Spinal Column Practice Flashcards
- How many bones are in the human body?
206
- How many of these bones are part of the axial skeleton? What does the axial skeleton consist of?
80; skull, thoracic cage, vertebral column
- How many of these bones are part of the appendicular skeleton? What does the appendicular skeleton consist of?
126; arms, legs, pectoral girdle, pelvic girdle
- What are some shapes of bones?
Long, short, flat, irregular
- What are sesamoid bones?
short bones that form in tendons
- A patient walks into the ER with broken carpals and tarsals from a car accident. This patient has suffered injuries to ______ bones.
short bones
- What is the structure of flat bones?
- Two layers of compact bone with a layer of spongy bone sandwiched in between.
How many moveable vertebrae are there in the spine?
24
How many total vertebrae are there in the spine?
33
- What is the first set of vertebrae called? What levels are these?
- Cervical vertebrae, c1-c7
- What is the second set of vertebrae called? What levels are these?
- Thoracic vertebrae, t1-t12
- What is the third set of vertebrae called? What levels are these?
- Lumbar vertebrae, l1-l5
- What is the fourth set of vertebrae called? What levels are these?
- Sacrum, s1-s5
- What is the fifth set of vertebrae called? What levels are these?
- Coccyx, co1-co4
- What vertebrate is atlas? What about axis?
C1, C2
- What joint joins the sacrum and coccyx?
- Sacrococcygeal joint
- What do facet joints do?
- They allow us to flex and bend, allowing the first 24 moveable vertebrae glide over each other (aka Z joints)
- There are two types of curvatures in a developing child, primary and secondary. Where is/are the primary curvatures found? What is another name for this?
- Thoracic and sacral curvatures are primary. Also known as kryphosis
Where is/are secondary curvatures found? What is another name for this?
- Cervical and lumbar curvatures are secondary. Also known as lordosis
- What parts of C1 do you need to know?
- Anterior and posterior archs with tubercles, lateral mess, transverse process, and transverse foramen (for the vertebral artery)
C2 is the only vertebrate with what?
an odontoid
- Cervical vertebrae have special spinous processes. What do we call these, and what do they look like?
- Bifod process, these have two little pointy ends
- What is the space between the dens of C2 and atlas?
- Atlanto dens interval
- Lamina are between what two parts of the vertebrae?
- Transverse and spinous processes
- The _________ of a vertebra joins with the _______ of the vertebra inferior to it.
- Inferior articular process joins with the superior articular process of the vertebrae inferior to it.
- What holes do spinal nerves exit from?
- Intervertebral foramen, IVF
- What causes intervertebral discs to slowly thin out?
- Gravity and loss of water with age (desiccation)
- What type of cartilage is IV disc?
- Fibrocartilage. Also very thin layers oh hyaline cartilage at the top and bottom of a disc.
- An IV disc is composed of two main layers. What is the inner layer? Outer?
- Inner is nucleus pulposus, outer is anulus fibrosus
- What happens anatomically in a herniated disc?
- The nucleus pulposus leaks out and often puts pressure on spinal nerves
- Uncovertebral joints are also known as?
- Joints of Luschka
- What is an osteophyte?
- A bone growth that is made when bones start touching and can cause painful arthritis
- Supraspinous processes are connected on top with what? What about in between?
- Spinous ligaments. Interspinous ligament.
- The nuchal ligament is the __________ ligament above -, connected to the ______.
- Supraspinous ligament above C-7, connected to external occipital protuberance (EOP).
- Ligamenta flava, also known as _______, connects __________.
- Ligamentum flavum connects lamina of each vertebrae
- The posterior longitudinal ligament is from levels ___ to ____ and serves as primary attachment site for ______. Above level ____ it is referred to as the _______.
- C2-sacrum, primary attachment site for IV discs. Above C2 it is the tectorial membrane.
- The ligament limiting extension of the spine and traveling from sacrum to base of the skull is the _____.
anterior longitudinal ligament
The ______ joint is found between atlas and occipital bone.
atlanto-occipital joint
The ______ joint is found between C1 and C2.
atlanto-axial joint
- The three main arteries coming off the aorta are?
- Brachiocephalic trunk, left common carotid, left subclavian
- The brachiocephalic trunk branches into what arteries?
- Right subclavian and right common carotid
- The vertebral arteries eventually come together to form what?
- Basilar artery
- What are all the arteries that feed blood to the cervical spine?
- Vertebral, ascending cervical, and deep cervical arteries all coming from subclavians
- What arteries feed blood to the thoracic spine?
- Posterior intercostal arteries and dorsal branch, arising from descending aorta
- What does the posterior intercostal artery break off into, and what do they feed?
- Periosteal artery (for periosteum of vertebrae) and equatorial artery (vertebral body)
- Where do the lumbar arteries, which supply blood to lumbar vertebrae, originate from?
- Abdominal aorta
- What branches do the lumbar arteries give off?
- Periosteal artery, equatorial artery, dorsal branch, and spinal branch
- What drains into the anterior external vertebral venous plexus?
- Anterior basivertebral veins from centrum
- What drains into the posterior external venous plexus?
- Spinous processes and lamina
- What drains into the anterior and posterior internal vertebral plexuses (plexi? Not sure what the plural form is)?
- Basivertebral vein
- How many total spinal nerves are there?
- 31 pairs
- What is the difference in epaxial and hypaxial?
- Hypaxial segment makes the muscles that will form the ventral muscles, like arms and muscles, and even lats. Epaxial segments makes dorsal muscles that move the vertebral column.
- What muscles are in the extrinsic superficial group?
- Trapezius, latissimus dorsi, levator scapulae, rhomboids major, rhomboids minor
- What muscles are in the intermediate extrinsic group?
- Serratus posterior superior, serratus posterior inferior
- Briefly explain the function of extrinsic muscles.
- These muscles move the upper limbs and control respiration. They do NOT move the spine.
A minor muscle is always _____ in relation to the major muscle.
superior
- What muscles are in the intrinsic (deep) superficial layer?
- Splenius capitis, splenius cervicis
Where would we find an origin point for a muscle? What about an insertion point?
- Origin is always on the muscle that does not move. Insertion is on the movable bone.
- Where is the origin/insertion of the splenius capitis?
- Origin nuchal ligament and C7-T13. Insertion on mastoid process of temporal bone
- Where is the origin/insertion of the splenius cervitis?
- Origin T3-T6. Insertion C1-C3
- What muscles make up the intermediate layer of the deep layer of muscles?
- Together, these make the erector spinae group. Iliocostalis, longissimus, spinalis
- Name the muscles of the erector spinae group from lateral to medial
- Iliocostalis, longissimus, spinalis. I Love Spinach
- Where do the muscles of the erector spinae group originate?
- Erector spinae aponeurosis
- What are the two parts to the deep layer of intrinsic muscles?
- Transversospinalis and segmental
- What muscles make up the tranversospinales group?
- Semispinalis, multifidus, rotatores
- How many vertebrae does multifidus span?
3
- How many segments does rotatores longus span?
2
- What muscles makes up the segmental group?
- Intertransversarii, interspinales
- What are the muscles of the suboccipital triangle? **Hint: Dr. Decker loves the suboccipital triangle and its borders
- Rectus capitis posterior major, rectus capitis posterior minor, oblique capitis superior, oblique capitis inferior
- What is the superomedial boundary of the suboccipital triangle?
- Rectus capitis posterior major
- What is the superolateral boundary of the suboccipital triangle?
- Obliquus capitis superior
- What is the inferolateral boundary of the suboccipital triangle?
- Obliquus capitis inferior
- What nerve innervates the muscles of the suboccipital triangle?
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