Chapter 2- The Back Flashcards
Consists of the posterior aspect of the body and provides the musculoskeletal acid of support for the body
The back
What are the parts of the back?
- vertebrae
- proximal elements of ribs
- superior aspects of pelvis
- posterior regions of base of skull
- various interconnecting muscles
- spinal cord
- proximal parts of spinal nerves
What are the functions of the back?
- support weight
- transmit forces
- carry and position head
- brace and help maneuver limbs
What are the curvatures of the vertebral column?
- primary curvature
- secondary curvature
Concave anteriorly; reflects original embryonic shape
Primary curvature
Concave posteriorly in cervical and lumbar regions; brings center of gravity into vertical line
Secondary curvature
What controls the movement of the back?
The extrinsic and intrinsic muscles
Move the limbs and ribs
Extrinsic muscles
Maintain posture and move the vertebral column: extension, flexion, lateral flexion, rotating
Intrinsic muscles
How restricted/unrestricted is movement of the back?
Movement between any 2 vertebrae is limited but effects between vertebrae are additive along the entire length of the vertebral column
Contains the spinal cord and proximal parts of the spinal nerves
The vertebral column
How many bones are in the vertebral column and what are the different regions?
Major bones = 33 vertebrae
- 7 cervical
- 12 thoracic
- 5 lumbar
- 5 sacral
- 3/4 coccygeal
The sacral vertebrae are fused into 1 called the…..
Sacrum
Coccygeal vertebrae are rudimentary and are often fused into a single…..
Coccyx
Consists of body and arch
Typical vertebrae
What are vertebrae separated by?
Fibrocartilaginous intervertebral discs
Provides attachments for muscles and ligaments, levers of muscle actions, and sites of articulation for adjacent vertebrae
Vertebral arch
What are the other parts of typical vertebrae?
- Pedicles
- laminae
- vertebral canal
- spinous processes
- transverse processes
- superior and inferior articular facets
- superficial and intermediate group
- move the upper limb and thoracic wall
- intermediate group helps you breathe in and out
- innervated by anterior rami of spinal nerves
- have embryonic origins outside of the back
- develop from hypaxial muscles
Extrinsic muscles
- deep group; deep in position
- innervated by the posterior rami of spinal nerves
- move the head and vertebral column; helps you straighten out
- have embryonic origins in the back
- develop from epaxial muscles
Intrinsic muscles
Consists of vertebral bodies, intervertebral discs, and ligaments
Anterior walk of the vertebral column
Consists of vertebral arches and ligaments
Lateral walls and roof of the vertebral column
What are the 3 meninges that the spinal cord is covered by?
- dura mater
- arachnoid mater
- pia mater
Outermost and thickest meninges
Dura mater
Middle layer meninges
Arachnoid mater
Inner most meninges
Intimately associated with the spinal cord
Pia mater
How many spinal nerves are there and where do they emerge from?
31 pairs in segmental distribution
Emerge from the vertebral canal between Pericles of adjacent vertebrae
What are the different regions of spinal nerves?
- 8 cervical (C1-C8)
- 12 thoracic (t1-t12)
- 5 lumbar (L1-L5)
- 5 sacral (S1-S5)
- 1 coccygeal (Co)
How do the spinal nerves attach to the spinal cord?
Via anterior and posterior root
Where do the spinal nerves go after exiting the spinal cord?
Each nerve branches into anterior and posterior ramus
The smaller ramus
Innervates muscles of the back
Posterior ramus
The larger ramus
Innervates most other regions of the body, besides the back
Anterior ramus
How do the head and cranial meninges relate to the spinal cord meninges?
The brain and cranial meninges are continuous with spinal cord meninges
Ascend through the transverse foramen of the cervical vertebrae to supply blood to the brain
Paired vertebral arteries
Supports and moves head
Transmits spinal cord and vertebral arteries between head and neck
Cervical region
Provides support for thorax
Thoracic region
Provides support for the abdomen
Lumbar region
Transmits weight to lower limbs through pelvic bones
Framework for posterior aspect of pelvis
Sacral region
Where do the spinal cord and spinal nerves end?
- spinal cord = vertebrae TXII
- spinal nerves = extend down as cauda equine
What do spinal nerves exit through?
Intervertebral foramina
What is the intervertebral foramina formed by?
- superior and inferior margins formed by notches in adjacent pedicles
- posterior margin formed by articular processes of vertebral arch and associated joint
- anterior border formed by intervertebral disc
Joint between superior and inferior articular processes
Zygapophysial joint
Innervate intrinsic muscles and skin of the back
Posterior rami of spinal nerves
Where does the cutaneous distribution of posterior rami extend to?
Into the posterior regions of the head, gluteal region, and lower limb
The major skeletal components of the back
Vertebrae
Minor skeletal components of the back
Skull, ribs, pelvis
What are the cervical vertebrae characterized by?
Small size
Transverse foramen
What are the thoracic vertebrae characterized by?
By having complete ribs attached to them
What is are the lumbar vertebrae characterized by?
Their large size
How are vertebrae formed?
Formed intersegmentally from sclerotomes which originate from somites
What is each vertebrae derived from?
Each vertebrae is derived from the cranial parts of the 2 somites below (L & R side) and the caudal parts of the 2 somites above (L & R side)
What is found on typical vertebrae?
- vertebral body
- vertebral arch
- vertebral canal
- Pedicles
- laminae
- spinous process
- transverse process
- superior and inferior articular processes
- superior and inferior vertebral notched
Found on typical vertebrae
Weight bearing
Vertebral body
Found on typical vertebrae
Lateral and posterior parts of vertebral foramen
Vertebral arch
Found on typical vertebrae
Houses/protects spinal cord
Vertebral canal
Found on typical vertebrae
Attach vertebral arch to vertebral body
Pedicles
Found on typical vertebrae
Roof of vertebral arch
Laminae
Found on typical vertebrae
Muscle and ligament attachment
Spinous process
Found on typical vertebrae
Rib attachment (thoracic) and muscle attachment
Transverse process
Found on typical vertebrae
Articulate with adjacent vertebrae
Superior and inferior articular processes
Found on typical vertebrae
Form intervertebral foramen
Superior and inferior vertebral notches
What are the characteristics of cervical vertebrae?
- square shaped vertical body that has concave superior and convex inferior surface
- trough shaped transverse process with foramen transversarium
- bifid spinous process
- triangular vertebral foramen
What are the structures of the Atlas (C1)?
- lateral masses
- superior articular surfaces
- inferior articular surfaces
- anterior arch
- posterior arch
- Atlanto occipital joint
- transverse ligament
Part of the Atlas
Holds the skull
Lateral masses
Part of the Atlas
Connects lateral masses
Anterior arch and posterior arch
What does the Axis (C2) consist of?
- Dens (vertebral body of Atlas)
- Atlanto axial joint
- alar ligaments
What do thoracic vertebrae have?
- superior and inferior costal facets on each side of the vertebral body
- transverse costal facets on transverse processes
What do lumbar vertebrae have?
-long thin transverse processes that provide attachment for the iliolumbar ligament
Connects the transverse processes to the pelvis
Iliolumbar ligament
- has 5 fused vertebrae that form triangular shaped bone
- Apex points inferiority and is concave anteriorly
- 4 anterior and posterior sacral foramina allow passage of anterior and posterior rami
Sacrum
- small triangular bone made of 3-4 fused coccygeal vertebrae
- characterized by small size and lack of vertebral canal
Coccyx
Formed by he superior and inferior vertebral notches on the Pedicles of adjacent vertebrae
Allow nerves and blood vessels to pass in and out of the vertebral canal
Intervertebral foramina
What is the intervertebral foramen bordered by?
Bordered posteriorly by the zygopophysial joint between articular processes of the 2 vertebrae
Bordered anteriorly by the intervertebral disc and adjacent vertebral bodies
How do the lamina and spinous process of adjacent vertebrae interact?
- they overlap
- form reasonably complete bony dorsal wall for the vertebral canal
What are the gaps like in the lumbar region?
- large gaps exist between adjacent vertebrae
- gaps get larger towards the inferior end of the lumbar region
- gaps can be made larger by flexion of the back and are useful for medical procedures
What are the two major types of joints between vertebrae?
- symphyses
- synovial joints
- type of joint between vertebrae
- joint between vertebral bodies
- solid cartilaginous joint
Symphyses
- type of joints between vertebrae
- joint between articular processes
Synovial joints