Vertebrae Flashcards
Number of vertebrae in each portion of the vertebrae
_Cervical: 7 _Thoracic: 12 _Lumbar: 5 _Sacral: 5 fused _Coccygeal: 3-4
Pedicles
Base of the vertebral arch, attaches to the body
Laminae
Broad, thin plates that are connected to pedicles and spinous process
Transverse process
Project laterally from the pedicle/lamina junction
Spinous process
projects posteriorly from the junction of the lamina
Superior articular process
Superior projection near the pedicle lamina junction
Inferior articular process
Inferior projection from the lamina
Transverse foramina
Holes found in the transverse presses of the cervical vertebrae
Costal Facets
_2 on the body/pedicle junction, 1 on the transverse process _Found only on the thoracic vertebrae
Mammillary
On the posterior tip of the superior articular processes of the lumbar vertebrae
Sacral Promontory
Most superior/anterior point/edge of S1 vertebrae
Anterior/posterior sacral foramina
Separate holes in the sacrum that are in continuity with each other via a canal
Median sacral crest
Ridge with 4 tubercles posterior
Sacral Canal
Anterior to the median sacral crest
Sacral Hiatus
Lack of fusion of the 5th sacral vertebrae, which allows for an inferior opening of the canal
Auricular surface
_Ear-shaped surface on the lateral surface of the sacrum _Articulates with the pelvis
Cornua
_Small horned coccygeal vertebra _Articulates with the sacrum
Atlas
_C1 _No body, no spinous process _Anterior/posterior arches with anterior/posterior tubercles
Axis
_C2 _has a Dens (pivot joint that articulates with the atlas)
Vertebra Prominens
C7 that has a long spinal process that is prominent
Primary Curvatures
_Concave anteriorly _First curvature seen in embryos/fetuses
Secondary Curvatures
_Concave posteriorly _Develop in early childhood
Intervertebral discs
_Fibrocartilaginous discs fused with hyaline cartilage _Are Symphyses b/t vertebrae _First is b/t C2/3, last b/t L5/S1
Annulus Fibrosus
Outer, tough fibrocartilagenous ring of intervertebral disc with criss-crossed fibers to limit vertebral rotation
Nucleus pulposus
_Soft, inner part of intervertebral disc _Absorbs water when relaxed, loses water when compressed
Uncovertebral Joints (of Luschka)
_Small cavities in the cervical intervertebral disc (appear around 10 y/o) _Occur b/t the unicate process of vertebrae
Unicate Process
Process that comes off of the cervical vertebral body
Facet Joints
_Aka Zygapophysial joints _Synovial joints b/t articular surfaces _Orientation determines ROM in joints _innervated by medial branches of posterior rami of spinal nerves (2 adj nerves per joint)
Costovertebral joints
_T2-T8 articulate with 2 pairs of ribs _3 points of articulation: head of rib (2 points on upper and lower demifacets), Tubercle of rib (1 point on transverse process of vertebra)
Sacroiliac joints
_Synovial joint b/t auricular surface on the sacrum and ilium _Transfers weight from the vertebral column to lower limb
Anterior longitudinal Ligament
_C1-sacrum _Limits extension of vertebral column
Posterior longitudinal ligament
_Posterior surface of vertebrae and intervertebral discs, but inside the vertebral canal _Narrows over V. bodies and widens over the IV discs throughout T and L _Does not cover all of the posterolateral portion of the IV discs, so herniation can occur _Limits flexion
Ligament Flava
_C2-sacrum: interconnect laminae of adjacent vertebrae _highly elastic and bilateral _Resists separation b/t laminae during flexion and lat flexion and helps in restoring an erect posture post movements
Transverse ligaments
_C1-sacrum: interconnect adjacent transverse processes _Often intertwined with intertransversarii muscles _Resists lateral flexion
Interspinous ligaments
_C2-sacrum: between spinous processes _Resists flexion and rotation
Supraspinous ligament
_C7-Sacrum _Attaches tips of spinous ligaments _Changes into the ligamentum nuchae from occipital protuberance to C7 _resists flexion and rotation
Ligamentum Nuchae
Expanded supraspinous ligament from C7 to Occipital protuberance
Facet joint capsules
_Synovial joints _Capsule limits motion of joints, particularly rotation
Vertebral Arterial blood supply
_Initial branches on anterolateral surfaces _Branches into periosteal and Equatorial
Periosteal arterial blood supply
Supplies the periosteum
Equatorial aterial blood supply
Supplies the outer layer of bone
Posterior branch of aterial blood supply
Provide the periosteal branch and nutrient branches to the V arch elements
Spinal arteries
_Enter thru the IV foramina _Provide branches to spinal cord/meninges _Nutrient arteries travel to the core of the vertebral bodies
Internal vertebral plexus of veins
Initial drainage of venous blood
External vertebral plexus of veins
Connects internal to segmental vein system
Vertebral plexus connections
All plexuses connect to cranial dural sinuses and venous plexus in the pelvis (is a valveless system)
Recurrent meningeal branches of spinal nerves
_Innervates the vertebral column on each side _Connects periosteum, annul fibrosi of IV discs, ligaments to meninges
Proprioception
Body position by stretching/slackening of muscles and ligaments
Associated factors with herniation
_more anterior positioning of nucleus pulpous _Annulus fibrosis is thinner posteriorly _Increased load on column (flexion) that compresses anteriorly _Lack of ligament support on the posterolateral surface of discs
Lumbago
Shifts in the nucleus pulpous causes unequal force on joints causing violent muscle spams
Radiculopathy
Compression of a near by nerve from herniation
Siactica
Several roots contributing to the sciatic nerve are compressed