NSB 4. Cervical Spine, Cord, Nerves and Skull Osteology Flashcards
What are the 3 different/unique/important cervical vertebrae?
[1] C1 - Atlas
[2] C2 - Axis
[3] C7
What are the important/defining physical traits of a cervical vertebrae?
[1] Small, Kidney-Shaped Vertebral Body (except C2 and C2)
[2] Foramen Transversarium**
- on either side (2x)
- where arterial blood supply goes through
[3] Large Triangular Canal
[4] Bifid Spinous Process (at back)
In regards to the size of the vertebral body, what happens to them as you go down the spine?
the size of the vertebral body increases (because you need more support)
What are the different parts of the typical vertebral body (e.g. lumbar)
[1] Vertebral Body [2] Pedicles [3] Lamina [4] Transverse Processes [5] Superior Articular Facet [6] Inferior Articular Facet
What is the type of joint between the vertebral bodies?
secondary cartilaginous joint
What are the parts of the C7 vertebrae?
[1] Small, Kidney Shaped Vertebral Body
[2] Triangular Vertebral Canal
[3] Vertebra Pominens
- doesn’t have a bifid spine
[4] Transverse Foramen
What are the defining part of the C1 (atlas) vertebrae?
[1] NO body
- it has anterior and posterior arches
[2] NO Spinous Process
[3] Kidney-Shaped Facets Superiorly (for Occipital Condyles)
- allows nodding of head up and down
[4] Groove for Vertebral Artery (on upper surface)
[5] Transverse Foramen
[6] Lateral Masses
What are the parts + ligaments of the C2 (axis) vertebrae?
[1] Superior Articular Surfaces (for C1 to rotate)
- a pivot joint
[2] Dens/Odontoid Process
[3] Transverse Ligament of the Atlas
[4] Alar Ligament
[5] Pedicles
[6] Lamina
[7] Transverse Process + Transverse Foramen
What are the joints between the articular processes of the adjacent vertebrae?
facet joints
Where are the facet joints in the spine cord located?
they are located between the articular processes of the adjacent vertebrae
What are the ligaments of the spinal cord?
[1] Anterior Longitudinal Ligament
[2] Posterior Longitudinal Ligament
[3] Ligamentum Flavum (Flava)
- is at the back of the spinal canal and not the spinal cord
[4] Interspinous Ligament
[5] Supraspinous Ligament
[6] Ligament Nuchae
What is the ligament nuchae?
- a thick ligament at the back of the neck
- where the cervical vertebrae are bifid, the ligament runs through the midline
What position do you need the person to be in when doing a lumbar puncture?
patient needs to be in FETAL POSITION
Why are lumbar punctures done?
to gain a specimen of CSF
Why would you not do a lumbar puncture if there is raised CSF?
- if raised ICP
- lumbar puncture can cause cerebral herniation
- this is due to decreased pressure in the spinal cord due to the removal of CSF