Arteries And Forward Flashcards
What are the segmental arteries of the lumbar spine?
The lumbar arteries, iliolumbar artery, lateral sacral artery and median sacral artery
What are the segmental arteries of the fifth lumbar vertebra?
The iliolumbar artery, lateral sacral artery and median sacral artery
What are the segmental arteries of the sacrum?
The iliolumbar, lateral sacral artery and median sacral artery.
What segmental levels are supplied by the vertebral artery?
C1-C6
What segments are supplied by the ascending cervical artery?
C1-C6
What segmental levels are supplied by the deep cervical artery?
C7-T1
What segment levels are supplied by the superior(highest) intercostal artery?
T1,T2
What segment levels are supplied by the posterior intercostal artery?
T3-T11
What segmental level is applied by the subcoatal artery?
T12
What segmental levels are supplied by the lumbar arteries?
L1-L4
What segmental levels are supplied by the median (middle) sacral artery?
L5.S1-S5 and coccyx
What segmental levels are supplied by the iliolumbar artery?
L5, S1-S5 and coccyx
What segmental levels are supplied by the lateral sacral artery?
L5,S1-S5 and coccyx
Which vertebra has the greatest number of segmental arteries associated with it?
L5
What are the segmental arteries for L5?
Iliolumbar artery, median (middle) sacral artery and lateral sacral artery.
Which branch of the dorsospinal artery will penetrate the meninges to enter subarachnoid space?
Spinal artery
Which branches of the spinal artery supply the contents of the epidural space?
Osseous arteries, anterior spinal canal artery, posterior spinal canal artery
What arteries are observed in the epidural space near the posterior longitudinal ligament?
Anterior spinal canal artery & plexus
What arteries are observed in the epidural space near the ligamentum flavin?
Posterior spinal canal artery & plexus
What branches of the spinal artery supply the contents of the subarachnoid space?
Anterior radicular artery, posterior radicular artery, anterior medullary feeder artery, posterior medullary feeder artery
Which vessel will supply the ventral/anterior nerve rootlet and nerve root?
Anterior radicular artery
Which vessel will supply the dorsal/posterior nerve rootless, nerve root and nerve root ganglion?
Posterior radicular artery
Which artery is now said to enlarge and form the medullary feeder artery?
The radicular artery
What is the name given to the artery that lies in front of the spinal cord along its length?
Anterior spinal artery
The anterior spinal artery is a branch of which artery?
The vertebral artery
Is the anterior spinal artery a single, continuous artery along the spinal cord?
No
As the anterior spinal artery continues along the spinal cord, which arteries unite along its length to give the appearance of a single continuous vessel?
Anterior medullary feeder arteries
The posterior spinal artery is a branch of which artery?
The posterior inferior cerebellum artery
What is the position of the posterior spinal artery relative to the spinal cord?
It lies in the posterolateral sulcus along the spinal cord
Is the posterior spinal
Artery a single, continuous artery along the spinal cord?
No
As the posterior spinal artery continues along the spinal cord, which arteries unite along its length to give the appearance of a single continuous vessel?
Posterior medullary feeder arteries
What forms the arterial vas’s corona?
Anterior spinal arteries, posterior spinal arteries and communicating arteries
Hahahahaha hat is the generic name given to arteries that penetrate the spinal cord?
Intramedullary arteries
What are the intramedullary branches of the arterial vas’s corona ?
Paul perforating arteries and central/ventral/sulcal perforating arteries.
What artery gives off the ventral/central/sulcal perforating arteries?
The anterior spinal artery
What arterial vas’s corona branches supply gray matter and most of the spinal cord?
Ventral/central/sulcal perforating arteries
What intramedullary branches supply about 1/3 of the spinal cord?
Pial perforating arteries
What is the source for the pial perforating arteries?
The pial plexus
What arteries form the pial plexus?
The posterior spinal arteries and the communicating arteries
What arteries are responsible for the supplementing the arterial vasa corona along the cord?
Anterior medullary feeders and posterior medullary feeders
What vessels drain into the spinal cord?
Pial veins
What will pial veins drain into?
Venous vasa corona
What vessels from the venous vasa corona?
Anterior longitudinal veins, posterior longitudinal veins and communicating veins
Which vessels will drain the venous vasa corona?
Anterior medullary veins and posterior medullary veins
Which vessels will drain the ventral/anterior nerve roots?
Anterior radicular veins
Which vessels will drain the dorsal/ posterior nerve root ganglion?
Posterior radicular veins
What vessel will drain the posterior/dorsal nerve root ganglion?
Posterior radicular veins
What veins are observed in the epidural space near the posterior longitudinal ligament?
Anterior internal vertebral venous plexus,basivertebral vein
What luminal feature of the anterior internal vertebral venous plexus vessels may function like valves of typical veins?
Trabeculae
What veins are observed in the epidural space near the ligamentum flavum?
Posterior internal vertebral venous plexus
What venous vessels are identified in the IVF?
Intervertebral veins
What is the unique feature of veins along the spinal canal?
They lack the bicuspid valve of typical veins
Identify the meninges of the spinal cord (spinal medulla or medulla spinalis)
Dura mater, arachnoid mater, pia mater
Identify the meninges of the spinal cord (spinal medulla medulla spinalis) and the commonly accepted meaning of each.
Dura mater:tough mother
Arachnoid mater: spider mother
Pia mater: tender or delicate mother
What is the name given to the fluid within the epidural space?
Interstitial fluid
What are the vascular contents of the epidural space?
Anterior and posterior spinal canal artery & plexus
Anterior and posterior internal vertebral venous plexus
Basivertebral vein
What are the neural contents of the epidural space?
Recurrent meninges/sinu-vertebral/sinus vertebral artery
What ligaments are associated with the epidural space?
Hoffman/anterior dural/meningiovertebral ligaments
Ligaments flavum
Posterior longitudinal ligament
Which of the blood vessels of the epidural space will be found near the vertebral body?
Anterior spinal canal artery & plexus
Anterior internal vertebral venous plexus
Basivertebral vein
Which of the nerves of the epidural space will be found near the vertebral body?
Recurrent meningeal/sinu-vertebral, sinus vertebral nerve
Which of the ligaments of the epidural space will be found near the vertebral body?
Posterior longitudinal ligament and Hofmann/anterior dural/meningovertebral ligaments
Which of the blood vessels of the epidural space will be found near the lamina?
Posterior spinal canal artery & plexus
Posterior internal vertebral venous plexus
Which of the nerves of the epidural space will be found near the lamina?
Recurrent meningeal/sinu-vertebral, sinus vertebral nerve
Which of the ligaments of the epidural space will be found near the lamina?
Ligamentum flavum and Hofmann/anterior dural/meningovertebral ligaments
Which meningeal space is now thought to be potential space, not an actual space?
Subdural space-between the dura mater and arachnoid mater
Which of the contents of the epidural space are more likely located near or around the posterior longitudinal ligament?
Anterior spinal canal artery & plexus
Anterior internal vertebral venous plexus
Basivertebral vein
Recurrent meningeal/sinu-vertebral/sinus vertebral nerve
Hofmann/anterior dural/meningovertebral ligaments
Which of the contents of epidural space will be found near the lamina?
Posterior spinal canal artery & plexus
Posterior internal vertebral venous plexus
Ligamentum flavum
Recurrent meningeal/sinu-vertebral/sinus vertebral nerve
Hofmann/anterior dural/meningovertebral ligaments
What is the name given to the fluid present within the subdural space?
Serous fluid
What is the name given to the fluid within the subarachnoid space?
Cerebrospinal fluid
What ligaments may be present in the subarachnoid space?
Dentate/denticulate ligament
What is the name given to the lateral extension of pia mater along the spinal cord?
Dentate (denticulate) ligament
What is the unique feature of the veins along the spinal canal?
They lack the bicuspid valve of typical veins
In the horizontal view, what direction of the spinal cord tends to be the largest?
Transverse
What are the spinal cord enlargement locations and the name given to each?
C3-T1, the cervical enlargement; T9-T12, the lumbar (lumbosacral) enlargement
What is the greatest transverse diameter of the cord
C6
In which plane will the diameter of the spinal decrease from C2 down to T1?
Mid saggy tail or anterior-posterior plane
What spinal nerves originate from the lumbar (lumbosacral) enlargement
L1-S3 spinal nerves
What is a generic cord level of origin-vertebral level combination for the lumbar (lumbosacral) enlargement?
L1,L2 cord levels in T9 vertebra
L3,L4 cord levels in T10 vertebra
L5,S1 cord levels in T11 vertebra
S2,S3 cord levels in T12 vertebra
What is the caudal end of the spinal cord called?
Conus medullaris
What spinal nerves originate from the conus medullaris?
Typically S4,S5 and Co1
In which vertebral foramen will the conus medullaris typically be observed?
L1
What is the name given to the nerve roots below L1?
Cauda equina
What is the continuation of the pia mater below the conus medullaris called?
Film terminals internal
What is the location and name given to the area where all meninges first converge at the caudal part of the vertebral column?
Typically S2, the dural cul de sac
Neural tissue has been identified in what part of the filum terminale?
Proximal part of the filum terminale internum
What is the fate of the neural tissue identified along the filum terminale internum?
It joins peripheral nerve roots of spinal nerves as high as L3 and as low as S4.
What does the neural tissue associated with the filum terminale internum appear to innervate?
Lower limbs and the external anal sphincter.
The last arterial vasa corona creates what feature on angiogram?
Crucial anastomosis
What is the name given to the condensation of meninges below S2?
Filum terminale externum
What is the name given to the caudal attachment of the meninges?
Coccygeal medullary vestige
What is the name given to the condition in which the conus medullaris is located below L1 and the filum terminale is thickened?
Tethered cord syndrome
What is the relationship between scoliosis and tethered cord syndrome?
It is suggested that the column will change normal curvatures to mitigate damage to the spinal cord caused by a tethered cord.
At the IVF, what is the relationship between spinal nerve number and vertebral nerve number along the cervical spine?
In the cervical spine, spinal nerves exit above the segment they are numbered after (C8 nerve is the exception to this rule). C3 nerve exits above C3 or between C2/C3
At the IVF, what is the relationship between spinal nerve number and vertebral number along the thoracic and lumbar spine and the sacrum?
In the thoracic and lumbar spine and for the sacrum, spinal nerves exit below the segment they are numbered after (Co1 nerve is the exception to this rule) T6 nerve exits below T6 or between T6 and T7
What is the relationship between spinal nerve number, rib number and vertebral number in the thoracic IVF?
The spinal nerve related to the upper segment number in the vertebral couple the rib number related to the lower segment number in the vertebral couple (ex: T3 nerve exits the IVF by T3/T4 and rib 4 joints with this vertebral couple)
What osseous modification is observed to the front of the anterior arch of C1?
The anterior tubercle
What is observed on the back of anterior arch of C1?
The fovea dentis
What attaches behind the anterior arch of C1
The lateral mass
What is the name of the rounded elevation on the medial aspect of the lateral mass of C1?
Tubercle for the transverse Atlantal ligament
What is identified in the midline at the back of the posterior arch of C1?
The posterior tubercle
What superior surface modification of the posterior arch of C1 is present near the lateral mass?
Groove/sulcus for the vertebral artery
What superior surface modification is present near the posterior tubercle of the posterior arch of C1?
The accurate rim
What attaches to the accurate rim of the posterior arch of atlas and to the superior articulate process of the lateral mass of atlas?
A complete ponticulus posticus
Based on the amount of bony union between the superior articulate process and the accurate rim of C1 what structure will form?
An incomplete ponticulus posticus or complete ponticulus posticus
What names are given to the opening formed by the ponticulus posticus?
Accurate foramen or retroarticular canal
What is observed on the undersurface of the posterior arch of C1?
The inferior vertebral notch
What is the name given to the anterior part of the transverse process of C1?
The costal element.
What is the name given to the posterior part of the transverse process of C1?
The true transverse process
What is the most distal part of the transverse process of C1?
The posterior tubercle.
What unique vertebral body modification is characteristic of C2?
The dens or odontoid process
What surfaces are present on the odontoid process of C2?
Facet for fovea dentis, groove for the transverse atlantal ligament, attachments sites for the alar ligaments, attachment sit for the apical-dental ligament
What feature is identified on the anterior surface of the vertebral body of C2?
The long us colli muscle attachment
What feature is identified on the anterior surface of the inferior epiphyseal rim of C2?
The anterior lip
What feature is identified on the posterior surface of the inferior epiphyseal rim of C2?
The posterior lip
What features are present at the lateral margins of the inferior epiphyseal rim of C2?
Right and left lateral grooves
What features arise from the posterolateral Martina of the vertebral body of C2?
The Pedicles
What lies on the upper surface of the pedicle of C2?
The superior articulate process
What is the location of the superior vertebral notch of C2?
On the lamina-pedicle junction
What feature is identified on the lower surface of the pedicle of C2?
The inferior vertebral notch or incisure
What is the location of the inferior articular process of C2?
On the lamina-pedicle junction behind the inferior vertebral notch
What osseous parts of the typical cervical transverse process are present at C2?
Costal element, posterior tubercle and true transverse process
What is the characteristic appearance of the C2 spinous process in humans?
It is bifid
What are the modifications of the superior epiphyseal rim of a typical cervical?
Anterior groove, posterior groove, left and right uncinate processes
What are the names of the lateral modifications of the superior epiphyseal rim of a typical cervical?
Uncinate process, unciform process, uncovertebral process, uncus or lateral lip
What are the modifications of the inferior epiphyseal rim of a typical cervical?
Anterior lip, posterior lip, right and left lateral grooves
What bony feature is attached to the posterior end of the pedicle?
The articular pillar
What is the name of the surface feature observed between the ends of the articular pillars?
The groove/sulcus for the dorsal Ramos of a cervical spinal nerve
What ligament attaches to the lamina of a typical cervical?
Ligamentum flavum