spine and trunk Flashcards
what is the spine?
- rigid bone structure made of many vertebrae
describe the structure of the spinal cord (33 vertebrae)
- 12 thoracic
- 7 cervical
- 5 lumbar
- 5 sacrum
- 4 coccyx
what are the six functions of the spine?
- weight bear in upright posture
- act as shock absorber through curves and discs
- produce, accumulate and transmit force
- attachment point for muscles of shoulder
- carry/ support the thoracic cavity
- protects spinal cord
what is the role of the curves?
- maintain balance while standing upright and sitting
what are primary curves?
- curves developed before birth
what are the two types of primary curves and what are they known as?
- thoracic and pelvic curvature
- known as kyphosis
what are secondary curves?
- curves developed after birth
what are the two types of secondary curves and what is it known as?
- cervical and lumbar curvature
- known as lordosis
when are secondary cervical curves developed?
- when a baby learns to sit
when are secondary lumbar curves developed?
- as a toddler learns to walk
what are the three types of increased curves?
- hyper kyphosis, hyper lordosis and scoliosis
what is scoliosis? when is it normally identified?
- abnormal curve in frontal plane
- commonly idiopathic
- identified in childhood
- can be secondary to other conditions
what are the cervical spinal movements that are allowed?
- flexion and extension= 45’
- right and left rotation= 80’
- lateral flexion= 45’
what are the thoracolumbar movements?
- flexion (90’) and extension (30’)
- lateral flexion (30’)
- lateral rotation (30’)
what movement is limited in thoracic spine?
- limited flexion/ extension
what movement is limited in lumbar spine?
- more limited rotation
what is the point of the body in the cervical spine?
- supports the weight
describe the spinous processes of the cervical spine
- bifid spinal process found on back
- two bumps instead of one to help attachment
what joins the spinous process to the transverse process in cervical spine?
- lemina
- these three form the vertebral arch
what is the facet joint formed by in the cervical spine?
- formed by superior and inferior articular process
what is the greatest range of motion of the cervical spine?
- 45 degrees
what is each vertebrae connected to in the thoracic spine?
- connected to a pair of ribs; 1-7 directly whereas 8-12 indirectly attached
why does thoracic spine have a larger body?
- supports a greater weight
what is the facet called where the ribs attach (thoracic) ?
- coastal facet
which way does the superior articular process face in the thoracic spine?
- either faces forwards or backwards
what determines the movement of the thoracic spine?
- structure of the articular process
what is the size of the neural canal in the thoracic spine?
- smaller neural canal
why is movement limited in the thoracic spine?
- 65 degree angle
- ribs articulate and attach to vertebrae
why does lumbar spine have the largest body?
- bears the greatest weight
describe the transverse process of the lumbar spine
- short but stronger transverse process
why does the lumbar spine have the lowest range of motion?
- angle of articular process is 90 degrees so little rotation
compare the vertebral body of cervical, thoracic and lumbar spine
C= small oval
T= medium heart
L= large kidney shaped
compare the vertebral foramen of cervical, thoracic and lumbar spine
C= large triangular
T= small oval
L= small triangular
compare the spinous process of cervical, thoracic and lumbar spine
C= short and bifid
T= long slanted down
L= broad and flat
compare the transverse process of cervical, thoracic and lumbar spine
C= shorter, more anterior + transverse foramen
T= longer, more posterior+ costal facets
L= longer more lateral
compare the facet joint of cervical, thoracic and lumbar spine
C= 45 degrees anteroposterior
T= 60 degrees anteroposterior
L= 90 degrees mediolateral
what does spinal cord run along?
- neural canal
what are vertebral bodies separated by?
- intervertebral discs
where are articulations between vertebras at?
- zygapophyseal joints
what do the transverse and spinous processes provide?
- attachment for muscles
what does the transverse foramen allow?
- allows arteries through on either side of cervical spine
- form part of blood supply to brain alongside internal carotid arteries
what is the atlas?
- 1st cervical vertebrae
describe the structure of the atlas
- no body
- consists only of occipital process and transverse process
what does the atlas articulate with?
- base of skull at atlantooccipital joint
describe the size of articular facets in atlas and why
- large articular facet to support the skull
what is the axis?
- 2nd cervical vertebrae
how does axis connect to atlas?
- via dens
- allows rotation
which joint does axis use to articulate with atlas?
- atlantoaxial joint
what does axis consist of?
- superior articular process and transverse process
what forms axis of rotation of atlanto- axial joint? what rotation is formed?
- dense
- generates cervical rotation
what ligament is in the atlanto-axial joint and what is its role; what does it hold in place?
- transverse ligament on posterior side
- prevents forwards or backwards movement
- holds odontoid process in place
why is axis useful for rotation?
- due to peg orientation