Intervertebral Foramen etc. Flashcards

1
Q

What is the average height of the intervertebral foramen?

A

about 13mm

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2
Q

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

A

40%

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3
Q

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

A

53%

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4
Q

What are the generic contents of the intervertebral foramen?

A

neural tissue, connective tissue, vascular tissue, lymphatic tissue

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5
Q

What is the percent of neural tissue in the intervertebral foramen?

A

from 8 to 50 percent

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6
Q

What are medullary feeder arteries?

A

enlarged radicular arteries which join the arterial vasa corona to provide blood for the spinal cord

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7
Q

What is the name of the largest medullary feeder artery?

A

the artery of Adamkiewicz or the arteria radicalis magna anterior

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8
Q

What are the characteristics of the Artery of Adamkiewicz?

A

it is a left side, anterior medullary feeder artery, located in the T9/T10 intervertebral foramen, and the primary vascular supply to the lumbar enlargement

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9
Q

What ligament lies next to the anterior internal vertebral venous plexus?

A

the posterior longitudinal ligament

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10
Q

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

A

they appear to lack valves

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11
Q

What size lymphatic vessels lie in the intervertebral foramen?

A

medium sized lymphatics

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12
Q

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

A

adipose tissue or loose areolar connective tissue

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13
Q

What parts of the cervical vertebra will modify the intervertebral foramen?

A

the lateral groove and uncinate process

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14
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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15
Q

What is the relationship between aging and cervical spine 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

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16
Q

What is the relationship between aging and cervical spine intervertebral foramen size?

A

the cross-sectional area diminishes after age 50

17
Q

What are the specific attachment sites for a cervical spinal nerve?

A

the sulcus for the ventral primary ramus on the costotransverse bar and the vertebral artery

18
Q

What contributes to the anterior boundary of the thoracic intervertebral foramen?

A

the costocentral joint

19
Q

Which are the largest spinal nerves?

A

L5 and S1 spinal nerves

20
Q

What increases the length of the intervertebral foramen at L5?

A

the lumbosacral tunnel

21
Q

What forms the lumbosacral tunnel?

A

the lumbosacral ligament, transverse process of L5, and sacral ala

22
Q

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

A

the far out syndrome

23
Q

What determines the length of the intervertebral foramen?

A

the width of the pedicle

24
Q

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

A

the intervertebral disc above the intervertebral foramen is usually the source of damage

25
What is unusual about the sacral intervertebral foramen compared to other intervertebral foramina?
a completely osseous boundary exists
26
What is more likely the cause of nerve irritation at the sacral intervertebral foramen?
the tilt or position of the entire sacrum relative to the pelvis
27
What is the relationship of lumbar nerve root size to the intervertebral foramen size above L4?
the nerve root will account for less than 22% of the available size
28
What is unique about the relationship of spinal nerve to intervertebral foramen at S5-Co1?
there are two nerves present, S5 nerve and Co1 nerve
29
What are some examples of destructive lesions of the vertebral body?
tuberculosis, hemangiomas, osteoporosis
30
What may reduce the impact of intervertebral disc loss of integrity on the intervertebral foramen in the cervical and thoracic spine?
the joint of Luschka in the cervicals, the costocentral joint in the thoracics
31
What are examples of acquired alterations of the spinal curves identified in class?
obesity, pregnancy, and the use of heavy backpacks
32
What is the recommended weight of a backpack compared to individual weight for the developing spine?
backpack weight should not exceed 10% individual body weight