Day 25 (Typical lumbar spine: L1-L4) Flashcards

1
Q

What is the generic shape of the typical lumbar vertebral body from the cranial view?

A

reniform or kidney-shaped

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2
Q

What accounts for the direction of the lumbar curve?

A

the vertebral body and intervertebral disc have a greater anterior height than posterior height

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3
Q

How many joints surfaces are present on the vertebral body of a typical lumbar?

A

six

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4
Q

How many synovial joint surfaces are present on the vertebral body of a typical lumbar?

A

none

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5
Q

How many fibrous (amphiarthrosis) syndesmosis joint surfaces on a typical lumbar vertebral body?

A

four

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6
Q

What muscles may attach to the first lumbar vertebral body?

A

psoas major and psoas minor

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7
Q

What muscle(s) may attach from the second down to the fourth lumbar vertebral body?

A

psoas major

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8
Q

Psoas minor will only attach to the vertebral body of which segments?

A

T12, L1

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9
Q

What is the name given to ligaments which attach the vertebral body to articular process?

A

transforaminal ligaments

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10
Q

What ligaments attach the vertebral body to the transverse process?

A

corporotransverse ligaments

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11
Q

Hofmann ligaments are identified in which regions along the vertebral column?

A

cervical-upper thoracic region and lumbar region

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12
Q

Cervical- upper thoracic Hofmann ligaments will attach what structures together?

A

dura mater to segments above

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13
Q

What is the highest level known to demonstrate Hofmann ligaments?

A

C6

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14
Q

What is the proposed function of the cervical-upper thoracic Hofmann ligaments?

A

resist caudal movement of the dural sac; resist gravitational forces on the dura and cord

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15
Q

Lumbar Hofmann ligaments will attach what structures together?

A

dura mater to lower segmental levels

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16
Q

What is the proposed function of the lumbar Hofmann ligaments?

A

resist cranial movement of the dural sac during flexion

17
Q

What osseous conditions of lumbar vertebrae facilitate a spinal tap in this region?

A

overlap of the laminae, shingling, diminishes;

overlap of spinous processes, imbrication, diminishes

18
Q

What is the name of the elevation near the origin of the lumbar transverse process?

A

accessory process

19
Q

A styloid process occurs with what frequency and as a result of what condition?

A

7% occurrence as a result of congenital elongation of the lumbar accessory process

20
Q

What muscle(s) attach to the lumbar accessory process?

A

longissimus thoracis and intertransversarii

21
Q

What muscles may attach to the transverse process of a typical lumbar vertebra?

A

psoas major, quadratus lumborum, longissimus thoracis, rotator brevis, rotator longus and intertransversarii