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Spinal exam 2 > Intervertebral foramen > Flashcards

Intervertebral foramen Flashcards

1
Q

What determines the length of the intervertebral foramen

A

The width of the pedicle

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2
Q

What is the average height of the intervertebral foramen

A

about 13mm

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3
Q

What percent of total vertebral column length does “true” intervertebral foramina height from C2-S1 equal

A

40%

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4
Q

What percent of total vertebral column length does all intervertebral foramina height from occiput - Co1 equal

A

53%

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5
Q

What are the generic contents of the intervertebral foramen

A

Neural tissue
Connective tissue
Vascular tissue
Lymphatic tissue

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6
Q

What is the percent of neural tissue in the intervertebral foramen

A

from 8-10%

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7
Q

What are medullary feeder arteries

A

Enlarged redicular arteries which joint the arterial vasa corona to provide blood for the spinal cord

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8
Q

What is the names of the largest medullary feeder artery

A

The artery of Adamkiewicz or the arteria radicalis magna anterior

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9
Q

What are the characteristics of the artery of Adamkiewicz

A

It is a left side, anterior medullary feeder artery
Located at T9/T10 intervertebral foramen
primary cascular supply to the lumbar enlargment

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10
Q

What ligament lies next to the anterior internal vertebral venous plexus

A

The posterior longitudinal ligament

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11
Q

What is a unique feature of the veins of the vertebral column

A

They appear to lack valves

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12
Q

What size lymphatic vessels lie in the intervertebral foramen

A

Medium sized lymphatics

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13
Q

What types of connective tissue will be present in the intervertebral foramen

A

Adipose tissue

Loose areolar connective tissue

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14
Q

What parts of the cervical vertebra will modify the intervertebral foramen

A

The lateral groove

Uncinate process

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15
Q

What happens to cervical nerve roots between their origin from the spinal cord and exit from the intervertebral foramen

A

They descend along the spinal cord

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16
Q

What is the relationship between aging and cervical spinal nerve root characteristics

A

The length of the nerve root increases as it descends from its apparent origin on the spinal cord
But the cross sectional area of the nerve root decreases

17
Q

What is the relationship between aging and cervical spine intervertenbral foramen size

A

The cross-sectional area diminishes after age 50

18
Q

What are the specific attachment sites for a cervical spinal nerve

A

The sulcus for the ventral primary remus on the costotransverse bar and the vertebral artery

19
Q

WHat contributes to the anterior boudary of the thoracic intervertebral foramen

A

The costocentral joint

20
Q

Which are the largest spinal nerves

A

L5 S1 spinal nerves

21
Q

What increases the length of the intervertebral foramen at L5

A

The lumbosacral tunnel

22
Q

What forms the lumbosacral tunnel

A

The lumbosacral ligament

Transverse process of L5 and sacral ala

23
Q

What condition is the result of encroachment on the L5 spinal nerve

A

The far out syndrome

24
Q

What is the relationship between intervertebral disc herniation and lumbar spinal nerves

A

The interertebral disc above the intervetebral is usually the source of damage

25
Q

What is unusual about the sacral intervertebral foramen compared to other intervertebral foramina

A

A completely osseous boundary exists

26
Q

What is more likely the cause of nerve irritation at the sacral intervertebral foramen

A

The tilt or position of the entire sacrum relative to the pelvis

27
Q

What is the relationship of lumbar nerve root size to intervertebral foramen size abouve L4

A

The nerve root size will account for less than 22% of the available size

28
Q

What is unique about the relationship of spinal nerve to intervertebral foramen at S5-Co1

A

There are two nerves present S5 and Co1

29
Q

What are some examples of destructive lesions of the vertebral body

A

Tuberculosis
Hemangioma
osteoporosis

30
Q

What may reduce the impact of intervertebral disc loss of integrity on the intervertebral foramen in the cervical and thoracic spine

A

The joint of luschka in the cervicals

the costocentral joint in the thoracics

31
Q

What are examples of osteophyte formation that influence the intervertebral foramen

A

The bony spurs of the vertebral body and para-articular processes on the lamina

32
Q

What are examples of acquired alterations of the spinal curves identified in class

A

Obesity
pregnancy
use of heavy packbacks

33
Q

What is the recommended weight of a backpack compared to individual weight for the developing spine

A

Backpack weight should not exceed 10$ individual body weight

Spinal exam 2 (22 decks)

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