The back Flashcards
What is the dermatome which supplies the nipples ?
T4
What is the dermatome which supplies the belly button ?
T10
How many vertebrate are there ?
33
What is found in between the vertebrate ?
Intervertebral discs
What are the functions of the vertebral column ?
Weight bearing
Protection (of the spinal chord, spinal nerves and arteries and veins)
Movement
Site of muscle attachment
How does the spinal chord weight bare?
It transfers the weight from the upper body to the lower limbs
Is the spine shock absorbent ?
Yes
What parts of the spine make it shock absorbent ?
Its curvature
The interverbal discs
Describe the basic parts of a vertebrate
Body Pedicle Foramen Arch transverse process Inferior and superior articular facet Lamina Spinous process Intervertebral foramen
Draw the basic structure of the vertebrate from the top and the side
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What are the three types of vertebrae ?
Cervical
Thoracic
Lumbar
What are the features of a cervical vertebrate ?
- Forman transversarium
- Large and triangular vertebral foramen
- Short and bifid spinous process
- Small round body
Draw a cervical vertebrate
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What are the features of a thoracic vertebrate ?
- Costal facets
- Small and circular vertebral foramen
- Long, sloping posteroinferiorly spinous process
- Heart shaped body
Draw a thoracic vertebrate
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What are the features of a lumbar vertebrate ?
- Mammillary process, accessory process
- Small, triangular vertebral foramen
- Short, sturdy and rectangular spinous process
- Large kidney shaped body
Draw a lumber vertebrate
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Describe the arrangement of the articular facets in the three types of vertebrate
- Cervical, allows flexion and extension, and lateral flexion
- Thoracic, allows rotation
- lumber allows flexion and extension
What is lordoses ?
Outward curvature of the spine which develops in infancy and is found in the cervical and lumbar regions of the spine.
What is kyphoses ?
Inward curvature of the spine which develops in the featus and is found in the thoracic and sacral regions of the spine.
What are some examples of abnormal curvature of the spine ?
- Osteoporosis , where there is excessive thoracic kyphosis
- pregnancy, where there is excessive lumbar lordosis
- Scoliosis, where the spine curves to the left or right
What are the names of the two parts of the intervertebral discs ?
Annulus fibrosis
Nucleus pulposus
What is the nucleus pulposus ?
A central core with a high water content
What is the annulus fibrosus ?
Layers of fibrocartilage
An example of where fibrocartilage is found in the body ?
In the intervertebral discs
What is a herniated discs ?
When the nucleus pulposus bursts through the annulus fibrosus and causes compression of the spinal nerves,
Describe the 5 main joints of the spine
Intervertebral joints - Secondary cartilaginous (symphyses) Facet joints - Synovial plane Joints with fibs - Synovial plane Skull and atlas - Synovial ellipsoid Atlas and axis - Synovial pivot
What are the types of synovial joint ?
Plane Pivot Condylar (Ellipsoid) Ball and socket Saddle Hinge
Draw the joints of the spine
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Name the ligaments of the spine
Interspinous ligament Supraspinous ligament Anterior longitudinal ligament Posterior longitudinal ligament Ligamentum flava
What ligament is found between the atlas and axis ?
Transverse ligament
What is another name for C1?
Atlas
Where does the spinal chord begin ?
Medulla oblongata
Where does the spinal chord end ?
L1-L2 in adults
L3 in kids
name the features of the spinal chord
Conus medullarise Cauda equina Filum terminale Dural sac Dural cistern verebral canal
What is the conus meduallarise ?
The one like end inferior end of the spinal chord
What is the cauda equina ?
The bundle of nerves which comes out of the end of the spinal chord and descends before leaving at there level.
What is the filum terminale ?
The continuation of the pia matter
What is the dural sac ?
It ends at S2 and is attached to the tip of the coccyx by the filum terminale externum
What is the dural cistern ?
The dilated dural sac around S2
What is the vertebral canal ?
The vertebral foramen
What shape does the grey matter of the spinal chord make ?
H
What is found in the grey matter ?
Cell bodies
What is found in the white matter ?
Axons of the neurons
Draw and label as basic shape of the spinal chord
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How many pairs of spinal nerves come from the spinal chord ?
31
Which part of the vertebrate do spinal nerves exit?
through the intervertebral foramen
Where is the spinal chord enlarged ?
The cervical and lumbar regions
Why is the spinal chord enlarged in the cervical and lumbar regions ?
These are the regions where the ventral rami of the spinal nerves form the nerve plexuses which supply the limbs.
What plexuses supplies the upper limb ?
Brachial
Where does the brachial plexus arise from ?
C5-T1
What plexuses supplies the lower limb ?
Lumbosacral
Where does the lumbosacral plexus come from ?
L1-S4
What are the different names for the coverings of the heart ?
Dura matter
Arachnoid matter
Pia matter
Where is cerebrospinal fluid found ?
In the subarachnoid space or between the arachnoid and pia matter
Where sympathetic outflow from ?
T1-L2
Where are sympathetic cell bodies found ?
lateral horn of the spinal chord
Where the parasympathetic outflow from ?
S2-S4
Cranial nerve 3,7,9 and 10
Does the spinal chord have a good blood supply ?
yes
Where the rich blood supply from the spinal chord ?
From the spinal and segmental medullary arteries
What does ischemia mean ?
A decreased blood supply to an area
What can ischemia to the spinal chord cause ?
Muscle weakness
Paralysis
Where does the blood form the spinal chord drain too ?
cerebral dural venous sinuses
Where should a lumber puncture be performed ?
between L3-L4 or L4-L5
What are the two groups of muscles in the back ?
Extrinsic group
intrinsic group
What is the function of the extrinsic group of back muscles ?
Allows upper limb movement and respiration
What is the function of the intrinsic group of back muscles ?
Maintains posture and controlled movement of the vertebral column
What are some motions possible by the back ?
Rotation
Extension
Flexion
Lateral flexion
What muscles allow bilateral flexion ?
Muscles of the anterior spine i.e. the rectus abdominis and psaos major
What muscles allow bilateral extension of the back ?
Errector spinae
What muscles allow unilateral rotation and unilateral lateral flexion of the back ?
External obliques, internal obliques and erector spinae
What movements do anterior abdominal muscles allow ?
Anterior flexion, lateral flexion and rotation
What movements do posterior abdominal muscles allow ?
Flexion, lateral flexion
Draw a diagram of the muscles of the back
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What are the names of some of the muscles which are important in the back ?
Pasos major Rectus abdominus Erector spinae Trapezius Deltoid External and internal intercostal muscles latissimus dorsi Romboid
Summary of the spinal level of different things …
Brachial plexus C5-T1
Sympathetic outflow T1 - L2
Lumbosacral plexus L1 - S4
Parasympathetic outflow S2-S4 and III, XII, IX, X