Symphyses Of Vertebral Column + Thorax Flashcards

1
Q

IVDs = ~ ___ of height of vertebral column. Where are they thicker and why?

A

1/5 of height of vertebral column
Lumbar + cervical = ^mobility

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2
Q

What are 5 functions of IVDs?

A

Bear weight, dissipate shock (^H2O content), distribute load, flexible buffer, adequate motion at low loads, stability at ^loads

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3
Q

IVDs are symphyses found where in the vertebral column? Where are they degenerate discs?

A

C2 - sacrum
Btwn S5 and Cx1

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4
Q

What helps create spinal curvatures? Where are IVDs flat? Thinnest? Thickest?

A

Thicker ant. Than post. In cranial + lumbar regions
Flat = thoracic
Thinnest = ^thoracic
Thickest = lumbar

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5
Q

Name + define the curvatures of the spine. What curvature is *pathological?

A

Kyphosis = convex post.
Lordosis = convex ant.
*Scoliosis = lat. curvature

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6
Q

What can severe, untreated scoliosis cause?

A

Rib cage deformity + vertebral curvature

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7
Q

How do IVD’s adhere to the bodies of the sup. + inf. Vertebra? Define this structure

A

Vertebral end plate - thin layer of hyaline cartilage

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8
Q

What is the Annulus Fibrosis composed of? What are the two zones?

A

Lamellae
Outer collagenous zone
Wider, inner fibrocartilage zone

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9
Q

How are fibers at adjacent laminae of the annulus fibrosis arranged from horizontal? What is the function of this arrangement? How do the 2 zones bulge due to this?

A

Oblique arrangement (30˚ from horizontal) = torsional strength to disc
Outer lamina - externally; inner - internally

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10
Q

What are the 4 functions of the Annulus fibrosis?

A

Enclose nucleus pulposus
Absorb compressive shock
Structure btwn vertebral bodies
Allow restricted motion

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11
Q

Nucleus pulposus makes up ___% of bulk of disc. What makes up it’s content? Where is the nucleus pulposus more developed? When is it larger?

A

40% of disc
^water content, notochord remains
More developed in cervical + lumbar (more post. Than ant.)
Larger at birth, decrease size w/ age

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12
Q

How long do notochordal cells exist in the nucleus pulposus?

A

Disappear w/in 1st decade of life

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13
Q

What is the function of the nucleus pulposus?

A

Resilient spacer allows motion btwn vertebrae
Distribute compressive forces

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14
Q

What is herniation of the IVD? What region is herniation most likely to occur, as well as what aspect of the disc? Why?

A

Nucleus extruded through defect in annulus
Lumbar, posterolaterally - annulus thinnest posteriorly where post. Longitudinal ligament is located.

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15
Q

How does Herniation of IVD become less likely?

A

With age as nucleus solidifies

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16
Q

What is the vascularization of IVDs? What ligaments do they attach? How + to what aspect do they attach to ribs?

A

Avascular except for periphery
Ant. + post. Longitudinal ligaments
Heads of ribs via interarticular ligament

17
Q

How are IVDs innervated posteriorly, posterolaterally, + anterolaterally?

A

Post. = recurrent meningeal nerve
Posterolaterally = ventral rami, gray rami communicantes
Anterolaterally = gray rami communicantes, sympathetic trunk

18
Q

Name the 2 sternal symphyses. Do these undergo synostosis?

A

Manubriosternal, Xiphisternal
Yes, during skeletal maturation

19
Q

Name the symphyses of the the vertebral column + thorax

A

IVDs + Sternal symphyses