MSK - Vertebral Column Flashcards

0
Q

How does the VC lie in foetus?

A

It lies flexed in single anterior facing curvature

This is known as the primary curvature

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1
Q

What is the VC needed for?

A

Provides a centre of gravity for the body
Attachment for bones
Attachment for trunk muscles
Protection and passage of the spinal cord
Allows for segmented innervation of the body

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2
Q

How does the VC change during growth?

A

It becomes Sinusoidal
There are now two anterior flexions (thoracic and sacral)
And two posterior caused by raising head (cervical) and walking (lumbar) this remodelling supports function

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3
Q

What happens to the VC in old age?

A

This goes back to foetal shape of primary curvature.

The secondary curves start to disappear

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4
Q

How many separate vertebrae are there in the VC?

A

24

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5
Q

How many fixed vertebrae are there?

A

9 fixed
Sacrum (5)
Coccyx (4)

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6
Q

What are the two parts of a vertebrae called?

A

Vertebral body and arch

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7
Q

Describe the features of a cervical vertebrae

A

These are the smallest type
They have oval transverse foramen
Bifid spinous process

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8
Q

Describe the features of a thoracic vertebrae

A

Intermediate size with facets on the side of the body

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9
Q

What are the features of the atlas vertebrae

A

This is the first cervical vertebrae

Lacks a body and lacks spinous process

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10
Q

What are the features of the axis?

A

This is C2 and the strongest vertebrae

Has a dens and a large spinous process

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11
Q

What are the features of the lumbar vertebrae?

A

These are the largest vertebrae

They have a small vertebral foramen

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12
Q

What are the intervertebral discs?

A

These are symphyses between adjacent vertebra

They act as shock absorbers

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13
Q

What is the nucleus pulposus?

A

Central jelly like section acts as a water reservoir

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14
Q

What is the annulus fibrosus?

A

This is the outer layer of the ID made of a series of annular bands.
Outer band = collagen
Inner bands = fibrocartilage
Very resilient

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15
Q

What are the 2 main ligaments that hold the vertebrae and the IVDs together?

A

The anterior longitudinal ligament

The posterior longitudinal ligament

16
Q

What are the other 4 ligaments involved in vertebral stability?

A

Ligamentum flava
Supraspinous
Interspinous
Ligament nuchae

17
Q

What is a slipped disc?

A

This is when the nucleus pulposus prolapses so the tension can no longer be maintained. The annulus pulposus gives way and the NP herniates postero-lateral. This results in compression of spinal nerves.

18
Q

What is kyphosis?

A

This is when the spine has an anterior curve exaggeration (thoracic region is abnormally curved posterior - hump back )

19
Q

What is lordosis?

A

This is when there is an abnormal posterior (convex) curvature exaggeration (cervical and lumbar)

20
Q

What is scoliosis?

A

This is abnormal lateral deviation of the vertebral column