Vertebral Column and Back Flashcards

1
Q

Boundaries of the spine

A

First thoracic vertebra to the tip of the coccyx

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2
Q

Parts of the spine
1)
2)

A

1) Vertebral column

2) Muscle compartments (2xmuscle compartments

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3
Q

Parts of the vertebral column
1)
2)

A

1) Intervertebral joints and discs

2) Vertebral canal (and intervertebral foramen)

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4
Q

Muscle compartments of the spine
1)
2)

A

1) Superficial

2) Deep

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5
Q

Where does the spinal cord sit?

A

In the vertebral canal

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6
Q

What attaches to every spinal cord segment?

A

A posterior root (sensory) and an anterior root (motor)

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7
Q

Where does a posterior root of the spinal cord enter

A

Dorsal root ganglion

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8
Q

What are the dorsal root ganglia?

A

Cell bodies of sensory neurons

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9
Q

Number of spinal cord segments

A

C - 8
T - 12
L -5
S - 5

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10
Q

Where does the spinal cord terminate?

A

Between L1 and L2

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11
Q

Number of cervical nerves vs number of cervical vertebrae

A

8 cervical nerves, only 7 cervical vertebrae

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12
Q

Lordotic curves

A

Curves that develop in the primary foetal C-shaped spinal curvature

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13
Q

Order of lordotic curves

A

1) Cervical bend (lifting head)

2) Lumbar bend (walking)

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14
Q

Scoliosis

A

Abnormal lateral spinal curvature

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15
Q

Kyphosis

A

Abnormal thoracic curvature (anterior/posterior curvature)

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16
Q

Abnormal lordosis

A

Abnormal lumbar curvature

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17
Q
Parts of a typical vertebra
1)
2)
3)
4)
5)
6)
A

1) Body
2) Pedicles
3) Transverse processes
4) Articular processes
5) Laminae
6) Spinous processes

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18
Q
Parts of the vertebral arch
1)
2)
3)
4)
5)
A

1) Pedicles
2) Transverse processes
3) Articular processe
4) Laminae
5) Spinous processes

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19
Q

How do lumbar and thoracic vertebrae differ?
1)
2)

A

1) Lumbar vertebrae larger than thoracic

2) Thoracic have attachments for ribs (articular facets, demifacets)

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20
Q

Location of articular demifacets

A

Thoracic vertebra

Vertebral body

21
Q

Location of articular facets

A

Thoracic vertebra

Transverse processes

22
Q

How many times does a rib attach to a thoracic verteba?

A

Twice (Once on body, once on transverse process)

23
Q

Where must a lumbar tap be below?

A

L1/L2, so as not to puncture spinal cord

24
Q

What does the spinal cord become below L1/L2?

A

Cauda equina

25
Q

Where in the spinal cord are sensory and motor nerves mixed?

A

Below L1/L2

26
Q

What is the intervertabral foramen?

A

A passage for spinal nerves and vessels

Formed by notches on pedicles of adjacent vertebrae

27
Q

What is always in intervertabral foramen?

A

Dorsal root ganglia

28
Q

What is the nucleus pulposis?

A

Intervertebral discs
Incompressible, deformable
Keep the vertebra apart

29
Q

What is the annulus fibrosis?

A

Keeps nucleus pulposis in place
Keeps the vertebra together
Limits range of movement
~50% of fibers resist force in a given direction

30
Q

What kind of joints are those in the spine?

A

Secondary cartilaginous joints

31
Q

What are the ligaments of the vertebral column?
1)
2)

A

1) Ligamentum flavum

2) Posterior longitudinal

32
Q

What does the posterior longitudinal ligament do when passing over an IV disc?

A

Expands

33
Q

Where does the posterior longitudinal ligament expand?

A

When passing over an IV disc

34
Q

Where is the ligamentum flavum located

A

In intravertebral canal

35
Q

Where is the posterior longitudinal ligament located?

A

Along posterior of vertebral column

36
Q

Are there more elastic fibers in the ligamentum flavum or posterior longitudinal ligament?

A

Ligamentum flavum

37
Q

What kind of joint is between vertebral arches?

A

Plane synovial joint

38
Q

Properties of plane synovial joints

A

Limit, guide range of movement

39
Q

Types of movements permitted by lumbar vertebae

A

Flexion, extension

40
Q

Types of movements permitted by thoracic vertebrae

A

Rotation

41
Q

What do the latissimus dorsi attach to on the midline?

A

A large aponeurosis on the spine

42
Q

Role of erector spinae

A

Returning flexed spine to upright posture

Concentrically act in flexion

43
Q

Role of transversospinalis

A

Short muscles that act as fixators

Prevent excess movement that can lead to instability

44
Q

Three types of disc prolapse

A

Bulge
Herniation
Extrusion

45
Q

Does a prolapsed disc always hurt?

A

No

If a bulge doesn’t enter an innervated area, no pain

46
Q

Where do discs commonly prolapse into?

A

Posterolaterally
Because of shape of posterior longitudinal ligament
Can impinge on nerve roots

47
Q

Structures threatened by disc prolapse

A

Nerve roots

48
Q

What happens in the spine in old age?

A

Disc narrows
To prevent bones rubbing, osteophytes form to limit movement in spine
This can compress or damage nerve roots (spinal canal, IV foramen)