Thoracic Spine X-Rays Flashcards

1
Q

Costotransverse Joint

A
  • Ribs form a joint at most levels with transverse processes
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2
Q

Intervertebral Foramen

A
  • Anterior boundary: vertebral bodies and discs
  • Posterior boundary: facet joints (articular processes of two adjacent vertebrae)
  • Superior boundary: pedicle of vertebrae above
  • Inferior boundary: pedicle located below
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3
Q

Content of Intervertebral Foramen

A
  • Primarily the spinal nerve, blood vessels, and recurrent meningeal nerve
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4
Q

Axial Rotation

A
  • Turning side to side
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5
Q

Lateral Flexion

A
  • Bending side to side
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6
Q

Ribs

A
  • Limit all thoracic spine movement in some way
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7
Q

Compression Fracture

A
  • Typically involves vertebral bodies from some type of trauma from falling on your butt
  • Most common in mid-lower thoracic and lumbar regions
  • Also common in elderly because of osteoporosis
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8
Q

Lumbo-Sacral Joint

A
  • Inferior articular processes of L5 articulate with superior articular process of sacrum
  • Located between L5 and sacrum
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9
Q

Sacroiliac Joint

A
  • Between sacrum and hip bone
  • Both fibrous and synovial joint
  • Portion is fibrous with connective tissue, other portion with synovial capsule
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10
Q

Scotty Dog

A
  • Nose = trans process
  • SAP = ear
  • Pedicle = eye
  • IAP = front leg
  • Lamina and spinous process = body
  • SAP of opposite side = tail
  • IAP of opposite side = hind legs
  • Neck = pars interarticularis
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11
Q

Spondylolisthesis

A
  • Anterior slippage of L5 on sacrum
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12
Q

Sponylolysis

A
  • Fracture in lumbar spine or pars interarticularis

- More common in L4 and L5

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13
Q

Pars Interarticularis

A
  • In lumbar spine

- Part of the lamina between articular processes (SAP and IAP)

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14
Q

Lumbarization of S1

A
  • First sacral segment can fuse/form differently to become completely or partially part of lumbar vertebrae
  • Looks like you have 6 lumbar
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15
Q

Transitional Segments

A
  • Evidence points to some (depending on classification and how it forms) can be associated with low back pain
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16
Q

Segmentization

A
  • When L5 take on characteristics of sacrum and doesn’t completely segment during development
17
Q

Hyperkyphosis

A
  • Excessive posterior convexity/increasing thoracic spine curve
  • Often results due to compression fractures of thoracic vertebral bodies
18
Q

Idiopathic

A
  • Means we do not know for sure what causes it

- Most common cause of scoliosis

19
Q

Hemivertebra

A
  • Failure to form one side of a vertebral body (one of the causes structural scoliosis)
20
Q

Axial Projection MRI (CT Scan as Well)

A
  • Look at it as if patient is lying on their back and legs are coming toward you with head away from you
21
Q

Dorsal Rami

A
  • Deep back muscle innervation
22
Q

T2 MRI

A
  • Shows water as brighter/whiter due to high CSF content