Vertebrae and development Flashcards

1
Q

regions of vertebral column

A
7 cervical
12 thoracic
5 lumbar
5 fused sacral 
3-5 fused coccyx
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2
Q

why a curved spine

A

resists compressive loads better

increases flexibility

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3
Q

thoracic and sacral curvature

A

primary (fetal)

kyphosis

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4
Q

lumbar and cervical curvature

A

secondary (after birth)

lordosis

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5
Q

atlantooccipital joint

A

c1 and occipital condyles
no ivd
primarily flexion

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6
Q

uncovertebral joints

A

uncinate processes of c3-c7 and body superior
common sites of bone spurs
may compress nerve and artery

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7
Q

zygapophyseal joints

A

articular facet orientation determne range of motion

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8
Q

zygapophyseal joint cervial

A

promotes flextion/extension
limits rotation - no owl
most mobile region
sloped/near horizontal orientation

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9
Q

zygopophyseal joint thoracic

A

vertical orientation
promotes rotation
limits flexion
spinous processes restrct each other

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10
Q

zygopophyseal joint lumbar

A

wrapped orientation
promotes flexion/extension
limits rotation
short spinous processes

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11
Q

intervertebral discs

A

link adjacent vertebral bodies
increase range of motion
transmits loads from 1 segment to another
cushioning

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12
Q

annulous fibrosis

A

outer layer of ivd
alternating fiber pattern
limits rotation between bodies
increases joint strength

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13
Q

nucleus pulposus

A
core of ivd
gelatinous
adds flexibility and resilience
avascular
remnant of embryonic notochord
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14
Q

intervertebral foramen

A

spinal nerve exits

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15
Q

where do cervial nerves exit in the vertebral column

A

exit superior to vertebrae

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16
Q

where do thoracic and lumbar nerves exit in vertebral column

A

exit inferior to vertebrae

17
Q

herniation of intervertebral disc

A

protrusion of nucleus propulsus into annulus fibrosus

may herniate into vertebral canal and compress spinal cord or nerve roots

18
Q

posterior herniation

A

compresses spinal cord

19
Q

posteriorlateral herniation

A

compresses nerve roots

20
Q

what can a herniation cuase if it impinges on spinal nerves

A

severe local back pain
sensitivity to associated dermatome
associated muscle weakness

21
Q

what does the sclerotome later become

A

vertebra and rib bones

22
Q

describe vertebral column development

A

mesoderm becomes mesechymal and organizes into segments called somitomeres
paired somitomeres surround neural tube and notochord and further develop into somites
somites migrate around neural tube and notochord to fuse with cells on opposite side

23
Q

what does the dorsomedial and ventrolateral regions give rise to

24
Q

describe the process of resegmentation

A

each centrum develops from 2 adjacent sclerotomes

portion of caudal cells moves down to fuse with cranial portion of subadjacent sclerotome. to form centrum

25
hermivertebra
defect in resegmentation or formation. | can result n congenital scoliosis, kyphosis, or lordosis. may also be asymptomatic
26
what causes mermaid syndrome
the sclerotome don't migrate down
27
what is klippel feil syndrome
fusion of 2 or more cervical vertebrae | reduced cervical mobility
28
spina bifida
failed to fuse posteriorly
29
spina bifida occulta
just affects the bone. asymptomatic
30
spina bifida cystica
have neurological defects
31
spinda bifida meningocele
meningeal cyst. csf protrudes but no spinal cord involvement
32
spina bifida meningomyelocele
involves and protrudes the spinal cord out
33
myeloschisis and rachischisis
spinal cord exposed | usually fatal
34
c1 / atlas features
no body and spinous process
35
typical cervical vertebrae features
transverse foramina for vertebral arteries and veins spinous processes of c3-c6 are short and usually bifid spinour processes of c7 is long smallest bodies - limited load bearing relatively large vertebral foramina - cervical enlargement
36
typical thoracic vertebra features
costal facets for ribs intermediate body and vertebral canal size long spinous processes
37
typical lumbar vertebra
largest body narrow vert canal lacks transverse foramina and costal facets.