Vertebral Column Flashcards
What consist the vertebral column?
33 vertebrae (7 cervical, 12 thoracic, 5 lumbar, 5 fused sacral, and 4 fused coccygeal vertebrae)
Vertebral column:
__ the spinal cord,
__ the weight of the head and trunk, and
allow the movement of __ __ for __ by articulation with the ribs
protects,
supports
rib cage,
respiration
Where are the primary curvatures located and when do they develop?
located in the thoracic and sacral regions and develop during embryonic and fetal periods
Where are the secondary curvatures located and when do they develop?
located in the cervical and lumbar regions and develop after birth and during infancy
What is the shape of primary curvatures?
Kyphotic (convex)
What is the shape of secondary curvatures?
Lordotic - concave
Why do secondary curvatures develop?
Because of the increased mobility in the neck and the lower extremity as a person age
An abnormally increase thoracic curvature resulting from osteoporosis
Kyphosis (hunchback or humpback)
An abnormally increased lumbar curvature resulting from trunk muscular weakness or osteomalacia
Lordosis (swayback or saddle back)
Lateral deviation resulting from unequal growth of the vertebral column, pathologic erosion of vertebral bodies, or asymmetric paralysis or weakness of vertebral muscles
Scoliosis
Who often experiences lordosis?
pregnant women
Form the secondary cartilaginous joints between the bodies of two vertebrae from the axis to the sacrum.
Intervertebral Disk
Intervertebral Disk serves as a cushion between the vertebrae, to __ __ and to allow __ __
prevent too much friction
minimal mobility
Is there a disk between atlas and axis?
No
What vertebra have intervertebral disks?
axis to sacrum
Which is the collagenous part of intervertebral disk and how is it located?
Anulus fibrosus
More peripherally located
Which is the colloid part of intervertebral disk and how is it located?
Nucleus pulposus Located centrally
Consists of a body and a vertebral arch with several processes for muscular and articular attachments.
Typical Vertebra
A short cylinder, supports weight, and is separated and also bound together by the intervertebral disks, forming the cartilaginous joints.
Body
What structures do the body have that serves as attachment for ribs?
Costal facets / processes of thoracic vertebrae
How is the vertebral body and vertebral arch located?
vertebral body - anterior
vertebral arch - posterior
Generative change due to osteoarthritis of the vertebral joints of the vertebral column
Spondylosis
there’s a break in the pars interarticularis but no dislocation
Spondylolysis
a forward displacement of one vertebra over another, usually of the fifth lumbar over the body of the sacral 1 (S1), or of the fourth lumbar over the fifth; it is usually due to a development defect or traumatic fracture of the pedicle, lamina, or facets (pars interarticularis).
Spondylolisthesis
Results from the softening and collapse of the vertebrae, often causing thoracic kyphosis.
Pott disease
Osteoarthritis of vertebral column
Spondylosis
Tuberculosis of the spine
Pott disease (tuberculosis spondylitis)
What consists the vertebral (neural) arch?
paired pedicles
paired laminae
What structures house the spinal cord?
Vertebral arch together with the vertebral body
What do vertebral (neural) arch form with the body?
vertebral foramen
a developmental anomaly characterized by defective closure of the vertebral arch associated with maternal folic acid deficiency
Spina bifida
What is exposed in spina bifida?
spinal cord
What is not formed in spina bifida?
spinous process
- internal
Presentation outside: tufts of hair
Spina bifida occulta
- meninges
Presentation outside: fluid-like
Meningocele
worst presentation and prognosis
- Meningomyelocele/
myelomeningocele
Why is myelomeningocele the worst presentation and prognosis?
Spinal cord is already protruding
Projects posteriorly from the junction of two laminae of the vertebral arch
Spinous Process
What is the orientation of the spinous process in cervical, thoracic, and lumbar regions?
Bifid in the cervical region,
spine-like in the thoracic region, and
oblong in the lumbar region
Project laterally on each side from the junction of the pedicle and the lamina
Transverse Processes
What do the transverse processes articulate with in the thoracic region?
tubercles of ribs 1 to 10
What foramina does the cervical region have?
transverse foramina
Two superior and two inferior projections from the junction of the laminae and pedicles
Articular Processes (Facets)
What do the articular processes that articulate with the articular processes (facets) above or below form?
plane synovial joints
Tubercles on the superior articular processes of the lumbar vertebrae.
Mamillary Processes