Back Osteology Flashcards
What is vertebral body osteoporosis
A common metabolic disease that is often detected during routine radiographic studies
What does osteoporosis result from
A net demineralization of the bones caused by a disruption of the normal balance of calcium deposition and resorption
What are the most affected areas due to osteoporosis
Neck of the femur
Bodies of the vertebrae
Metacarpals
Radius
How is osteoporosis observed in radiographic settings
Diminished radiodenisty of the trabecular (spongy) bone of the vertebral bodies, causing the thinned cortical bone to appeas relatively prominent
Where is vertebral body osteoporosis most common
Thoracic vertebra of postmenopausal women
What is a laminectomy
The surgical excision of one or more spinous processes and the adjacent supporting vertebral laminae in a particular region of the vertebral column
Why are laminectomy’s performed (2 reasons)
To gain access to the vertebral canal to provide posterior exposure of the spinal cord and/or roots of specific nerves
Can also be performed to relieve pressure on the spinal cord or nerve roots caused by a tumor
Why are cervical vertebrae less tightly packed
Because of their more horizontally oriented articular facets
A radiographic image may not show damage to the spinal cord if what occurs
The dislocation does not result in facet jumping with locking of the displaced articular processes
What is a Jefferson fracture
A rupture of both arches of the Atlas
Does a Jefferson fracture necessarily mean SCI? Why or why not?
No, because the dimensions of the bony ring actually increase. However, if the transverse ligament is ruptured, then SCI can occur
How can a Jefferson fracture occur
A blow to the top of the head by a falling object or a diving accident are the most common
What is the most common injury of the cervical spine
Fractures of the vertebral arch of the axis (hangman’s fracture)
What causes a hangman’s fracture?
Hyperextension of the head on the neck
Fracture of the odontoid process is caused by what
A horizontal blow to the head