Canine Vertebral Column Flashcards
What is paresis?
Weakness
Less severe than paralysis
What are the functions of vertebral column?
Supports the body and maintain posture
Helps progression
Protects the spinal cord
Shields neck, thorax, abdomen, and pelvis
Spinal Cord
Within the vertebral column
Transfers signals between the body and brain
6 spinal nerves
Vertebral Column
Unpaired, irregular bones
Number varies in species
How many vertebrae are in dogs and cats?
50+
What are the 5 regions of the vertebrae?
- Cervical (neck)
- Thoracic (back)
- Lumbar (loin)
- Sacral (croup)
- Caudal (tail)
Clinical significance of the cervical vertebrae
You can’t palpate the c. vertebrae because it’s located in the middle of the neck
Vertebral Column formula for the dog
C7/ T13/ L7/ S3/Cd20-23
Vertebral Column formula for the cat
C7/ T13/ L7 /S3/ Cd21-23
What are the two articulations of the typical vertebrae?
- Bodies: intervertebral disc
- Arches: synovial and plane
Clinical significance of the lamina of the typical vertebrae
Laminectomy (take out both lamina) or hemilectomy (one side) with herniated disc
What makes up the arch of the typical vertebrae?
Pedicle and lamina
What are the bones of the vertebrae?
- Body
- Arch
- Vertebral foramen/ canal
- Spine
- Transverse process
- Cranial and caudal articulate surfaces
What is the first cervical vertebrae?
Altas
Atlas
Palpable
No spine or body
Foveae (modified articular process)
Wings (shelf like transverse processes)
What is the second cervical vertebrae?
Axis
On the atlas what is palpable?
Wings
What comes out of the lateral vertebral foramen?
First cervical spinal nerve
What is the point of articulation of the atlas?
Atlantoccipital hinge joint (moves up and down)
Axis
Elongated ridge- like spine (P)
Body projects cranially (dens)
Cranial articular surface located in body
What does the dens of the axis form?
The atlantoaxial pivot joint (moves side to side)
Of the cervical vertebrae which ones are typical?
The remaining 5
What does the 7th vertebral column lack?
Transverse foramen and has the highest spine
What are the foramen of the vertebral column?
Lateral vertebral foramen (first cervical spinal nerve)
Transverse foramen (vertebral artery and vein)
Intervertebral foreman (spinal nerves and spinal blood)
Vertebral surgical approach for slip disk
Ventral (easiest): skin —> sternocephal. —> sternothyoidius —> trachea —> esophagus—> Longus coli
Lateral (second easiest)
Dorsal (hardest)
Why is the dorsal the hardest vertebral surgical approach?
The esophagus sits dorsal to the trachea and it turns left when approaching the thorax
Thoracic vertebrae
13
Articulates with (13) ribs
Cr. and cd. Costa foveae/ rib head
Transverse fovea/ rib tubercle
What is the 11th thoracic vertebrae classified as?
Anticlinal, shortest and straight
Lumbar Vertebrae
Longer, uniform bodies
Long transverse process
Absence of costal facets
Short cranially pointing spine
Sacrum
3 vertebrae fused at the spine (P)
4 foramina
1st (cranial foramen) and 2nd (ventral) sacral spinal nerves
Foramen of the sacral
Two pair of dorsal sacral
Two pair of ventral sacral
What joint does the sacrum form?
The articular surface with the ilium forms the sacroiliac joint
Sacroiliac joint
Synovial/ fibrous joint
Shock absorber
Adds firmness
Caudal Vertebrae
Varies within species
Average number is 20
They loose distinctive features as proceeds caudally
What are the two main types of the vertebral column?
Cartilaginous and synovial
What joints are apart of the cartilaginous vertebral column joints?
Intervertebral discs
What joints are synovial of the vertebral column?
Articular process (plane)
Atlanto-occipital (hinge/ ginglymus)
Atlanto-axial (pivot)
Intervertebral disks
A disc between all vertebrae in the neck, back and tail (except between the first 2 cervical vertebrae)
What are the two components of each intervertebral disks?
- Outer thick portion, fibro-collagenous tissues (annulus fibrosus)
- Gel-like mix and cartilage tissue center (nucleus pulposus)
Clinical significance of the intervertebral disks? (IVDD)
Nucleus pulposus degeneration –> a crack in the annulus fibrosis —> nuclear content will shift upward (herniate) –> pinches spinal cord or root
Ligaments of the vertebral column
Nuchal ligament
Yellow ligament
Interspinous ligament
Supraspinous ligament
Nuchal ligament
Absent in the cat
Extends from spine of axis to T2
Yellow Ligament
Interaracuate/ flava
Between the arches of the vertebrae
Interspinous ligament
Fills gap in the between the spine
Supraspinous ligament
Caudal continuation of nuchal ligament at the dorsal aspect of spinous processes
Extends from T2 to sacrum
Ventral Longitudinal Ligament
Extends from the 8th thoracic vertebra to the sternum
Dorsal Longitudinal Ligament
Extends from the axis to the sacrum
Well developed in the cervical region (thick)
Intercapital Ligament
Between rib head T2-T10
Adds extra support to annulus fibrosus so you won’t see a herniated disc
Spinal Tap (clinical consideration)
Taking spinal fluid from these spaces:
1. Atlanto- occipital space
2. Atlnato- axial space
3. Lumbo- sacral space
What are the main medical conditions of the vertebral column?
Intervertebral disk disease (IVDD)
Wobblers Syndrome
Lumbosacral Stenosis
Intervertebral Disc Disease
Compression of spinal cord, blood vessels and or nerve roots
What are other names for IVDD?
Disc rupture, heriation, slipped disc (genetic mutation)
What breeds are affected by IVDD?
Chondrodystrophoid breeds (faulty development of the cartilage)
Dachshunds, beagle, basset hound, poodles
What causes IVDD?
age, genetics, vigorous activity, or trauma
Where does the IVDD occur?
85% of conditions in the thoracolumbar
15% in neck area
Wobblers
Degenerative disorder
Vertebral malformation –> narrowing of vertebral canal –> spinal cord/ nerve root compression (cervical)
What breeds does Wobblers affect?
Great Danes and Doberman pincher
What does wobblers affect?
Ataxia in rear limbs (affect coordination/ balance)
Flexed neck
Lumbosacral Stenosis
Arthritic changes between L7 - sacrum
Narrows the vertebral canal
Nerve root compression
What is another name for Lumbosacral stenosis?
Cuada Equina Syndrome
What are the symptoms of Lumbosacral stenosis?
Severe pain (back and tail)
Difficulty rising
Urination incontinence
Muscular paresis/ paralysis
(lumbar sacral)
What are the medical treatment options for Lumbosacral stenosis?
In low grade pain and minor neurological deficits use anti-inflammatory drugs, muscle relaxants, rest
What are the surgical treatment option for Lumbosacral stenosis?
For persistent and severe pain, difficulty standing and walking, remove disc material to relieve pressure
What are the decompressive surgeries?
Fenestration
Ventral Slot
Hemilaminectomy
Dorsal laminectomy
Fenestration surgery
Cervical region
Disk space is opened and the nucleus pulposus is removed without entering the spinal canal
Ventral Slot
Opens the vertebral column
The spinal cord is approached ventrally through the bone, done only with cervical disk cases
Hemilaminectomy
Accessing the vertebral column
Spinal cord is approached from the right or left side
Performed with throacolumbar disk
Dorsal laminectomy
Doesn’t happen often
Spinal cord is approached dorsally
Performed in some cases of cervical thoracolumbar and lumbar disk cases
What does a typical rib (costae) have?
Typical rib: head, tuberculum and body
Where does the head of the rib articulate?
With costal foveae of 2 successive vertebrae
Where does the tubercle of the rib articulate?
With the transverse costal foveae
How many ribs are there?
13 pairs
What ribs articulate with the sternum?
the first 9 ribs
What ribs form the costal arch?
10th, 11th and 12th
Which rib is the floating rib?
The 13th
Sternum
8 unpaired segments (sternabrae)
Intersternebral cartilages
What is the first sterabra?
manubrium
What is the last sternabra?
Xiphoid
What are the joints of the thorax?
- costo-vertebral (ball and socket)- head of rib to vertebral demifacets
- costo-transverse (plane)- tuberle of rib to transverse process of thoracic vertebrae
- costo-sternal (synovial hinge)- sternum segments
- intersternal (cartilagenous)
Epaxial Muscles
Located dorsal tot he trunk above the transverse process of vertebrae
A: extend vertebral column
What are the 3 regions of the epaxial muscles?
- Iliocostalis (lumborum and thoracis)
- Longissimus (lumborum, thoracis and capitis and cervicis)
- Transversopinalis (splenius and semispinalis muscles)
Hypaxial muscles
Located ventral to the trunk, below the transverse process of the vertebrae
Two types: neck and thoracic wall
A: Flex the vertebral column
Neck muscles of hypaxial
Longus capitis
Longus coli
Sternocephal.
Sternothyroideus
Sternohyoideus
Thoracic Wall
Scalenus
Serratus ventralis
Serratus dorsalis (cranialis and caudalis)
Enternal intercostal
Internal inercostal
Rectus thoracis