lumbar Flashcards

1
Q

most important charc. of LS is that it can bear huge loads created by ____, interact w/ forces generated by ___ and other actv involving powerful musc actions

A

body weight

lifting

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2
Q

lumbar spine is largely responsible for ___ mobility

A

trunk

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3
Q

facets lie primarily in the __ plane, limits rotational flex and allows for greater mobility in flex/ext

A

sagittal

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4
Q

developmental abnormality where one facet faces ___ and the other faces ___ (L5-S1 most, then L4-5)

A

sagittally

coronally

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5
Q

developmental abnormality where one facet faces ___ and the other faces ___ (L5-S1 most, then L4-5)

A

sagittally

coronally

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6
Q

INF articular processes are ____ and AIL, while SUP articular processes are ___ and PSM

A

convex

concave

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7
Q

the spatial alignment of the __ __ determines, to a large extent, though not completely, the characteristic kinematics of the different regions of the spine

A

facet joints

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8
Q

facet config limits ___ flexibility and allows for ___ mobility in flex/ext

A

rotational

greater

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9
Q

L1-L4 facets have ___ orientation and limit __ rotation (theta Y)
L5-S1 facets have ___ orientation and limit post/anterior __

A

sagittal
axial
coronal
shear

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10
Q

__% of flex/ext occurs in lumbar spine, with 2x more flexion than extension

A

75

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11
Q

lateral bending in the LS is coupled with ___ rotation, and SP moves to IPSILAT side & VV, though lumbar rotation is quite limited due to sagittal facets

A

axial

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12
Q

lat bend is ctrl mainly by eccentric activity of ___ which inserts post to the normal axis of motion
-normal muscl actv leads to SP rot twd side of flex

A

quadratus lumborum

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13
Q
  • nucleus of the LS IVD is located ____, and the IVD has a height to body ratio of __
  • disc has greater resistance to axial compressive forces
A

posteriorly

1:3

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14
Q
  • lat bend is ctrl mainly by eccentric activity of ___ which inserts post to the normal axis of motion
  • normal muscl actv leads to SP rot twd side of flex
A

quadratus lumborum (is major stabilizer of the LS)

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15
Q
  • nucleus of the LS IVD is located ____, and the IVD has a height to body ratio of __
  • disc has greater resistance to axial compressive forces
A

posteriorly

1:3

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16
Q

L SC contains _____ proximally and the ____ distally

A

conus medularis

cauda equina

17
Q

while the SC ends at L2, the nerve roots continue down the SC as the __ __, & the CNS is tethered to the coccyx by the ____ ____

A

cauda equina

filum terminale

18
Q

___ lig defines ROM, stabilizing dural sac w/i foramen

A

hoffman

19
Q

NRs exit dura slightly above the ___ ___, causing their course to be more oblique

A

foraminal opening

20
Q

normal lumbar lordosis should be __-__ deg, and the apex of the curve is the ___ disc

A

20-60 degrees

L3-4

21
Q

the sacral base angle increases with an ___ pelvic tilt, causing an increased lordosis, more weight bearing on the ___

A

anterior

facets

22
Q

the sacral base angle decreases with a ___ pelvic tilt, decreasing lordosis, placing more weight bearing on the ___, therefore decreases spines ability to absorb AXIAL COMPRESSION forces

A

posterior

disc

23
Q

ALL/PLL restricts excessive ____ and lubodorsal fascia acts like a large ___ ___

A

flex/ext

extensor retinaculum

24
Q
  • IS lig controls vertebral ___
  • SS provides resistance against excessive fwd ____
  • facet capsule restricts jt ___ and distraction of facet surfaces during axial rot
A

rotation
flexion
flexion

25
Q

1 cause of lumbar pain

A

poor lifting

26
Q

___ damage marks the beginning of the end –mcgill

A

ligament