Cervical vertebrae Flashcards

1
Q

typical cervical vertebra:

A
  • short body, concave sup
  • uncinate process = uncovertebral j
  • transverse process + foramen
  • spinous process short/ bifid
  • triangular vertebral foramen
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2
Q

atypical vertebrae: C1

A
  • articulates w occiput
  • sup articular facets (concave) w occipital condyles
  • inf faces (flat)
  • no vertebral body
  • lateral masses
  • ant/ post arch
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3
Q

C1 ligs:

A
  • transverse: holds dens to ant arch
  • alar (2)
  • sup/inf longitudinal bands = cruciform
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4
Q

atlantodento joint: classify

A
  • synovial pivot
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5
Q

significance of alar lig:

A
  • prevent excess rotation of atlantoaxial j

- superolateral facets on dens for lig

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6
Q

cervical vertebrae: movement

A
  • free flexion
  • extension
  • some lateral flexion
  • restricted rotation
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7
Q

cervical vertebrae: features to allow greatest range and variety of movement

A
  • relative thickness of IV discs
  • nearly horizontal orientation of articular facets
  • small amount of surrounding body mass
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8
Q

os odontoideum:

A

separation of dens from C2

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9
Q

C7 features:

A
  • long spinous process

- small/ absent transverse foramen

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10
Q

cervical vertebrae: list joints

A
  • atlanto occipital
  • atlanto axial
  • atlanto dento
  • zygopophyseal
  • uncovertebral
  • intervertebral discs
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11
Q

list all ligs incl atlantoaxial ones: (10)

A
  • tectorial membrane
  • transverse lig
  • apical
  • alar
  • ant/ post longitudinal
  • cruciform lig
  • ligamentum flavum
  • supraspinous
  • ligamentum nuchae
  • interspinous
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12
Q

how x-rays work:

A
  • if x-rays hit the film, will become blackened
  • depends on how many rays are attenuated (absorbed) by structures passing through
  • superimposed structures
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13
Q

x-rays: list least to most attentuation

A
  • air (black)
  • fat
  • water
  • bone
  • metal
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14
Q

list lines in cervical spine:

A
  • ant vertebral
  • post vertebral (George’s line)
  • spinolaminar junction
  • spinous process
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15
Q

normal shape of lines in cervical spine:

A
  • curved, or straight

- smooth progression

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16
Q

APOM cervical:

A
  • ant-post open mouth

- to see C1 unobstructed

17
Q

eg. insufficient drainage of CSF:

A
  • hole created to release pressure
  • excess fluid drained to abdominal cavity or rarely R atrium
  • catheter used
18
Q

eg. Hurler’s syndrome:

A
  • mucoplysaccharidosis
  • skeletal deformities
  • corneal clouding
  • short stature
19
Q

eg. beta-thalassemia major:

A
  • mutations in beta-globin genes
  • reduced/ no production of beta-globin
  • RBC shorter life span, can’t carry O2 well
  • expanding bone marrow
  • starburst effect (erosion of cortical bone)
20
Q

eg. adenopathy:

A

enlargement of lymph nodes

21
Q

eg. Burkitt’s lymphoma:

A

lymph node cancer