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73 Cards in this Set

  • Front
  • Back
3 Functions of the vertebral column
1) load bearing and flexible support
2)spinal cord protection
3)muscle attachment
Vertebra by region:
7 cervical
12 thoracic
5 lumbar
5 fused sacral
3-5 fused coccygeal
normal curvatures of the vertebral column:
1) primary - concave anteriorly (thoracic and sacral)
2) secondary - convex anteriorly (cervical and lumbar)
abnormal curvatures of the vertebral column
1) kyphosis
2)lordosis
3)scoliosis
complication of excessive scoliosis
cardiopulmonary problems
function of the articular processes of the verbrae
restriction of movement
function of the spinous and transverse processes of the vertebrae
muscle attachment and movement
function of the vertebral arch
protection of spinal cord
function of the vertebral body
support of body weight
where is bone of the vertebral body originated from
centrum
what is the origin of the smooth bone around the vertebral body (epiphyseal ring)
anular epiphysis
what is the smooth bone around the vertebral body
epiphyseal ring
what is the inside middle of the intervertebral disc called
nucleus pulposus
what is the outside of the intervertebreal disc called
anulus fibrosus
origin of the nucleus pulposus
a notochord remnant
makeup of the nucleus pulposus (water component)
mucoid material, 70-88% water
characteristics of the nucleus pulposus
consists of mucoid material, non-compressible, but capable of major changes in shape, accounts for 25% of vertebral column length
what can result from weakening of annulus fibrosus?
herniated disk
what is the annulus fibrosus?
peripheral lamina of fibrous tissue and fibrocartilage surrounding nucleus fibrosus in the intervertebral disk
functions of the intervertebral disk
1) shock absorber
2) joins vertebrae while allowing slight movement
what is the carotid tubercle?
anterior tubercle of the C6 vertebra
whats special about C7?
long prominens
what's special about C2-C5?
bifid spinous processes
what's special about the transverse processes of cervical vertebrae?
foramina for vertebral artery and vein
intervertebral foramen
created by the superior and inferior vertebral notches; outlet for spinal nerves
what is the only remnant of the notochord in the adult?
nucleus pulposus
zygapophyseal (facet) joint
synovial joint between superior and inferior articular processes; arthritis can occur
complication of weakened annulus fibrosus
herniated disk, spinal nerve impingement
what is special about the cervical vertebrae
foramen transversus for vertebral arteries and veins
which cervical vertebra can be palpated and why?
C7 because of prominens
characteristics of C vertebrae
small bodies, large spines, many spines are bifid, transverese foramina
characteristics of T vertebrae
long transverse processes (ribs); facets for rib attachments
1) demifacets on vertebral bodies
2)facet on transverse process for rib tubercle
characteristics of L vertebrae
stubby spines, large vertebral body (load bearing region), vertical articular processes
what is special about the sacral hiatus?
can be used to administer anesthesia by needle.
sacrum: posterior foramina and anterior foramina
posterior - dorsal rami; anterior - ventral rami; of S1-S4 nerves
articular surfaces of sacrum
large, articulate with ileums
carotid tubercle
C6 anterior tubercle
cervical region of the neck
flexion is greatest here
atlantoaxial joint
"no" joint, lateral movement of head
atlanto-occipital joint
"yes" joint, nodding
costal fovea
on the thoracic vertebrae, articulate with heads of ribs
movement of the lumbar region
very little rotation possible, extension is most pronounced here
where does the dens come from?
it is an extension of the vertebral body of the axis
symphyses joints of the vertebral column
intevertebral disks, anterior longitudinal ligaments, posterior longitudinal ligaments
supraspinous ligaments
connect the tips of the spines; becoem the nuchal ligament in the cervical region
nuchal ligament
part of supraspinous ligaments, only in the cervical region, connects upto the external occipital protuberance of the scull
interspinous ligaments
connect adjacent spinous processes
intertransverse ligaments
connect adjacent transverse processes
posterior and anterior longitudinal ligaments
posterior is thinner both connect vertebral bodies
ligamenta flava
connect lamina; highly elastic; help maintain upright posture
what are the different vertebral ligaments?
1) supraspinous ligaments (including ligamentum nuchae)
2) interspinous ligaments
3)intertransverse ligaments
4)posterior longitudinal ligament
5) anterior longitudinal ligament
6) ligamenta flava
what is the function of the ligamenta flava?
help maintain upright posture
hyperextension of the spine
ex) whiplash
may result in severely stretching anterior longitudinal ligament or compression and crush of posterior vertebral arch elements
hyperflexion of the spine
possibly caused by head-on collision; often between C5/C6 and C6/C7 vertebrae; may tear the interspinous ligaments and rupture the intervertebral discs
spondylosis
a general term for degenerative disorders of the spine
spondylolysis
fractures that appear in the interarticular portion of the vertebral bone, between the facet joints
spondylolisthesis
displacement of vertebral body from the one beneath it; can be anterolisthesis or retrolisthesis; anterolisthesis often goes along with spondylolysis
osteophytes
bony spurs form on regions where adjust vertebrae appose; due to chronic degeneration
spinal stenosis
congenital or acquired narrowing of spinal canal
shoulder droop
caused by injury to spinal accessory nerve (CN XI) that runs just deep to trapezius in cervical region
insertion of trapezius
lateral clavicle, acromion and scapular spine
innervation of trapezius
spinal accessory nerve
actions of trapezius
superior fibers - upward rotation, retraction and elevation of scapula
inferior fibers - upward rotation, retraction, and depression of scapula
insertion of the latissimus dorsi
humers
innervation of latissimus dorsi
thoracodorsal (middle subscapular) nerve
actions of latissimus dorsi
extends, adducts, and rotates the arm medially (swimmers movement of arm back push)
insertion of levator scapulae
superior angle of scapula almost to base of spine of scapula
innervation of levator scapula
ventral rami of C3,C4 spinal nerve and dorsal scapular nerve branch
actions of levator scapulae
mostly elevation of scapula but also retraction and light downward rotation
actions of rhomboideus major and minor
mostly retraction of scapula but also elevation and slight downward rotation
innervation of rhomboids major and minor
dorsal scapular nerve
insertion of rhomboid major
medial border of scapula from base of spine to inferior angle
insertion of rhomboid minor
base of scapular spine