Spinal Cord Flashcards
What is the annulus fibrosus?
The outer layer of a intervertebral disc made up of dense collagen that has nerve and blood supply
What is the nucleus pulposus?
The inner layer of an intervertebral disc that has no nerve or blood supply
Water covers what percentage of the nucleus pulposus?
80%
What is the nucleus pulposus degenerated from?
The notochord
Is it easy for the nucleus pulposus to heal after injury?
No
What is the ligamenta flava?
A pair of small ligaments that connect the laminae of adjacent vertebrae
What is the relation between ligamenta flava and spinal stenosis?
As we age or due to certain degenerative conditions, the ligamentum flavum can thicken or hypertrophy. This thickening can contribute to the narrowing of the spinal canal, which is known as spinal stenosis. This can compress the spinal cord or spinal nerves, leading to symptoms such as pain, numbness, or weakness in the limbs.
What movement can decrease the compression from spinal stenosis?
Flexion
Facet joint hypertrophy is often caused by what?
Degenerative changes
Facet joint hypertrophy causes what issue?
Nerve root impingement
What is the difference between a central (spinal stenosis) disc herniation and a paracentral (root impingement) disc herniation)
A central disc herniation occurs when the disc material protrudes directly backward into the spinal canal. This can put pressure on the spinal cord itself, potentially leading to symptoms like numbness, weakness, or even loss of bowel or bladder control if severe.
A paracentral disc herniation, is when the disc material protrudes off to one side of the midline. This generally affects one or more nerve roots, rather than the spinal cord itself. Symptoms typically include radicular pain (pain that radiates along the course of a nerve), numbness, and weakness in the distribution of the affected nerve.
What are the different types and grades of a disc herniation?
- Buldge: (Least severe) you can preform traction on this/ McKenzie extension
- Protrusion: The annulus fibrosus remains intact, but bulges outward, causing the disc to be asymmetrical. You can preform traction on this/ McKenzie extension
- Extrusion: The annulus fibrosus is disrupted and disc material bulges out further, but it remains connected to the disc.
- Sequestration: (Most severe) Disc material breaks through the annulus fibrosus and moves away from the disc into the spinal canal.
The nervous system has two main branches. What are they?
- Central Nervous System (CNS)
- Peripheral Nervous System (PNS)
*Both have afferent and efferent components
What does afferent mean?
Information is flowing in
What does efferent mean?
information is being issued out
In the peripheral nervous system there is an afferent branch and an efferent branch, what are they each responsible for?
Afferent: Sensory
Efferent: Motor