Bony landmarks spine Flashcards
(64 cards)
Vertebral column primary curves
Present at birth: Thoracic and Sacrococcygeal curves
Vertebral secondary curves
Develop as infants begin to lift their heads: Cervical and lumbar
C1 SP and name
Atlas, does NOT have Spinous process
Steel’s rule of thirds
Ant 1/3 Taken up by DENS
middle 1/3 Spinal cord
posterior 1/3 Empty space
C2 Name and landmark
Axis
DENS: projects superiorly through vertebral foramen of C1
C3-C6
Have bifid SP’s except C7
Orientation of C spine
Facets are orientated at 45 degrees to the horizontal plane
Orientation of Thoracic vertebra
60 degrees to the horizontal plane w slight lateral facing
Thoracic spinous process’s
Shaped like giraffes
Ribs come off the T vertebra
Ribs 2-10 articulation points
Ribs 2-10 corresponds to its own # and the disc, and one vertebral body above.
Atypical ribs
1,11,12
These ribs articulate ONLY w their own
Ribs 1-10
articulate w the transverses processes of the same level
Mamillary process on the superior articular process
Attachment point for multifidus
Orientation of Lumbar facets
Facets are almost directly in the sagittal plane in upper L-spine
Intervertebral discs
NOTE no disc between C1-2
Thinnest in thoracic region
Thickest in lumbar
Strongly attached to Post. longitudinal lig.
Weak to ant.
Intervertebral discs
Hyaline cartilage that covers vertebral bodies
seperates VB from disc
Cartilagenous plate
Outer aspect of disc
Annulus Fibrosis
Outer aspect of Annulus Fibrosis
Type 1 collagen, transitioning to type 2 as move inwards
Only the outer 1/3 is innervated
Disc weakest aspect
Posterolateral fibres, site for disc herniation
Inner aspect of jelly-like substance within the disc (type 2 collagen)
Nucleus Pulposus
key in shock absorption
Bulging of nucleus pulposus into annulus fibrosis but it remains in tact.
often symmetrical
Disc protrusion
Nucleus pulposus ruptures through some or all fibres of annulus
Usually asymmetrical
Disc herniation
Depending on degree of annulus tear: prolapse, extrusion or sequestration
IVF
Intervertebral Foramina