Exam 3 Flashcards
At what age will the tip of the dens center of ossification appear?
Sometime in early adolescence
What is the name given to the joint formed between the tip of the dens and the odontoid center of ossification?
Tip of the dens synchondrosis
If the joint formed between the tip of the dens and odontoid proces centers of ossification persists beyond age 12, what is the condition called?
Terminal ossicle
What is the incidence of rib related changes following dorsalization of c7?
From one-half to two and one-half percent of the population
What alteration in C6 facet orientation may accompany dorsalization?
C6 demonstrates a change in inferior articular facet orientation from forward lateral and downward to forward medial and downward. Superior facet unchanged
What percent of the population may demonstrait thoracic like features at C7?
Up to 46%
What T1 facet orientation changes may accompany cervicalization?
The superior articular facet may change from BUL to BUM inferior unchanged
What is the incidence of cervicalization of T1 in the population?
Up to 28% of population
What rib-related changes may accompany lmbarization of T12?
A significant shortening of the mean relative length of 113 mm of the twelfth rib or it becomes absent
What T12 facet orientation changes may accompany lumbarization?
The superior araticular facet may change from flat, back, upward, and lateral to concave, back, upward, and medial. Inferior facet unchanged
What is characteristic of lumbarization of S1?
The failure of synostosis between S1 and S2, squaring of the vertebral body of S1 and flaring of the sacral ala
What is characteristic of sacralization of L5?
L5 may be partially or completely fused to the sacrum
Which segment demonstrates the greatest morphological variation along the spine?
L5
What is the incidence of variation within the sacrococcygeal region in the population?
Up to 14 percent
What developmental events are indicated in the formation of the adult cervical spine?
Centers for vision and equilibrium will appear in the brain musculature attaching the skull, cervical region, and upper thorax together develops the head is held upright and the intervertebral disc height becomes greater anterior than posterior
At what age will the infant begin to hold the head erect?
Usually between the third and fourth month after birth.
What is the location for the cervical kyphosis?
Between occiput and C1
What is the name given to the primary cervical curve?
Cervical kyphosis
What is the name What is the vertebral relationship between the cervical curve and the cervical enlargement?
Cervical curve CT1; cervical enlargment C3-T1
What infant activities are associated with the developmental of the lumbar curve?>
Crawling and walking
What developmental events are indicated in the formation of the adult lumbar curve?
crawling will cause abdomen to put tension on lumbar region and pulls it forward
Muscle development is promoted to compensate for the swayback of the lumbars
Intervertebral disc height will become greater anterior compared to posterior
walking will further promote muscle and IVD development
What is the time of appearance of the lateral curves?
They appear after 6 years old
What is the relationship between cure direction and handedness?
Right handed person has a high probability for right thoracic, left lumbar combo
What clinical examples of abnormal curvatures aloneg the vertebral column were stressed in class?
Military neck, humpback or hunchback, or swayback
What is military neck?>
Decreased anterior curve in the cervical region, a straight neck
What is a swayback?
An increased anterior curve in the lumbar region
What are the curve classifications for military neck?
A kyphosis or hypolordotic curve
What are the curve classifications for humpback or hunchback?
A kyphosis or hyperkyphotic curve
What are the curve classifications for swayback?
A lordosis or hyperlordotic curve
What are the classifications of scoliosis according to the Scoliosis Research Society?
Magnitude, Location, Direction, Etiology, and structural/non-structural
What is often used to measure the magnitude of scoliosis?
The Cobb Method
Based on age of onset, what are the types of idiopathic scoliosis
Infantile, Juvenile, and adolescent
Identify the curve direction, location, gender bias and incidence of infantile idiopathic scoliosis
Left thoracic, male, less than 1% incidence
Identify the curve direction, location, gender bias and incidence of juvenile idiopathic scoliosis
Right thoracic, females over 6 years old, 12 % - 21% incidence
Identify the curve direction, location gender bias and incidence of adolescent idiopathic scoliosis
Right thoracic or right thoracic and left lumbar, females, 80% incidence
What is the relationship between curve deviation, incidence, and curve worsening
The greater the deviation, the lower the incidence, the more likely to worsen
Which muscles are identified as erector spine or sacrospinalis muscles?
Iliocostalis, Longissimus, Spinalis
Which subdivision of the iliocostalis primarily originates and inserts on ribs?
Iliocostalis Thoracis
Which muscles are identified as transversospinalis muscles?
semispinalis, multifidis, and rotators
How many vertebrae can be attached to a single segment by transversospinalis muscles?
As many as nine vertebrae
What segment will represent the lowest attachment site for the semispinalis thoracics?
T12
What osseous parts of the vertebral column serve as an origin to the semispinalis capitis?
Transverse tubercles of C7, T1-T6 or T7 & articular processes of C4-C6
The semispinalis capitis and spinals capitis may fuse to form what muscle?
Biventer Cervicis
Which muscles are representative of muscle layer two in the neck?
Splenius cervicis, splenius capitis
Which muscles are representative of muscle layer three in the neck
Semispinalis capitis, spinais capitis
Which transversospinalis muscle attaches to articular and mammillary processes along the spine?
Multifidis
Which muscles of the spine exhibit a reversal of the expected origin - insertion combination?
Iliocostalis lumborum pars lumborum, longissimus thoracic pars lumborum and multifidus lumborum
Which sub occipital muscle lacks an attachment to the skull?
Oblique capités inferior
What is the origin go the obliquus capitis inferior
C2 spinous process and lamina
An increase in the density of muscle spindles is most apparent in which sub occipital muscle?
Obliquus capités inferior
Suboccipital muscle feedback relays to what aditional locations in the brain?
Extraocular nuclei of origin, primary visual cortex and vestibular nuclei
What is the proposed function of the suboccipital muscle group?
Postural stabilizers of the atlanto-occipital and atlanto-axial joints
Based on the density of muscle spindles what is the proposed function of the interspinalis?
Acts as a proprioceptive transducer in conjunction with intertransversarii to coordinate the smooth movment of the spine and to maintain appropriate posture
WHich of the cervical intertransversarii is intervated by dorsal rami of cervical spinal nerves?
Posterior medial belly, cervical intertransversarii
What is the origin of the medial belly of the lumbar intertransversarii?
Accessory process of transverse process L1-L4 mammillary process of superior articular process L1-L4
Which of the lumbar intertransversarii is innervated by dorsal rami of lumbar spinal nerves?
Medial belly, lumbar intertransversarii
Based on the density of muscle spindles what is the proposed function of the intertransversarii?
Acts as a proprioceptive transducer in conjunction with interspinalis to coordinate the smooth movment of the spine and to maintain appropriate posture
What is the insertion of the middle scalene?
Between the tubercle and groove for the subclavian artery on the first rib
What is the insertion of the posterior scalene?
Outer surface of second rib
The quadratus lumborum is implicated in the formation of which ligament?
The iliolumbar ligament
What are the possible locations of bipolar neurons?
The nasal olfactory epithelium, the retina, the vestibular or Scarp’s ganglion, and the chochlear or spiral ganglion
What are the possible locations of pseudounipolar neurons?
Any sensory ganglion other than those of the eighth cranial nerve
What are the examples of multipolar neurons?
Stellate neurons, the motor neurons of brain and spinal cord
Pyrmidal neurons of cerberal cortex
Projection neurons or Golgi type 1 Purkinje cells of cortex
Local circuit neurons or Golgi 2 granule cells of cerebral and cerebellar cortex and neurons of the motor ganglia
What do baroreceptors monitor?
Blood pressure by evaluating stretch or tension along the length of the receptor ending
What is the site or location for baroreceptors?
Specialized vascular sinuses
What are the general types of distribution-function sensory receptor endings?
Exteroceptors, proprioceptors, interoceptors
What are the types and examples of exteroceptors?
(a) general or cutaneous sense organs such as free nerve endings, encapsulated endings and epidermal endings
(b) special sense receptors for olfaction, vision, hearing and taste
What are the examples of proprioceptors?
Golgi tendon organs, neuromuscular spindles, Pacinian corpuscles, inner ear receptors for equuilibrium and specialized receptors in joints
Where will the interoceptors be located?
In viscera, glands, and blood vessels
What are the examples of interoceptors?
Free nerve endings, encapsulated nerve endings, chemoreceptors and baroreceptors
What are the examples of epidermal nerve endings?
Palisade nerve endings, Merkel cell endings and Ruffini corpuscles or Ruffini nerve endings
What is the example of tactile corpuscles?
Meissner’s corpuscles
Which type of encapsulated nerve ending is sensitive to vibration?
Lamellated corpuscles or Pacinian corpuscles
What is the example of the neurotendinous nerve ending?
Golgi tendon organs
What are the primary neuronal projections observed in a nerve?
Peripheral sensory processes and motor nerve fibers