Vertebral Column Flashcards
What is the vertebral column?
The skeleton of neck and back
What are the functions of the vertebral column
to support weight, protect spinal cord, serve as an axis and pivot, and aid posture/movement
How many differential segments are there?
5
What are the differential segments of the vertebral column?
Cervical, thoracic, lumbar, sacral, and coccygeal
How many cervical vertebrae are there?
7 (C1 - C7)
How many lumbar vertebrae are there?
5 (L1 - L5)
How many thoracic vertebrae are there?
12 (T1 - T12)
How many sacral vertebrae are there?
5 (S1 - S5)
How many variable coccygeal vertebrae are there?
typically 4 (Co1 - Co4)
What are the ventral and dorsal sides of a vertebra called, respectively?
vertebral body and vertebral/neural arch
What does the vertebral/neural arch consist of?
paired laminae and pedicles
What is the function of the pedicles?
They join the vertebral arch and body
What are laminae?
flat plates contacting pedicles
What do the vertebral foramen form?
the vertebral canal
What landmark do the superior and inferior vertebral notches form?
The intervertebral foramen
What forms the intervertebral foramen?
the superior and inferior vertebral notches
What forms the vertebral canal?
The vertebral foramen
What does the vertebral process consist of?
spinous process, transverse process, and articular process/zygopophysis
Together, the spinous process, transverse process, and articular process/zgopopheysis make up what?
The vertebral process
How many spinous processes are there per vertebra?
1
How many transverse processes are there per vertebra?
2
How many articular processes/zygapophyses are there per vertebra?
4
Name the articular processes/zygapophyses based on their location on the vetebra
The 2 superior ones are called pre-zygapophyses.
The 2 inferior ones are called post-zygapophyses
What conveys vertebral arteries?
transverse foramina on CERVICAL vertebrae
What type of vertebral segment has transverse foramina?
cervical
What structures are located on the transverse processes of cervical vertebrae?
anterior and posterior tubercles
What is the name of the anterior tubercle of C6?
carotid tubercle
Why are the vertebral foramina of C3 - C7 large?
Do to the cervical enlargement of the spinal cord
What is the raised margin of the superior border of the body of cervical vertebrae called?
uncinate process
What cervical vertebra articulates with occipital condyles?
C1 / atlas
What vertebra laces a vertebral body?
C1 / atlas
What vertebra has a groove for vertebral artery on superior surface?
C1 / atlas
What is the name of the former body of C1, which is the pivot for skull, on C2 called?
dens/odontoid process
What is another name for C2?
axis
What is the name of the long spinous process on C7 called?
vertebra prominens
What cervical vertebra is the vertebra prominens on?
C7
What is the name of the structure on a thoracic vertebra that articulates with the rib head?
the superior and inferior costal facets of adjacent thoracic vertebrae come together to form a space that articulates with the rib head.
What is the name of the structure on a thoracic vertebra that articulates with the rib tubercle?
transverse costal facet
Describe the spinous process on a thoracic vertebra
long and slender
What is the name of the structure that is positioned posteriorly on each transverse process (attachment for intertransverse lumborum muscles) on a lumbar vertebra?
accessory process
What is the name of the structure on a lumbar vertebra that is an attachment for multifidus and median intertransverse muscles?
mammillary process
Which vertebra is the largest in vertebral column?
L5
Which lumbar vertebra is a huge contributor to lumbosacral angle?
L5
What is the name of the angle between lumbar and sacral vertebrae?
lumbosacral angle
Which vertebrae fuse to form sacrum?
sacral
What do the sacral vertebrae do to form the sacrum?
fuse
What is the function of the sacral vertebrae?
to transfer body weight to pelvis and contribute to strength and stability
What is the name of the sacral continuation of vertebral canal?
sacral canal
What is the name of the space between sacral vertebrae (laterally positioned)?
sacral foramina
What is the name of the anterosuperior projecting edge of S1?
sacral promontory
What is the name of the fused spinous processes on the sacrum?
median crest
What is the name of the fused articular processes on the sacrum?
medial crest
What is the name of the fused transverse processes on the sacrum?
lateral crest
What is the name of the gap in laminae on the sacrum?
sacral hiatus
What is the name of the former inferior articular processes of S5?
sacral cornua (horns)
What is the name of the surface that is a part of the sacroiliac joint?
auricular surface
What is the name of the rudimentary tailbone?
coccygeal (coccyx)
What is the name of the part of Co1, articulate with sacral horns?
coccygeal cornua (horns)
What are the 4 curvatures of the vertebral column?
Cervical, Thoracic, Lumbar, Sacral
What is the shape of the cervical curvature?
anteriorly convex, secondary
What is the difference between primary and secondary curvatures of the vertebral column?
A primary curvature is present at birth, due to differences in anterior and posterior portions of vertebrae.
A secondary curvature primarily develops after birth, due to differences in anterior and posterior portions of intervertebral discs
What is the shape of the thoracic curvature?
anteriorly concave, primary
What is the shape of the lumbar curvature?
anteriorly convex, secondary
What is the shape of the sacral curvature?
anteriorly concave, primary
What are the movements of the vertebral column?
flexion/extension, lateral bending, and rotation
What are the movements of the vertebral column restricted by?
intervertebral discs, orientation of zygapophysial joints, articular capsules, muscles, and ligaments
What does the range of motion of the vertebral column primarily result from?
elasticity of intervertebral discs
What type of clinical condition is osteoporosis and osteoarthritis?
degenerative changes in vertebrae
What type of clinical condition is kyphosis, lordosis, and scoliosis?
abnormal curvatures
What type of joints are vertebral body joints?
secondary cartilaginous joints
vertebral body joints articulate via what kind of discs?
interposed intervertebral discs
What is kordosis?
too much curvature in the thorax (hunch back)
What is lordosis?
too much curvature in the lumbar
What is scoliosis?
sideways curvature of the spine
What is the outer portion of concentric fibrocartilaginous circles of intervertebral discs?
annulus fibrosus
What is the slightly posteriorly positioned gelatinous, elastic, avascular core of the intervertebral discs?
nucleus pulposus
What is the name of the joints between the uncinate processes of C3 - C6 and superjacent body?
uncovertebral joints
What are the synovial joints between superior and inferior articular processes?
vertebral arch joints (zygapophyses)
What allow gliding between vertebrae?
vertebral arch joints (zygapophyses)
What aspect of zygapophyses limits movement?
their variable orientation
What is the strong band extending across the anterolateral vertebral bodies and intervertebral discs?
anterior longitudinal ligament
What structure prevents hyperextension of vertebral column, stabilizing vertebral body joints?
anterior longitudinal ligament
What structure extends from sacrum to occiput and C1’s anterior tubercle?
anterior longitudinal ligament
What is the anterior longitudinal ligament?
It is a strong band extending across anterolateral vertebral bodies and IV discs.
What does the anterior longitudinal ligament do?
It prevents hyperextension of vertebral column, stabilizing vertebral body joints.
Where does the anterior longitudinal ligament extend from and to?
It extends from sacrum to occiput and C1’s anterior tubercle.
What is the weaker band extending along anterior aspect of vertebral canal?
posterior longitudinal ligament
What is the posterior longitudinal ligament?
the weaker band extending along anterior aspect of vertebral column
What does the posterior longitudinal ligament do?
It prevents hyperflexion of vertebral column
It prevents herniation/protrusion of discs
What structures stabilize laminae, transverse processes, and spinous processes?
accessory ligaments
What is the name of the accessory ligaments that are also known as the “yellow ligaments”
ligamenta flava
Which accessory ligaments connect adjacent laminae?
ligamenta flava
Which accessory ligaments are a broad, yellow fibrous tissue extending along posterior wall?
ligamenta flava
Which accessory ligaments prevent abrupt flexion of vertebral column, preventing injury to intervertebral discs?
ligamenta flava
Which accessory ligaments connect spinous processes?
interspinous ligaments
Name the 5 types of accessory ligaments
ligamenta flava, interspinous ligaments, supraspinous ligaments, nuchal ligament/ligamentum nuchae, inter-transverse ligaments
Which accessory ligaments connect tips of spinous processes, extending from C7 to the sacrum?
supraspinous ligaments
Which accessory ligaments merge with ligamentum nuchae?
supraspinous ligaments
Which accessory ligament extends from external occipital protuberance/posterior foramen magnum to spinous processes of cervical vertebrae?
nuchal ligament/ligamentum nuchae
Which accessory ligaments connect adjacent transverse processes?
inter-transverse ligaments
Which accessory ligaments are obvious in the thorax?
inter-transverse ligaments
Name the two types of craniovertebral joints
atlanto-occipital joint
atlanto-axial joint
Which craniovertebral joint primarily allows nodding of the head (flexion/extension)?
atlanto-occipital joint
Which craniovertebral joint allows lateral bending and rotation?
atlanto-occipital joint
What is the name of the structures in the atlanto-occipital joint that extend from atlas to margins of foramen magnum?
atlantooccipital membranes
What is the name of the structures in the atlanto-occipital joint that allow lateral bending and rotation?
atlantooccipital membranes
What structure in the atlanto-occipital joint holds dens of C2 with arch of C1?
transverse ligament of atlas
In the atlanto-occipital joint, where is the transverse ligament of atlas located?
posterior wall of dens’ socket
In the atlanto-occipital joint, what structures extend from transverse ligament to occiput and C2 body?
longitudinal bands
In the atlanto-occipital joint, together, the transverse ligament of atlas and the longitudinal bands are called what?
cruciate ligament
In the atlanto-occipital joint, what structures extend from sides of dens to C1 and foramen magnum?
alar ligaments
What is the function of the alar ligaments in the atlanto-occipital joint?
to limit head rotation
What ligaments limit head rotation in the atlanto-occipital joint?
alar ligaments
In the atlanto-occipital joint, what membrane extends from C2 and through foramen magnum?
tectorial membrane
In the atlanto-occipital joint, what structure is the superior continuation of the posterior longitudinal ligament?
tectorial membrane
What is the joint between the axis and atlas? (2 lateral, 1 median)
atlanto-axial joint
In which craniovertebral joint is movement primarily rotation?
atlanto-axial joint
In which craniovertebral joint do C1 and skull rotate on C2, limited by alar ligaments?
atlanto-axial joint
In the atlanto-axial joint, which joints are also known as the gliding joints?
C1/C2 zygapophysial joints
in the atlanto-axial joint, what is the name of the dens and C1 articulation?
pivot point
Herniations and protrusions of nucleus pulposus are clinical conditions of which vertebral infrastructure/s?
Joints and ligaments
Internal decapitation is a clinical condition of which vertebral infrastructure/s?
joints and ligaments
Spinal arteries and spinal veins are in which vertebral infrastructure?
Vasculature
What are the branches of the spinal arteries?
vertebral & ascending cervical artery
posterior intercostal arteries
subcostal &lumbar arteries
iliolumbar & lateral and medial sacral arteries
Which branch of the spinal arteries is located in the neck?
vertebral & ascending cervical artery
Which branch of the spinal arteries is located in the thorax?
posterior intercostal arteries
Which branch of the spinal arteries is located in the abdomen?
subcostal & lumbar arteries
Which branch of the spinal arteries is located in the pelvis?
iliolumbar & lateral and medial sacral arteries
Upon entering the intervertebral foramina, what do the spinal arteries divide into?
terminal radicular arteries supplying ventral and dorsal roots, and…
medullary segmental arteries, which anastomose with spinal cord’s arteries.
The spinal veins are composed of what two plexuses?
internal venous plexus and external venous plexus
What exist for each of the two spinal vein venous plexuses?
anterior and posterior components
What are the three types of vertebral development?
Initial development, chondrification, ossification
What type of vertebral development involves sclerotomes, paired mesenchymal condensations around notochord?
Initial vertebral development
Describe what happens during initial vertebral development involving sclerotomes, paired mesenchymal condensations around notochord.
part moves cranially to form IV disc
part forms mesenchymal centrum/future vertebral body
the portion around the neural tube forms neural arch
mesenchymal cells in body wall form ribs
What happens during the part of initial vertebral development involving mesenchymal centrum/future vertebral body?
each centrum forms from 2 adjacent sclerotomes and becomes intersegmental
notochord degenerates where surrounded by vertebral bodies
notochord forms nucleus pulposus between vertebral bodies
What is the development of cartilaginous vertebral column called?
chondrification
Describe the several chondrification centers
2 fuse to form cartilaginous centrum
2 fuse to form neural arch, then arch fuses with body
What do the neural arch centers do?
They produce spinous and transverse processes.
What is ossification in vertebral development?
development of bony vertebral column
What kinds of ossification centers are there in the vertebral column?
primary ossification centers in each cartilaginous vertebra
secondary ossification centers
What do the primary ossification centers in the vertebral column form?
2 fuse to form centrum
2 form vertebral arch
What do the secondary ossification centers in the vertebral column form?
tip of spinous process (1 per vertebra)
tip of transverse process (2 per vertebra)
annular epiphyses, on superior and inferior rims of body (2 per vertebra)
What are the clinical conditions of vertebral development?
spina bifida