Joints, Ligaments and Movements of the Vertebral Column Flashcards

1
Q

What forms the intervertebral foramen?

A

The intervertebral foramen is formed by the superior vertebral notch of one vertebra and the inferior vertebral notch of the vertebra above.

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2
Q

What structures are involved in forming the zygapophyseal (facet) joint?

A

The zygapophyseal (facet) joint is formed by the articulation of the superior articular process and facet of one vertebra with the inferior articular process and facet of the vertebra above.

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3
Q

What type of joint is the zygapophyseal (facet) joint?

A

The zygapophyseal (facet) joint is a plane-type synovial joint, which allows for gliding movements.

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4
Q

What determines the type of movement allowed at facet joints?

A

The shape and orientation of the facet joints determine the type and range of movements allowed.

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5
Q

What surrounds the facet joints to provide stability?

A

The facet joints are surrounded by a joint capsule, which provides stability and facilitates smooth movement.

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6
Q

At what angles are the facet joints oriented in the cervical, thoracic, and lumbar spine?

A

Cervical spine: 45°
Thoracic spine: 60°
Lumbar spine: 90°

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7
Q

What is the function of the intervertebral disc?

A

The intervertebral disc acts as a cushion between vertebrae, providing shock absorption and facilitating slight movements between adjacent vertebrae.

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8
Q

What is the role of the intervertebral joints in the spine?

A

The intervertebral joints allow for flexibility and movement between vertebrae while maintaining stability of the spine.

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9
Q

What type of joints are intervertebral discs (IVDs)?

A

Intervertebral discs form secondary cartilaginous or symphyses joints between vertebral bodies.

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10
Q

How many intervertebral discs are present in the spine, and between which vertebrae?

A

There are 23 intervertebral discs, spanning from C2-C3 to L5-S1. No disc exists between C1 and C2 (atlanto-axial joint).

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11
Q

What percentage of the vertebral column’s height is made up by intervertebral discs?

A

Intervertebral discs make up 25% of the vertebral column’s height.

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12
Q

How does the thickness of intervertebral discs change along the spine?

A

The thickness of intervertebral discs gradually increases from the cervical to lumbar regions.

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13
Q

What are the two main components of an intervertebral disc?

A

The intervertebral disc is composed of the outer anulus fibrosus and the inner nucleus pulposus.

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14
Q

What is the function of the intervertebral discs?

A

Intervertebral discs act as shock absorbers, distributing load across the spine and allowing for small movements between vertebrae.

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15
Q

What is the role of the anulus fibrosus in the intervertebral disc?

A

The anulus fibrosus is the tough outer layer of the disc that provides strength and stability, protecting the inner nucleus pulposus.

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16
Q

What is the function of the nucleus pulposus?

A

The nucleus pulposus is the gel-like core of the disc, which helps in shock absorption and distributing pressure evenly across the disc.

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17
Q

What are the two main craniovertebral joints?

A

The two main craniovertebral joints are the atlanto-occipital joint and the atlanto-axial joint.

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18
Q

What articulates at the atlanto-occipital joint?

A

The atlanto-occipital joint is formed between the superior articular surfaces of the atlas (C1) and the occipital condyles of the skull.

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19
Q

What movement occurs at the atlanto-occipital joint?

A

The atlanto-occipital joint allows for flexion and extension of the head, commonly referred to as the “YES” movement.

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20
Q

What are the two types of joints found at the atlanto-axial joint?

A

The atlanto-axial joint consists of lateral plane synovial joints and a median pivot synovial joint.

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21
Q

What articulates at the lateral atlanto-axial joint?

A

The lateral atlanto-axial joints are formed by the inferior facets of the atlas (C1) articulating with the superior facets of the axis (C2).

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22
Q

What articulates at the median atlanto-axial joint?

A

Back: The median atlanto-axial joint is formed between the dens of the axis (C2) and the facet for the dens on the anterior arch of the atlas (C1).

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23
Q

What movement occurs at the atlanto-axial joint?

A

The atlanto-axial joint allows for rotation of the head, commonly referred to as the “NO” movement.

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24
Q

What are the primary movements possible in the vertebral column?

A

The primary movements possible in the vertebral column are flexion, extension, lateral flexion, and rotation.

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25
Q

What factors influence the movements possible in the vertebral column?

A

Movements in the vertebral column depend on several factors, including:

Facet joint orientation
Rib articulation
Ligaments and joint capsules
Soft tissue resistance

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26
Q

What is flexion in the context of vertebral movement?

A

Flexion refers to the bending forward of the vertebral column, decreasing the angle between the vertebral bodies.

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27
Q

What is extension in the context of vertebral movement?

A

Extension refers to the bending backward of the vertebral column, increasing the angle between the vertebral bodies.

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28
Q

What is lateral flexion?

A

Lateral flexion involves bending the vertebral column to the side, reducing the angle between the vertebrae on one side.

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29
Q

What is rotation in the context of vertebral movement?

A

Rotation involves turning the vertebral column around its axis, allowing for twisting movements.

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30
Q

How do facet joint orientations affect spinal movements?

A

The orientation of the facet joints determines the direction and extent of possible movements; for example, certain orientations allow for greater rotation or lateral flexion.

31
Q

What role do ligaments and joint capsules play in vertebral movement?

A

Ligaments and joint capsules provide stability to the vertebral column, limiting excessive movement and preventing injury.

32
Q

How does rib articulation influence spinal movements?

A

Rib articulation affects the mobility of the thoracic spine, influencing both rotation and lateral flexion due to the attachment of ribs to vertebrae.

33
Q

What movements are primarily permitted in the cervical region of the vertebral column?

A

The cervical region allows for flexion, extension, rotation, and side flexion.

34
Q

What anatomical features permit movement in the cervical region?

A

Movement in the cervical region is permitted by:

Atlanto-occipital and atlanto-axial joints
Orientation of facet joints
Relatively large intervertebral discs (IVDs)
Loose connective tissue

35
Q

What movements are primarily permitted in the thoracic region of the vertebral column?

A

The thoracic region allows for rotation and some lateral flexion. Flexion and extension are very limited.

36
Q

Why is flexion and extension limited in the thoracic region?

A

Flexion and extension are limited in the thoracic region due to the presence of ribs and the orientation of facet joints.

37
Q

What movements are primarily permitted in the lumbar region of the vertebral column?

A

The lumbar region allows for flexion, extension, and lateral flexion.

38
Q

Why is rotation not permitted in the lumbar region?

A

Rotation is not permitted in the lumbar region due to the interlocking nature of the sagittal facet joints, which limit rotational movement.

39
Q

What is the typical range of movement for flexion/extension in the cervical region?

A

Flexion/Extension in the cervical region can typically reach about 45°.

40
Q

What is the typical range of movement for lateral flexion in the cervical region?

A

Lateral flexion in the cervical region can typically reach about 60°.

41
Q

What is the typical range of movement for rotation in the cervical region?

A

Rotation in the cervical region can typically reach about 90°.

42
Q

What is the function of the Anterior Longitudinal Ligament?

A

The Anterior Longitudinal Ligament prevents hyperextension of the vertebral column.

43
Q

What does the Anterior Longitudinal Ligament connect?

A

The Anterior Longitudinal Ligament connects the anterior surfaces of vertebral bodies and intervertebral discs (IVDs), extending from the base of the occipital bone to the sacrum.

44
Q

Describe the characteristics of the Anterior Longitudinal Ligament.

A

The Anterior Longitudinal Ligament is strong and wide, providing significant support to the vertebral column.

45
Q

What is the function of the Posterior Longitudinal Ligament?

A

The Posterior Longitudinal Ligament prevents hyperflexion of the vertebral column and posterior disc prolapses.

46
Q

What does the Posterior Longitudinal Ligament connect?

A

The Posterior Longitudinal Ligament connects the posterior surfaces of vertebral bodies and intervertebral discs (IVDs), extending from C2 to the sacrum.

47
Q

Describe the characteristics of the Posterior Longitudinal Ligament.

A

The Posterior Longitudinal Ligament is narrow compared to the anterior counterpart but extends laterally at the intervertebral discs.

48
Q

How do the anterior and posterior longitudinal ligaments work together?

A

The Anterior Longitudinal Ligament prevents hyperextension, while the Posterior Longitudinal Ligament prevents hyperflexion, together providing stability and protection to the vertebral column.

49
Q

What does the Ligamentum Flavum connect?

A

The Ligamentum Flavum connects the laminae of adjacent vertebrae.

50
Q

What is unique about the composition of the Ligamentum Flavum?

A

The Ligamentum Flavum is elastic and appears yellow due to the presence of elastin.

51
Q

What is the function of the Ligamentum Flavum?

A

The Ligamentum Flavum helps prevent hyperflexion of the vertebral column.

52
Q

What do the Interspinous Ligaments connect?

A

The Interspinous Ligaments connect adjacent spinous processes of vertebrae.

53
Q

What are the characteristics and function of the Interspinous Ligaments?

A

The Interspinous Ligaments are weak and thin, helping to prevent hyperflexion.

54
Q

What do the Supraspinous Ligaments connect, and what is their function?

A

The Supraspinous Ligaments connect the posterior tips of the spinous processes from C7 to the sacrum, preventing hyperflexion. Above C7, they continue as the Nuchal Ligament.

55
Q

What do the Intertransverse Ligaments connect?

A

The Intertransverse Ligaments connect adjacent transverse processes of vertebrae.

56
Q

What is the function of the Intertransverse Ligaments?

A

The Intertransverse Ligaments help limit lateral flexion of the vertebral column.

57
Q

What is the Ligamentum Nuchae?

A

The Ligamentum Nuchae is the superior continuation of the supraspinous ligament, attaching to the external occipital protuberance of the occipital bone and limiting hyperflexion of the neck.

58
Q

What is the function of the Ligamentum Nuchae?

A

The Ligamentum Nuchae limits hyperflexion of the neck and helps stabilize the cervical spine.

59
Q

Where does the Transverse Ligament of the Atlas attach?

A

The Transverse Ligament of the Atlas attaches to the lateral masses of the atlas, passing posterior to the dens of the axis.

60
Q

What is the function of the Transverse Ligament of the Atlas?

A

The Transverse Ligament prevents posterior displacement of the dens, stabilizing the atlanto-axial joint.

61
Q

What are the Superior and Inferior Longitudinal Bands?

A

The Superior and Inferior Longitudinal Bands are extensions of the transverse ligament that attach to the occipital bone (superiorly) and the body of the axis (inferiorly).

62
Q

What is the function of the Superior and Inferior Longitudinal Bands?

A

The Superior and Inferior Longitudinal Bands prevent excessive movement of the dens, assisting in stabilizing the craniovertebral joints.

63
Q

What is the role of the Alar Ligaments?

A

The Alar Ligaments connect the dens to the occipital bone, stabilizing the dens and preventing excessive rotation of the head.

64
Q

What do the Alar Ligaments prevent?

A

The Alar Ligaments prevent excessive rotation of the cervical spine, particularly at the atlanto-axial joint.

65
Q

What is a disc prolapse (herniation)?

A

A disc prolapse occurs when the nucleus pulposus protrudes through a weak or torn anulus fibrosus, often caused by spinal flexion.

66
Q

Where is disc prolapse most common, and why?

A

Disc prolapse is most common between L4-S1 in the lumbar spine due to the high mechanical stress in this region, particularly during flexion.

67
Q

What is the usual direction of disc prolapse, and what does it affect?

A

Most disc prolapses are posterolateral, compressing exiting spinal nerve roots, often affecting the nerve root one spinal level below in the lumbar spine.

68
Q

Give an example of a nerve root affected by lumbar disc prolapse.

A

A L4/5 disc prolapse compresses the L5 nerve root.

69
Q

What can result from a posterior lumbar disc prolapse?

A

A posterior prolapse can result in cauda equina syndrome, a serious condition that compresses the cauda equina nerve roots.

70
Q

What causes cervical disc prolapses, and where do they commonly occur?

A

Cervical disc prolapses are typically caused by forced hyperflexion (e.g., in motor vehicle accidents) and are most common at C5-7.

71
Q

How are nerve roots affected in cervical disc prolapse?

A

In cervical disc prolapse, the nerve root exiting at the same level is affected, but is named for the vertebra below. For example, a C5/6 prolapse affects the C6 nerve root.

72
Q

What symptoms are associated with cervical disc prolapse?

A

Symptoms include unilateral pain, paraesthesia, and weakness in the affected area.

73
Q

What is spinal stenosis, and what causes it?

A

Spinal stenosis is the narrowing of the intervertebral foramen, which compresses exiting nerve roots, commonly caused by age-related changes and osteoarthritis.