Spinal 3 Transition Zones

Question 1

What is another way of implying occipitalization of C1?

Answer 1

atlas assimilation

Question 2

What is the incidence of occipitalization of C1?

Answer 2

0.1% - 0.8%

Question 3

When do the centers of ossification for the odontoid process first appear?

Answer 3

during last trimester in utero

Question 4

When do the bilateral ossification centers for the odontoid process fuse?

Answer 4

at or shortly after birth

Question 5

What joint is formed between the odontoid process ossification centers and the centrum of C2?

Answer 5

the subdental synchodrosis

Question 6

Ossification between the odontoid process and centrum joint of C2 first appears at what age?

Answer 6

4yr old

Question 7

A joint between the odontoid process and centrum of C2 is last identified at what age?

Answer 7

7yr old

Question 8

What is the name given to the condition in which the joint formed between the odontoid process and centrum of C2 persists beyond age 7?

Answer 8

os odontoideum

Question 9

What is the name given to the joint between the odontoid process and centrum of C2 which is still evident beyond age 7?

Answer 9

persistent subdental synchondrosis

Question 10

What is the name given to the joint formed between the tip of the dens and the odontoid process centers of ossification?

Answer 10

tip of the dens synchondrosis

Question 11

At what age will the tip of the dens center of ossification appear?

Answer 11

sometime in early adolescence

Question 12

At what age will the tip of the dens fuse with the odontoid process?

Answer 12

before age 12

Question 13

If the joint formed between the tip of the dens and odontoid process centers of ossification persists beyond age 12, what is the condition called?

Answer 13

terminal ossicle

Question 14

What is a basilar impression?

Answer 14

persistence of the nonunion of the basilar and condylar parts of the chondrocranium such that the cartilage deforms due to the weight of the brain

Question 15

What is a basilar invagination?

Answer 15

the upper cervical spine appears to be invaginated into the skull on x-ray analysis

Question 16

What is the incidence of rib-related changes following dorsalization of C7?

Answer 16

from 1/2 to 2 1/2 % of the population

Question 17

Do patients typically present with symptoms specific for dorsalization of C7?

Answer 17

no, they typically asymptomatic

Question 18

What is the gender bias suggested in dorsalization of C7?

Answer 18

female

Question 19

What alternation in C7 facet orientation may accompany dorsalization?

Answer 19

the superior articular facet of C7 may change from back, upward, and medial to that of a typical thoracic facet… back, upward, and lateral; the inferior articular facet is unchanged

Question 20

What percent of the population may demonstrate thoracic-like features at C7?

Answer 20

up to 46%

Question 21

What T1 facet orientation changes may accompany cervicaliztion?

Answer 21

the superior articular facet may change from back, upward, and lateral to back, upward, and medial; the inferior articular facet is unchanged

Question 22

What is the incidence of cervicalization of T1 in the population?

Answer 22

up to 28% of the population

Question 23

What is the incidence of lumbar ribs in the population?

Answer 23

over 7% of the population demonstrates lumbar ribs

Question 24

What L1 facet orientation changes may accompany dorsalization?

Answer 24

the superior articular facet may change from concave, back, upward, and medial to flat, back, upward, and lateral; the inferior articular facet is unchanged

Question 25

What is the gender bias associated with dorsalization of L1?

Answer 25

males are 2-3 times more affected

Question 26

What T12 facet orientation changes may accompany lumbarization?

Answer 26

the superior articular facet may change from flat, back, upward, and lateral to concave, back, upward, and medial; the inferior articular facet is unchanged

Question 27

What is/are the characteristic(s) of occipitalization of C1?

Answer 27

the atlas may be partially or completely fused to the occiput