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Gross Anatomy
Vertebral Column
49
Biology
Professional
01/30/2011

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Term
symphses
Definition
the joints between adjacent vertebral bodies
Term

1. anulus fibrosus

2.  nucleus pulposus

Definition

1. outer portions of the IV disc; made of concentric lamellae of fibrocartilage.

2.  gelatinous mass that makes up the inner portion of the vertebral disc

Term
 2 functions of inervertebral discs
Definition

1.  shock absorbers (the nucleus pulposus flattens and the anulus fibrosus buldges out)

2.  allow movement between vertebrae

Term
boundaries of an IV foramen
Definition

pedicles (sup and inf)

facet joint (posterior)

IV disc and bodies of adjacent vertebrae (anterior)

Term
posterior longitudional ligament
Definition
runs down the lenght of the vertebral column; attaches to the posterior of the IV discs
Term
In which direction is the nucleus pulposus most likley to herniate? Why?
Definition
Posteriolaterally because the anulus fibrosis is thin here and not reinforced by the PLL.
Term
primary curvatrues of the back
Definition
thorasic and sacral
Term
secondary curvatures of the back
Definition
cervical and lumbar
Term

1. kyphosis

2.  lordosis

Definition

1.  a hunched back; results from eriosion of the vertebral bodies due to osteoporosis or TB

2.  develops in pregnant women (and overly curved 2ndary lumbar curve)

Term
what passes through the transverse foramen?
Definition
vertebral artery
Term
what does the superior articular surface of the atlas articulate with?
Definition
the occipital condyle
Term
instead of a spinous process, the atlas has ____
Definition
a posterior tubercle
Term
The ____ represents the body of the axis.
Definition
Dens (aka. odontoid process)
Term
The bodies of thorasic vertebra are ____ shaped and the vertebral foramina are ______
Definition

heart

circular

Term

In the lumbar vertebra, the transverse process is (longer/shorter) than in other verebrae.

The bodies are _____ shaped and the vertebral foramina is ______.

Definition

longer

kidney shaped

triangular

Term
In a lumbar vertebrae, the mamillary process sit atop the____
Definition
Superior articular process
Term

What/where is the promontory? 

What is it's importance?

Definition

the anterior edge of the body of S1

It is an important obstetrical landmark.

Term
What enters through the 4 pairs of anterior sacral foramina?
Definition
The ventral rami of S1-S4 spinal nerves.
Term
The base of the coccyx articulates with the_____
Definition
apex of the sacrum
Term
what enters through the posterior sacral foramina?
Definition
The dorsal rami of S1-S4 spinal nerves
Term
The Superior articular facet articulates with____
Definition
Lumbar Vertebra 5
Term
The Auricular surface of the sacral vertebrae articulates with____
Definition
The iliac spine (hip bone)
Term
Where does the sacral canal end?
Definition
At the sacral hiatus (a gap formed due to the absence of the spine and laminae of the S5 vertebra)
Term
where should you aim to place an epidural anesthesia?
Definition

1.  the ligament covering the sacral hiatus to get to the sacral canal (caudal epidural anesthesia)

OR

2. Through a dorsal sacral foramina into the epidural space (transscacral epidrual anesthesia)

Term
Where does the spinal cord end?
Definition
LV1-LV2
Term
conus medullaris
Definition
the tapered terminal part of the spinal cord
Term
internal filum terminale
Definition
non-nervous tissue below the conus medullaris; composed of pia mater. 
Term
Where does the dural sac surrounding the cord end?
Definition
SV2
Term
The lateral horn is found between what cord segments?
Definition
T1-L2
Term
spinal nerve structure
Definition
dorsal/ventral root --> dorsal ganglion -->mixed spinal nerve (exits via intervertebral foramen) -->dorsal and ventral rami (MIXED)
Term
Pathway of GSE fibers out of the SC
Definition
exit cord via ventral root, dorsal rami go to skeletal muscles of back and ventral rami go to body wall or limbs.
Term
Pathways of GVE fibers
Definition

cell bodies in lateral horn, exit via ventral root.

Fibers going to smooth muscle and glands synapse in the paravertebral ganglion before the postsynaptic fiber distribute via the dorsal or ventral rami

Term
GVE fibers going to smooth muscle and glands in the abdomen synapse ______ before reaching effector organ.
Definition
PRE-vertebral ganglia
Term
GVA fibers lie in the ____
Definition
dorsal root ganglial; peripheral processes distribute with GVE fibers
Term
GSA fibers distribute to: back or body wall and limbs via _____
Definition
dorsal or ventral rami
Term
Presynaptic fibers travel in_____ rami while post-synaptic fibers travel in ____ rami.
Definition

white

gray

Term
arterior supply to the vertebrae
Definition

3 longitudional spinal arteries (1 anterior, 2 posterior)

Segmental medullary arteries

Term
great anterior segmental medullary artery
Definition
largest medullary segmental artery; supplies the lumbosacral enlargement of the cord.
Term
denticulate ligament
Definition
extension of pia mater that helps to anchor the spinal cord in place
Term
Where is the epidural space found and what does the epidural space contain?
Definition

between the dura and the periosteum lining the vertebral canal (an actual space)

Contains fat and internal vertebral venous plexus.

Term
the subdural space is a real space (T/F)
Definition
FALSE
Term
how is the vertebral column drained?
Definition
via the vertebral venous plexuses (internal and external).  At each level, each INTERNAL plexus is drained by an intervertebral vein.
Term
A common route for the spread of infections to the brain
Definition
internal vertebral venous plexus --> dural sinus.
Term
lumbar puncture
Definition
where a hollow needle is inserted into the subarachnoid space at the lubar cistern (between L2 and S2) and CSF is removed.
Term
muscles of the suboccipital triangle
Definition
rectus capitis posterior major, obliquus capitis superior AND obliquus capitis inferior muscles. 
Term
roof of the suboccipital triangle
Definition
semisipinalis capitis
Term
floor of the occipital triangle
Definition
posterior arch of the atlas and the posterior atlantoocciptal membrane
Term
contents of the suboccipital triangle
Definition
vertebral artery, suboccipital nerve and the suboccipital venous plexus.
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