Spinal Anatomy (Rich's) Flashcards

1
Q

pivot prone

A

position adopted at 5 months age. Only mid/lower trunk in contact with ground

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2
Q

What are the 2 1º curves?

A

Thoracic (T2-T12) & Sacro-coccygeal kyphoses

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3
Q

What are the 2 2º curves?

A

Cervical & lumbar lordoses

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4
Q

6 functions of spinal column

A

“… ain’t no MaTCh for SPinach BM’s & aSParagus Pee …”

  • MTC: Attachment for Muscles & Thoracic cage
  • S&P: Stabilizes Shoulder & Pelvic girdles
  • BM: Contributes to Balance & Motion
  • SP: Encases & protects Spinal Cord
  • P: Maintains upright Posture“… ain’t no MaTCh for SPinach BM’s & aSParagus Pee …”
  • MTC: Attachment for Muscles & Thoracic cage
  • S&P: Stabilizes Shoulder & Pelvic girdles
  • BM: Contributes to Balance & Motion
  • SP: Encases & protects Spinal Cord
  • P: Maintains upright Posture“… ain’t no MaTCh for SPinach BM’s & aSParagus Pee …”
  • MTC: Attachment for Muscles & Thoracic cage
  • S&P: Stabilizes Shoulder & Pelvic girdles
  • BM: Contributes to Balance & Motion
  • SP: Encases & protects Spinal Cord
  • P: Maintains upright Posture
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5
Q

A spinal segment is composed of …

A

2 adjacent vertebrae w/ intervening disc, spinal facet joints, & ligaments, nerves, & muscles

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6
Q

What connects vertebral body to TP?

A

Pedicle

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7
Q

What connects SP to TP?

A

Lamina

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8
Q

What direction do lumbar superior articular processes face?

A

Medially, and slightly posterior

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9
Q

What is the Pars Interarticularis between?

A

Superior & Inferior articular processes

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10
Q

How is the Annulus Fibrosus constructed?

A

Concentric layered rings of fibrous material, with diagonally alternating fiber directions. Helps contain the Nucleus

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11
Q

Nucleus Pulposus

A

Hydrophilic gelatinous stuff in center of disc. Has “toothpaste consistancy” according to Stuart McGill (randon trivia).

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12
Q

3 functions of the disc

A
  1. Force dissipation, 2. Shock absorption, 3. Allows movement
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13
Q

Facet (zygoapophyseal) joints

A

Posterior joints of the spine. 2 per segment (except sacrum). Synovial, 3 DOF.

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14
Q

Vertebral body/disc

A

Anterior joint of the spine

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15
Q

Which spinal joints are WB?

A

Vertebral body and facet joints

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16
Q

In what plane are lumbar facet joints?

A

Close to Sagittal

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17
Q

In what plane are Thoracic facet joints?

A

Close to Frontal

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18
Q

What direction do Thoracic superior articular facets face?

A

Posteriorly, and a little lateral

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19
Q

SI joints

A

transfer weight from HAT segment to LE’s

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20
Q

Pubic symphysys

A

Fibrocartilaginous joint, completes pelvis ring for pelvis stability.

21
Q

In what direction do S1 superior articular facets face?

A

Posteriorly

22
Q

Ant Longitudinal Ligament

A

Covers ant surface of vert bodies from C2 to sacrum. Broadest in lumbar, tapers superiorly.

23
Q

Post Longitundinal Ligament

A

Cover post vert bodies, C2-sacrum. Thinner in Lumbar, widest cervically

24
Q

Ligamentum Flavum

A

Posterior, connects adjacent Laminae

25
Q

Interspinous ligament

A

Connects adjacent SPs

26
Q

Supraspinous ligament

A

Long post ligament, overlies all SPs

27
Q

Which side of the spine has the strongest ligamentous support?

A

Posterior > anterior

28
Q

Iliolumbar ligament

A

L4-5 TP’s to iliac crest

29
Q

SI joint ligaments (ant & post)

A

oriented horizontally & vertically. Play major role in pelvic stability.

30
Q

Sacrotuberous ligament

A

From posterior sacrum to ischial tuberosity

31
Q

Sacrospinous ligament

A

From sacrum to ischial spine

32
Q

How many layers does the Thoracolumbar Fascia have?

A

3, superficial, intermediate, and deep

33
Q

Functions of TLF

A

Part of attachments for Trans Abd, Latis Dorsi, Glut Max. Assist with spinal stability

34
Q

Erector Spinae

A

Intermed layer, primarily spinal extensors, respond to external loads.

35
Q

Transversospinalis

A

Deep layer. As a group, inherent stabilization of spine, postural stability.

36
Q

How does QL help maintain posure?

A

Resists hip drop forces in SL stance and gait.

37
Q

How is Trans Abd though to help stabilize spine?

A

Either increasing intra-abd pressure, or creating rigid cylinder around spine

38
Q

Ext/Int Obliques

A

Work with RA to counteract ant shear and tighten TLF

39
Q

Rectus Abd

A

Checks ant shear in lumbopelvis area.

40
Q

What will B tight HF’s do to pelvis?

A

Bring it into Ant Pelvic Tilt

41
Q

Which muscle controls pelvis in the Frontal Plane?

A

Glut Med

42
Q

What can a tight TFL/ITB do to pelvis?

A

Create anterior torsion force via attachments to Ilium.

43
Q

What will tight Hamstrings do to pelvis?

A

Force it into PPT

44
Q

Which portions of the IV Disc are innervated?

A

Only outermost portions of annulus. Inner layers and nucleus not innervated.

45
Q

Sinu-vertebral nerves

A

Branch off spinal nerves, & course back through IV formamen. Innervate ≥ 2 discs and Ant Long Lig.

46
Q

Which areas of spine have pain innervation?

A

ALL, PLL, Vert Body, Facet Jnt capsule & synovium, & nerve roots

47
Q

Which spine areas DON’T have pain innervation?

A

IV disc, except for outermost layer of annulus

48
Q

How does disc get blood supply?

A

No real supply of its own. Nourished by small capillary beds in subchondral bone of vertebral body.