Spinal Exam 2: Section VI - Lamina/Pedicle--Atypical C Vert. Flashcards
VI. Regions of the Vertebral Column
What is the orientation and angulation of the pedicle of a typical cervical?
posterolateral , 45 degrees
In the vertebral couple, which cervical vertebral body will contribute more toward the height of the intervertebral foramen?
neither, both contribute equally to the intervertebral foramen height
Which spinal nerve will be accommodated on the superior vertebral notch of C5?
C5 spinal nerve
Which spinal nerve will be accommodated on the inferior vertebral notch of C5?
C6 spinal nerve
What is the direction of projection of the cervical lamina?
posteromedially
What ligament attaches to the lamina of a typical cervical?
ligamentum flavum
What joint classification will be associated with the ligamentum flavum and its attachment?
fibrous (ampiarthrosis) syndesmosis
Ossification of the ligamentum flavum at the attachment site on the lamina will result in what feature?
para-articular processes
Ossification of the ligamentum flavum at the attachment site on the lamina will be associated with which classification of bone?
accessory bone
Ossification within the ligamentum flavum will be associated with which classification of bone?
heterotopic bone
What is the outline of the vertebral foramen of a typical cervical vertebra?
heart-shaped or triangular
Which is the greatest diameter of the vertebral foramen of typical cervicals?
transverse
The greatest transverse diameter of the typical cervical vertebra occurs at__?
C6
The greatest frequency of osteophytes associated with the vertebral body occurs at which typical cervical vertebral couple?
C5/C6
What muscles will attach to the anterior tubercle of a typical cervical vertebra?
anterior scalene, longus capitis, longus colli, anterior intertransversarii
What muscles may attach to the posterior tubercle of a typical cervical vertebra?
spenius cervicis, iliocostalis cervicis, longissimus cervicis, levator scapula, middle scalene, posterior scalene, rotators, and posterior intertransversarii
What muscles will attach to the costotransverse bar?
middle scalene and posterior intertransversarii
What produces the primary tension on the transverse process that will cause remodeling in the anterolateral and inferior directions?
cervical spine nerves as they are directed anterolaterally and inferiorly to form the cervical and brachial plexuses
What is the orientation and angulation of a typical cervical transverse process?
60 degrees anterolaterally (from midsagittal plane), 15 degrees inferiorly (from the horizontal plane)
What is the name given to the modification of the anterior tubercle of the C6 transverse process?
the carotid tubercle
What will cause remodeling of the anterior tubercle at C6?
the common carotid artery
What will occupy the typical cervical vertebra transverse foramen?
the vertebral artery, vertebral venous plexus and postganglionic sympathetic motor nerve fibers
What is the name of the lamina-pedicle junction of typical cervical vertebrae?
the articular pillar
What is the classic angulation of typical cervical articular facets?
40 to 45 degrees from the coronal plane
Recent work suggests what angulation for typical cervical articular facets?
55 to 60 degrees
What is the orientation of the typical cervical superior articular facet?
backward, upward, medial (BUM)
What is the orientation of the typical cervical inferior articular facet?
forward, lateral, downward (FoLD)
What muscles will attach to typical cervical articular processes?
the longissimus capitis, longissimus cervicis, semispinalis capitis, semispinalis cervicis, multifidis and rotators
What is the joint classification for the typical cervical zygapophysis?
synovial plane (diarthrosis arthrodia) joint
What modifications of the synovial joint are observed in the cervical spine?
meniscoidal folds
What function will meniscoidal folds provide in cervical zygapophyses?
they are assumed to distribute pressure across the joint surface
The greatest range of flexion - extension among the typical cervical vertebrae occurs at which vertebral couple?
typically C5/C6
What motions are coupled in the cervical spine?
lateral bending and axial rotation
Ranges of coupled motion among the typical cervical vertebrae will be similar for what cervical vertebral couples?
the C2/C3, C3/C4, C4/C5 vertebral couples
Ranges of coupled motion among the typical cervical vertebrae will begin to decrease at what cervical vertebral couple?
the C5/C6 vertebral couple
What is the usual condition for the Caucasian typical cervical spinous process?
they are bifid
What is the usual condition for the African-American typical cervical spinous precess?
they are non-bifid
What muscles may attach to the typical cervical spinous process?
the spinalis cervicis, semispinalis cervicis, semispinalis thoracis, multifidis, rotators, and interspinalis
What ligaments will attach to the typical cervical spinous process?
the interspinous ligament and ligamentum nuchae
What will form the anterior boundary of a typical cervical intervertebral foramen?
the lateral groove and vertebral body of the segment above
the uncinate process and vertebral body of the segment below
the intervertebral disc and the posterior longitudinal ligament
What will form the posterior boundary of a typical cervical intervertebral foramen?
the inferior articular process (post-zygapophysis), the superior articular process (pre-zygapophysis), the capsular ligament and the ligamentum flavum
What will form the superior boundary of a typical cervical intervertebral foramen?
the inferior vertebral notch or inferior vertebral inscisure
What will form the inferior boundary of a typical cervical intervertebral foramen?
the superior vertebral notch or superior vertebral incisure
What is the unique anterior boundary of the intervertebral foramen for the C4 spinal nerve?
the lateral grooe of C3 and uncinate process of C4 forming the joint of Luschka
What is the name of the first cervical vertebra?
atlas
What features are lacking at C1?
vertebral body, pedicles, a spinous process, and the intervertebral disc
What is thought to represent the pedicle at C1?
the anterior arch
What osseous modification is observed to the front of the anterior arch of C1?
the anterior tubercle
What muscle attaches to the anterior arch of C1?
longus colli
What ligaments will attach to the anterior arch of C1?
the anterior longitudinal, anterior atlanto-occipital, and anterior atlanto-axial ligaments
What joint classifications are observed on the anterior arch of C1?
fibrous (amphiarthrosis) syndesmosis joint and synovial pivot (diarthrosis trochoid) joint
What is the morphology of the superior articular facet of C1?
they are elliptical, closer together in front and often demonstrate an elevation subdividing the facet surface into two separate sufaces
What is the orientation of the superior articular facet of C1?
backward, upward, medial (BUM)
What is the joint classification of the atlanto-occipital zygapophysis?
synovial (diarthrosis) ellipsoidal joint
What are the morphological characteristics of the inferior articular face of C1?
asymmetrical, slightly concave or flattened
What is the orientation of the inferior articular facet of C1?
backward, medial, downward (BMD)
What is the joint classification of the atlanto-axial zygapophysis?
synovial plane (diarthrosis arthrodia) joint
What muscles attach to the lateral mass of C1?
levator scapula
splenius cervicis
rectus capitis anterior
What is the contribution of the posterior arch to the circumference of C1?
about forty percent
What part of C1 represents the spinous process?
posterior tubercle of the posterior arch
What is the distance from the posterior tubercle of the posterior arch to the skin in each gender?
males: about fifty millimeters
females: about thirty-seven millimeters
What attaches to the posterior tubercle of the posterior arch of C1?
rectus capitis posterior minor muscle and ligamentum nuchae
What attaches to the arcuate rim of C1?
the posterior atlanto-occipital ligament
Ossification of the free margin of the posterior atlanto-occipital ligament results in which atypical bone classification?
accessory bone
What is the earliest age of development where ossification of the anterior free margin of the posterior atlanto-occipital ligament was observed?
about age 7 years old