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Thoracic Spine
Thoracic Spine
128
Medical
Graduate
03/12/2016

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Term
vertebral anatomy: body: transverse and anteroposterior diameter
Definition
are equal
Term
vertebral anatomy: what are the 2 demifacets on the body for
Definition
articulation with the ribs
Term
vertebral anatomy: body: where are the demifacets which articulate with the ribs?
Definition
on the posterolateral corners of the body
Term
vertebral anatomy: arches (7)
Definition
pedicles
laminae
superior zygapophyeseal facet
inferior zygapophyseal facet
transverse process
spinous process
vertebral foramen
Term
vertebral anatomy: arches: shape of the pedicles
Definition
variable
Term
vertebral anatomy: arches: shape of the laminae
Definition
short thick and broad
Term
vertebral anatomy: arches: shape and orientation of the superior zygapophyseal facet
Definition
thin and flat
face poster superior and lateral
Term
vertebral anatomy: arches: orientation of the inferior zygapophyseal facet
Definition
face anterior inferior and medial
Term
vertebral anatomy: arches: shape of the transverse processes
Definition
large with oval facets for articulation with ribs
Term
vertebral anatomy: arches: spinous process shape
Definition
T1-T10 slop inferior
T11,T12 triangular shape
Term
vertebral anatomy: arches: vertebral foramen shape
Definition
small and circular
Term
vertebral anatomy: purpose of the cosotubercular facets
Definition
articulation with the tubercles of the ribs
Term
vertebral anatomy: purpose of the costocapitular demifacets
Definition
articulation with the heads of the ribs
Term
vertebral anatomy: demifacets are what type of facets
Definition
half facets
Term
structure: which are the transititional vertebrae
Definition
T1 and T12 possessing cervical and lumbar characteristics respectively
Term
T1 characteristics
Definition
cervical body shape
SP is long and prominent
Term
T12 characteristics
Definition
inferior zygapophyseal facets are lumbar like with convex surfaces that face anterolateral to articulate with the vertical concave posteromedial superior zygapophyseal L1 facet
Term
Additional difference of T1, T10, T11, and T12
Definition
full costal facets rather than demi facets. ribs 1, 10, 11, and 12 only articulate with these facets
Term
orientation of thoracic pedicles compared to cervical and lumbar
Definition
posterior and laterally directed
Term
the thoracic pedicles are posteriorly and laterally directed, what effect does this yidl
Definition
smaller central canal
Term
shape of the thoracic vertebral bodies
Definition
wedge shaped
Term
height of the vertebral body from posterior to anterior
Definition
posterior height is greater than anterior
Term
where is the peak height difference in the vertebral bodies
Definition
at T7
Term
the greater posterior height of the thoracic vertebral bodies yields what
Definition
normal kyphotic posture
Term
which plane doe the superior and inferior Zygopophyseal facets lie almost entirely in
Definition
frontal plane
Term
what are the structures on the thoracic vertebra that particpate in the joint of the head of the rib
Definition
body of vertebra superior to rib
IVD
body of vertebra of same number as rib
Term
what are the structures involved in the costo transverse jt
Definition
transverse process of same number as rib
tubercle of rib
Term
thoracic discs compared to C or L spine
Definition
similar in make up
shape is different
Term
shape of Thoracic discs compared to C/L spine: ratio of disc size to vertebra
Definition
less mobility more stability
Term
size of thoracic discs compared to C/L spine
Definition
thoracic discs thinner
Term
shape of thoracic vertebra compared to C/L spine
Definition
wedge shaped
greater posterior height than anterior
Term
role of the discs in the T spine compared to C/L spine
Definition
T spine discs are considered primarily stabilizers
Term
what allows for all the translations in the T spine
Definition
interbody jts
Term
the thoracic discs allows for _____ but to a small degree
Definition
tipping
Term
characteristics of the zygapophyseal jt: type of jt
Definition
plane synovial jt
Term
characteristics of the zygapophyseal jt: meniscoid type
Definition
fibroadipose meniscoids
Term
characteristics of the zygapophyseal jt: orientation
Definition
20 degrees off of the frontal plane
Term
characteristics of the zygapophyseal jt: what motions does having the jt being 20 degrees off the frontal plane allow
Definition
lateral flexion and rotation > flex/ext
Term
characteristics of the zygapophyseal jt: jt capsule compared to C/L spine
Definition
tighter jt capsule than in c spine/l spine
Term
why is the T spine more stable than the C/L spine (5)
Definition
rib cage
spinous process
constrained jt capsules
ligamentum flavum
disc and body dimensions
Term
why do the Thoracic spinous processes provide more stability
Definition
inferior slope that overlaps one another
Term
why does the ligamenum flavum give mroe stability in the T- spine
Definition
lies posterior
limits extension
Term
Each thoracic vertebra articulates via a set of paired ribs via 2 jts: what are these jts
Definition
costovertebral
cosotransverse
Term
Each Thoracic vertebra articulates with a set of paired ribs via 2 jts: what is the bony structure that allows the costovertebral jt
Definition
demifacets
Term
Each Thoracic vertebra articulates with a set of paired ribs via 2 jts: what is the bony structure that allows the costotransverse jt (2)
Definition
oval facet aka cosotubercular facet
Term
Thoracic kinematics: T1-T6 motions
Definition
very limited sagittal plane flex/ext
Term
Thoracic kinematics: why is sagittal plane flex/ext very limited in T1-T6
Definition
ribcage and frontal plane facet orientation
Term
Thoracic kinematics: T9-T12 motions
Definition
more sagittal plane than T1-T6, allows more flex/ext than T1-T6
Term
Thoracic kinematics: Why do the T9-T12 vertebra have more flex/ext than the T1-T6 vertebra
Definition
facets still lie in the frontal plane but less than T1-T6 (more sagittal)
Term
Thoracic kinematics: which motion is free in the upper thoracic spine (T1-T10)
Definition
lateral flexion
Term
Thoracic kinematics: what is the range in lateral flexion tied to
Definition
axial rotation
Term
Thoracic kinematics: the amount of rotation decreases at what vertebra range
Definition
T10 or T11
Term
Thoracic kinematics: why does the amount of rotation decrease at T10 or T11
Definition
d/t facet orietnation shifting more saggital
Term
Thoracic kinematics: which way do rotation and lateral flexion occur in the upper thoracic spine
Definition
same direction
Term
Thoracic kinematics: which way do rotation and lateral flexion occurr in the lower thoracic spine
Definition
opposite direction
Term
Thoracic kinematics: flexion is limited d/t what (4)
Definition
Posterior longitudinal ligament
ligamentum flavum
interspinous ligaments
zygapophyseal capsules
Term
Thoracic kinematics: extension is limited by
Definition
contact of Spinous process, laminae, facets
tension in anterior longitudinal ligament, abdominals, zygapophyseal capsules
Term
Thoracic kinematics: lateral flexion limited by what
Definition
zygopophysel facets
ribs
Term
Thoracic kinematics: thoracic rotation, motion is accompanied by distortion of what
Definition
the associated rib pair
Term
Thoracic kinematics: thoracic rotation, motion is accompanied by distortion of the associated rib pair: what happens to the posterior rib on the side to which the vertebra rotates
Definition
becomes more convex
Term
Thoracic kinematics: thoracic rotation, motion is accompanied by distortion of the associated rib pair: what happens to the anterior portion of the rib on the side to which the vertebra rotates
Definition
anterior portion flattens
Term
Thoracic kinematics: thoracic rotation, motion is accompanied by distortion of the associated rib pair: what happens to the rib on the opposite side of the ribs rotation (to which it is NOT rotating to)
Definition
posterior rib flattens
anterior rib becomes more convex
Term
Thoracic kinematics: what determines rib motion
Definition
costovertebral and costotransverse avaiable mtion
Term
Thoracic kinematics: what happens with age yielding less rotation in the ribs
Definition
costal cartialge ossifies
Term
Ribs: true ribs aka
Definition
vertebrosternal
Term
Ribs: which are the true ribs/vertebrosternal
Definition
ribs 1-7
Term
Ribs: why are the true ribs called as such
Definition
attach to the sternum
Term
Ribs: 8-10 are called what
Definition
vertebrochondral or false ribs
Term
Ribs: why are ribs 8-10 called vertebrochondral/false ribs
Definition
indirectly attach to sternum via rib 7 through the costocartilage
Term
Ribs: which are the floating ribs
Definition
ribs 11 and 12
Term
Ribs: why are ribs 11 and 12 called floating ribs
Definition
no attachment to the sternum
Term
Ribs: jt between the sternum and the cartilage which attaches to the rib and the sternum
Definition
chondrosternal jt
Term
Ribs: jt between the rib and the cartilage which attaches itself ot the rib and the sternum
Definition
costochondral jt
Term
Ribs: jt between the 5th rib and the false ribs
Definition
interchondral jts
Term
Rib jt: non costal jts (2)
Definition
manubriosternal
xiphisternal
Term
Rib jt: characteristics of the manubriosternal and xiphisternal jts (2)
Definition
synchondrosis
ossifies in the elderly
Term
Rib jt: what type of jt is it
Definition
synovial
Term
Rib jt: what makes up the rib jt posteriorly
Definition
head of rib
2 vertebral bodies
disc between the bodies
Term
Rib jt: how many articular facets do ribs 2-9 have
Definition
2 articular facets (demi)
Term
Rib jt: which ribs have 2 articular (demi) facets
Definition
ribs 2-9
Term
Rib jt: which direction does the rib match the vertebral demifacets
Definition
superior and inferior
Term
Rib jt: which vertebra does the superior facet of rib 4 articulate with
Definition
T3
Term
Rib jt: which vertebra does the inferior facet of rib 4 articulate with
Definition
T4
Term
Rib jt: which ribs are more mobile d/t articulation with only 1 vertebra
Definition
Ribs 1, 10, 11, 12
Term
Rib jt: why are ribs 1,10, 11, 12 more mobile
Definition
d/t articulation with only 1 vertebra
Term
Rib jt: costotransverse jts are what type
Definition
synovial
Term
Rib jt: costotransversal jt: what makes up the costotransveral jt
Definition
costal tubercle of rib with costal facet on transverse process of the vertebra
Term
Rib jt: costotransversal jt: how many costotransverse jts are there
Definition
10 pairs
Term
Rib jt: costotransversal jt: which ribs have a costotransverse jt
Definition
T1-T10 with the rib of the same number
Term
Rib jt: costotransversal jt: concave/convex characteristics of T1-T6
Definition
concave costal facet on vertebra
convex tubercles on the ribs
Term
Rib jt: costotransversal jt: T1-T6 is a concave costal facet on vertebra, convex tubercles on the ribs. This allows for what motion
Definition
rotation
Term
Rib jt: costotransversal jt: characteristics of T7-T10
Definition
surfaces are flat and glide
no real rotation
Term
Rib jt: costotransversal jt: Which ribs do not articulation with the transverse processes of a vertebra
Definition
Ribs 11 and 12 do not articulate with the transverse processes of T11 or T12, just the vertebra
Term
Rib jt: costochondral jt: what is the costochondral jt
Definition
articulation of ribs 1-10 with costal cartilage
Term
Rib jt: costochondral jt: type of jt
Definition
synchondroses
Term
Rib jt: costochondral jt: ligamentous support
Definition
none
Term
Rib jt: chondrosternal jt: which ribs makes up this jt
Definition
costal cartilages of ribs 1-7 with the sternum
Term
Rib jt: chondrosternal jt: which are synchondroses
Definition
ribs 1, 6, 7
Term
Rib jt: chondrosternal jt: which are synovial jts
Definition
ribs 2-5
Term
Rib motion: governed by what 4 things
Definition
type of articulation
angles of articulation
movement of the manubriosternum
elasticity of costal cartilage
Term
Rib motion: costovertebral and costotransverse jts: axial characteristics (2)
Definition
single axis
each rib is slightly different so there is a different axis for each
Term
Rib motion: costovertebral and costotransverse jts: motions available
Definition
elevation
depression
Term
Rib motion: costovertebral and costotransverse jts: upper rib axis and plane of motion
Definition
axis: frontal
motion: sagittal plane
Term
Rib motion: costovertebral and costotransverse jts: lower ribs axis and plane of motion
Definition
axis: more sagittal
motion: frontal plane
Term
Rib with the largest anterior articulation
Definition
1st rib
Term
cartilage characteristic of the 1st rib
Definition
costal cartilage is stiffer
Term
1st rib: type of chondrosternal jt
Definition
synchondrosis
Term
1st rib: the chondrosternal jt is inferior to what jt
Definition
sternoclavicular
Term
1st rib: chondrosternal jt is a synchondrosis and inferior to the SC jt. What happens as a result
Definition
there is little movement at the manubrium attachment
Term
1st rib: is more mobile posteriorly at what jut
Definition
costovertebral jt
Term
1st rib: is more mobile posteriorly at costovertbral jt d/t what
Definition
single facet
Term
Rib 2-7 most movement is at ____ aspect
Definition
anterior
Term
motion at rib 2-7
Definition
pump handle motion
Term
what does the pump handle motion of ribs 2-7 mean
Definition
rib and sternal motion of the thorax increases the A-P diameter of the thorax
Term
ribs 8-10 shape compared to ribs 2-7
Definition
ribs 8-10 have a more angled shape than 2-7
Term
ribs 8-10: indirect attachment to what
Definition
the sternum
Term
ribs 8-10: motion is more at the _____ _____ in _____
Definition
motion is more at the LATERAL ASPECT in ELEVATION
Term
ribs 8-10: elevation increases what diameter of the thorax
Definition
transverse diamater
Term
ribs 8-10: motion of the ribs
Definition
bucket handle motion
Term
Scoliosis: changes in alignment of ribs changes what in regards to the thorax
Definition
the mobility
Term
Scoliosis: lateral deviation and rotation of the thoracic vertebra alters what rib jts
Definition
costovertebral and costotranverse jts
Term
Scoliosis: rib cage volume changes on the concave side (3)
Definition
vertebral columnn distorts
decreased vertebral height
decreased lung volume
Term
Scoliosis: rib cage volume changes on the convex side (2)
Definition
increased lung volume
increased vertebral height
Term
Scoliosis: dx of scoliosis
Definition
spinal curvature of mroe than 10 degrees to the right or left as the examiner faces the pt
Term
Scoliosis: plan of action for scoliosis with less than 30 degrees of deviation
Definition
monitor
Term
Scoliosis: what is moderate severe scoliosis defined as
Definition
30-45 degrees of deviation
Term
Scoliosis: plan of action for a child with moderately severe scoliosis (30-45)
Definition
may require bracing
Term
Scoliosis: plan of action for severe curvatures that rapidly progres
Definition
surgical treatment with spinal rod placmeent
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