UNIT 3: vertebrae/ spinal cord Flashcards

1
Q

name the regions of the thoracic vertebrae

A
  • cervical vertebrae (c1-8)
  • thoracic vertebrae (t1-12)
  • lumbar vertebrae (l1-5)
  • sacrum (s1-5) - fused
  • coccyx (1-4) - fused
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2
Q

what are the distinguishing features of the cervical vertebrae?

A
  • small vertebral body
  • bifid spinous process (apart from c1-7)
  • transverse foramina
  • triangular vertebral foramen
    (c1 - atlas, c2 - axial - movement of the heart)
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3
Q

what are the distinguishing features of the thoracic vertebrae?

A
  • increases in size from superior to inferior
  • demi-facets/ costal facets to articulate with the ribs
  • circular vertebral foramen
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4
Q

what are the distinguishing features of the lumbar vertebrae?

A
  • large vertebral body
  • triangular shaped vertebral foramen
  • long/ slender transverse process
  • short spinous process
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5
Q

what are the distinguishing features of the sacral vertebrae?

A

no vertebral arch = no vertebral canal

facets for articulation of pelvis

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6
Q

give four clinical syndromes resulting from abnormal curvature of the spine

A
  • kyphosis - curvature of thoracic vertebrae (hunchback)
  • lordosis - curvature of lumbar vertebrae (swayback)
  • scoliosis - lateral curvature of spine
  • cervical spondylosis - decrease in size of intervertebral foramen due to degeneration of joints in spine - pressure of nerves
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7
Q

describe the structure inbetween vertebrae

A

intervertebral discs - consists of fibrocartilage
outer layer: anulus fibrosum
inner layer: nucleus pulposum
side of discs form the anterior margin of the intervertebral foramen

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8
Q

which ligaments limit flexion of spine?

A
ligamentum flavum (chiefly) - runs in front of lamina
interspinous/ supraspinous ligaments - connect spinous processes
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9
Q

what are the differences in the two types of longitudinal ligaments?

A

anterior: cover front and sides of the vertebral bodies- limit extension of spine prevents backward/ forward movement of vertebral bodies relative to each other
posterior: covers back of the vertebral bodies - limits the flexion of vertebral bodies

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10
Q

where does the spinal cord extend from/to?

A

foramen magnum to L2 - end of conus medullaris

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11
Q

what are the three meningeal layers that surround the spinal cord and what is their function?

A

dura mater/ arachnoid mater/ pia mater
protects and stabilises the cord within boy surroundings
contains CSF between arachnoid and pia mater in subarachnoid space

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12
Q

what are the paired extensions of the pia mater that anchor the cord and attach to dura mater?

A
denticulate ligaments (between anterior/ posterior roots of nerves)
filum terminale - anchors cord to coccyx
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13
Q

what are the arachnoid tuberculae?

A

small strands of tissue containing spinal blood vessels

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14
Q

describe the regions of spinal nerves

A
31 spinal nerves in total
8 cervical
12 thoracic
5 lumbar
5 sacral
1 coccygeal
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15
Q

where are the enlargements of the spinal cord?

A

cervical - c5- t1 - brachial plexus - innervate upper limb

lumbrosacral l2-s3 - gives rise to lumbosacral plexus - innervates the lower limb

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16
Q

where is the lumbar cistern located?

A

between l1/2 - contains CSF

17
Q

what surface marking marks the position of S2 and what does this represent?

A

sacral dimple - subarachnoid space ends

18
Q

where can you find where the spinal cord ends?

A

top of iliac spine marks l4 - go up two spinal levels

19
Q

what are the two roots of the spinal cord?

A

ventral (motor)/ dorsal (sensory) - form segmentary nerve (spinal nerve)

20
Q

what is a dermatome? - how many are there? - give distinctive surface markings

A

area of skin innervated by a spinal nerve
29 dermatomes (7 cervical/ 12 thoracic/ 5 lumbar/ 5 sacral)
nipple line - t4/ umbilicus - t10/ perianal region - s4/5

21
Q

what are the trigeminal dermatomes?

A

opthalmic - tip of nose to antrerior scalp
maxillary - below corner of eye, around nostril to corners of mouth
mandibular - below corners of mouth, to chin up to temples

22
Q

what is a myotome?

A

group of muscles that a single spinal nerve innervates