regional gross anatomy 2 Flashcards
how many vertebrae are in the cervical region?
7
how many vertebrae are in the thoracic region?
12
how many vertebrae are in the lumbar region?
5
how many vertebrae are in the sacral region?
5 fused vertebrae that form the sacrum
how many vertebrae are in the coccygeal region?
3-5 fused vertebrae that form the coccyx
what is a primary curvature of the spine?
a curvature the same as seen in development
kyphotic curvature
what is a secondary curvature?
develops after birth as the foetus extends from the flexed foetal position
lordotic curvature
what are the 4 principal curvatures of the spine?
cervical lordosis
thoracic kyphosis
lumbar lordosis
sacral kyphosis
what are lateral curvatures of the spine called?
scoliosis
what is a postural curvature of the spine?
disappears when posture is corrected e.g. sitting over a desk
what is a pathological curvature of the spine?
never resolves
how is the vertebral arch connected to the body of the vertebra?
by the pedicle on either side
what do the 2 pedicles form?
the laminae
what is the spinous process composed of?
the laminae uniting in the midline
where is the spinal cord found and how is this space formed?
found in the vertebral foramen
vertebral foramen formed by the space between the body of the vertebra and the vertebral arch
what makes C1 / atlas atypical?
no body or spinous processes
what makes C2 / axis atypical?
dens / odontoid process that projects up from the body
what is the unique feature of the spinous process in the cervical vertebrae?
it is bifid so as it reaches the distal end it splits in 2
what is the unique feature of the thoracic vertebrae?
there are costal facets for the articulations w/ the ribs
what is the shape of the body of the lumbar vertebrae?
massive kidney shaped body
what is the unique feature of the transverse processes of the lumbar vertebrae?
there are accessory processes on the transverse processes
what type of joints are found between vertebral bodies?
secondary cartilaginous
what type of joints are found between articular processes?
synovial plane joints
what type of joints are found between articular processes?
synovial plane joints
what are the joints between articular processes called?
zygapophyseal joints
what are the 2 distinct components of the IV disc?
annulus fibrosis around the margin
nucleus pulposus in the middle
what is the function of the nucleus pulpous?
allows the IV disc to change shape and accommodate movements of the vertebral column
what are the superficial muscles of the back?
trapezius
latissimus dorsi
rhomboid major
rhomboid minor
levator scapulae
where does trapezius attach?
nuchal ligament
spinous processes from C7-T12
what is the function of trapezius?
acts to rotate the scapula
what innervates trapezius?
spinal accessory nerve (CN11)
where does latissimus dorsi attach?
to the spinous processes of T7-T12
what innervates latissimus dorsi?
thoracodorsal nerve (C6-C8) - from brachial plexus
where does rhomboid major lie in relation to rhomboid minor?
inferior to rhomboid minor
where does rhomboid major attach?
spinous processes of T2-T5
what innervates rhomboid major and minor?
dorsal scapular nerve (C4,5)
what is the function of both rhomboid muscles?
both act to retract the scapula (pull it closer to the midline)
where does rhomboid minor attach?
nuchal ligament and spinous processes of C7-T1
where does levator scapulae attach?
to the posterior tubercles of transverse processes of C1-C4
what is the function of levator scapulae?
raise the scapula
what innervates levator scapulae?
cervical spinal nerves C3,4 and dorsal scapular nerve C4,5
what are the intermediate extrinsic muscles?
serratus posterior superior
serratus posterior inferior
where does serrates posterior superior attach?
to the nuchal ligament and spinous processes of C7-T3
where does serrates posterior inferior attach?
to the spinal processes of T11-L2
what is serratus posterior superior innervated by?
intercostal nerves 2-5
what is the function of serratus posterior superior?
assist in raising the upper ribs
what is the function of serratus posterior inferior?
assist in lowering the lower ribs
what is the innervation of serratus posterior inferior?
anterior rami of T9-T12
what are the intrinsic muscles of the back?
the deep back muscles (muscles of the back proper)
what is the function of the intrinsic muscles of the back?
to maintain posture and control the movement of the vertebral column
how are the intrinsic muscles of the back divided?
superficial layer
intermediate layer
deep layer
what is the superficial layer of the intrinsic muscles of the back?
only found in the cervical region
contains splenius muscles
what is the intermediate layer of the intrinsic muscles of the back?
run the entire length of the back
erector spinae group
what is the deep layer of the intrinsic muscles of the back?
many small muscles
what are the 2 splenius muscles?
splenius captius and splenius cervicus
where do the splenius muscles attach?
along the nuchal ligament and to the spinous processes of C7-T3/4
where do splenius captius fibres attach?
to the mastoid process and to the lateral 1/3rd of the superior nuchal line of the skull
where do splenius crevicis fibres attach?
transverse processes of C1-C3/4
what are the 3 muscles that make up the erector spinae group / intermediate muscles intrinsic muscles of the back?
iliocostalis
longissimus
spinalis
what are the 3 parts that iliocostalis is broken down into?
lumborum
thoracis
cervicus
what are the 3 parts that longissimus is broken down into?
thoracis
cervicus
capitis
what are the 3 parts that spinalis is broken down into?
thoracis
cervicus
capitis
what are the muscles of the deep intrinsic muscles of the back?
semispinalis
multifidus
rotatores
levato costarum
interspinale
intertransversearii
what are the 3 parts that semispinalis is broken into?
thoracis
cervicus
capitis
what is the function of levator costarum?
assists in raising the ribs
where are intertransversarii muscles found?
in between transverse processes
what are the intrinsic muscles of the back covered by?
thoracolumbar fascia
what are the 2 ligaments of the vertebral arch?
anterior longitudinal ligament
posterior longitudinal ligament
where does the anterior longitudinal ligament run from / to?
from the base of the skull down to the sacrum
what is the function of the anterior longitudinal ligament?
limit extension of the vertebral column
where does the posterior longitudinal ligament run from / to?
from C2 to the sacrum
what is the main function of the posterior longitudinal ligament?
to prevent posterior herniation of the IV disc into the vertebral canal?
where does the ligamentum flavum run?
connecting laminae of adjacent vertebrae
what are the 3 functions of ligamentum flavum?
help maintain the curvatures of the spine
reinforce the wall of the vertebral canal posteriorly
limit flexion
what do interspinous ligaments connect?
adjacent spinous processes
what is the supraspinous ligament continuous with superiorly?
the nuchal ligament
what is the function of the supraspinous ligament?
helps limit flexion of the vertebral column
what do inter transverse ligaments connect?
adjacent transverse processes
what is the nuchal ligament?
a broad ligament important in the site of muscle attachment and also limits flexion
explain the course of the spinal cord?
begins at the foramen magnum and ends at L1/2
what is the medullary cone?
the narrowing of the spinal cord as it reaches its caudal end
what are the 2 enlargements of the spinal cord?
cervical enlargement - C4-T1
lumbosacral enlargement - L1-S3
nerves asssoc w/ what area of body leave the spinal cord at the cervical enlargement?
nerves assoc w/ the upper limb
nerves assoc w/ what area of the body leave the spinal cord at the lumbosacral enlargement?
nerves assoc w/ the lower limb
how are cervical spinal nerves named and what is the exception to this rule?
named based on the vertebrae below
except C8 - there is no C8 vertebrae and so spinal nerve C8 emerges below C7
below C8 how are the spinal nerves named?
of the vertebra of the same number
what is the caudal equina?
a collection of spinal nerves that run below the end of the spinal cord
what is the filum terminale?
the remnant of the caudal part of the spinal cord composed of coverings of the cord (esp Pia mater)
what are the 2 spinal meninges?
dura mater
arachnoid mater
pia mater
what is the dural root sheath?
the dural covering of the initial part of the spinal nerves
what are the features of dura mater?
tough outer protective covering
how is the dura mater attached to the coccyx?
via the hilum terminale
where is the epidural space between?
the bone of the vertebrae and the dura mater
what is the epidural space filled w/?
epidural fat
what are the features of the arachnoid mater?
delicate membrane lining the dura
lies directly on the dura
what is the subarachnoid space?
the space between the arachnoid mater and the pia mater
what is found in the subarachnoid space?
CSF
what is the lumbar cistern?
enlargement of the subarachnoid space around the conus medullaris at L2-S2
what are arachnoid trabeculae?
extension of the arachnoid mater that connect the arachnoid mater to the deep pia mater
what is the pia mater?
a thin layer closely assoc w/ the spinal cord