M1 Reading Guide Flashcards

1
Q

What is the function of the curves in the spinal column (or, why is a curved spine better than a straight spine)?

A
  • contributes to ideal spinal posture in standing

- reduces compressive load

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2
Q

What do anterior concavities provide?

A

space for organs in the thoracic and pelvic cavities

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3
Q

What is the primary WB component of the spinal column?

A

intervertebral discs

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4
Q

Lumbar vertebral bodies function

A
  • load bearing

- not designed to absorb 100% of the weight

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5
Q

Curves of the spine help minimize _______

A

compressive load

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6
Q

In addition to lumbar vertebral bodies and discs, what else help absorb a small amount of load?

A

facet joints

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7
Q

What type of joints are facets?

A

synovial

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8
Q

What is true of all synovial joints?

A
  • mobile

- surrounded by pliable capsule

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9
Q

SI joint starts out as this type of joint

A

synovial during childhood

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10
Q

What type of joint does the SI become?

A
  • modified diarthroidal synovial joint between puberty and adulthood
  • » modified synarthroidal joint in adulthood
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11
Q

Where do synovial joints get nutrition?

A

synovial fluid

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12
Q

Are synovial joints sources of pain? Why or why not?

A

YES - highly innervated

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13
Q

In what way does the facet joint capsule act as a ligament?

A
  • limits motion at the interbody joint

- » supports and protects interbody joint and disc

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14
Q

How are spinal motions distributed L1-L4?

A
  • mostly vertical
  • mostly sagittal plane
  • allows a lot of flexion/extension
  • doesn’t allow much rotation
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15
Q

This serves to guide and limit motion in the lumbar spine

A

orientation of facet joints (?)

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16
Q

Position of facet joints L5-S1

A

Change from vertical to a more oblique position between frontal and sagittal plane

17
Q

What function does a more oblique position of facets at L5/S1 serve?

A

resist anterior shear created by sacral angle of inclination

18
Q

What do shear and facet compression increase with?

A
  • increased lordosis and/or

- increased angle of inclination

19
Q

What does the increased obliquity of the L5/S1 facets limit? (movements)

A
  • lateral flexion

- rotation

20
Q

Gravity imposes a much higher degree of _______ force at L5-S1 than the rest of the lumbar spine

A

shear force

21
Q

What is the angle of inclination?

A

angle that the sacrum is tipped forward

22
Q

What is the shear force that goes through the L5-S1 joint? (%)

A

50%

If a person has 90# force directed through the spine, 45# is directed through this junction