Cervical Spine Flashcards
Atypical vertebrae
C1/2
Typical Vertebrae
C3-6
1 transitional
C7
transverse foramen houses the
vertebral artery
which vertebrae does not have spinous process
C1
Carotid artery located at
C6 anterior tubercle
vertebral bodies are smaller
wider in ______ plane than in ______ plane
frontal, sagittal
Uncovertebral joint is pseudo articulation between
C4 inferior vertebral body
C5 uncinate process
Posterior atlanto-occipital and atlanto-axial membranes are continuation of
ligamentum flavum
Anterior atlanto-occipital and atlantoaxial membranes continuation of
ALL
tectorial membrane continuation of
PLL
Ligamentum nuchae continuation of
supraspinous ligament
Atlantal cruciform ligament
stabilization for________
Articulates with ______
C1/2
Facet for dens
Alar ligaments
stabilization of ______
Attaches _____-_____
Taut with
Skull/C1
Occiput-C2
Contralateral rotation, lateral flexion
2 atlanto-occipital joints
convex condyles of occiput articulate with concave superior articular facets of atlas
anterior roll, posterior slide
motions at atlanto-occipital joints
Primary ____
Slight amount of _____
Very limited _____
flexion/extension
lateral flexion
axial rotation
Atlanto-axial joint has 2 components
median joint
2 lateral apophyseal joints
Median Joint
Dens of Axis projects thru osseous-ligamentous ring created by the
anterior arch of atlas
transverse ligament
Median Joint is a
pivot joint
Median joint
most ______ in the entire spine occurs at this joint
rotation
lateral apophyseal joint articulations
inferior facets of atlas
superior facets of axis
Motion at AA joints
__ DOF
most _____ occurs at this joint
slight amount of ________
Very limited ______
2 DOF
rotation
flexion/extension
lateral flexion
Lower C Spine Articulations
Facets oriented halfway between
frontal and horizontal planes
Lower C Spine
___ DOF
Flexion ___ degrees
Extension ____ degrees
Coupled ____ and ______
3 DOF
Flex: 35-40
Ext: 55-60
Coupled rotation and ipsilateral lateral flexion
Articular Pillar is appreciation of
C/S Facet joints and vertebral bodies
Superior Facets face
____ plane
Superior
Posterior
Medial
Frontal plane
Inferior facets
_____ plane
inferior, anterior, lateral
Sagittal plane
Facets mostly lie in ____ plane
Osteokinematic motion favors _____
transverse
rotations
Capital Extension
Occiput rolls ________
Occipital Condyles glide ______
Posteriorly
Anteriorly
Capital Extension
Approximation of occiput and posterior arch of atlas occurs at end range to serve as
A bony blocks to stop movement
Capital Flexion
Mostly movement of
Occiput on atlas
Capital Flexion
Occiput rolls forward about ____ deg
occipital condyles glide posteriorly on _____
15-25
atlas
Capital Flexion
Atlas tilts
forward
What maintains stability in capital flexion
transverse ligament
Transverse ligament limits _____, prevents atlas from _____________
flexion
sliding too far forward
> 5 mm gap between anterior arch of atlas and odontoid process is
abnormal (instability)
Upper C spine Rotation is initiated by movement at the
OA joint
what also occur in upper c spine rotation
contralateral lateral flexion
Upper C spine rotation
atlas rotates on
odontoid process
most rotation occurs here
Upper C Spine lateral flexion
occiput rolls _____
Condyles glide _____
ipsilaterally
contralaterally
Upper c spine lateral flexion
______ also occurs
limited by _______
contralateral rotation occurs (slight)
Contralateral alar ligament