Spine Flashcards

1
Q

The ligamentum flava are ______ to the spinal cord.

A

Posterior

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2
Q

The ____ _____ is superficial to the spinal cord

A

dura mater

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3
Q

The arachnoid mater is ____ to the spinal cord and ____ to the dura mater

A

superficial, deep

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4
Q

The ______ ________ is at the inferior end of the spinal cord.

A

conus medullaris

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5
Q

The ______ _______ ______ is central within the cauda equina.

A

filum terminale internum

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6
Q

The _____ ______ is between the anterior and posterior roots.

A

denticulate ligament

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7
Q

What are the functions of the spinous and transverse processes of vertebrae?

A

Muscle attachment and movement.

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8
Q

What is the function of the articular processes of vertebrae?

A

Restriction of movement.

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9
Q

What is the function of the vertebral arch?

A

Protection of spinal cord.

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10
Q

What makes up the vertebral arch?

A

The pedicles and lamina.

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11
Q

What is the function of the vertebral body?

A

Support body weight.

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12
Q

What forms the intervertebral foramen?

A

The superior and inferior notches of stacked vertebrae.

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13
Q

Describe the changes in vertebrae with advancing age.

A

Decreased bone density, articular surfaces bow inward, compression at periphery, and forming of osteophytes.

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14
Q

Which regions of the spine are considered kyphotic?

A

Thoracic and sacral.

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15
Q

What regions of the spine are considered lordotic?

A

Cervical and lumbar.

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16
Q

What are the primary curvatures present at birth?

A

Kyphosis of thoracic and sacral.

17
Q

What are the secondary curvatures?

A

Cervical and lumbar curvatures.

Cervical lordosis when infant begins to support head.
Lumbar lordosis when toddler begins to walk and support own body weight.

18
Q

What is scoliosis?

A

Lateral deviation of vertebral column.

19
Q

Where do you usually see excessive kyphosis?

A

Thoracic spine

20
Q

Where do you usually see excessive lordosis and in what populations?

A

Lumbar spine in pregnant women and athletes with long hip flexors (gymnasts, etc.)

21
Q

What accounts for 20-25% of vertebral column length?

A

Intervertebral discs.

22
Q

What are the two components of the intervertebral discs?

A

Anulus fibrosus (outer), and nucleus pulposus (middle)

23
Q

Describe posterolateral herniation of intervertebral disc.

A

When the nucleus pulposus extrudes out of anulus fibrosis, it could compress the spinal nerves that leave the vertebral canal at intervertebral foramina.

24
Q

What are the 6 ligaments of the spine?

A
Anterior and posterior longitudinal ligaments
Supraspinous ligament
Interspinous ligaments
Ligamentum Flavum
Intertransverse ligaments
25
Q

What motions do the ligamentum flavum limit?

A

Abrupt flexion of vertebral column by resisting separation of vertebral lamina.

26
Q

What motion does the anterior longitudinal ligament limit?

A

Hyperextension of vertebral column (only one that limits extension)

27
Q

What motion does the posterior longitudinal ligament limit?

A

Hyperflexion and prevents the nucleus pulposus from extruding directly posterior into spinal cord.

28
Q

Where does the ligamentum nuchae attach?

A

From spinous process of C7 to external occipital protuberance with slips to intervening spinous processes

29
Q

What is the function of ligamentum nuchae?

A

Attachment of cervical muscles and separates R and L posterior neck.

30
Q

What are the 6 primary motions of the spine?

A

Extension, Flexion, Lateral flexion and extension, rotation of head and neck, and rotation of upper trunk.

31
Q

Which region of the spine does the least flexion and extension?

A

Thoracic.

32
Q

Which region of the spine does the most axial rotation?

A

Cervical

33
Q

Which region of the spine does the most lateral flexion?

A

Cervical

34
Q

Describe the meningeal covering of the spinal cord for superficial to deep.

A

Dura mater, arachnoid mater, and pia mater.

35
Q

What is spinal stenosis?

A

A reduction in space of the vertebral foramen. It can cause compression of one or more spinal roots occupying the vertebral canal.