Module 1: Unit 2 Flashcards
Describe the shape of the inferior endplate of the vertebral bodies.
Convex side to side
Concave A-P
Lip/beak anteriorly
What joint sits above the uncinate process?
And what is the goal of stabilization here?
Uncovertebral joint
Stabilizes lateral flexion
Note* Arthritis of the uncovertebral joint = Hypertrophy
Describe Wolff’s Law
With increased biomechanical stress the bone increases with more bone.
Describe the functional aspects of the pedicles and the degrees in which the pedicles reflect from the sagittal plane.
Posters-lateral aspect of vertebral body
Connect the VB to articulate pillar
Form the bottom of the intervertebral foramen (IVF)
Circular in the C-spine; more ovoid in thoracic and lumbar spine
45 degrees to sagittal
Why are the transverse processes the “gutter-shaped” structures in the cervical spine?
What degrees to the sagittal plane are the TPs of the cervical bodies?
They are gutter shaped to allow nerve roots to exit from the spinal cord to extremities of the body.
60 degrees to sagittal plane and 15 degrees caudal
How does the posterior ponticle form? And what clinical linkage is made from this?
Arcuate foramen develops by calcification of the posterior Atlanta-occipital membrane.
*Has been linked to ischemic compression of the vertebral artery.
The articulate pillars are broken down into two components:
What are these components?
Do they have facet joints?
Superior articular process (SAP)
Inferior articular process (IAP)
- The SAP and IAP have facet surface, where it articulates with the articular pillar above and below
In what anatomical direction do the superior facet faces sit?
In what anatomical direction do the inferior facet faces sit?
What angle of degrees do these facets face in comparison to the transverse plane?
Upward/posterior
Downward/anterior
45 degree angle with the transverse plane
What spinous processes appear bifid? and why?
Cervical, for muscle attachment.
What cervical body has the largest SP?
C2
What are the AP dimensions of the spinal canal from C1 to C7? What would numbers less then the minimum requirement mean? Lastly, describe Tori’s ratio.
C1 = greater than or equal to 16 mm
C2 = greater than or equal to 14 mm
C3 = greater than or equal to 13 mm
C4-C7 = greater than or equal to 12 mm
- Anything less considered STENOSIS*
Torg’s ratio - AP central canal at least 80% the AP vertebral body dimension
What cervical vertebrae are typical and which are atypical?
Typical - C3-C7
Atypical - C1 (atlas), C2 (axis)
The anterior tubercle makes up what portion of C1 ring?
Which cervical vertebrae articulates with C2 odontoid process?
1/5 of the arch
C1 vertebrae
The fovea dens articulates with the C2 Odontoid process
Are the lateral masses concave or convex? And what ligament connects the from the medial tubercle of the lateral masses?
Concave (slope inward form lateral to medial)
Transverse ligament
How much does the posterior arch make up of the C1 ring size?
2/5’s of the ring
NOTE* C1 posterior arch has the groove for vertebral artery, vein, 1st cervical nerve