lecture 3: the vert and ribs, paravertebral muscles Flashcards
what is the main function of the intervertrebral disks
shock absorptionn
what extends from the base of the skull to the pelvis
the vertebral colium
the verebtal columbs supports…
trunk and weight of the body
what are vertebra held in place by `
1) intervertbral disks
2) intervertebral ligaments
3) deep muscles of the back
how nany vertbera are there
33
what are the 5 regions of the vert. column and the numbers
cervical (7) thoracic (12) lumbar (5) sacrium *5 fused cocgym (4 fused sometimes 3-5)
what are the 3 fucntions of the vertebral columb
enclose/protect spinal cord
support head
attachment for ribs, pelvis muscles of the back
what are some examples of muscles that attach to thevertebra
psoas, rhomboids, levator scap
what are the features of a typical vertebrae
body vertebral arch (pedicles and lamina) spinous process tranverse process articulating process and facets (unite verbta below and above by zygapospheal joints)
what is the most anterior portion of the vertebtral
nbody
what is the weight nbearing portion of the verteba
body
what is the most posterior aspect of vertable s
spinous
what do the pedicles link
body to tranvers
what to the lamina link
link the tranverse to spinous
what joints link verbeas
zygapophyseal (DSA) joints
what are the 3 general features of verebtal
vertebral foramen/canal
interbertbeal foramen
intervertbral disks
cervical vertebra provide support for the.././
head
which is the smallest and lightest vereba
cervical
true ro false: cervical are the only vert with transverse formaen and why
true because it holds the vertbreal artery
which cervical are the most mobile of the C spine
c4-c5 and c5-c6
which is the most prominent spinous process
c7
which vertebral are usually bifid
c2 to c6
what is another name for c1
atlas
where does atlas articualte
with the occpital condules
which vertebral does not have a body
atlas
true or flase: c1 has a very small superior articulating process with smooth carticlarge covered sufaces
false very large
what movement does c1 allow
flexion and exteion (yes)
true or false: the c1 does not have a spinous process but rather a psoterior tubercle
true
wht is the indentyfinh feature of the c2
dens
odontoid
what is another name for c2
axis
what motion does c2 allows
rotating sie to side (no )
atlas pivots around blank
around odontoid process
what is the issue with a whiplash injury
if tranverse lig is injury, dens can proteude psoterior and injury spinal cord
what is the main function of throacic vert
allow for rotation
are cervical or thoracic larger
thoracic
which vertberea has a long pointed spinous process projecting down
thoracic
what limits motion in thoracic
long spinous process pointed fown
what is the only vertebra that articulars with the ribs
thoracic
what are the joints that connect ribs and throcaic
costtovertebrak
what makes the thoracic vertbrea unique
they have smoothe facets on their bodies and t process to artcicualte with ribs
which thoracic dont have facets on t process
t11-t12
true or false : the superior and inferior articualr facetts are mostly in what place im thoracoc
frontalal (coronal)
what are the ribs that only articular with 1 vertbram
rib 1, rib 10,11,12
name the facets of t1
superior facet
inferior demi facet
name the facets of t2-t8
super/inf demi facets
name the facets of t9
superior demi facet
name the facets of t10-t12
superior facett
why are there no transverse facets on t11 and t12
because of the floating ribs
true or false: lumbar is larger and thicker than just cervical
false also thracic
which lumbar allow for significant flexion anf extension
l4-l5 and l5-s1
what is the main movement of lumbar vertbra
flexion and extension of spine
where is disc /facet degendation common in lumbar and why
in l4-l5 and l5-s1 because they allow for significant flexion and extension movemens
which bone is large and triangular
sacrum
what forms the psoterior part of the pelvis
sacrum
when are the 5 sacrum bones completely fused
byage 30
the spinous processes of the sacrum are still present and called what
median sacral crest
true or false: the disks are largery replaced by bone in the sacrum
true
tthe superior articualted processes of the sarcum artticulate with wahat
L5th verebttra
true or false: S1 is never free
false rarrly is ti
is it ever possible for l5 to be compoelte fused ot sacrum
yes
what is the sacral canal
continuation of the vertebral canal
what is the sacral hiatus
end of canal
what are the 4 pairs of openings along the side of the median crest called
dorsal and ventrtal sacral foramina
when do coxyn become fused
20-30 years only
how is the coccyx attached to the sacrum
through ligaments
what are the primary curves
kyphotic curves (and thoracicsacrum and cocyx)
what are the secondary curves
lordoctic curves (cervical and lumbar)
what are spinal curves affected by
posture activuty (like insactivty of dominant sides) obesity pregnancy trauma disease
what is lordosis
exagerated curvine in the L spine (can also be cervical)
what is kyphosis
exagerative curving in tspine
what is scoliosis
lateral deviation of the spinne from the midline
what are the 2 ways you get scoliosis
1) strcutural (born with it)
2) funtional (compensation)
wht muscles push the pelvic wheel up
erector spinea and abdominals
what muscles push the pelvic wheen down
glutes hams and hip flexors
what is the outer fibrous ring of the discs called
annulus fibrosus
what is the inner elastic structure of the disks
nucleous polposus
true or false and why
no discs found between occiput and c1 as well as c1 and c2
c1 and. c2=dens
where is the last intervertebrak disk located
between s5 and co1
what largery affects intervertbral disks
aging effects
the thoraccic vertbatea, sternum and ribs make up the…
thoracic cage
what does the thoracic cage form
partial enclosure around organs of chest
what is the fucntion of the thoracic cage
supports shoulder girdle and upper limb
protects internal organs
what is the inferior portion of the thoracic cage sealed by
thoracic diaphram
what is the sternum
flat narror bone located along the vertical midline of chest
what are the 3 major parts of the sternum
1) manubrium (super)
2) body (middle)
3) xyphoid process (inf)
the first rib is attached to the…
manubrium
the ribs 2-10 attach to what
the body of the sternum
true or false; tthe xyphoid process always stays cartilage
false, it ossifies completed by age 40
where does the sternum articualte with
with clavicles superioly and ribs by the way of caritlages along the lateral borders
how many pairs of ribs do we have
12
each pair of ribs attaches with which verttbera and where
thoracic vertebra (on body and tranverse process)
the ribs attach to the sternum via what
the costal cartilages
what are the true ribs and why are they called that
1-7= true ribs
because there form a firect line with the sternum
what are the false ribs and why
8-12 because they are not directly linked to the sternum
what are the last two pairs (sometimes three) of ribs called
floating ribs
what are the 4 features of a typica lrib
shaft, head, tubercle, costal groove
what is the space b/w each rib called
intercostal space
the rib movemnt makes up for what percentage of respirotry effort
25
what is the costal angle
the angle where the ribs move from posterior to anteriorly
paravertebral msucles are blank to the spine
parallel
what are the 3 groups that paravertbral muscles are divided in
superfical
itnermediate
deep
the superficial and intermediate group are composed of what type of muscles
extrinsic
the deep group of paravertbea muscles are considrec what type of muscles
intrinsic
what does it mean to be extrinsic
having its origin away from the part that it moves.
what do the superficial paravertberal muscles control
limb movement and connect upper limb to trunk
where does the nerve supply for the superficial paravertebral come from
ventral rami of cervical nerves
what are some examples of superficial paravertrbal muscles
lat dorsi
trapezius
lev. scap
rhomboids
what do the intermediate paravertebtral msucles control
respitory movements
what are the 2 intermediate para. muscles
serratus posterior sup. (deep to rhom)
serratous psoter. inf (deep to lats)
serratus psoterior sup is innervated by ///
fisrt 4 intercostal nerves
serratus psoterior inferior is innervated by what
the last 4 itnecostal nerves
what are the 3 layers of the deep msucles of the back
superior, middle and deep
what are the deep (intrinsic muscles) innervated by
dorsal rami of spinal nerves
what is the fucntion of the deep (intrinsic muscles)
manintain posture, control movements of the vertebral columb
the deep (intrinsic) muscles extend from …
pelvis to skull
what are the deep intrinsinc msucles enclosed by
fascia
where does the fascia attach medially to
medially to lig. nuchae, spinous process, supraspinous lig and median sacral crest
where does the fascia attach laterally to
to cervical and lumbar trtanverse process and rib angles
the thoracic and lumbar part of of the facia make up what
the thoracolumbar fascia
whta is the only superfical (intridinc muscle)
splenius
where is the splenius muscle located
on the posterolateral apect of neck
what is the function of splenius muscle
covers c=vertical neck muscles, hold deep muscles in position
what are the 2 categories of splenius muscles
cervicis
capitis
where does the splenius cervisis finish on
cervical vertebra
where does the splenius capitis finish on
the skull
be able to lcoate the splenous muslce
true or false: the splenious msucle is deep to the lats
false, deep to traps
what is the msucle group of the intermediate deep muscles
erector spinae
the muscles of the erector spinae make of the BLANK muscles of the vertebral columb
extensor
what muscle dievides into the 3 distinc muscles with one common origin
erector spinae
true or false: the lliocostalis, longissimus and spinalis all have 1 common orrigin
true
what are the 3 distinc muscles of the erector spinae
illiocostalis (lateral)
longissimus (Intermediate)
spinalis (medial)
organruze these from medial to lat.
spinalis, iliocostalis, longissium
spinalis, longissimus, iliocostalis
what are the 3 subsets of iliocostalis
iliocostalis lumborum, thoracis, cervicsis
true or false: all the muscles of the eretcor spinae have a section on lumbar, thoracis and cervical
false, only iliocostalis goes to lumborum
what are the 3 subsets of longissimus
longissimus thoracis, cervicis, capitus
what are the 3 subsets of spinalis
thoracis, cervicis, capitus
to acces the deep intrinsic muscles, what muscle needs to be cut
erector spinae
what are the 6 deep intrinsic muscles
semispinalis multifidus rotadores interspinalis intertranvesus levator costarum
wht are the 3 subsets of semispinalis
capitus, thoracic, cervisis
what are the 3 muscles collectively known as the tranversospinal muscle group
multifidus
semispinalis
rotatores
whta is the muscle immediately deep to erector spineae
multifidus
where do the rotadores ifinsih
at cervical
what muscles come always as a pair
interspinanlis
where can you find the interspinalis muscle
in between spinous processus
where can you find the intertranversus muscles
in between the tranverse muscle
where can you find the levaotr corstarum
tranverse process to ribs
true or false: the rotatdore is split into longus and brevis
true
true or false: the rotadore longus jumps 4 levels
false 2
what is the muscle called that originates on cervical vertibrae and inserts on 1+2 ribs
scalene
id the middle scalene psoterior to anterior scalene
false, it is deep
what muscle do the brachial plexus and subclavian artery pass through
anterior and middle scalene
At the level of L1, the spinal cord ends and what begins
the cauda equina begins.