Neonatal Spine Flashcards

1
Q

Sonography of the spine is limited to babies under what age?

A

6 months

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2
Q

What is the most common indication of a spine ultrasound in peds?

A

Sacral dimples/sacral pit

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3
Q

What is another term for spina bifida?

A

Spinal dysraphism

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4
Q

How many vertebrae in a neonatal spine? What is the breakdown at each level?

A

33 total

C - 7
T- 12
L - 5
S - 5 fused
C - 4 fused

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5
Q

A vertebrae consists of what two main components?

A

Anterior body and posterior arch

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6
Q

What part of the vertebrae lacks a posterior arch and therefore, spinal cord does not pass through?

A

Coccyx

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7
Q

What is the weight bearing portion of the vertebrae? Which are the largest?

A

Anterior body and the lumbar is the largest

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8
Q

What part of the vertebrae form the posterior and lateral portion?

A

Vertebral arch

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9
Q

What portion of the vertebrae connects the transverse and spinous processes?

A

Laminae

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10
Q

What portion of the vertebrae connects the vertebral body to the transverse processes?

A

Pedicles

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11
Q

The spinal cord originates in the brain stem and typically terminates at the?

A

Conus medullaris/terminalis between L1 and L2

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12
Q

The conus gives way to a fibrous extension known as the?

A

Filum terminale

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13
Q

What is the filum terminale surrounded by?

A

Cauda equina - echogenic collection of nerve roots at the end of the spinal column

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14
Q

The filum terminale is an extension of what?

A

The pia mater

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15
Q

The filum terminale extends from what two landmarks?

A

From conus to the coccyx

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16
Q

What is the function of the filum terminale?

A

Anchors and stabilizes the spinal cord

17
Q

The thecal sac is separate from what structure and encloses what other structure?

A

Separate from the conus but encloses the filum terminale

18
Q

Where does the thecal sac terminate? (hint: vertebral level)

A

S2

19
Q

Describe sonographic differences between filum terminale and cauda equina.

A

Filum terminale = thicker < or = 2mm

Filum terminale = more echogenic