Atypical cervical vertebra: C2 Flashcards

1
Q

what names are given to C2?

A

axis or epistropheus

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2
Q

what unique vertebral body modification is characteristic of C2?

A

the tens or odontoid process

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3
Q

how many joint surfaces are present on the odontoid process of C2?

A

five

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4
Q

what joint surfaces are present on the odontoid process of C2?

A

facet for fovea dentis, groove for transverse atlantal ligament, attachment sites for the alar ligaments, attachment site for the apical-dental ligament

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5
Q

which joint classifications are represented at the odontoid process of C2?

A

fibrous (amphiarthrosis) syndesmosis joint and synovial pivot (diarthrosis trochoid) joint

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6
Q

what is the name given to the odontoid process when the facet for the fovea dentis lies above the groove for the transverse atlantal ligament and the attachment sites for the apical dental and alar ligaments appear to be directed anterior?

A

lordotic dens

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7
Q

what is the name given to the odontoid process when the facet for the fovea dentis lies below the groove for the transverse atlantal ligament and the attachment sites for the apical-dental and alar ligaments appear to be directed anterior?

A

kyphotic dens

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8
Q

what joint surfaces are present at the inferior part of the vertebral body of C2?

A

anterior lip, posterior lip, right and left lateral grooves and cancellous bone

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9
Q

how many joints are formed by the inferior part of the verebral body of C2?

A

five

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10
Q

what joint classifications are present at the inferior part of the vertebral body of C2?

A

fibrous (amphiarthrosis) syndesmosis, modified synovial saddle (diarthosis sellar) and cartilaginous (amphiarthosis symphysis

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11
Q

how many joint surfaces are present at the vertebral body of C2?

A

ten

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12
Q

what joint classifications are present at the vertebral body of C2?

A

fibrous (amphiarthrosis) syndesmosis, synovial pivot (diarthrosis trochoid), modified synovial saddle (diarthrosis sellar) and cartlaginous (amphiarthrosis) symphysis

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13
Q

What ligaments will attach posteriorly, to the inferior epiphyseal rim of C2?

A

membrana tectoria and posterior longitudinal ligament

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14
Q

what ligament will represent the cranial continuation of the posterior longitudinal ligament?

A

membrana tectoria

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15
Q

what ligament forms the anterior boundary for the spinal anal above C2?

A

membrana tectoria

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16
Q

what ligament forms the anterior boundary for the spinal canal below C2?

A

posterior longitudinal ligament

17
Q

what lies on the upper surface of the pedicle of C2?

A

the superior articular process

18
Q

what is the location of the superior vertebral notch of C2?

A

on the lamina-pedicle junction

19
Q

what attaches to the lamina of C2?

A

obliquus capitis inferior muscle, posterior atlanto-axial ligament, ligamentum flavum

20
Q

what muscle attaches to the lamina of C2?

A

obliquus capitis inferior

21
Q

what is the outline of the vertebral foramen of C2?

A

oval to triangular

22
Q

what is the appearance of the superior articular facets of C2?

A

they are asymmetrical and slightly convex

23
Q

what is the facet orientation of the superior articular facet of C2?

A

backward, upward, and lateral (BUL)

24
Q

what is the orientation of the inferior articular facets of C2?

A

forward, lateral, and down (FoLD)

25
Q

what is the classification of the zygapophyseal joints of C2?

A

synovial plane (diarthrosis arthrodia) joint

26
Q

what muscle attaches to the articular processes of C2?

A

longissimus cervicis

27
Q

what osseous parts of the typical cervical transverse process are present at C2?

A

costal element, posterior tubercle and true transverse process

28
Q

what osseous parts of the typical cervical transverse process are absent at C2?

A

anterior tubercle and costotransverse bar

29
Q

what will be observed in the tranverse foramen at C2?

A

vertebral artery, vertebral venous plexus, postganglionic sympathetic motor nerve fibers

30
Q

what is the gender variation for the transverse diameter of C2?

A

males: 57 mm
females: about 50 mm

31
Q

what muscles attach to the transverse process at C2?

A

levator scapulae, middle scalene, spenius cervicis, longissimus cervicis and intertransversarii

32
Q

anterior and posterior intertransversarii are first observed at what vertebral couple?

A

C2 and C3

33
Q

what is the characteristic appearance of the C2 spinous process in humans?

A

bifid

34
Q

what is the location for palpation of the spinous process of C2?

A

in the midline, about two inches below the external occipital protuberance

35
Q

what muscles attach to the spinous process of C2?

A

rectus capitis posterior major, obliquus capitis inferior, spinalis cervicis, semispinalis cervicis, multifidis, rotators and interspinalis muscles

36
Q

what ligaments attach to the spinous process of C2?

A

ligamentum nuchae, interspinous ligaments