Cervical Spine Flashcards

(57 cards)

0
Q

What does the ALL limit?

A

Extension

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1
Q

What is continuous of the anterior atlanto-occipital and atlantoaxial membrane?

A

Anterior longitudinal ligament

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2
Q

What is continuous of the tectorial ligament?

A

Posterior longitudinal ligament

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4
Q

What does the tectorial ligament limit?

A

Forward flexion

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5
Q

What is the function of the PLL?

A

Keeps disc from moving posteriorly which is why you don’t get a lot of posterior disc displacements in the C/S

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6
Q

What are the upper cervical vertebrae?

A

C1 and C2

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7
Q

What is the C1 vertebrae called?

A

Atlas

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8
Q

What is the C2 vertebrae called?

A

Axis

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9
Q

What are the lower cervical vertebrae?

A

C3-C7

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10
Q

What is the shape of the atlas facets?

A

Superior facets - concave

Inferior facets - convex

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11
Q

What is the shape of the occiput?

A

Convex

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12
Q

Which vertebrae has the dens?

A

Axis

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13
Q

What plane do the superior facets of the atlas sit in and what do they do?

A

Horizontal plane - aid in rotation

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14
Q

How are the inferior facets of the atlas oriented?

A

45* from the horizontal plane

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15
Q

How are the superior and inferior facets of the axis oriented?

A

Superior - upward and laterally

Inferior - anteriorly

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16
Q

What is the function of the transverse ligament?

A

Prevents anterior displacement of C1 on C2

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17
Q

What two conditions have decreased integrity of the transverse ligament?

A

RA and Down syndrome

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18
Q

What is the function of the alar ligament?

A

Tighten with flexion, limits lateral flexion to the opposite (contralateral) side, and limits rotation to both sides

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19
Q

What is the function of the L alar ligament?

A

R rotation

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20
Q

How many degrees does the alar ligament allow for rotation?

A

20*

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21
Q

In which direction is the IV disc thickest in the C/S?

A

Anteriorly

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22
Q

In which direction is the annulus minimal in the C/S?

A

Laterally

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23
Q

In which direction are the discs most commonly displaced in the C/S?

24
Q

In which section of the spine contain the joints of Luschka?

25
When is the annulus stressed in the C/S?
Extension - different than the lumbar spine where annulus is stressed with flexion and rotation
26
Damage to what ligament is usually associated with disc herniations in the C/S?
PLL
27
What is the orientation of the facet joints in the lower cervical region?
45* from the horizontal plane
28
What occurs during extension in the lower C/S?
Inferior glide of the facet with posterior tilt and posterior translation
29
What are the functions of the C/S?
Motion and protects the spinal cord
30
What is the shape of the atlanto-occipital joint and what motion does it do?
Convex on concave - "yes"
31
What occurs during flexion of the OA joint?
Occipital rolls forward and glides posteriorly
32
What is ROM for the OA joint?
10-30*
33
What does the atlantoaxial (AA) joint do?
Rotation - "no"
34
What is ROM for the AA joint?
45* to both sides - 55-58% of total motion
35
What occurs during flexion?
Anterior tilt and anterior glide
36
What occurs during extension?
Posterior tilt and posterior translation
37
What occurs during rotation?
Coupled with ipsilateral lateral flexion
38
What occurs during lateral flexion?
Coupled with ipsilateral rotation
39
What occur to the same side in the C/S?
Side bending and rotation
40
What limits extension?
Facet joints and discs
41
What limits flexion?
Posterior ligaments between the spinous processes
42
What is the action of the trapezius?
Extension, ipsilateral lateral flexion, and contralateral rotation
43
What is the function of the levator scapulae?
Ipsilateral flexion and rotation, produces posterior sheer, and increases activity with forward head
44
What muscle pulls the vertebrae posteriorly?
Levator scapulae
45
What muscles provide compression to stabilize the C/S?
Anterior muscles
46
What is the function of the scalenes?
Frontal plane stabilizers, assist with breathing, flexion, ipsilateral flexion, and contralateral rotation
47
What two muscles work together?
Levator scapulae and scalenes
48
What is the function of the longissimus capitis and cervicis?
Compression, stabilize head, and frontal plane stabilizers
49
What are two important muscles to strengthen in order to stabilize our head?
Longissimus capitis and cervicis
50
What is the function of the suboccipital muscles?
Occipital extension, ipsilateral rotation, lateral flexion, proprioceptive, and fine tune motion
51
What is the function of the splenius capitis and cervicis?
Extension and ipsilateral rotation
52
What muscles are the prime movers?
Splenius capitis and cervicis
53
Are the splenius capitis and cervicis active at rest?
No
54
What muscles are a common source of headaches?
Splenius capitis and cervicis
55
What is the function of the SCM?
Ipsilateral lateral flexion and contralateral rotation
56
What is the function of the longus capitis and colli?
Compression of the C/S and stabilizers that work with the upper trapezius
59
What is another name for the posterior longitudinal ligament?
Tectorial ligament