1] Intro To Spine Flashcards
2 functions of the spine
Stability and mobility
What does primary curve mean?
Has posterior convexity
What does secondary curve mean?
Has anterior convexity
What two regions are primary curves?
Thoracic and sacral
What two regions are secondary curves?
Cervical and lumbar
Protects spinal cord, roof of neural arch, bending forces
Laminae
What is pars interarticularis?
Space b/w articular processes
How many articular processes?
4 (2 superior and 2 inferior)
What 2 processes increase lever arm?
Spinous and transverse process
Transmits tension and bending forces
Pedicles
What part of neural arch increases in size from cervical to thoracic?
Pedicles
Function of the intervertebral disc
Increase motion and transmit load
3 parts of the IV disc?
Nucleus pulposus
Annulus fibrosus
Vertebral end plate
Mostly water (70-90%)
Nucleus pulposus
Nucleus pulposus has primarily what type of collagen?
Type II
Annulus fibrosus is primarily what type of collagen in outer portions?
Type I
Annulus fibrosus attaches to end plates via ?
Sharpey fibers
Annulus fibrosus resists ?
Greater tensile forces
WHy are the fibers in the annulus layered in different directions at 45 degrees?
To resist forces coming from any direction
Does the IV disc have a blood supply?
No
IV disc gets nutrition via ?
Fusion
Where is the IV disc innervated?
Outer 1/3 to 1/2 of annulus fibrosus
How many degrees of freedom does Interbody joint have?
6
What are the 6 degrees of freedom in Interbody joint?
Gliding Distraction/compression AP translation Lateral tilting Rotation AP tilting
Resists distraction, translation and rotation
Outer fibers of anulus fibrosus
Limits extension and reinforces anterolateral portion of anulus fibrosus
ALL (anterior longitudinal ligament)
Limits forward flexion and reinforces posterior anulus fibrosus
PLL (posterior longitudinal ligament)
Limits forward flexion esp in lumbar area, where it resists separation of laminae
Ligamentum flavum
3 ligs that limit forward flexion
Supraspinous
Lig nuchae
Interspinous
Also known as facet joints
Zygo articulation
Cervical zygo articulation LIMITS?
Rotation and side bending
Lumbar zygo articulations LIMIT ?
Rotation and lateral flexion
Cervical zygo facets lie in what plane?
Transverse
Thoracic zygo facets lie in what plane?
And favor?
Frontal plane
Lateral flexion
Lumbar zygo facets lie in what plane?
And favor?
Sagittal plane
Flexion and extension
Association of one motion about an axis with another motion around a different axis
Coupling motions
What two motions occur together?
Rotation and lateral flexion
Cervical coupling
SB and rotation happen to SAME side
Thoracic coupling
SB and rotation happen to opposite side
Lumbar coupling
SB and rotation happen to same side
What 4 things does motion of the spine depend on?
1] orientation of facets
2] ligament function
3] muscle limitation
4] size of the disc
Flexion glide and tilt is ?
Anterior
Foramen size in flexion
Increase
Spinous process in flexion
Separate
Anterior and posterior annulus in flexion
Anterior annulus compresses
Posterior annulus stretches
Extension glide and tilt is
Posterior
Foramen in extension is
Narrow
Anterior and posterior annulus in extension is
Anterior annulus is stretched
Posterior annulus is compressed
Lateral flexion motion
Lateral tilt, rotation and translation
Lateral flexion foramen
Narrow on ipsi side
Wide on contra side
Annulus with lateral flexion
Annulus compressed on concave side
Annulus stretched on convex side
Rotation motion depends on?
Facet orientation
Which ligament helps protect the disc from tensile forces during trunk extension?
ALL (anterior longitudinal lig)
The ? Lig reinforces the posterior portion of the annulus fibrosus.
PLL
What is the action of the right SCM muscle on the cervical spine?
Right lateral flexion and left rotation
How many degrees of freedom does the Interbody joint have?
6
In regards to the disc, the ? Contains primarily pe 1 collagen and can therefore resist ? Forces
Anulus fibrosus
Tensile
What structure limits L rotation and R lateral flexion of the head?
Alar ligament
What motion do the suboccipital muscles cause, when contracting independently?
Ipsi flexion and ipsi rotation
Zygo joints of the thoracic spine are oriented in the ? Plane no favor ? While the lumbar zygo joints are t he sagittal plane and favor ? And ?
Frontal plane - lateral flexion
Extension and flexion
What is an attachment of the quadratus lumborum?
12th rib
The fibers of the annulus fibrosus are oriented at ? Degrees to the horizontal.
45-65