Movement - back pain Flashcards

1
Q

What does the back include?

A

Skin

Subcutaneous tissue

Vertebral column

Spinal cord and meninges

Ribs

Nerves and vessels

Muscles

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2
Q

How many cervical vertebrae are there?

A

7

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3
Q

How many thoracic vertebrae are there?

A

12

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4
Q

How many lumbar vertebrae are there?

A

5

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5
Q

How many sacral vertebrae are there?

A

5

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6
Q

Intervertebral discs make up what length of the spine?

A

1/4

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7
Q

What is the function of the red part of the bone (body)?

A

Weight bearing

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8
Q

Which processes are shaded in purple?

A

Transverse

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9
Q

Which process is shaded in pink?

A

Spinous process

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10
Q

What are the green shaded areas of the vertebrae?

A

Articular facets:

2 superior and 2 inferior

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11
Q

What is the dark blue shaded area of the vertebra?

A

The pedicles of the vertebral arch

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12
Q

What is the light blue shaded area of the vertebra?

A

The laminae of the vertebral arch

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13
Q

The spinal nerves pass through the _____

A

Intervertebral foramen formed by the superior and inferior vertebral notches of the adjacent vertebrae and the intervertebral disc

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14
Q

The vertebral artery and vein pass through all cervical vertebra except ___

A

C7

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15
Q

Why might subluxation not compress the spinal cord?

A

Because the vertebral foramen are relatuvely wide - however they are prone to dislocation due to flat articular facets

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16
Q

What is the distinguishing feature of C2?

A

The Odontoid process (a.k.a the dens) - it prevents horizontal displacement of the atlas

17
Q

What causes fracture of the Dens?

A

The bone of the dens is less dense, so is prone to fracture - this can be caused by hyperextension or hyperflexion

18
Q

What is the name of the joint between the head of the rib with the superior demifacet of the corresponding vertebra and the inferior demifacet of the vertebra above?

A

Costovertebral joint

19
Q

What are the main differences between cervical vertebrae and lumbar veretbrae?

A

Cervical vertebrae have a small body with articular facets that are directed superioposteriorly (superior) and infero-anteriorly (inferior). The spinous processes are BIFID.

Lumbar vertebrae have a large vertebral body, superior articular facets facing medially and inferior articular facets facing laterally. Spinous processes are short and sturdy.

20
Q

What joints hold vertebrae together?

A

Zygapophysial joints, along with intevertebral discs and ligaments

Occur between superior and inferior articular articular processes of adjacent vertebrae

21
Q

What is annulus fibrosis?

A

Fibrocartilage ring attached to epiphysial rim of the vertebral body

22
Q

What is the nucleus pulposus?

A

Gelatinous substance that acts as a shock absorber

23
Q

What is the purpose of the ligamentum flavum?

A

Binds lamina of adjacent vertebrae

24
Q

Which ligaments resists hyperextension of the vertebral column, whilst all others resist hyperflexion?

A

The anterior longitudinal ligament - runs from occipital bone and C1 to sacrum

25
What is whiplash?
Hyperextension of cervical neck
26
What causes whiplash?
Tearing of the anterior lonitudinal ligament
27
Osteoporosis, which is common in post-menopausal females, is caused by what?
Loss of trabeculae, which leads to compression fractures
28
Loss of bone density with age leads to what?
Concave vertebral bodies - this puts increased pressure on rims of vertebrae and osteophytes develop in response
29
What is a slipped disc?
Herneation of nucleus pulposus - can compress spinal cerve roots leading to lower back pain or sciatica