Exam One Flashcards
What is the number of vertebrae in a typical adolescent?
33 segments
What is the number of vertebrae in a typical adult?
26 segments
What is the number of vertebrae in the typical spine?
24 segments
What constitutes the spine?
The 24 presacral segments; the cervical, thoracic and lumbar vertebrae
How many segments unite to form the typical sacrum?
5 segments
How many segments unite to form the typical coccyx?
4 segments
Which mammals do not have seven cervical vertebrae?
two toed sloth,
manatee,
ant bear,
three toed sloth
Which mammals have more than seven cervical vertebrae?
ant bear and
three toed sloth
Which mammals have less than seven cervicals?
manatee and
two toed sloth
What does the term “cervical” refer to?
the region of the neck
What does the term thoracic refer to?
breast plate or chest,
armor bearing region of the torso
What other term is often used to identify the vertebral segments of the chest?
the dorsals
What is the typical number of segments in the thoracic region?
12 segments
What does the term “lumbar” refer to?
the loin, region between the rib and the hip
What is the typical number of segments in the lumbar region?
5 segments
What does the term “sacrum” refer to?
the holy bone or holy region
What does the term “coccyx” refer to?
a cuckoo birds’ bill or cuckoo birds’ beak
Which variations account for the disparity in number and morphology of vertebrae within the population?
- gender/sexual dimorphism
- ontogenetic
- geographic/population-based
- idiosyncratic
Differences in the number of morphology of vertebrae within the population based on male and female variation is identified as which type of variation?
gender/sexual dimorphism
Differences in the number and morphology of vertebrae within the population based on age or developmental variation is identified as which type of variation?
ontogenetic
Differences in the number and morphology of vertebrae within the population based on ethnicity or locational variation is identified as?
geographic/population based variation
Differences in the number and morphology of vertebrae within the population based on variation between individuals is identified as which type of variation?
idiosyncratic
What is the length of a typical male spinal column?
70cm or 28in
What is the length of a typical female spinal column?
60cm or 25in
What is the length difference between a typical male and typical female spinal column?
about 3in
What is the length of the male cervical region? (cm and in)
12cm or
5in
What is the length of the male thoracic region? (cm and in)
28cm or
11in
What is the length of the male lumbar region? (cm and in)
18cm or
7in
What is the length of the male sacrum? (cm and in)
12cm or
5in
Based on the numbers for individual regions of the vertebral column, what is the length of the male spine? (cm and in)
58cm or
23in
How does the vertebral column participate in skeletal formation?
Ribs are formed from the costal process of the embryonic vertebral template
What levels of the vertebral column specifically accommodate weight bearing transfer?
S1-S3 at the auricular surface
What specifically is responsible for shape and position of the human frame?
comparative anterior vs. posterior height of the vertebral body and comparative anterior vs. posterior height of the intervertebral disc
What organ(s) is(are) specifically associated with the horizontal axis of the skull?
the eye and the vestibular apparatus of the inner ear
What is the general shape of the vertebral body at each region of the spine?
cervical - rectangular,
thoracic - triangular,
lumbar - reniform
What are the ages of appearance and the events occurring at each step in the formation of bone at the superior and inferior surface of the vertebral body?
ages 7-9: appearance of epiphyseal plate centers of ossification,
age 12: formation of epiphyseal ring,
age 15: formation of the epiphyseal rim
What is the generic orientation of the pedicle at each region of the spine?
cervical - posterolateral,
thoracic - posterior and slight lateral,
lumbar - posterior
What ligament will attach to the lamina?
ligamentum flavum
What classification of bone will para-articular processes represent?
accessory bone
What is the name given to the overlap of laminae seen on x-ray?
shingling
What is the generic orientation of the transverse process/apophysis at each region of the spine?
cervical - anterolateral.
thoracic - posterolateral,
lumbar - lateral
What will cause the transverse process/apophysis to alter its initial direction in the cervical region?
cervical spinal nerves are pulled forward to form the cervical and brachial nerve plexuses thus remodelling the transverse process to accommodate their new postiion
What will cause the transverse process/apophysis to alter its initial direction in the thoracic region?
the growth of the lungs remodel the shape of the ribs which in turn push the transverse processes backward
What is the name given to the bone surface at the front of a zygapophysis?
the superior articular facet
What is the name given to the bone surface at the back of a zygapophysis?
the inferior articular facet
In the vertebral couple, the part of the vertebra which lies anterior to the zygapophysis is called the ___________
pre-zygapophysis
In the vertebral couple, the part of the vertebra which lies posterior to the zygapophysis is called the ___________
post-zygapophysis
What will from the posterior boundary of a typical intervertebral foramen (IVF)?
inferior articular process/post-zygapophysis,
superior articular process/pre-zygapophysis,
capsular ligament and
ligamentum flavum
What will form the superior boundary of a typical IVF?
inferior vertebral notch/incisure
What will form the inferior boundary of a typical IVF?
superior vertebral notch/incisure
What will form the anterior boundary of a typical IVF?
vertebral body of the segment above,
vertebral body of the segment below,
intervertebral disc and
posterior longitudinal ligament
What is the method of calculating the angle of the spinous process/apophysis?
calculate the angle formed between the undersurface of the spinous process and the horizontal plane
What is the name given to the normal overlap of spinous processes/apophyses as seen on X-ray?
imbrication
What neural structures will occupy the vertebral foramen until the level of L2?
the spinal cord/spinal medulla/medulla spinalis,
the proximal part of the PNS and
the meninges
What is the typical shape/outline of the vertebral foramen at each region of the spinal/vertebral column?
cervical - triangular,
thoracic - oval,
lumbar - triangular,
sacrum - triangular
Identify the meninges of the spinal cord/spinal medulla/medulla spinalis and the commonly accepted meaning of each.
dura mater - tough mother,
arachnoid mater - spider mother,
pia mater - tender/delicate mother
Name and locate each space formed between the osseous vertebral foramen and the spinal cord.
epidural space - between vertebral foramen and dura mater,
subdural space - between dura mater and arachnoid mater,
subarachnoid space - between arachnoid and pia maters
What are the contents of the epidural space?
anterior and posterior spinal canal artery and plexus,
anterior and posterior internal vertebral venous plexus,
basivertebral vein,
recurrent meningeal/sinu-vertebral/sinus vertebral nerve,
Hofmann/anterior dural/meningovertebral ligaments,
ligamentum flavum,
posterior longitudinal ligament
Which of the contents of the epidural space will be found near the vertebral body?
anterior spinal canal artery and plexus,
anterior internal vertebral venous plexus,
basivertebral vein,
recurrent meningeal/sinu-vertebral/sinus vertebral nerve,
Hofmann/anterior dural/meningovertebral ligaments,
posterior longitudinal ligament
Which of the contents of the epidural space are more likely located near or around the posterior longitudinal ligament?
anterior spinal canal artery and plexus,
anterior internal vertebral venous plexus,
basivertebral vein,
recurrent meningeal/sinu-vertebral/sinus vertebral nerve,
Hofmann/anterior dural/meningovertebral ligaments,
Which of the contents of the epidural space will be found near the lamina?
posterior spinal canal artery and plexus,
posterior internal vertebral venous plexus,
ligamentum flavum
What is the name given to the fluid within the epidural space?
interstitial fluid
What is the name given to the fluid within the subdural space?
serous fluid
What is the name given to the fluid within the subarachnoid space?
cerebrospinal fluid
The anterior spinal artery is a branch of which artery?
The vertebral artery
The posterior spinal artery is a branch of which artery?
The posterior inferior cerebellar artery
What forms the arterial vasa corona above C3?
Right and left anterior spinal arteries, right and left posterior spinal arteries, and 4 communicating arteries
What forms the arterial vasa corona below C6?
A median anterior spinal artery, right and left posterior spinal arteries, and 3 communicating arteries
Which vessel will supply the ventral/anterior nerve rootlet and nerve root?
Anterior radicular artery
Which vessel will supply the dorsal/posterior nerve rootlets, nerve root and nerve root ganglion?
Posterior radicular artery
What arterial vasa corona branches supply gray matter and most of the spinal cord?
Ventral/central/sulcal perforating arteries
What arterial vasa corona branches supply about one third of the spinal cord?
Pial perforating arteries
What is the primary artery supplementing the arterial vasa corona?
Anterior medullary feeders and posterior medullary feeders
What vessels drain the spinal cord?
Pial veins
Which vessels form the venous vasa corona?
Right and left anterior longitudinal veins, right and left posterior longitudinal veins, and 4 communicating veins
Which vessels will drain the ventral/anterior nerve roots?
Anterior radicular veins
What vessel will drain the dorsal/posterior nerve root ganglion?
Posterior radicular veins
What venous vessels are identified in the intervertebral foramen?
Intervertebral veins
What veins are observed in the epidural space near the posterior longitudinal ligament?
Anterior internal vertebral venous plexus, basivertebral vein
What is the continuation of pia mater below the conus medullaris called?
filum terminale internum
What is the location and name given to the area where all meninges first converge at the caudal part of the vertebral column?
typically S2, the dural cul de sac
In horizontal view, what direction of the spinal cord tends to be largest?
transverse
What are the spinal cord enlargement locations and the name given to each?
- cervical enlargement: C3-T1
- lumbar/lumbosacral enlargement: T9-T12
Where is the greatest transverse diameter of the spinal cord?
C6
What is a generic cord level of origin - vertebral level combination for the lumbar/lumbosacral enlargement?
L1, L2 cord levels in the T9 vertebra;
L3, L4 cord levels in the T10 vertebra;
L5, S1 cord levels in the T11 vertebra;
S2, S3 cord levels in the T12 vertebra
What is the caudal end of the spinal cord called?
conus medullaris
What spinal nerves originate from the conus medullaris?
typically S4, S5 and Co1
In which vertebral foramen will the conus medullaris typically be observed?
L1
The last arterial vasa corona creates what feature on angiogram?
cruciate anastomosis
What is the name given to the nerve roots below L1?
cauda equina