Day 4 (pg 155) Flashcards

1
Q

What is the unusual about the cervical annulus fibrosus?

A

it lacks any lamellar or layered organization

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2
Q

What is the appearance of the cervical annulus fibrosus?

A

a horse-shoe with the anterior margin thick and the lateral margins tapering to the uncinate processes; the posterior margin is thin

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3
Q

What compensates for the thinness of the posterior part of the cervical annulus fibrosus?

A

posterior longitudinal ligament

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4
Q

What is the organization of the lumbar annulus fibrosus?

A

it has 12-14 concentric cylindrical lamellae

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5
Q

Why is the posterior part of the lumbar annulus fibrosus more susceptible to rupture, herniation, prolapse, or protrusion?

A

the posterior margin of each lamellus is thin and the posterior longitudinal ligament is also less developed

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6
Q

What is the water concentration in the lumbar annulus fibrosus at birth and after thirty?

A

birth…78%; thirty…70%

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7
Q

What is the organizational pattern for glycosaminoglycans in lumbar annulus fibrosus?

A

they typically have a binding site for hyaluronic acid and are thus aggregated

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8
Q

What is the consequence of aggregated glycosaminoglycans in the lumbar annulus fibrosis?

A

the annulus fibrosus will retain water under deformation conditions

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9
Q

Which type of collagen is dominant in the annulus fibrosis?

A

collagen type I

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10
Q

What is the organization pattern for collagen fibers in the annulus fibrosus?

A

they are parallel with one another in a single lamellus and angled

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11
Q

What is the organization of collagen fibers between lamellae?

A

collagen fibers will be angled in the opposite direction such that a spiral - counterspiral organization is observed

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12
Q

What is the average angle of collagen fibers within the annulus fibrosus?

A

they average 50 to 60 degrees

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13
Q

What is the origin for the cells of the annulus fibrosus?

A

sclerotomites

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14
Q

What cell type is associated with the annulus fibrosus?

A

fibroblast and fibrocyte

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15
Q

What is the cartilage end plate derived from?

A

the epiphyseal plate

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16
Q

What part of the vertebral body will the cartilage end plate cover?

A

the cancellous bone at the top or bottom of the vertebral body

17
Q

What is the principle type of collagen fiber within the cartilage end plate?

A

they type II collagen fiber

18
Q

What is the direction of collagen fibers within the cartilage end plate?

A

collagen fibers are aligned anterior to posterior

19
Q

What is the earliest indicator of intervertebral disc pathology or degeneration?

A

changes in the histology of the cartilage end plate

20
Q

What part of the intervertebral disc is innervated?

A

the outer lamellae of the annulus fibrosus

21
Q

What part of the cervical intervertebral disc is highly innervated?

A

the middle third of the annulus fibrosus

22
Q

What are the types of receptor endings in the intervertebral disc?

A

nociceptors and proprioceptors

23
Q

What is the relationship between size of the intervertebral disc and receptor endings?

A

the larger the disc, the greater the variety of receptor endings

24
Q

What is the proposed function of receptor ending density in the anterior part of the intervertebral disc?

A

they provide feedback during extension