Bones & Joints of the Back Flashcards

1
Q

What are the boundaries of the back?

A

T1 to coccyx, medial borders of the scapula

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2
Q

What percentage of skin is on the back?

A

18%

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3
Q

How many vertebra in each section?

A

7 cervical, 12 thoracic, 5 lumbar, 5 sacral, 2-5 coccyx

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4
Q

In which parts of the spine is there secondary curvature?

A

cervical and lumbar

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5
Q

At what point does the spinal cord end?

A

L1/2

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6
Q

What is the arterial blood supply of the spine?

A

posterior intercostals, lumbar arteries, lateral sacral

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7
Q

What is the venous drainage of the spine?

A

basivertebral veins drain vertebral bodies which drains to the internal vertebral venous plexus which drains to the external vertebral venous plexus

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8
Q

Where are the 3 primary centres of ossification in the spine and when do they appear?

A

One in the vertebral body and one in each arch - they appear at 6-8weeks

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9
Q

Where are the secondary centres of ossification in the spine and when do they appear?

A

They are at the tips of the transverse and spinous processes and at the upper and lower margins of the body (annular epiphyses) and appear during puberty

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10
Q

What is the clinical significance of epiphyses?

A

They may be mistaken for a fracture

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11
Q

What makes up the IV disc?

A

Annulus fibrosus and nucleus pulposus

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12
Q

What is the function of the annulus fibrosis and nucleus pulpous?

A

the annulus keeps vertebrae together and the nucleus keeps vertebrae apart

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13
Q

What are the ligaments of the spine?

A

interspinous, posterior longitudinal, intertransverse, anterior longitudinal, supraspinous, ligamentum flavum

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14
Q

Why is ligamentum flavum yellow?

A

Because it is elastic - needs to recoil

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15
Q

Why is disc prolapse more likely in rotation?

A

Because only 50% of the fibres in the annulus are protecting the nucleus

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16
Q

What is the nerve supply to the IV disc?

A

The recurrent meningeal nerve

17
Q

What is the orientation of facet surfaces in the thoracic spine?

A

in the coronal plane

18
Q

What is the orientation of facet surfaces in the lumbar spine?

A

In the sagital plane

19
Q

What is the nerve supply of facet joints in the spine?

A

Posterior ramus

20
Q

What is spondylolisthesis?

A

Slipping of L5 forward into the pelvis

21
Q

What is spondylolisis?

A

Fracture of the pars interarticularis (because of spondylolisthesis)

22
Q

What are the contents of the intervertebral foramen?

A

veins, arteries, spinal nerves, dorsal root ganglion