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Spine
Question | Answer |
---|---|
what are the functions of the vertebral column | -encloses and protects spinal cord -supports -provides muscle attatchments |
how many total vertebrae are there in early life | 33 |
how many true moveable vertebrae are there | 24 |
which vertebral segments are false | sacral and coccygeal |
how many vertebrae are in each vertebral segment | -7 cervical -12 thoracic -5 lumbar -5 sacral(fused) -4 coccygeal(fused) |
what happens at the SI joints | lower extremities are connected to vertebral column |
convex/lordotic curve | anterior/outward curve |
concave/kypotic curve | posterior/inward curve |
dawagers hump | extreme kyphosis |
sway back | extreme lordosis |
what are the primary curves | -thoracic -pelvic |
what are the secondary curves | -cervical(developed at about 3 months) -lumbar (developed at about 9-12 months) |
kyphosis | a condition of increased kyphotic curve |
Lordosisis | a condition of increased lordotic curve of L spine |
Scoliosis | a condition of abnormal lateral curvature of spine |
Vertebral disc make up how much of the height | 1/4 " |
Nucleus pulposus | Gelatin like, soft mass core of vertebral disc |
Annulus fibrosus | outer, fibrocartilaginous disk, very strong |
HNP | Herniated nucleus pulposus, Slipped Disk |
formed by two pedicles and two laminae | Vertebral Arch |
vertebral arch supports what | four articular processes(two superior and two inferior), two transverse processes, and one spinous process |
what is another name for the articular processes | zygopophysis process |
pedicles project from __________ | posterior part of body |
laminae project ________ and ________ from _________ | -postriorly -medially -pedicles |
transverse processes project ____________ and _________ from juction of laminae and pedicles | -laterally -a little posteriorly |
spinous process projects _________ and ________ from junction of both laminae | -posteriorly -inferiorly |
spina bifida | congenital condition in which laminae fail to fuse |
articular processes articulate with _______ above and below junction of pedicles and laminae and form __________ joints | -vertebrae -zygopophyseal |
what are the two main parts of a typical vertebrae | body and vertebral arch |
the open space that is formed by the body and vertebral arch is called what | vertebral foramen |
articulation of vertebral foramina forms what | vertebral canal |
notch on underside of pedicle | vertebral notch |
describe a typical cervical vertebrae | -small -oblong -transversely located bodies -there are foramina located on transvers processes -short, bifid spinous process |
how many typical cervical vertebrae are there | 4(C3-C6) |
which are the atypical cervical vertebrae | C1, C2, and C7 |
transverse foramina are also referred to as_______ | foramen transverse |
articular pillars | area between the inferior and superior articular processes of a cervical vertebrae (also called pars interarticularis) |
what is unique about C1 and what is its other name | -has no body -aka atlas |
what is unique about C2 and what is its other name | -has a conical process called a dens or odontoid that protrudes upward through the middle of C1 -aka axis |
what is unique about C7 | has a longer spinous process called vertebra prominens |
the zygopophyseal joints of C2-C7 are at _______ angles or ______ degrees to MSP and are demonstrated best in what projection | -right angles or 90 degrees to MSP -demonstrated bes in lateral projection |
the intervertebral foramina of the cervical region are directed ________ at a _____ degree angle from msp | -anteriorly at a 45 degree angle |
what must be done to both tube and pt to see the intervertebral foramina of the C-spine | -angle CR 15 degrees cephalic and rotate pt 45 degrees |
what does C1 or the atlas vertebrae consist of | -anterior and posterior arch -two lateral masses -two transverse processes -no vertebral dody |
the arch of C1 is divided into anterior and posterior portion by _________ | transverse antlantal ligament |
anterior portion of arch of C1 receives _______ | odontoid process of C2 |
posterior portion of arch of C1 is where _______ passes | proximal portion of the spinal cord |
what is found on each lateral mass of C1 | superior and inferior articular processes |
the superior articular processes of C1 receives the _______of ________ forming what joint | -condyles -occipital bone -forms atlantoocipital joint |
the transverse processes of C1 are ___________ than other cervical vertebrae, and project _______ and slightly ________ from lateral masses | -longer and laterally slightly inferior |
what does C2 or the axis consist of | -conical process called a dens or odontoid,which is received by the anterior portion of C1 - -superior articular processes on each side of dens, which join inferior articular processes of C1 to form 1st zygopophyseal joint |
what is the 1st zygopophyseal joint called | lateral atlanto-axial joint(best seen in AP projection or zero degrees from msp) |
inferior articular processes of C2 have same direction as C3-C7 and are best seen in waht projection | lateral |
what movement does the atlantoocipital joint permit | nodding |
what movement does the medial atlantoaxial joint permit | rotation of head |
which vertebrae occupy the posterior thorax | thoracic |
describe a typical thoracic vertebrae | -triangular in shape -costal facets on posterior and lateral side of body for articulation with head of ribs -facets on transverse processes for articulation with tubercle of ribs(except for T11 and T12) -lamina are brod and thick -long spinous proces |
describe a t-typical thoracic vertebrae cont. | -spinous process of T1-T4 and T10-T12 angle down less that T5-T9 -zygopophyseal joints of T-spine are best seen 70-75 to msp -intervertebral foramina are best seen in lateral projection(90 degrees to msp) |
jugular notch is at what level | T2-T3 |
sternal angle is at what level | T4-5 |
xiphoid is at what level | T9-10 |
which segment of vertebrae are the largest a strongest | lumbar(increase in size from 1st to 5th) |
lunbar vertebrae occupy the ________ abdominal region | posterior |
what are some features of the lumbar vertebrae | -smallest vertebral foramen -transverse process smaller that T-spine -large, thick and blunt spinous process -mammilary process=smooth rounded process on back of superior articular process -accessory process at back of root of transverse process |
pars interarticularis | part of lamina between the superior and inferior articular process in T and L spine |
zygopophyseal joints of Lspine are best seen at what angle | -upper lumbar 60 degrees -mid lumbar 45 degrees -lower lumbar 30 degrees -45 degrees is best for whole lumbar |
intervertebral foramina of L1-L4 are at what angle from msp | 90 degree or at a right angle to msp |
what are some characteristics of the 5th lumbar vertebrae | -deeper in front than behind -wedge shaped for better articulation with sacrum(disc between L5-S1 is also wedge shaped) -spinous process is shorter and smaller -transverse process is much thicker than upper lumbar vertebrae |
intervertebral joint | between two vertebrae(cartilageonous) |
defect or destruction of pars interarticularis | spondylolysis |
spondololisthesis | slipping forward of one disc in front of another caused by spodylolysis |
what level is the illiac crest at | L4-L5 |
what level is the umbilicus | L3-L4 |
what level is transpyloric plane | L1 |
dura matter | outer strong fibrous tissue |
arachnoid | cobb webby layer |
subarachnoid space | space between arachnoid and pia |
pia | innermost, transparent layer that adheres to brain and spinal cord |
fusion | fused together |
hemivertebra | half vertebrae |
occulta and manifesta | forms of spina bifida(manifesta is more severe) |
scaralization | 5th lumbar fuses to 1st sacral segment |
lumbarization | 1st sacral segment doesnt fuse to rest of sacrum |
sacrum is formed by __________ | fusion of sacral segments into curved, triangular bone |
where is sacrum located | inferior to lumbar region and wedged between iliac bones of pelvis forming sacroiliac joints of each side |
sacrum consist of what | -body -lateral masses -ala -base -lumbosacral junction -promontory -superior articular surface -apex -canal -sacral hiatus -foramina -cornu |
promontory | protrudes out on front of sacrum |
superior articular surface of sacrum | articulates with inferior articular process of L5 |
canal of sacrum | continuation of spinal canal |
sacral hiatus | end of sacral canal |
cornu | two processes, one on each side of hitus |
male sacrum | typically longer, narrower, more evenly curved and more vertical in position |
female sacrum | typically more acutely curved;greatest curvature in th lower half of the sacrum; lies in a more oblique plane; sharper angle at the junction of the lumbar an pelvic curves |
coccyx is triangular in shape and formed by what | fusion of three to five rudimentary vertebrae |
coccyx curves__________ and __________ from articulation with sacrum | inferiorly and anteriorly |
anatomic features of coccyx | -base -apex -cornu(process at base of coccyx) |
coccyx is less anterior for males or females | females |