Back Flashcards
What line separates the sides of the back?
midaxillary line
Where is the suboccipital located?
inferior part of occipital bone on the back wall of the pharynx
What is the main component of the axial skeleton?
the back
List the back structures from superficial to deep:
skin, subcutaneous tissue, deep fascia, muscles, ligaments, vertebrae, ribs, spinal cord and meninges, spinal nerves, and blood vessels
What is the deep fascia of the back called?
thoracolumbar fascia (diamond shaped fascia)
Where the manubrium meets the sternum is called what?
angle of Louis (sternal angle)
The recess along the midline of the back is called what?
posterior median furrow (overlies vertebral spinous processes)
What spinous process is easily mistaken for C7?
T1
The vertebra prominent is visible in what region?
C7
T/F the thoracic spinous process always corresponds to the vertebral body level:
FALSE
What overlies the cervical spinous processes of C2-C6?
thick nuchal ligament
The superior angle of the scapula typically corresponds to what spinous process level?
T1/T2
The inferior angle of the scapula lies at what level?
T7/T8
What spinous process lies at the iliac crest?
L4
What is an important landmark for lumbar punctures?
the iliac crest @ L4
How many sacral spines can be palpated?
the first 3 fused segments
A small dimple can be visualized at the level of the S2 spinous process, what does this represent?
posterior superior iliac spine
Which region of vertebral column has ribs?
thoracic
What plane crosses the L4 spinous process?
supracristal plane
What two vertebral columns are fused?
sacral and coccygeal
How many vertebras do we have?
33
Name the vertebral columns of the spine and indicated how many vertebras they have in each column
- 7 cervical
- 12 thoracic
- 5 lumbar
- 3-5 coccygeal
What are vertebrae separated by?
fibrocartilaginous intervertebral discs
What is the function of the vertebral columns?
protect the spinal cord and spinal nerves and support body weight superior to the pelvis
Where does spinal motion occur?
superior to the sacral level
Spinal motion includes what?
extension, flexion, lateral side-bending, rotation, and circumduction
What is the vertebral arch formed by?
two pedicles that project posteriorly from the body and two laminae
(think of the vertebral arch as a house)
What cervical vertebras are short and bifid? What does bifid mean?
C3-C5
bifid = divided into two parts
Another name for C1 is what? What does it articulate with?
atlas - articulates w occipital condyles through two lateral masses & anterior facet that articulates with the dens of C2
What is another name for dens? (hint: relates to C2)
dens = odontoid process
Another name for C2 is what? What does it articulate with?
axis - projects superiorly to articulate with C1
C2 projects superiorly to articulate with C1, what type of synovial joint is this?
pivot joint
Which foramen transmit vertebral arteries traveling up to the head?
foramen transversarium
Which foramen accommodates the cervical enlargement of the spinal cord?
triangular vertebral foramen of the cervical region
The costal facets of the thoracic vertebrae articulate with what?
rib tubercles
Describe the structure of the lumbar vertebrae:
large, kidney-shaped bodies and large, triangular vertebral foramina
Where is the mammillary process located?
on the superior articular process
Why is motion in the thoracic region limited?
bc each thoracic vertebra has 12 joint structures
The facet orientation of the zygapophyseal (facet) joint in the thoracic region is in what plane?
frontal plane
The facet orientation of the zygapophyseal (facet) joint in the lumbar region is in what plane? What does this plane permit?
in the sagittal plane - permits flexion/extension and minimal rotation
The sacral vertebrae is a fused, wedge-shaped bone that is _____ anteriorly and ______ posteriorly
concave anteriorly & convex posteriorly
The Ala of the coccyx is latin for what word?
wing
Why is the articular surface of the coccyx sometimes called the auricular surface?
because it resembles an ear
The intervertebral discs are arranged between all presacral vertebra except for between what structures?
occiput, atlas, & axis
In adults, the intervertebral discs constitute for how much of the total length of the spine?
~25%
Each intervertebral disc consists of an outer and inner what?
outer annulus fibrosis & inner nucelus pulposus
The strong outer annulus of the intervertebral discs are made up of how many fibrocartilaginous rings (lamellae)?
6-10
The inner nucleus pulpous of the intervertebral discs is a gel-like connective tissue structure that contains what content?
water (has high water content)
Collectively, the outer annulus and the inner nucleus pulpous of the intervertebral discs do what?
permit spinal movement & transmit loads across each vertebral segment (also bind vertebral bodies together)
Regionally, intervertebral discs range in thickness for what purpose? What regions are discs thicker?
thickness = to permit different ranges of motion
thicker in cervical and lumbar regions
Tears in the annulus fibrosis allow for herniation of what?
nucleus pulpous out into the spinal canal
Gel-like nucleus pulpous contains what percentage of water at the time of birth and what percentage by the time an individual turns 60 y/o?
birth = 80% water
60+ = <70% water
List the four distinct spinal curvatures:
primary, secondary, cervical, & lumbar
The primary spinal curvatures are found in what region(s)? When are they developed and what is their shape?
thoracic & sacral (concave anteriorly)
develop during fetal period
C SHAPE
The secondary spinal curvatures are found in what region(s)? When are they developed and what is their shape?
cervical & lumbar (concave posteriorly)
develop as infant begins to hold head and walk
INDENTED C
Name the 4 spinal curvatures of the spinal regions:
cervical (lordosis)
thoracic (kyphosis)
lumbar (lordosis)
sacral (kyphosis)
The back musculature can be divided into what two muscle groups?
intrinsic and extrinsic
Extrinsic muscles are found in what groups?
found in superficial & intermediate groups