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Spine Anatomy
MRI 241 Unit 2
| Question | Answer |
|---|---|
| How many vertebra are included in the spine? | 33 7 Cervical 12 Thoracic 5 Lumbar 5 Sacral 3-5 Coccygeal |
| What is kyphosis? | Abnormal convex curvature of the thoracic spine |
| What is lordosis? | Abnormal concave curvature of the lumbar spine |
| What is scoliosis? | Abnormal lateral curvature of the spine |
| What are the main parts of the vertebra? | BODY (anterior); VERTEBRAL ARCH (posterior) |
| What is the vertebral end plate? | compact bone on the superior and inferior surface of the body of the vertebra |
| What is the vertebral foramen? | posterior to the body, the space within the vertebral arch |
| What are the parts of the vertebral disk? | Annulus fibrosus surrounds the nucleus pulposus |
| What/where is the conus medullaris? | The end of the spinal cord where the nerves fan out much like a horse's tail. Usually located at L1. |
| Name the spinal ligaments. (9) | Apical; Alar; Transverse ligament; Ligamentum Nuchae; Supraspinous ligament; interspinous ligaments; ANTERIOR LONGITUDINAL LIGAMENT; POSTERIOR LONGITUDINAL LIGAMENT; Ligamentum Flava |
| Describe the APICAL ligament | Connects apex (tip) of odontoid process with the base of the clivus; |
| Describe the ALAR ligaments | 2 bands that extend obliquely from sides of dens to lateral margins of occipital condyles; LIMIT the flexion/rotation of head |
| Describe the TRANSVERSE ligament. p 196, fig 4.43 | runs across vertebral foramen of C1; long fibers connect superiorly with base of clivus and inferiorly with body of C2; appears as a cross (CRUCIFORM LIGAMENT); holds dens against anterior arch of C1 |
| What is the LIGAMENTUM NUCHAE. | Attachment point for muscles of the posterior neck; run from occipital protuberance to spinous processes of C-spine; Continues on as the SUPRASPINOUS LIGAMENT |
| Describe the SUPRASPINOUS LIGAMENT. | Connects tips of spinous processes from C7 to lower lumbar spine. |
| What are the INTERSPINOUS ligaments? | connections between spinous processes |
| Describe ANTERIOR LONGITUDINAL ligament. | broad band of fibers; C1 anteriorly to Sacrum; connects anterior vertebral bodies and IV disks to maintain stability and prevent hyperextension; Thickest at T-spine (most support) |
| Describe POSTERIOR LONGITUDINAL ligament | narrower/weaker; lies w/in vertebral canal along posterior body; attached only at IV disks/margins; epidural fat separates from middle of vertebra (basivertebral veins); C2 to Sacrum; prevents posterior protrusion of nucleus pulposas/hyperflexion |
| Describe LIGAMENTUM FLAVA | Strong fibers made from yellow elastic tissue; present on either side of spinous processes (w/in lamina); preserve normal curvature |
| Name the spinal membranes. | Atlantooccipital membrane; Tectorial membrane |
| Describe the ATLANTOOCCIPITAL membrane | connect the arches of the atlas with the occipital bone; Anterior portion connects anterior arch of C1 with anterior base of occipital bone |
| Describe the TECTORIAL membrane | Broad; runs from clivus to posterior body C2; Covers dens, transverse, apical and alar ligaments; Forms anterior boundary of vertebral canal; continues as POSTERIOR LONGITUDINAL ligament |
| describe the muscles of the back | Three groupings; SUPERFICIAL LAYER - SPENIUS muscles; INTERMEDIATE LAYER - ERECTOR SPINAE group; DEEP LAYER - TRANSVERSOSPINAL group |
| Describe the muscle regions of the back. | named according to location; CAPITIS; CERVICIS; THORACIS; LUMBORUM |
| What muscles are included in the SUPERFICIAL layer? | splenius; located lateral and posterior of c-spine and upper T-spine; |
| What muscles are included in the INTERMEDIATE layer? | erector spinae; chief extensor of vertebral column and includes 3 portions- ILIOCOSTALIS (lateral), LONGISSUMUS, and SPINALIS (medial); Arises from common broad tendon from posterior part of iliac crest |
| What muscles are included in the DEEP layer? | transversospinal; several short muscles located in groove between spinous processes and transverse processes; separated into SEMISPINALIS, MULTIFIDUS, and ROTATORES; |