Week 5 Lecture 10: The vertebral column Flashcards
The adult vertebral column has 33 vertebrae. Explain how these are divided
7 Cervical (C1-C7) 12 Thoracic (T1-T12) 5 Lumbar (L1-L5) 5 Sacral (S1-S5) fused into one = sacrum 4 Coccygeal (Co) fused into one = coccyx
At what vertebral level foes the spinal cord typically end?
L1-L2
What 3 structures hold the vertebral column together?
- Facet joints
- Intervertebral discs
- Ligaments
What is the function of facet joints?
connect superior and inferior articular processes of adjacent vertebrae (connects adjacent vertebrae by articulating with the vertebra above and below)
Where are intervertebral discs found and what do they do?
- between all non-fused vertebrae
- provide flexibility and act as shock absorbers
What passes through the intervertebral foramen?
spinal nerve
What do ligaments do?
bind vertebrae together and stabilise the vertebral column
What are the functions of the vertebral column?
- protects spinal cord
- supports body weight
- semi-rigid axis for the body
- allows pivoting of the head
- attachment for supporting ligaments and muscles of the back that stabilise and move the vertebral column supports posture and locomotion
Which regions of the back show primary curvature?
- thoracic region
2. sacral/ coccygeal region
Which regions of the back show secondary curvature?
- cervical region
2. lumbar region
What is meant by the word kyphoses?
- primary curvature
- outward curvature
- thoracic and sacral
- seen in foetus
What is meant by the word lordosis?
- secondary curvature
- inward curvature
- cervical and lumbar
- developed later
What are 3 conditions associated with abnormal curvature?
- excessive kyphosis = ‘hunch back’
- excessive lordosis
- scoliosis - vertebral column doesn’t run in the midline
Which is the weight bearing portion of a vertebra that supports the VC and is connected to the IV discs
vertebral bodies
How do vertebral bodies change in size as you go down the VC
They get bigger as they are bearing more weight
What are the 5 key features that make up a vertebral arch on a vertebra?
- pedicles
- laminae
- superior and inferior articular processes
- transverse processes
- spinous processes
What does the pedicle do?
attaches the transverse process to the body of the vertebra
What does the lamina do?
attaches the transverse process to the spinous process
Which two vertebraeare atypical?
C1 and C2
How do we turn our head from side to side?
C1 and the dens of C2 articulate with each other and form a pivot joint
How do we nod our head up and down?
C1 articulates with the occiput (back of the head)
What does bifid mean?
divided by a notch into two parts
What key distinguishing feature does C7 have?
- long spinous process (vertebra prominens)
- transverse foramina might be small, or even absent
Explain the anatomy of a cervical vertebae
- body is small
- transverse processes and pedicle
- transverse foramina
- spinous process is bifid
- articular facets
- vertebral column is large, relative to size of cord
What travels through the transverse foramina?
vertebral artery and vein