Intervertebral Disc: Classification & Embryology Flashcards

1
Q

Based on histology, what is the classification of the intervertebral disc?

A

a cartilaginous (amphiarthrosis) symphysis

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2
Q

What are the divisions of the embryonic somite?

A

the sclerotome, myotome, and dermatome

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3
Q

What structure is formed following migration of sclerotomes to surround the notochord?

A

the perichordal blastema

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4
Q

What is formed within the perichordal blastema between the sclerotomites?

A

the intrasclerotomal fissure or fissure of von Ebner

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5
Q

What does the intrasclerotomal fissure or fissure of von Ebner become?

A

the perichordal disc

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6
Q

What will the dense sclerotomite become?

A

the upper part of the vertebral segment forming below

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7
Q

What structure forms following migration and subsequent mixing of the sclerotomites?

A

the vertebral blastema

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8
Q

What part of the intervertebral disc will the notochord form?

A

the nucleus pulposus

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9
Q

What part of the intervertebral disc will the perichordal disc form?

A

the annulus fibrosus

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10
Q

What is the earliest indicator of the position of the adult intervertebral disc?

A

the intrasclerotomal fissure or fissure of von Ebner

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11
Q

What vertebral levels will the anterior longitudinal ligament attach to?

A

those between occiput and S3 inclusive are traditionally indicated

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12
Q

What is the lowest extent of the anterior longitudinal ligament based on recent studies?

A

L3

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13
Q

What is believed to form the anterior longitudinal ligament in the lumbar spine?

A

the tendon of the crura of the diaphragm

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14
Q

What innervates the anterior longitudinal ligament?

A

the anterior neural plexus formed by fibers from the ventral primary ramus and sympathetic postganglionic fibers from the paravertebral ganglia

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15
Q

What is the function of the anterior longitudinal ligament?

A

it brakes or limits dorsi-flexion or hyperextension of the vertebral column

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16
Q

What was ossification of the anterior longitudinal ligament in the lumbar region identified as?

A

Forestier’s Disease

17
Q

What is ossification of the anterior longitudinal ligament in the lumbar region now identified as?

A

Diffuse Idiopathic Skeletal Hyperostosis or DISH