Thoracic Spine Flashcards
At the landmark of the scapular spine. What else is at the same level?
T4 spinous process
At the landmark of inferior angle of the scapula what else is at the same level?
T7 Spinous Process
T8 Transverse Processes
Where are the T1 to T3 spinous processes?
Same level as the corresponding transverse process
Where are the T4 to T6 spinous processes?
One Half level below the corresponding transverse process
Where are the T7 to T9 spinous processes?
One level below the corresponding transverse process
Where is T10 spinous process?
Same as T7 to T9
One level below
Where is T11 spinous process?
Same as T4 to T6
One half level below
Where is T12 spinous process?
Same as T1 to T3
What will a person with scoliosis present with?
Asymmetry of shoulders and waist
Rib prominence
Leg length discrepancies
What is the management of scoliosis?
OMT based on the Cobb Angle
What are the three Cobb Angles?
> 25 conservative monitor with Radiographs
25-45 Non operative bracing
45 surgical fusion prevents progression
What is the orientation of the superior articular facets for the cervical region?
BUM:
Back
Upwards
Medial
What is the orientation of the superior articular facets for the thoracic region?
BUL:
Back
Upwards
Lateral
What is the orientation of the superior articular facets for the Lumbar region?
BM
Back
Medial
What are the major movements of the rotatores muscles?
Unilaterally: Rotates the thoracic spine to opposite side
Bilaterally: Extend thoracic spine
What are major movements of the Multifidus muscles?
Uni: Flex the spine to same side;
Rotate to the opposite side
Bi: Extend spine
What muscle group do we generally associate with Freyette’s Type I?
Multifidus/Semispinalis ms.
What muscle group do we generally associate with Freyette’s Type II?
Rotatores ms.
What are major movements of the semispinalis muscles?
Uni: Bends Head, cervical and thoracic to Same Side
Bi: Rotates to the opposite side
Type I Freyette Mechanics are _____ _____ _____ _____
Neutral Group Opposite Side
Type II Freyette Mechanics are _____ _____ _____ _____
Flex/Extended Single Same
Difference b/w Coupled Motion and Linking
Coupled Mot: One cannot occur w/o other
Linking: Provides excess motion
What is 3rd principal of Freyette?
Motion restricted in one direction may be restricted in others
Motion Improved in one direction may improve in another
What is a sacralization?
Fusion of L5 to Sacrum
What is Lumbarization?
S1 is not fused to Sacrum
Spondylosis?
Spurs of bone
Spondylolysis?
Scotty Dog Fracture
Spondylolithesis?
Slipping of the vertebral body in addition to fracture
