Lecture 13 Flashcards
Three joint complex of C1 and C2
- median: dens articulates with anterior arch (pivot joint)
- 2 lateral Z joints
Primary movement is cervical rotation (50% of all cervical rotation)
Median is a pivot synovial joint
Features of the C3- C7 cervical vertebrae
- small, kidney-shaped body
- bifurcated spinous process (bifurcation increased SA for ligament and muscle attachment)
- transverse foramina for vertebral artery
Features of the thoracic vertebrae
-• Heart-shaped body
• Long spinous process, directed inferiorly
• Long, thick transverse process (for attatchment of ligaments and muscles)
• Costal facets for rib attachment
How do the thoracic vertebrae articulate with ribs
- articualtes with two demifacets
- synovial joints - surrounded by a joint capsule
Features of lumbar vertebrae
• Large kidney-shaped body forVload bearing (transmit force
from upper body)
• Spinous process horizontal
- bigger thicker transverse processes
• Distal end of the spinal cord ends at L1/L2
• Only cauda equina below this level; important site for lumbar puncture
Lumbar puncture
How many fused vertebrae in the sacrum
5
Shape of the sacrum
Inverted triangle, curved
Features of the sacrum
- forms the sacroiliac joint with the hip bones
- sacral canal (superior) + sacral hiatus (inferior) = a continuation of vertebral canal
What forms a continuation of the vertebral canal?
Sacral canal and sacral hiatus
What passes through the anterior and posterior foramina
- lower limb nerves and vessels
- nerve roots
Number of vertebrae in coccyx
Varies - usually 4
What is the vestigial tail in humans?
Coccyx
What articulates with sacrum
Coccygeal Cornu
Two main joints of the vertebral column
- interbody joint
- zygapophysial/facet joint
What kind of joint is the interbody joint
- cartilaginous joint
Location of the interbody joint
- between bodies of adjacent vertebrae
- Includes intervertebral disc
What kind of joint is the zygaphphysial/facet joint
– Synovial, plane joint
Where is the Zygapophysial/facet joint
– Between superior and inferior articular processes of adjacent vertebrae
Two parts of the invertebral disc
– Annulus fibrosus (outer, binds to bone)
– Nucleus pulposus (inner, “pulp”)
Lambar region has a much larger fibrosus region compared to the cervical
Function of the interbody joint
• Separates vertebral bodies
• Binds vertebrae
• Resists compression
• Absorbs shock
• Resists motion in any direction
= Stability and mobility
Features of zygapophysial (Z) joints
• Orientation of facets differ between regions (allows different movement at different levels of the spine)
• Guide and direct movement
• At every level (except C0-C1)
• Cervical – 45 degree angle (faciliatate lateral flexion and rotation)
• Thoracic – coronal plane, almost vertical (roatate or lateral flex) - limited flexion and extention due to the ribs
• Lumbar – sagittal plane (flexion and extention)
What are the implications of Z-joint orientation on the available movement?
• Cervical – 45 degree angle (faciliatate lateral flexion and rotation)
• Thoracic – coronal plane, almost vertical (roatate or lateral flex) - limited flexion and extention due to the ribs
• Lumbar – sagittal plane (flexion and extention)
What is osteoporosis
When bone resorption > bone formation
Osteoplasts are working faster then osteoblasts
Features of osteoporosis
− Reduction in bone mass
−Microstructural changes
−Bones become brittle and loses elasticity
−When bone density drops below a specific level, osteoporosis is diagnosed