spinal Flashcards

1
Q

vertebral column extends from

A

cranium to the apex of the coccyx

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2
Q

of total vertebrae

A

33

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3
Q

four natural curvatures

A

cervical curvature - concave posteriorly (lordosis)

thoracic curvature - concave anteriorly (kyphosis)

lumbar curvature - concave posteriorly (lordosis)

sacral curvature - concave anteriorly (kyphosis)

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4
Q

high/low curves

A

high curves = LORDOSIS
C5, L3

low curves = KYPHOSIS
T5, S2

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5
Q

excessive thoracic kyphosis is caused by

A

erosion and collapse of vertebrae -> osteoporosis

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6
Q

excessive lumbar lordosis is caused by

A

weakened trunk musculature, temporary in late pregnancy

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7
Q

scoliosis is caused by

A

abnormal lateral curvature with rotation of the vertebrae

asymmetric weakness of intrinsic back muscles, failure of half of the vertebrae to develop or difference in lower limb length

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8
Q

foramina transversarium

A

C1 - C6

allows vertebral arteries, veins, and sympathetic plexus to pass through

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9
Q

bifid spinous processes

A

C3 - C5

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10
Q

Vertebra Prominens

A

spinous process of C7

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11
Q

strongest cervical vertebrae

A

C2 - axis

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12
Q

length of thoracic spinous processes

A

diminishes from T1 to T12

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13
Q

Scapular spine corresponds to level

A

T3

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14
Q

inferior angle of scapula corresponds to

A

T7 spinous process

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15
Q

Last rib corresponds with

A

T12 spinous process

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16
Q

Iliac crest corresponds with

A

L4 spinous process -> TUFFIER’S line

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17
Q

PSIS corresponds with

A

posterior superior iliac spine

- S2 spinous process

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18
Q

nuchal ligaments extends from

A

occipital protuberance and posterior border of the foramen magnum to the spinous processes of the cervical vertebrae around C5/C6

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19
Q

nuchal ligaments acts as

A

a point of muscle attachments from C3 to C5

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20
Q

After c5/c6, nuchal ligament becomes

A

supraspinous ligament

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21
Q

supraspinous ligament runs from

A

C5 to sacrum

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22
Q

interspinous ligament is

A

weak and membranous, runs entire length of vertebral column

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23
Q

interspinous ligament

A

stabilizes and units adjacent spinous processes

24
Q

ligamentum flava/flavum characteristics

A

broad, tough, pale, yellow, wedge shaped elastic fibrous tissue

25
Q

ligamentum flava/flavum functions

A

adjoins laminae of adjacent vertebral arches, forming alternating sections of the posterior wall of the vertebral canal

Runs C2 to sacrum

26
Q

posterior longitudinal ligament

A

narrow, weaker band

runs within vertebral canal along the posterior aspect of vertebral bodies from C2 to the sacrum

27
Q

anterior longitudinal ligament

A

strong, broad, fibrous band

covers vertebral bodies and intervertebral discs

runs from pelvic surface of the sacrum to anterior tubercle of C1 (atlas) and occipital bone anterior to foramen magnum

28
Q

superficial deep to order of ligaments

A
  1. nuchal
  2. supraspinous
  3. interspinous
  4. ligamentum flavum
  5. posterior longitudinal ligament
  6. anterior longitudinal ligament
29
Q

spinal cord begins as a continuation of

A

medulla oblongata [[caudal part of brainstem]]

30
Q

spinal cord ends in

A

conus medullaris

31
Q

in most adults, conus medullaris corresponds to

A

L1, (T12-L3)

32
Q

Cervical enlargement extends from

A

C4 to T1

33
Q

anterior rami of c4 to t1 form

A

brachial plexus, at cervical enlargement

34
Q

lumbosacral enlargement extends from

A

L1 to L3

35
Q

filum terminale internum is made of

A

pia mater

36
Q

filum terminal externum is made of

A

dura, arachnoid, and pia mater

37
Q

of pairs of spinal nerves

A

31

38
Q

c1 - c7 emerge

A

superiorly to vertebrae

39
Q

c8 and below emerge

A

inferiorly to vertebrae

40
Q

cell bodies of the dorsal route are located

A

outside of the spinal cord at the dorsal root ganglion

41
Q

cell bodies of the ventral route are located in

A

INSIDE the anterior horns of the gray matter

42
Q

spinal nerve =

A

when the dorsal and ventral roots unite [[very briefly]]

43
Q

spinal nerve exits

A

via the INTERVERTEBRAL foramen

44
Q

spinal nerve divides into

A

dorsal/posterior rami and ventral/anterior rami

45
Q

Dorsal rami supply

A

deep muscles of the back and skin

46
Q

anterior rami supply

A

everything but the deep muscles of the back

47
Q

denticulate ligaments

A

extensions of Pia mater the help anchor spinal cord centrally

48
Q

lower 2/3 of posterior spinal cord are perfused by

A

branches of cervical, deep cervical, vertebral, posterior intercostal, and lumbar arteries

49
Q

artery of adamkiewics arises from

A

the LEFT side of the aorta around t9-t12

50
Q

batson plexus is in

A

the epidural space.

51
Q

function of batson plexus

A

provide alternative drainage when inferior vena cava is compressed by tumor or gravid abdomen

52
Q

c1 has no

A

spinous process or vertebral body

53
Q

purpose of ligaments to

A

stabilize vertebral column

54
Q

posterior root carries

A

AFFERENT sensory information

55
Q

anterior root carries

A

EFFERENT, ventral motor information

56
Q

dural sac ends at

A

S2, PSIS