Vertebral Column Osteology Flashcards
The vertebral column
Segmented structure that supports trunk posture, allows trunk movement, transmits the weight of the head, neck, trunk, and upper limb to the lower limb, and protects the spinal cord.
The osteological elements of the vertebral column include the following bones (bilaterally):
7 cervical vertebrae
12 thoracic vertebrae
5 lumbar vertebrae
5 sacral vertebrae
4 coccygeal vertebrae
The vertebral column is part of the _____ skeleton.
Axial
Primary Curvatures
Thoracic
Sacral
Secondary Curvatures
Cervical
Lumbar
The curvatures of the human vertebral columns accommodate our:
Erect, bipedal posture and locomotion
Body of Cervical Vertebral Column
Small, wider side to side
Spinous process of Cervical Vertebral Column
Short, bifid, projects posteriorly
Vertebral foramen of Cervical Vertebral Column
Triangular in Shape
Transverse process of Cervical Vertebral Column
Have foramina
Superior & Inferior Articular Processes of Cervical Vertebral Column
Directed superoposteriorly
Movement allowed in Cervical Vertebral Coulumn
Flexion & extension Lateral flexion Rotation (greatest range of motion for entire vertebral column)
Cervical Ribs
An extra rib (or pair of ribs) arises from the 7th cervical vertebra Can result in Thoracic Outlet Syndrome
Other possible causes of Thoracic Outlet Syndrome
Fractured Clavicle Extra muscle or scar tissue in the region of the scalene muscles Poor posture of the neck/shoulder region Anomalous anatomical variation involving muscles and/or vasculature Can occur in different areas
Body of Thoracic Vertebral Column
Larger, heart-shaped, costal facets
Spinous process of Thoracic Vertebral Column
Long & sharp, project inferiorly
Vertebral foramen of Thoracic Vertebral Column
Circular
Transverse process of Thoracic Vertebral Column
Facets for ribs (except T1 and T12)
Superior & Inferior Articular Processes of Thoracic Vertebral Column
Superior facets directed posteriorly Inferior facets directed anteriorly
Movements allowed in the Thoracic Vertebral Column
Rotation, lateral flexion is limited, flexion & extension are prevented
Body of Lumbar Vertebral Column
Massive, Kidney-shaped
Spinous process of Lumbar Vertebral Column
Short & blunt, rectangular shaped, project posteriorly
Vertebral foramen of Lumbar Vertebral Column
Triangular
Transverse process of Lumbar Vertebral Column
Thin & tapered
Superior & Inferior Articular Processes of Lumbar Vertebral Column
Superior directed posteromedially Inferior directs anterolaterally or laterally
Movements allowed in Lumbar Vertebral Column
Flexion & extension, some lateral flexion, rotation prevented
The sacrum is comprised of ___ fused vertebrae
5
The sacrum provides ______ and ______ to the pelvis
Strength and Stability
Attached to the inferior end of the sacrum are 3-4 small, fused vertebrae called the ______.
Coccyx (tail bone)
The ________ joints are the joints between the vertebral bodies.
Intervertebral
The intervertebral joints are primarily maintained by 3 ligamentous structures:
- Annulus fibrosis
- Anterior longitudinal ligament
- Posterior longitudinal ligament
Where do herniated discs tend to occur?
Lumbar region and in the posterior & lateral directions
Why does herniation typically occur in the posterior & lateral directions?
Because the posterior longitudinal ligament is nor very broad, and the herniated material of the disc will take the path of least resistance
Thoracic Region Disc Herniation
Usually a result of wear and tear; disc degeneration Sudden & forceful twisting of the midback region Other conditions that predispose individual, such as an abnormal kyphosis (Scheuermann’s)
Lumbar Region Disk Herniation
Frequent bending, twisting, & improper lifting increases load on tendons that reinforce this region, as well as the intervertebral discs Acute or sudden injury (fall landing in sitting positions)
Arterial supply to Cervical Region
Vertebral and cervical arteries
Arterial supply to Thoracic Region
Posterior intercostal arteries
Arterial supply to Lumbar Region
Subcostal and Lumbar Arteries
Arterial supply to Sacral Region
Iliolumbar arteries, medial and lateral sacral arteries
Venous drainage (venous plexuses around and inside vertebral column)
Internal vertebral venous plexus External vertebral venous plexus Basivertebral veins Intervertebral veins
Kyphosis
Abnormal or exaggerated thoracic curvature Can result from developmental abnormalities, trauma, or degenerative disease
Lordosis
Abnormal or exaggerated lumbar curvature Associated with congenital abnormalities, musculoskeletal problems, degenerative disease
Scoliosis
Abnormal or exaggerated lateral curvature of spine Can be congenital, neuromuscular, or idiopathic in origin
Spondylolysis
Broken vertebra Trauma or degenerative disease Common cause of spondylolisthesis Break right through the pars
Pars interarticularis
Located between the inferior & superior articular facets, between the lamina & pedicles of vertebrae Fractures at this point associated w/ spondylolysis “Scottie Dog”
Spondylolisthesis
Anterior/ventral displacement of one vertebra on adjacent Common progression from spondylolysis, can also be congenital
Compression Fracture
Collapse of bone of vertebral body Can be caused by trauma or degenerative disease
Sacralization
Fusion or partial fusion of L5 to the sacrum Congenital
Osteopenia
Thinning or decrease in bone mass
Osteoporosis
The condition of having diminished bone density making bones prone to fracture
What vertebrae are less tightly interlocked and more prone to dislocation?
Articulated cervical vertebrae
Burst Fractures (Jefferson Fracture)
Lateral masses of C1 are compressed between the occipital condyles & the axis (C2), fracturing anterior and/or posterior arches of C1 May also involve rupture of transverse ligament, resulting in dislocation
Causes of Burst Fractures
Sudden, forceful compression of C1 (driving accidents, roll-over car accidents, etc.)
Fracture of Vertebral Arch (Hangman’s Fracture)
Fracture of pars interarticularis (traumatic spondylolysis of C2)
Causes of Hangman’s Fracture
Hyperextension of the neck from (judicial hanging, some severe cases of acceleration/deceleration syndrome where head and neck are hyperextended, etc.)
Fracture of Dens
Fracture at base of dens (most common), or along body of axis
Causes of Dens Fracture
Horizontal blow to the head
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Atlas C1

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Axis C2

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Thoracic vertebrae

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Lumbar Vertebrae

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