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Vertebral Column and Spinal Cord
N/A
78
Anatomy
Graduate
01/16/2012

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Cards

Term
How many cervical vertebrae are found in the vertebral column?
Definition
7
Term
How many thoracic vertebrae are found in the vertebral column?
Definition
12
Term
How many lumbar vertebrae are found in the vertebral column?
Definition
5
Term
How many sacral vertebrae are found in the vertebral column?
Definition
5
Term
How many cocygeal vertebrae are found in the vertebral column?
Definition
4
Term
A collective of all the vertebral foramina form what?
Definition
Vertebral canal
Term
What forms the vertebral arch?
Definition
Two pedicles and two laminae
Term
Intervertebral foramen are formed between what structures?
Definition
Inferior and superior vertebral notches of adjacent vertebra
Term
Where do spinal nerves exit the vertebral canal?
Definition
Intervertebral foramen
Term
What are the names of the the process projections from each vertebral arch?
Definition
Transverse and spinous processes
Term
Superior and inferior articular processes (zygapophyses) project from what part of the vertebra?
Definition
Each side from the junction of pedicle and lamina
Term
THe laminal between the superior and inferior articular processes from adjacent vertebra form what?
Definition
Pars interacticularis (interarticular part), creates zygapophysial joints
Term
Zygapophysial joints are particularly susceptible to what disease?
Definition
Osteoarthritis
Term
What is a distinguishing characteristic of typical cervical vertebra (C3-6)?
Definition
Short, often bifid spinous process, may have uncinate process extending superiorly from the edge of its body on each side
Term
What joint is formed between uncinate processes and the body of vertebra above in cervical vertebra?
Definition
Unconvertebral joints
Term
What are the atypical cervical vertebra?
Definition
Atlas (C1), axis (C2), vertebra prominens (C7)
Term
The articulation between the atlas and the skull creates what joint?
Definition
Atlanto-occipital joint
Term
What joint is formed between the atlas and the axis?
Definition
One median and two lateral atlantoaxial joints
Term
The transverse ligament of the atlas at the median atlantoaxial joint may be absent in individuals with what disease?
Definition
Down syndrome
Term
What is unique to C7 among cervical vertebra?
Definition
Small or absent transverse foramina lacking a verterbal artery, long spinous process
Term
An enlarged costal process know as a cervical rib may form on C7 which may potentially compress what?
Definition
Subclavian and/or lower part of the brachial plexus (thoracic outlet syndrome)
Term
Typical thoracic vertebra have what defining features?
Definition
Costal facets on each side of the body for articulation with the heads of ribs, long and slender spinous process directed inferiorly
Term
Lumbar vertebra typically have what defining characteristics?
Definition
Large body, hatchet shaped spinous process, mammilary processes on the posterior surface of each superior articular process
Term
What attaches to the mammilary processes on lumbar vertebra?
Definition
Multifidus muscle
Term
A "scottie dog sign" is the appearance of a dog head in an oblique x-ray of the lumbar spine and aids in the diagnosis of what?
Definition
Spondylolysis
Term
What part of the sacrum is used in caudal epidural anesthesia during surgery or childbirth?
Definition
Sacral hiatus
Term
The sacral hiatus is located by palpation of what landmarks on either side?
Definition
Sacral cornua
Term
The lateral joint formed between the sacrum and the hip bone and the point where weight is transferred from the axial skeleton to the lower extremity is known as what?
Definition
Sacroiliac joint
Term
What forms the small triangular coccyx? What is its function?
Definition
Four fused coccygeal vertebra, muscle and ligament attachment points
Term
What are the primary curvatures of the spine that are concave anteriorly and face the same direction as the original fetal curvature?
Definition
Thoracic and sacral regions
Term
What are the secondary curvatures of the spine that are convex atneriorly?
Definition
Cervical and lumbar regions
Term
Abnormal increase in the thoracic curvature is known as what?
Definition
Kyphosis
Term
An increase in lumbar curvature is known as what?
Definition
Lordosis
Term
Lateral curvature of the vertebral column is referred to as what?
Definition
Scoliosis
Term
What would make a case of scoliosis structural and irreversible?
Definition
Hemivertebra between vertebra
Term
What is the most common form of scoliosis?
Definition
Idiopathic structural scoliosis
Term
Lateral curvature of structural scoliosis is accompanied by rotation of the vertebra towards what side? What visible sign does this produce?
Definition
Side of convexity, rib hump
Term
The partial forward dislocation of a vertebra over the vertebra below it is known as what?
Definition
Spondylolisthesis
Term
What is the most common cause of spondylolisthesis?
Definition
Spondylolysis causing L5 to slip on S1
Term
Bilateral fractures of the pars interarticularis of the vertebral laminae is know as what?
Definition
Spondylolysis
Term
What is the only ligament that helps to limit extension of the vertebral column?
Definition
Anterior longitudinal ligament
Term
Where is the anterior longitudinal ligament located?
Definition
Along the anterior aspect of the vertebral bodies
Term
Where is the posterior longitudinal ligament located?
Definition
Along the posterior aspect of the vertebral bodies
Term
What is the function of the posterior longitudinal ligament?
Definition
Limits flexion
Term
What joints the laminae of adjacent vertebra and helps limit flexion while assisting with extension of the flexed column?
Definition
Ligamenta flava
Term
What is the name of the ligaments between adjacent spinous processes?
Definition
Interspinous ligaments
Term
What connects the tips of spinous processes of C7 to the sacrum?
Definition
Supraspinous ligament
Term
The expansion of the supraspinous ligament in the cervical region is called what?
Definition
Nuchal ligament (ligamentum nuchae)
Term
What is the function of the nuchal ligament?
Definition
Muscle attachment in place of longer spinous processes in the cervical region
Term
What lies between bodies of adjacent vertebra?
Definition
Intervertebral discs
Term
What are the components that makes up intervertebral discs?
Definition
Central gelatinous nucleus pulposus enclosed by fibrocartilaginous anulus fibrosus which is thinner posteriorly
Term
What is the function of intervertebral discs?
Definition
Shock absorption
Term
Where do intevertebral discs most commonly herniate? What do they most commonly compress during herniation?
Definition
L4/5 or L5/S1, compresses the nerve root traversing to exit at the intervertebral foramen below
Term
Where do intervertebral disc herniations most commonly occur in cervical vertebra and what is in danger of compression in such cases?
Definition
C5-6 and C6-7, may compress the nerve root exiting at that same level
Term
Though posterior intervertebral disc herniation is very rare, what may be the outcome in such instances?
Definition
Paralysis at that below that verterbal level due to compression of the spinal cord
Term
What are the contents of the vertebral canal?
Definition
Meninges, cerebrospinal fluid, spinal cord, spinal nerve roots, internal vertebral venous plexus, and epidural fat
Term
What anchors the dura matter at S2?
Definition
Filum terminale externum (coccygeal ligament)
Term
What specialization of the pia mater that helps anchor the spinal chord continues inferiorly from the conus medullaris and is enclosed by the coccygeal ligament below S2?
Definition
Filum terminale/filum terminale internum
Term
What specialization of the pia mater that helps anchor the spinal chord is shaped as lateral bands with tooth-like processes that attach to the dura mater for fixation?
Definition
Denticulate ligaments
Term
What connects arachnoid mater and pia mater within the subarachnoid space?
Definition
Arachnoid trabeculae
Term
The subarachnoid space is enlarged caudal tot he lower end of the spinal cord to form what?
Definition
Lumbar cistern
Term
What is contained within the lumbar cistern?
Definition
Cauda equina and filum terminale
Term
Why is the lumbar cistern an important landmark?
Definition
Used for lumbar spinal punctures to withdraw cerebrospinal fluid or for spinal blocks
Term
What is the distribution of the 31 spinal nerves?
Definition
8 cervical, 12 thoracic, 5 lumbar, 5 sacral, 1 coccygeal
Term
The tapered inferior end of the spinal cord is referred to as what?
Definition
Conus medullaris
Term
The collection of obliquely descending anterior and posterior nerve roots below the inferior end of the spinal cord is known as what?
Definition
Cauda equina
Term
The filum terminale represents the tract of regression of the spinal cord and helps anchor the spinal cord after what month of fetal development?
Definition
3rd month
Term
What are symptoms associated with damage to the cauda equina?
Definition
Lower back pain, pain radiating to one or both lower extremities, unilateral or bilateral lower extremity weakness/numbness, bowel and bladder dysfunction
Term
Nerve roots from C1-7 are named according to what?
Definition
Vertebra below of the same number
Term
Where is nerve C8 located?
Definition
Above T1
Term
Nerve roots T1 to Co1 are names according to what?
Definition
Vertebra above of the same number
Term
What supplies blood to the spinal cord?
Definition
Single anterior and two posterior spinal arteries
Term
The anterior and posterior spinal arteries receive supplemental blood supply from what?
Definition
Segmental medullary arteries
Term
What artery is especially important for the blood supply of the lower 2/3 of the spinal cord?
Definition
Great anterior segmental medullary artery
Term
What does the great anterior segmental medullary artery arise from?
Definition
Lower intercostal or upper lumbar artery
Term
How is blood drained from the spinal cord?
Definition
Internal vertebral venous plexus which communicates with the external venous plexus
Term
Why is the communication between the vertebral venous plexuses and the thoracic, abdominal, and pelvic veins clinically important?
Definition
Potential pathway for the metastasis of cancer cells to the vertebral column, spinal cord, and brain
Term
Why are intervertebral discs most likely to herniate posteriolaterally?
Definition
Annulus fibrosus is thinner posteriorly but the posterior longitudinal ligament reinforces the spinal cord immediately posterior, forcing herniation to be posterior and lateral.
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