Typical Lumbar Spine (L1-L4) Flashcards

1
Q

Which vertebra is identified as an atypical lumbar?

A

L5

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2
Q

What accounts for the direction of the lumbar curve?

A

The vertebral body and intervertebral disc have a greater anterior height than posterior height

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3
Q

What is the effect of agin on the vertebral body of a lumbar vertebrae?

A

Decrease in height

Increase in circumference

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4
Q

How many joint surfaces are present on the vertebral body of a typical lumbar?

A

Six

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5
Q

What joint classifications will be observed at the vertebral body of a typical lumbar?

A

Cartilaginous (amphiarthrosis) Symphysis Joint

Fibrous (amphiarthrosis) Syndesmosis Joint

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6
Q

What muscles may attach to a typical lumbar vertebral body?

A

Psoas Major

Psoas Minor

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7
Q

What is the name given to ligaments which attach the vertebral body to articular processes?

A

Transforaminal Ligaments

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8
Q

What are the attachment sites of the superior tansforaminal ligament at the L1-L2 intervertebral foramen?
(2)

A

L1 vertebral body

Inferior articular process of L1

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9
Q

What are the attachment sites of the middle transforaminal ligament at the L1-L2 intervertebral foramen?
(2)

A

Intervertebral Disc

Inferior articular process of L1

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10
Q

What are the attachments sites of the inferior transforaminal ligament at the L1-L2 intervertebral foramen?
(2)

A

L2 vertebral body

Superior articular process of L2

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11
Q

What are the attachments sites of the superior corporotransverse ligaments at the L1-L2 intervertebral foramen?

A

L1 vertebral body

L1-L2 intervertebral disc to the transverse process of L2

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12
Q

Hofmann ligaments are identified in which regions along the vertebral column?

A

Cervical-upper thoracic region

Lumbar Region

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13
Q

Cervical-Upper Thoracic Hofmann ligaments will attach what structures together?

A

Dura mater to segments above

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14
Q

What is the highest level known to demonstrate Hofmann ligaments?

A

C6

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15
Q

What is the proposed function of Cervical-Upper Thoracic Hofmann Ligaments?

A

Resist caudal movement of the dural sac

Resist gravitational forces on the dura and cord

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16
Q

Lumbar Hofmann ligaments will attach which structures together?

A

Dura mater to lower segmental levels

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17
Q

What is the proposed function of the lumbar Hofmann ligaments?

A

Resist cranial movement of the dural sac during flexion

18
Q

What are the attachment sites of the inferior corporotransverse ligaments at the L1-L2 intervertebral foramen?

A

L2 vertebral body

L2-L3 intervertebral disc to the transverse process of L2

19
Q

What osseous conditions of lumbar vertebrae facilitate a spinal tap in this region?

A

Overlap of laminae, shingling, diminishes; overlap of spinous processes, imbrication, diminishes

20
Q

What is the name of the elevation near the origin of the lumbar transverse process?

A

Accessory Process

21
Q

Congenital elongation of the lumbar accessory process results in what feature?

A

Styloid process

22
Q

Congenital elongation of the lumbar accessory process occurs with what frequency?

A

7% occurrence

23
Q

What ligament(s) will attach to the lumbar accessory process?

A

Mammillo-accessory ligament

24
Q

What was believed to be entrapped by the mammillo-accessory ligament?

A

The medial branch of the dorsal rams of a lumbar spinal nerve

25
Q
What muscle(s) attach tot he lumbar accessory process?
(2)
A

Longissimus Thoracis

Intertransversarii

26
Q

What ligament attaches the 12th rib to the transverse process of L1?

A

Lumbocostal ligament

27
Q

What muscles may attach to the transverse process of a typical lumbar vertebra?
(6)

A
Psoas Major
Quadratus Lumborum
Longissimus Thoracis
Rotator Brevis
Rotator Longus
Intertransversarii
28
Q

What is characteristic of the L1-L4 Articular Processes?

A

The transverse diameter (width between/distance between) superior articular processes of an L1-L4 segment will be greater than the transverse diameter (width between/distance between) the inferior articular processes of that same segment

29
Q

What is the orientation of the typical lumbar superior articular facet?

A

Backward, upward, medial (BUM)

Typically concave

30
Q

What is the orientation of the typical lumbar inferior articular facet?

A

Forward, lateral, downward (FoLD)

Significant Convexity

31
Q

What is the name given to the projection on the lunar superior articular process?

A

Mammillary Process

32
Q
What muscle(s) will attach to the mammillary process?
(2)
A

Multifidis

Intertransversarii

33
Q

What is the joint classification of the typical lumbar zygapophysis?

A

Synovial Plane (diarthrosis arthrodia)

34
Q

How many synovial joints are present on a typical lumbar spine?

A

Four

35
Q

What is the position of the lumbar zygapophysis in children?

A

The Zygapophysis lies in the coronal plane

36
Q

What is the position of the lumbar zygapophysis in adults?

A

Zygapophysis lies in the sagittal plane for L1/L2, L2/L3, and L3/L4

Zygapophysis lies in the coronal plane for L4/L5 and L5/S1

37
Q

What names re given to the condition in which one zygapophysis of the vertebral couple lies in the coronal plane or position and the other zygapophysis lies in the sagittal plane or position?

A

Joint asymmetry or Joint tropism

38
Q

What is the name(s) of the condition in which the typical lumbar spinous process increases in length due to the aging process?

A

Basstrup’s Syndrome or “Kissing Spines”

39
Q

What is Basstrup’s Syndrome?

A

Elongation of the lumbar spinous process as a result of aging

40
Q

What muscles will attach to the typical lumbar spinous process?
(9)

A
Latissimus Dorsi
Serratus Posterior Inferior 
Iliocostalis Lumborum
Longissimus Thoracis
Spinalis Thoracis
Multifidis
Rotator Longus
Rotator Brevis 
Interspinalis