Spinal Anatomy Flashcards
Osteology is…
*The study of bones/skeleton
Axial skeleton =
- Vertebral column
- Skull
- Ribs & Sternum
- Sometimes hyoid
In adult humans, the vertebral column consists of __(#)__ elements (formed from 32-34 segments).
*26
What are the 26 elements of the vertebral column? (3)
- 24 individual vertebrae (seperated by intervertebral discs (IVD)
- Sacrum
- Coccyx
Total length of vertebral column (including the intervertebral discs) is about ___” in males and about __” in females:
- 28” Males
* 25” Females
Approximately how much of the length of the vertebral column is due to the discs?
*About 1/4th or 7”
3 other bones (or groups of bones) that are closely integrated functionally with the vertebral column…
- Occipital and temporal bones of the skull
- 12 rib pairs + sternum anteriorly
- Os Coxae (hip bone)
8 functions of the vertebral column:
1) flexible central column: permits movement
2) Supports: upper extremities, esp. Head and viscera
3) Suspends: upper extremities
4) Protects: spinal cord, viscera
5) Body shape: Upright
6) Transfers weight: of head, upper extremities + viscera through the pelvis to lower extremities
7) Stabilizes: body
8) Absorbs forces: placed on the body
5 regions of the vertebral column:
1) Cervical
2) Thoracic
3) Lumbar
4) Sacrum
5) Coccyx
Cervix refers to the…
*Neck
of cervical vertebrae
*7
C1 =
Atlas
C2 =
Axis
C1 & C2 function as…
*Specialized support for the head and permits movement.
Thorax =
*Chest, breastplate
Old name for Thorax:
*Dorsal vertebrae
of thoracic vertebrae…
12
Thoracic vertebrae articulate with…
*12 pairs of ribs
Lumbar =
*Loin (lower back)
of lumbar vertebrae…
*5
Lumbar vertebrae are specialized for…
*Weight support
Which region of the vertebral column has the largest vertebrae?
*Lumbar
Sacrum =
- “Sacred”
The sacrum consists of…
*5 fused vertebrae
Shape of the sacrum…
*Wedge shaped
Sacrum lies between…
*Os coxae
Function of the sacrum…
*Transfers weight of trunk to pelvic girdle & lower extremities.
Coccyx =
- cuckoo (resembles the beak?)
The coccyx is often a single element formed from…
- 3-5 more or less fused elements
Coccyx is a _______ structure:
*Vestigial: poorly developed remnant of tail
Lordotic curves concavity faces/directed…
*Posteriorly
Lordotic curves convexity faces…
*Anterior
Kyphotic curves concavity faces/directed…
*Anteriorly
Kyphotic curves convexity faces…
*Posterior
Definition of primary curves (2)…
- Present at birth
* Retain general characteristics throughout life
2 primary curves…
- Thoracic
* Sacral
Both primary curves are…
*Kyphotic
Definition of secondary curves…
*Develop after birth
Secondary curves become _____ due to muscular activity.
*Lordotic
2 secondary curves…
- Cervical
* Lumbar
Which secondary curve is the 1st to appear?
*Cervical
What causes the cervical curves to appear?
*Due to lifting head
What causes the lumbar curves to appear? (3)
*Due to sitting, crawling and walking
When does the lumbar curve fully develop?
*Not fully developed until mid-childhood
Secondary curves are compensatory to…
*human’s upright, bipedal posture.
Scoliotic curves are…
*Lateral curves (extend in the coronal plane)
Scoliotic curves are compensatory to asymetries in… (examples).
- Leg length
- Sacral Development
- Os Coxae Development
- Muscle tone… etc.
Scoliotic curves are named according to…
*The side of convexity.
3 functions of curves:
- Compensate for upright posture
- Absorb forces placed on spine
- Compensate for asymmetrical structure and function (see scoliotic)
4 abnormal curves (in clinical courses):
- Kyphosis
- Lordosis
- Scoliosis
- Straight or military spine
“osis” =
*Disease of, condition of…
Kyphosis =
*Excessive kyphotic curve
Lordosis =
*Excessive Lordotic curve
Scoliosis =
*Excessive scoliatic curve
Straight or military spine =
*Little or no curveture
Features of a “typical” vertebra (6)
1) Body
2) Vertebral Arch
3) Pars Interarticularis
4) Vertebral Foramen
5) Vertebral Notches
6) Intervertebral Foramen
Vertebral body =
*Anterior part of a vertebra
What is the largest part of a vertebra?
*Body
Function of the vertebral body…
*Major central pillar - supports most of the weight of segments above.
Physical description of the vertebral arch of the typical vertebra…
- Horseshoe shaped
* neural arch -> posterior part
The typical vertebral arch has 2 _____ & 2 ______.
- Pedicles
* Laminae
Description of 2 pedicles in a typical vertebral arch:
- Left and Right
* Short and Stout
What are the 2 pedicles in a typical vertebral arch attached to?
*The Vertebral Body
Description of 2 laminae in a typical vertebral arch:
- Left and Right
* Broad and Flat
Where are the 2 laminae located on a typical vertebral arch?
*Posterior part of the vertebral arch
A The typical vertebral arch has # processes.
*7
Name the 7 processes of a typical vertebral arch:
1- Spinous Process (S.P.)
2- (L & R) Transverse Processes (T.P.)
2- (L & R) Superior Articular Processes (S.A.P)
2- (L & R) Inferior Articular Processes (I.A.P)
Definition of articular processes…
*Zygapophyses of a vertebra
The unpaired spinous process of a typical vertebral arch projects…
*Posteriorly
Articular processes have articular surfaces called…
*Articular Facets
Superior articular processes articulate with Inferior articular processes to form…
*Zygapophyseal joints
Description of the pars interarticularis of the typical vertebra…
*The bone that “connects” and IAP &SAP on one side of a vertebra.
The vertebral foramen of a typical vertebra = ______ or _______ foramen.
- Spinal
* Neural
Description of the vertebral foramen of the typical vertebra.
*Opening between the vertebral body and vertebral arch.
The vertebral foramina of successive vertebrae form the …
*Vertebral canal
Description of Vertibral notches on the typical vertebra.
*Notches or grooves on pedicle.
2 types of vertebral notches on the typical vertebra:
*Superior & Anterior
Intervertebral foramen (EVF) of the typical vertebra are formed by …
*Adjacent vertebral “notches”
Intervertebral Foramen of the typical vertebra are…
*Openings between adjacent Vertebral segments, formed by Inferior and Superior Vertebral notches or adjacent segments.
How many vertebral elements, including the sacrum as one and the coccyx as one, comprise the vertebral column?
*26
An excessively posterior convexity of the spine is called…
*Kyphosis
What is the outline shape of the vertebral foramen in a typical cervical vertebra?
*Triangular
The typical lumbar vertebral body is _____ shaped…
*Kidney
What region of the spine has an oblique orientation of the I.V.F.’s?
*Cervical
In what region of the spine is there a pars interarticularis?
*Cervical, Thoracic and Lumbar
A joint that includes an articular capsule and is freely moveable is classified as a:
*Diarthroses
What ligament attaches to a tubercle on the medial surface of the occipital condyle?
*Alar
The first and second cervical spine nerves differ from the other spinal nerves because they exit the vertebral canal:
*Posterior to the articular processes
What ligament is an extension of the posterior longitudinal ligament?
*Tectorial Membrane
Which rib is a true rib? R1, R8, R10 or R11?
*R1
The most inferior part of the sternum is called the…
*xiphoid
The tubercle of the sixth rib articulates with the transverse process of the ______ vertebra.
*T6
True or false: Th uncinate process is a landmark of the occipital bone.
*False
True/False: The mamillary process is a landmark of the occipital bone.
*False
True/False: The mastoid process is a landmark of the occipital bone.
*False
True/False: The Jugular process is a landmark of the occipital bone.
*True
True/False: The typical CERVICAL vertebrae have superior articular facets that face posteriorly and are oriented in the coronal plane.
*False
True/False: Typical THORACIC vertebrae have superior articular facets that face posteriorly and are oriented in the coronal plane.
*True
True/False: Typical LUMBAR vertebrae have superior articular facets that face posteriorly and are oriented in the coronal plane.
*False
Occiput: Shape when viewed from below…
*Wedge shaped
Central structure of the occiput…
*Foramen Magnum
The foramen magnum of the occiput is the central structure that contains … (3)
- Spinal Cord
- Meninges
- Vertebral Arteries
The foramen magnum of the occiput is continuous inferiorly with the…
*Vertebral canal
What transitions to form the spinal cord?
*Brainstem
Meninges of the foramen magnum of the occiput are made up of…
*Dura mater anchored to margin of foramen
3 parts of the Occiput, based on the relationship with the foramen magnum:
- Basilar part
- Condylar Part
- Squamous part
Where is the basilar part of the Occiput based on its relationship with the foramen magnum?
*Anterior to the foramen magnum
Where is the condylar part of the occiput based on its relationship with the foramen magnum?
*Lateral to the foramen magnum
Where is the squamous part of the occiput based on its relationship with the foramen magnum?
*Posterior to the foramen magnum
The occipital condyle and the jugular processes are in which of the 3 parts of the occiput? (basilar, condylar, or squamous)
*Condylar
Occiptal condyles articulate with…
*C1
Where are the occipital condyles of the occiput in relation to the foramen magnum?
*Lateral to the foramen magnum
Which “tubercle” is located on the medial edge of the occipital condyle?
*Alar tubercle
Nuchal lines are located on which of the 3 parts of the occiput? (Basilar, condylar, or squamous)
*Squamous
What attaches to the superior nuchal lines of the occiput? (3)
- Trapezius
- SCM
- Splenius capitis
What attaches to the inferior nuchal lines of the occiput? (3)
- Rectus capitis posterior major
- Rectus capitis posterior minor
- Obliquus Sup.
What attaches to the median nuchal line of the occiput? (1)
*Nuchal ligament (part of)
The external occipital protuberance is located on which of the 3 parts of the occiput? (Basilar, condylar or squamous)
*Squamous
The external occipital protuberance is the attachment location of what structure?
*Nuchal ligament (part of)
Where is the jugular process in relation to the occipital condyle?
*Lateral to occipital condyle
The jugular process(es) of the occiput forms a border of…
*Jugular foramen
The paramastoid process(es) are located on which other feature of the occiput?
*Is on/a part of jugular process(es)
What are the 2 functional groups (segments) of the cervical vertebrae?
- Suboccipital
* Inferior
The suboccipital segment of the cervical vertebrae consist of which vertebrae?
*C1 & C2
The suboccipital segment of the cervical vertebrae allows __#__ types of movements?
*3
What 3 types of movements are allowed by the suboccipital segment?
- Rotation
- Flexion/extension
- Lateral Flexion (some)
Where is the most rotation of the suboccipital segment allowed?
*Between C1 and C2
Where is the most flexion/extension of the Suboccipital segment allowed?
*Between C0 and C1
The inferior segment of the cervical vertebrae is made up of which vertebrae?
*C3-C7
The inferior segment of the cervical vertebrae allows which 2 types of movement?
- Flexion/extension
* Lateral Flexion - coupled w/rotation
The inferior segment of the cervical vertebrae is made up of typical vertebrae except which one?
*C7
Which are the typical vertebrae of the cervical verterbrae
*C3 - C6
10 aspects of the typical cervical vertebraes C3-C6:
1) Body
2) Joint of Luschka
3) Vertebral Foramen
4) Short Bifid Spinous Processes
5) Articular Pillar
6) Articular surface of the SAP (Superior articular facets)
7) Articular facet of the IAP
8) Transverse Process
9) Transverse Foramen of the TP
10) Intervertebral Foramen (IVP)
Physical description of the typical cervical vertebral BODY:
- Small, flattened body
* Oval in outline shape
Physical description of the Joint of Luschka located on the typical cervical vertebra?
*Saddle like
Which processes are located on the Joint of Luschka of the typical cervical vertebra?
*Uncinate processes
The Uncinate processes are unique to which vertebral section? (Cervical, Thoracic, Lumbar)
*Cervical
The uncinate processes are located of which surface of the typical cervical vertebral body?
*Superior-Lateral
The joint of Luschka in the typical cervical vertebra “guides” movement in … ?
*Flexion - Extension
Physical description of the typical cervical vertebral foramen…
*Large & Triangular
The short bifid spinous processes are a unique characteristic of which section of spine? (Cervical, Thoracic, Lumbar)
*Cervical
The articular pillar of the typical cervical vertebra consists of which 3 aspects arranged in a vertical line?
*SAP, IAP & pars interarticularis
The articular surface of a SAP of the typical cervical vertebra is also called a superior articular ______.
*Facet(s)
Physical description and shape of the typical cervical vertebral articular surface of a SAP…
*Large, flat and oval
The Articular surface of a SAP of the typical cervical vertebra faces superior, posterior and slightly….
*Medial
Physical description and shape of the typical cervical vertebral articular facet of the IAP.
*Large, flat and oval
The articular facet of the IAP of a typical cervical vertebra faces inferior, anterior, and slightly …
*Lateral
The SAP’s and IAP’s of adjacent typical cervical vertebrae for the _________ joint…
*Zygapophyseal
The facet planes of the SAP’s and IAP’s of adjacent typical cervical vertebrae are ________ between horizontal and coronal planes.
*Oblique
Where is the groove/gutter for a spinal nerve located on the transverse process of a typical cervical vertebra?
*On the superior surface of TP, between the anterior and Posterior tubercles.
The transverse process of the typical cervical vertebra is the attachment site for which muscles?
*Deep neck muscles
Physical description of the transverse process on a typical cervical vertebra…
*Short and Bifid
The anterior tubercle of the transverse process located on the typical cervical vertebra is also known as the ______ tubercle.
*Costal
The transverse foramen of the transverse process is the key characteristic of all of which cervicals?
*Key characteristic of ALL cervicals C1-C7
C1 - C6 transmit which artery and vein?
*Vertebral
The C7 transmits on the the vertebral _____ not the vertebral _______.
- Vein
* Artery
The intervertebral foramen (IVF) of a typical cervical vertebra has _________ and ________ (directional) notches that are approximately equal in size.
*Superior and Inferior
The intervertebral disc, adjacent vertebral bodies, joint of Luchska, adjacent pedicle and the zygapophyseal joints of the typical cervical vertebrae all border which physical aspect of said vertebra?
*The intervertebral Foramen (IVF)
The IVF of a typical cervical vertebra is directed obliquely in which 3 directions?
*Lateral, inferior and anterior
Most cervical spinal nerve emerges between the _________ (joint) and the __________ (artery).
- The zygapophyseal joint
* The vertebral artery
Since there is no IVF between the occiput and C1, or between C1 and C2: The C1 & C2 spinal nerves exit through an _______ ________ instead.
*Intervertebral sulcus
The typical lumbar vertebrae consist of which vertebrae?
*L1 - L4
The typical lumbar vertebrae are the largest of moveable segments and designed for….
*Support
The typical lumbar vertebrae has a large, _______ shaped body.
*Kidney
The vertebral foramen of the typical lumbar vertebrae is larger than the _________ but smaller than the _________. (Sections of the spine)
- Larger than thoracic
* Smaller than cervical
The vertebral foramen of the typical lumbar vertebra is ________ shaped.
*Triangular
9 aspects of the typical Lumbar vertebrae
1) Body
2) Vertebral Foramen
3) Spinous Process
4) Facets of the Articular Processes
5) Mamillary Process
6) Accessory Mamillary process
7) Transverse Process
8) Intervertebral Foramen
9) Lateral Recess