Back Layers, vertebral, spinal Flashcards
how long does it take for nerves to fully myelinate so we can walk?
12-18 months
what are the planes of the body?
coronal (front) transverse (top bottom) sagittal (left right)
_______ is a natural state when ligaments are not stretched, and therefore a natural position.
flexion
skull bones
22 skull bones
lower limbs bones
62 lower limbs
vertebrae
33 spine bones; 26 if sacrum/coccyx is one each
upper limb bones
24 upper limb bones
ribs total
26 ribs
bones in axial skeleton
80 bones in axial skeleton
bones in appendicular skeleton
126 bones in appendicular skeleton
how many bones do we have that do not articulate with other bones and name?
1, hyoid bone does not articulate with any other bones
define viscera
viscera are organs within a body cavity
periosteum provides blood and __________ to bones
stem cells
list bones with no periosteum and significance
patella have no periosteum and why they do not heal quickly due to no stem cells.
what constricts blood vessels, increases MAP heart rate increasing blood to brain for quicker decisions; increased blood to muscles for action; sweats
sympathetic nervous system
why do we get dry mouth when we panic or are frightened?
parasympathetic nervous system is suppressed during fight or flight, which controls all glands except sweat glands
how can stress negatively affect hormone production?
stress affects hypothalamus, which controls glands, due to proximity to limbic center in brain
of spinal nerves total and by region of spine
31 total spinal nerves, 8 cervical, 12 thoracic, 5 lumbar, 5 sacral, 1 coccyx
of nerve roots that make up sciatic nerve and name
5 nerve roots that make up sciatic nerve L4 L5 S1 S2 S3
split spinous process of cervical spine allow for ______
hyperextension
vertebra prominens on what bone
vertebra prominens on C7
vertebral artery goes through transvers foramen of ____ and supplies what?
C6 - C1 artery supplies occipital lobe (vision), cerebellum (balance), and brain stem (keeps us alive)
when atherosclerosis of one vertebral artery occurs, turning to the opposite side causes _______, but not looking forward or turning to same side.
diplopia (double vision)
why does injury to spinal cord superior to C3 result in suffocation?
phrenic nerve is from C3-4-5 and supplies diaphragm, so injury above = suffocation
this fracture is caused by blow to top of head yielding compression down from cranium. name and bone
Jefferson fracture of atlas C1
what patient positioning is required for an x-ray of C1 & C2
open mouth
what is the significance of checking to see if pupils react to light?
negative response means brain stem death
in reference to C1 and C2, which is yes and no?
C1 “yes” movement, C2 “no” movement
these bones have “heart shaped” bodies, look like giraffes laterally and have long downward spinous processes that prevent what?.
thoracic vertebrae, hyperextension
the head of every rib articulates with how many bones where?
2 bones, the superior costal facet of corresponding vertebra, and inferior costal facet of vertebra above
movement of ribs up down is referred to as this kind of movement.
bucket handle movement.
these bones have kidney shaped bodies with what unique structure? what attached to said structure?
lumbar vertebrae, mammillary process, multifidus muscle
on what day of embryonic development does the heart beat?
heart beats day 21
folic acid deficiency causes this failure of closure of the caudal neural fold at week 4 of embryonic development?
spina bifida
in this type of spina bifida, the dural sac is exposed
menigocele
in this type of spina bifida, the dural sac is exposed and CNS tissue resides superficially in the sac
menigomyelocele
in this type of spina bifida, the spinal cord is exposed
rachischisis
in this type of spina bifida, the bones are unfused with no neurological symptoms
occult
intervertebral discs are made of ______ and these structures prevents herniation of discs posteriomedial, hence they usually herniate posteriolateral
fibrous cartilage, posterior longitudinal ligament
a herniated disc patient presents with?
later postural tilted to the normal side
what are the most commonly compressed nerves in disc herniation?
L5 S1
what are the venous plexuses of the vertebral column? what is their significance?
anterior and posterior internal plexuses and anterior and posterior external plexuses (4 plexuses), Most internal organs connect to these plexuses; Cancer can travel through bidirectionally (no values) and can travel anywhere.
the term metamedicine applies to what part of the body?
intercostal spaces since they contain all tissues types
our liver can grow back portions and is the largest gland in the body (t or f)
True, liver is the largest gland and can grow donated portions partially back
where does the spinal cord end?
L1/L2
99.9% of neurons are ______
99.9% of neurons are multipolar
dorsal horn of the spinal cord controls what
sensory function
ventral horn of the spinal cord controls what
motor function
what sections of the spinal cord are larger in diameter and why? which region of the cord is enlarged?
cervical and lumbar. upper and lower extremities, respectively, require greater degrees of fine motor control; therefore the ventral region is enlarged as it controls motor fuction
what are the 3 layers of meninges
dura mater, aracnoid mater, and pia maters
define motor unit
number of muscle fibers controlled by one neuron
what space contains contains CSF and arteries of brain/spinal cord
subarachnoid space
what meninges is pain sensitive?
dura mater
what are pachy and lepto meninges?
pachy is dura mater, and lepto is a collective term for aracnoid and pia maters
what is the end of the spinal cord called?
conus medullaris is the tapering end of spinal cord
what is created by the pia mater that starts at conus medullaris, pierces the dural sac terminating at coccyx. name it’s sections’ locations
filum terminale; interna extends from conus medullaris to dural sac, and externa extends from dural sac to coccyx
dural sac terminates where, inferiorly?
S2
what function dies the filum terminale serve?
filum terminale anchors the spinal cord vertically
this modifications of pia mater and prevent side to side movement of spinal cord and is at what levels?
denticulate ligaments, T1-L2
what is tethered cord syndrome
filum terminale is too short, resulting in pain and/or neurological damage during flexion of the vertebral column
these are any collection of nerve cell bodies outside the CNS and are either sensory or autonomic.
ganglia
why are the ventral rami of spinal nerves larger than the dorsal rami?
ventral rami are larger due to all their innervation of all muscles, except muscles of layer 4-6 of the back, which are the only muscles supplied by the dorsal rami
the sympathetic chain ganglion run from where to where
T1 to L2
what is the condition caused by damage to the sympathetic chain ganglion?
Horner’s syndrom (redness in face due to vasodilation, pupil dilation and lack of sweat)
of the types of bones, what is a vertebra?
irregular
what are functions of osteoblasts and osteoclasts?
osteoblast build bone tissue (b for build), osteoclast break down bone tissue
the proximal epiphysis is composed of?
spongy bone
the diaphysis of a bone is composed of?
compact bone
what is the phrase to remember the direction of blood nutrients to bones?
to the elbow I go, from the knew I flee
what are the 4 stages of healing a bone fracture?
hematoma formation, fribrocartilage callus formation, bony callus formation, bone remodeling
what are the primary curves of the spine what what kind of curve are they?
thoracic and sacral kyphosis
what spinal curves form as a result of gravity and movement?
cervical and lumbar lordosis
what is the condition presented by lateral curvature and rotation of the vertebrae?
scoliosis – lateral curvature + rotation of the vertebrae
the 2 main structures of a vertebra are?
the body and the vertebral arch
what is formed by the inferior vertebral notch of a vertebra and the superior vertebral notch of the vertebra below it?
intervertebral foramen
uncus aka unicinate process does what?
uncus prevents dislocation of cervical vertebrae during flexion/extension
what is the strongest cervical vertebra?
axis C2
what prevents odontoid process from injuring the spinal cord during cervical movement?
transverse ligament of atlas
what is a bilateral fracture of the pedicles or lamina of the 2nd cervical vertebra
hangman fracture
dislocation of cervical vertebrae occurs at ?
the facet joints.
the head of each rib articulates with how many bones?
2; the superior costal facet of corresponding vertebra, and inferior costal facet of vertebra above
what bone could this be? superior 1⁄2 is thoracic in character and inferior 1⁄2 is lumbar in character
T12
presence of a cervical rib may result in?
thoracic outlet syndrome: costal element of C7 becomes abnormally enlarged yielding compression the brachial plexus and compression of blood vessels
mammilary process resides below and between what 2 structures?
transverse and spinous processes of lumbar vertebrae
what is narrowing of the vertebral foramen with spinal cord and/or spinal nerve roots compression in lumbar vertebrae?
spinal stenosis
what is a kyphoplasty procedure?
a process injecting an “internal cast” into vertebral bodies in osteoporosis patients with compression fractures
what is the inferior aperture of the sacral canal?
sacral hiatus
in what region is the gross movement of rotation greatest?
thoracic
forward movement of the body of one of the lower lumbar vertebrae on the vertebra below it, or upon the sacrum.
SPONDYLOLISTHESIS
unilateral or bilateral defect in the lamina of L.V. 5 between the superior and inferior articular processes, with no slippage between vertebrae.
SPONDYLOLYSIS
layer 1 of the back consist of what muscles?
trapezius, latissimus dorsi
layer 2 of the back consist of what muscles?
romboidius major, romboidius minor, levator scapulae