Spine Flashcards
How many vertebrae are there and how are they organised?
33 in total
7 cervical
12 thoracic
5 lumbar
5 sacral
4 coccygeal
What are the structures labelled 1-7?
- Vertebral body
- Spinous process
- Transverse process
- Pedicle
- Foramen/spinal canal
- Lamina
- Superior facet
What kind of joints are facet joints?
Synovial
What is the angle of the transverse processes at the cervical, thoracic and lumbar levels?
45, 60 and 90 degrees respectively
What do the transverse foramen in the cervical spine transmit?
Vertebral artery, vein and nerve fibres
Is there much movement in the thoracic spine?
No, due to attachment of ribs
Where is there greatest risk of injury to the spine and why?
Cervico-thoracic and thoraco-lumbar junctions
Junctions between fixed and mobile segments
Where is the risk of rupture to the vertebral disc highest?
Posterior annulus fibrosis - this is where it’s thin
Which ligaments run along the surface and length of the vertebral column?
Anterior longitudinal ligament
Posterior longitudinal ligament
Which structure links the vertebral laminae?
Ligamentum flavum
Which structures link the spinous processes of the vertebrae and what strength are they?
Interspinous ligaments - between processes, relatively weak
Surpaspinous ligament - along the posterior aspect of the spinous processes, tough
What is the three column theory of Denis?
Assessment of stability of spinal injury
1 Column injured: stable
(OP wedge #)
2 columns injured: may be unstable
3 columns injured: unstable
What are the superficial/extrinsic muscles of the spine?
Trapezius
Latissimus dorsi
Rhomboid minor & major
Levatus scapularis
What is the function of the superficial/extrinsic muscles of the spine?
Movement of shoulder and upper limb
Which muscle is being indicated here, and what is its function and innervation?
Trapezius
Elevates and depresses scapula, retracts scapula
Spinal accessory nerve (CN XI)
Which muscle is being indicated here and what is its function and innervation?
Latissmus doris
Adducts, extends and internally rotates the humerus
C6, 7, 8