LUMBAR SPINE Flashcards

1
Q

typical vs. atypical lumbar vertebrae

A

TYPICAL: L1-L4
ATYPICAL: L5

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2
Q

mammillary process

A

L1-L4
differentiates these vertebrae from all other spinal vertebrae

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3
Q

what is atypical about L5

A

-transitional vertebrae
-body = largest of all lumbar vertebrae
-TVP = thick, short & pyramidal shaped
-TVP attached to body & pedicle
-SP = short, with rounded tip

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4
Q

LUMBAR LIGAMENTS

A

ALL
PLL
ligamentum flavum
interspinous
supraspinous

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5
Q

where does the spinal cord end & what does it become?

A

ends at L1/L2
becomes CAUDA EQUINA (“horse tail”)

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6
Q

2 joints in lumbar spine

A

facet joints (between vertebral arches)
intervertebral joints (between vertebral bodies)

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7
Q

FACET JOINTS type & movements

A

synovial, plane, diarthrosis, uniaxial
gliding, flexion, extension, some lateral flexion with rotation

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8
Q

FACET JOINTS articular surfaces

A

inferior condylar facet of superior vertebrae
superior condylar facet of inferior vertebrae

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9
Q

INTERVERTEBRAL JOINTS type & movements

A

cartilaginous, symphysis, amphiarthrosis, TRIAXIAL
flexion, extension, lateral flexion, some rotation

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10
Q

INTERVERTEBRAL JOINTS articular surfaces

A

inferior body of superior vertebrae
superior body of inferior vertebrae
intervertebral disc

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11
Q

iliolumbar ligaments

A

ligaments that protect lumbosacral joint (joint between lumbar spine & sacrum)
-fan like ligament that spans from TVP of L5 to ilium of pelvis

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12
Q

lumbar spine extension coupled with …

A

SACRAL NUTATION (anterior sacral tilt / sacral flexion)

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13
Q

lumbar spine flexion coupled with …

A

SACRAL COUNTERNUTATION (posterior sacral tilt / sacral flexion)

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14
Q

abdominal muscles

A

external abdominal oblique
internal abdominal oblique
rectus abdominis (most superficial)
transverse abdominis (
deepst)

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15
Q

PYRAMIDALIS

A

O: pubic crest
I: linea alba
A: tenses linea alba
N: subcostal nerve
*absent in ~20% of population

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16
Q

LINEA ALBA

A

“white line”
fibrous structure made of CT that runs down midline of abdomen form XIPHOID PROCESS to PUBIC SYMPHYSIS
separates two parts of rectus abdominis where umbilicus lives

17
Q

PSOAS MINOR is absent in …

A

~50% of people

18
Q

psoas major & iliacus combine to form …

A

ILIOPSOAS MUSCLE
prime mover for hip flexion
tested as a group

19
Q

MULTIFIDUS action

A

bilateral: extension of trunk
unilateral: contralateral rotation

20
Q

ROTATORES action

A

bilateral: extension, stabilize vertebrae
unilateral: contralateral rotation

21
Q

INTERSPINALIS action

A

extension of neck & trunk

22
Q

INTERTRANSVERSARII action

A

lateral flexion of trunk