sides of the dens on C2 to the lateral margins of the foramen magnum (they attach the cranium to C1)
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cruciate ligament
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the transverse ligament plus the longitudinal bands that come together and look like a cross in the back of the neck.
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Tectoral Membrane
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continuation of the posterior longitudinal ligament across the median atlantoaxial joint through the foramen magnum to teh central floor of the cranial cavity
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Four movements of the vertebral column
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flexion (front), extension (lean back), lateral flexion (bending) and rotation (torsion)limited to the compressability of the IV disks
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extrinsic back muscles
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include superficial and intermediate muscles that produce and control limb and respiratory movements, respectively
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intrinsic back muscles
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specifically act on the vertebral column producing its movements and maintaining its posture
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