Structure of Vertebral Column Lect 1 Flashcards

1
Q

Three words for ‘up’

A

Superior, cranial, cephalic

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2
Q

Two words for ‘front’

A

anterior, ventral

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3
Q

Toward the midline

A

medial

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4
Q

Close to the root or base

A

proximal

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5
Q

Near the surface

A

superficial

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6
Q

Two words for ‘down’

A

Inferior, caudal

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7
Q

Two words for ‘back’

A

posterior, dorsal

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8
Q

Away from the midline

A

lateral

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9
Q

Away from the root or base

A

distal

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10
Q

Away from the surface

A

deep

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11
Q

Plane vertically through the midline

A

median plane

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12
Q

Plane parallel to the midline

A

sagittal

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13
Q

Plane parallel to the front of the body

A

Frontal, coronal

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14
Q

Plane horizontal across the body

A

horizontal plane

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15
Q

Any plane not sagittal, frontal horizontal

A

Oblique plane

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16
Q

3 layer disc in first 4 weeks of development

A

trilaminar embryonic disk

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17
Q

what are the 3 primary germ layers?

A

endoderm, mesoderm, ectoderm

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18
Q

Anterior/inner layer of germ layers?

A

endoderm

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19
Q

Endoderm forms

A

gut, most of viscera (internal organs)

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20
Q

Name endodermal derivatives

A

GI tract, epithelium of respiratory tract, parenchyma (thyroid, parathyroid, liver and pancreas), reticular stroma (tonsils, thymus), epithelial lining of urinary bladder and urethra, epithelial lining of tympanic canal and eustachian tube

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21
Q

Posterior or outer embryonic layer

A

ectoderm

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22
Q

Ectoderm forms

A

structures/organs that maintain contact with the outside world

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23
Q

Name ectodermal derivatives

A

sensory epithelium of eyes, ear, nose, skin, hair, nails, subcutaneous (sweat) glands, mammary glands, pituitary gland and enamel, CNS, PNS

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24
Q

Middle embryonic layer

A

Mesoderm

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25
Q

Mesoderm forms

A

most of structural support of body - almost everything between viscera and outer shell of body

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26
Q

Name mesodermal derivatives

A

supporting tissue - connective tissue, cartilage, bone. Deep connective tissue -mesenteries, pleura, peritoneum. Striated and smooth muscle. Kidneys, gonads, ducts. Blood/lymph cells, walls of heart, blood/lymph vessels, spleen.

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27
Q

Why is anterior/posterior asymmetrical?

A

Germ disk folds anteriorly to form gut tube - most of viscera (soft internal organs) are in front of body

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28
Q

T/F: mesoderm forms structural core of body

A

true

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29
Q

Where does the nervous system develop in relation to the structural core?

A

Posterior

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30
Q

What layer does nervous system form from?

A

Posterior ectoderm

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31
Q

Process of formation of nervous system

A

neurulation

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32
Q

Briefly explain formation of neural tube

A

Ectoderm at embryo midline thickens and folds; folds fuse to make neural tube

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33
Q

After neural tube if formed, what happens?

A

Ends of tube close, creating closed tube that resembles adult CNS

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34
Q

How do the neural crest cells form?

A

Cells at lateral border of neural folds dissociate from the neuroectoderm.

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35
Q

Where do the neural crest cells go?

A

Migrate through the embryo to different structures - including all the PNS, linings of the CNS and melanocytes

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36
Q

What is the structural core of the body?

A

the axial skeleton

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37
Q

Two functions of the axial skeleton?

A

Protects and encloses CNS

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38
Q

What does the body of the vertebrae do?

A

Supports column, connected to intervertebral discs

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39
Q

Another name for the vertebral arch?

A

Neural arch

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40
Q

Name two things that make up the vertebral arch?

A

Laminae and pedicles

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41
Q

What do pedicles connect?

A

Transverse processes to body of vertebra

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42
Q

What part of arch do lamina form?

A

Roof of arch

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43
Q

What do lamina connect?

A

Spinous processes to transverse processes

44
Q

What is the space under the vertebral arch called?

A

Vertebral foramen

45
Q

What are the spaces between the pedicles of adjacent vertebrae?

A

intervertebral foramina

46
Q

What passes through intervertebral foramina?

A

Spinal nerves and vessels

47
Q

Name two processes of vertebra

A

Spinous and transverse

48
Q

Which way do articular processes project?

A

Superiorly and inferiorly

49
Q

What do articular processes come together to form?

A

facet joints

50
Q

What do facet joints do?

A

Hold the vertebra together while allowing some movement

51
Q

How many curvatures of spine in the newborn?

A

One primary (spine is in flexion = kyphotic)

52
Q

What is kyphotic curvature?

A

spine in flexion

53
Q

When do the two secondary curvatures form?

A

Cervical (when baby picks up head) and lumbar (when baby stands up)

54
Q

What type of curvature are the secondary curvatures?

A

Lordotic

55
Q

What is the last curvature of the spine?

A

Thoracic = kyphotic

56
Q

How many total curvatures in spine?

A

Four

57
Q

Name the types of curvatures in spine and whether they are kyphotic/lordotic

A

Cervical (secondary, lordotic), thoracic (kyphotic), lumbar (secondary, lordotic), sacral (kyphotic)

58
Q

How many vertebrae in adult?

A

33

59
Q

How many of each type of vertebrae?

A

7 cervical, 12 thoracic, 5 lumbar, 5 sacral, 4 coccygeal

60
Q

What structure do all cervical vertebrae have?

A

Foramina transversaria

61
Q

What passes through the cervical foramina transversaria?

A

Vertebral artery

62
Q

Which cervical vertebrae does vertebral artery pass through?

A

Upper 6 (C1-C6 only)

63
Q

What type of spinous processes do the cervical vertebrae have?

A

Bifid

64
Q

Why are the cervical spinous processes this shape?

A

For large muscles holding the head up

65
Q

What are unconvertible joints?

A

Special joints between cervical vertebral bodies

66
Q

What do unconvertible cervical vertebrae joints do?

A

Stabilize relative position of adjacent vertebrae while retaining mobility of the neck

67
Q

Where is the freest motion of the spinal column?

A

Between axis (C2), atlas (C1) and the base of the skull

68
Q

What type of spines do thoracic vertebrae have?

A

Downturned spines

69
Q

Explain how downturned thoracic spines affect the spine

A

They are united by ligaments = stiffen the thoracic spine, allowing rotation but little flexion/extension

70
Q

What is a ligament?

A

Tough band of connective tissue that joints one bone to another bone

71
Q

T/F: do ribs articulate with thoracic vertebrae?

A

T

72
Q

Why do thoracic vertebrae have small vertebral foramina?

A

Spinal cord is small in this region - cervical and lumbosacral are bigger bc they need to support nerve supply to limbs

73
Q

Which type of vertebrae have large, horizontal spines?

A

Lumbar

74
Q

What do lumbar spines provide support for?

A

Large deep back muscles

75
Q

Which vertebrae act as base for vertebral column?

A

Sacral

76
Q

T/F: bodies and transverse processes of lumbar vertebrae are fused

A

False - is sacral

77
Q

What passes through anterior/posterior sacral foramina?

A

Sacral nerves

78
Q

Where does the vertebral canal open?

A

Opens inferiorly at sacral hiatus

79
Q

What is the coccyx?

A

Rudimentary, fused vertebrae

80
Q

What holds vertebrae together?

A

Ligaments, facet joints, intervertebral disks

81
Q

Name three ligaments which hold vertebrae together

A

Anterior/posterior longitudinal ligaments, ligamenta flava, supraspinous/interspinous ligaments

82
Q

Where do anterior/posterior longitudinal ligaments pass?

A

In front of / in back of vertebral bodies

83
Q

What do ligamenta flava connect?

A

Laminae along vertebral canal

84
Q

What function does ligaments lava provide to spina

A

Provide elastic recoil when straightening the back from flexed position

85
Q

What part of vertebrae do interspinous and supraspinous ligaments connect?

A

Spines of vertebrae

86
Q

Another name for facet joints

A

zygapophyseal joints

87
Q

What do facet joints connect?

A

Articular processes of adjacent vertebrae

88
Q

How are facet joints held together?

A

By ligaments that form a capsule around the articulation.

89
Q

What type of fluid is contained in the capsule surrounding a facet joint?

A

synovial fluid

90
Q

What does synovial fluid do?

A

Lubricates joint for movement.

91
Q

What do intervertebral discs do?

A

Give flexibility to the spine and act as shock absorbers.

92
Q

T/F: intervertebral discs are found between all vertebrae

A

FALSE - only found between NON FUSED vertebrae

93
Q

What are the two things the intervertebral disc is made of?

A

Annulus fibrosus, nucleus pulposus

94
Q

What is the annulus fibrosus?

A

Outer ring of fibrocartilage

95
Q

What is the nucleus pulposus?

A

Gelantinous interior (remnant of notochord)

96
Q

What is the nucleus pulposus a remnant of?

A

notochord

97
Q

When does a herniated disc occur?

A

When nucleus pulposus protrudes through the annulus fibrosus

98
Q

Why does the herniation occur posteriolaterally?

A

Annulus fibrosus is not reinforced by anterior or posterior longitudinal ligaments here (near base of pedicle)

99
Q

Where does the atlas articulate with the skull?

A

With the occipital condyles of the skull

100
Q

What action occurs at the atlantooccipital joint?

A

Nodding of the head on the atlas

101
Q

Where does rotation of the head occur?

A

Atlantoaxial joint - rotation of head and atlas occurs as unit around the dens

102
Q

Dens of axis is strapped against anterior arch of atlas by…?

A

very strong transverse ligament of atlas

103
Q

Shape made by superior and inferior longitudinal bands of transverse ligament?

A

cruciform

104
Q

What structure does the transverse ligament of atlas attach?

A

Skull to axis

105
Q

What attaches the skull to the dens of axis?

A

Alar ligaments

106
Q

Spaces between arches of atlas and base of skull are closed off by…?

A

anterior and posterior atlantooccipital membrane

107
Q

What is the tectorial membrane?

A

Where the posterior longitudinal ligament is expanded and thickened - at inside of skull near anterior rim of foramen magnum