S6) Cervical and Thoracic Spine Flashcards
Compare and contrast the cervical and thoracic spine in terms of vertebrae number and mobility
- Cervical spine: 7 vertebrae, mobile
- Thoracic spine: 12 vertebrae, immobile
Identify 4 characteristics of the cervical vertebrae
- Bifid spinous process (except C7)
- Transverse foramina
- Large triangular vertebral foramen
- Small & broad body
State 2 functions of the foramen transversium in the cervical vertebrae
- Conduit for vertebral artery (except C7)
- C7 foramen transmits the accessory vertebral vein
Describe the structure of the C1 vertebra (atlas)
- No vertebral body (body is fused with axis to form dens)
- Widest cervical vertebra
- Thick vertebral arches
State the superior and inferior articulations of the C1 vertebrae
- Superior: occiput of skull superiorly (atlanto-occipital joint)
- Inferior: C2 vertebra (atlanto-axial joint)
Describe the structure of the C2 vertebra (axis)
- Odontoid process (/dens)
- Rugged lateral mass
- Large spinous process
What is the purpose of the dens and transverse ligament of the axis?
Dens and transverse ligament prevent horizontal displacement of atlas as well as the independent movement of C1 on to C2
Describe the structure of the C7 vertebra (vertebra prominens)
- Longest spinous process
- Non-bifid spinous process
- Large transverse process is large
- Small foramen transversarium (accessory vertebral veins)
What is the ligamentum nuchae?
The ligament nuchae is a thickening of the supraspinous ligament
What is the ligamentum nuchae attached to?
- External occipital protruberance
- Spinous processes of all cervical vertebrae
State three functions of the ligamentum nuchae
- Maintains secondary curvature of cervical spine
- Helps the cervical spine support the head
- Major site of attachment of neck and trunk muscles e.g. trapezius, rhomboids
Describe the movements of the cervical spine
Identify 3 characteristics of the thoracic vertebrae
- Demi-facets on vertebral body (whole facets T9-10)
- Costal facets on transverse processes (except T11-12)
- Small circular vertebral foramen
Describe the articulations of the thoracic spine
- Demi facets articulate with respective & inferior head of the rib
- Costal facets articulate with respective tubercle of rib
Describe the different functions of the anterior and posterior spinal cord
- Anterior cord – pain, temperature, light touch, pressure (sensory & motor)
- Posterior cord – vibration and proprioception
What is anterior cord syndrome?
Anterior cord syndrome is a condition where the anterior spinal cord artery is interrupted due to ischaemia/infarction of the anterior two-thirds of the spinal cord