BACK Flashcards

1
Q

Do vertebrae increase in size superiorly or inferiorly

A

inferiorly - weight bearing

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2
Q

Where are lordoses

A

cervical and lumbar

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3
Q

Where are kyphoses

A

thoracic and sacral

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4
Q

When do the curvatures of the spine develop

A

fetus starts as one kyphoses and lordoses develop in infancy

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5
Q

What does the vertebral column protect

A

spinal cord

spinal nerves and supplying arteries and veins

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6
Q

Where do intrinsic back muscles act

A

only on the back - erector spinae

extension and flexion

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7
Q

what type of joint between the skull and atlas

A

synovial ellipsoid

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8
Q

what joint lies between the atlas and axis

A

synovial pivot - allows rotation

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9
Q

What is the central core of the intervertebral disc called?

A

nucleus pulposus

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10
Q

what does the nucleus pulposus contain

A

up to 85% water - dehydrates with age

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11
Q

what type of join is an intervertebral disc?

A

secondary cartilaginous

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12
Q

What is the outer segment of the intervertebral disc called

A

annulus fibrosus

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13
Q

what is the anulus fibrosus made up of

A

fibrocartilage - concentric lamellae

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14
Q

where does the lamina lie

A

inbetween the transverse process and spinous process

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15
Q

where does the spinal cord lie

A

within vertebral foramen

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16
Q

Where do the spinal nerves lie

A

within intervertebral foramen

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17
Q

Where do intervertebral discs lie

A

between vertebrae body

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18
Q

What is the rim of the vertebral body called

A

epiphysical rim

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19
Q

Where do zygapophysial joints lie

A

between articualr facets

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20
Q

what type of joints are zygapophysial

A

synovial plane

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21
Q

Give properties of cervical vertabrae

A

flat structure
formina present - wee holes containing arteries and vessels - NOT C7
largest foramen - spinal cord thickest

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22
Q

Give properties of thoracic vertabrae

A

look like a giraffe
long thin spinous process
long thin transverse process - ribs

23
Q

Give properties of lumbar vertabrae

A

look liek a moose
largest body - bear most weight
mammillary process

24
Q

How many vertebrae are in each section of the spine

A
cervical - 7
thoracic - 12
lumbar - 5
sacral -5 - fused
coccygeal - 4 - fused
25
Which plane do the cervical articular facets lie in and which movements does this allow
transverse - flexion, extension, lateral flexion and rotation
26
Which plane do the thoracic articular facets lie in and which movements does this allow
saggital - rotation
27
Which plane do the lumbar articular facets lie in and which movements does this allow
Coronal - flexion, extension, lateral flexion
28
where does the ligamentum flavum lie
laminae of adjacent joints (arches)
29
where does the posterior longitudinal ligament lie
posterior of vertebral bodies and IV discs | prevents hyperflexion
30
where does the anterior longitudinal ligament lie
anterolateral aspects of vertebral bodies and IV discs | prevents hyperextension
31
where does the supraspinous ligament lie
on top - inbetween nuchal ligament and median neck ligament
32
where does the interspinous ligament lie
connect the spinous process
33
what happens in a herniated discs
nucleus pulposus compress posterolateral to an emerging spinal nerve
34
where does the vertebra prominence lie
spine of C7
35
where is the spine of the scapula
spine of T3
36
where is the inferior angle of the scapula
spine of T7
37
where is the summit of the iliac crest | intercristal plane
L4
38
which bones does the spinal cord lie between
occipital bone - L2 | L3 in a child
39
where does the cauda equina lie
underneath the spine - L2 to coccygeal
40
What is the structure at the end of the spinal cord
conus medullaris
41
where does the pia mater spinal cord terminate
filum terminale - inferior to coccyx
42
what movement do the posterior muscles of the vertebrae control
extension
43
what movement do the anterior muscles of the vertebrae control
flexion
44
What movements do the lateral muscles control when they contract unilaterally
rotation and lateral flexion
45
where does the erector spinae lie
posteriorly between verterbral transverse and spinous process
46
What muscles are anterior
abdominal wall - (rectus abdominus, obliques and transverse abdominas)
47
What happens when flexors and extensors contract simultaneously and what bodily functions does this aid
increase in abdominal pressue | - coughing, sneezing, lifting and urination
48
Where is a lumbar puncture done and why
L3-4 | spinal cord has ended
49
why is a patient asked to flex during a lumbar puncture
increase distance between vertebral bodies
50
Where does the dural sac extend to
S2/3 (dura ans arachnoid mater)
51
What are the 3 layers of meninges
``` dura - outer subdural space arachnoid - middle sub arachnoid space - CONTAIN CSF pia mater - inner ```
52
what does the vertebral venous plexus do
drain vertebrae and spinal cord
53
where does the vertebral venous plexus lie
fatty tissue between dura mater and vertebrae ( epidural space)