vertebral column Flashcards

1
Q

functions of vertebral column

A

support upper body weight
protect spinal cord and nerves
allow trunk movement

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2
Q

regions of the spine

A

cervical 1-7
thoracic 1-12
lumbar 1-5
sacrum 1-5 fused
coccyx 1-4 fused

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3
Q

features of a vertebrae bone

A

vertebral body- thick/ bulk/ weight bear and movement

vertebral arch- bony projections protecting nerves- movements

vertebral foramen= nerves travel through his

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4
Q

intervertebral canal

A

site of spinal nerves leave the spine

bounded by IVD in front and bone of pedicle above and bellow
z joints are behind

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5
Q

interbody joint classification

A

modified fibrocartilage joint

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6
Q

characteristics of the interbody joint

A

cartilage end plate= top and bottom

annulus fibrosis- fibrous outside

nucleus pulposis- shock absorption

all 3 from a IVD

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7
Q

annular fibrosis

A

alternating layers of regular connecting tissue

function= maintain the nucleus pulposis// allow and limit movement

as get lower= in lumbar the fibres differ in the way they run 65- 70 degrees

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8
Q

end plate

A

cartilage disc

transmit weight to adjacent disc
confine nucleus pulposis/ annular fibres
securing nutrients for disc because the disc is avascular

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9
Q

nucleus pulposion

A

shock absorption
when force is rapidly applied it squish down and swells out then annular fibrosis stiffens

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10
Q

how do IVD gain nutrients

A

diffusion from vertebral bodies
imbiding fluids

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11
Q

lumbar vertebrae in terms of thickness

A

thickest
because more stability and protection
hence why annular fibres run in 65-70 degrees different directions and more vertical

thicker anterior to support lordodic

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12
Q

cervical vertebrae in terms of thickness

A

smaller

nucleus pulposion very small and disapears by 20 because the annular fibrosis begins to degenerate increasing the ability to move

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13
Q

what does the annular fibrosis limit

A

shear movements due to oblique oreintation

the length on the fibres also allow rocking movements

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14
Q

how does nucleus pulposis allow weight bearing

A

radial expansion of the nucleus pulposis which causes the tension to develop in the annular fibrosis

push down and out

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15
Q

functions of interbody joints

A

transmission of load to adjacent vertebrae by end plate

shock absorption

increased effectiness of annular fibrosis

reformation of vertebrae disc

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16
Q

lordosis occurs in

A

lumbar and cervical

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17
Q

kyphosis occurs in

A

thoracic and sacrum

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18
Q

zygopophyseal joint

A

synovial plane multiaxial

lose articular capsule which is reinforced by ligamentum favum and multifidis

19
Q

Z joint functions

A

determine direction of movenet
determine range of movenet
to bear weight 33 % cervical 15% in lumbar

20
Q

movements of the spine

A

flexion and extension
r/l lateral flexion
r/l rotation

21
Q

cervical region of c3-c7

A

superior articular facets are tipped fwd from coronal plane
large movements because disc degeneration

22
Q

conjunct rotation

A

in cervical spine ipsilateral coupling with lateral flexion

23
Q

thoracic region

A

superior articular facets close to coronal plane
equal rom
all movments are limited by the ribs

24
Q

lumbar region

A

very limited rotation in saggital portion
protection if IVD- coronal portion

x want shear force
decrease risk of hernia
decrease risk of pain
decrease risk of paralysis

25
anterior longnitudal ligament
extends from C1 to sacrum attach to all anterior bodies and disc limits extension
26
posterior longitude ligament
extends from C2 to sacrum attach to posterior durfaces inside foramen sperated from vertebral bodies by venous plexus limit flexion
27
ligamentum flavum
back of laminar to front significant amount of elastic fibres connects lamminate to adjacent vertebrae protect neural tissue break flexion protect z joint
28
supraspinous ligament
C7 to sacrum limit flexion
29
interspinous ligament
connects spinous process limit flexion
30
intratransverse ligament
connect transverse process limits lateral flexion
31
atlas
C1 holds the head no vertebral body- instead 2 lateral masses united by 2 arches anterior and posterior arch with tubercles superior artciular facets are elongated and concaved/ deep
32
axis
c2 body spinous process dens- condonloid process
33
atlanto-occipital joints
synovial/ biaxial/ elipsoid superior articular facets with occipital condyles when they lateral flexion occurs their is contralteral rotation
34
atlanto-axial joint
medium- synovial/ pivot/ uniaxial facet of dens with dens lateralx 2 - synovial plane multiaxial inferior articular facet/ superior articular facet c1 rotates on c2
35
atlanto-occipital membrane
anterior- anterior arch of c1 to margin of foramen magnum posterior- posterior arch of c1 to posterior foramen magnum limit all movement
36
transvers ligament
spans between 2 lateral masses of c1 wraps around dens posteriorly to hold it in place limit anterior glide of c1 in flexion
37
curicform ligament
limit flexion of head superior up to foramen magnum
38
apical ligament of dens
tip of dens to anterior foramen magnum
39
alar ligament
winged top dens to medial sides of occiptal condyles limit flex lat flex contralteral rotation
40
tectorial ligament
extend of posterior longitude ligament posterior surface of c2- anterior margin of foramen magnum limit head flexion
41
atlanto- axial membrane
anterior- anterior arch c1 to anteiro body c2 posterior- psoterior arch c1 to vertebral arch c2
42
ligamentum nuche/ spetum
spinous process c7 to occipital bone expansion of supraspinous
43
joints of lower cervical spine c3- c7
z joints interbody joints- secondary cartilaginous uncovertebral
44
uncovertebral joints
synovial lateral aspects of vertebral body above with uncinate process bottom vertebrae develop as IVD degenerate increase ROM