Lesson Objective Flashcards

(43 cards)

1
Q

What are the structural components of a typical vertebra?

A
  • Vertebral body
  • Superior articular process
  • Inferior articular process
  • Spinous process
  • Transverse process
  • Pedicle
  • Lamina
  • Vertebral foramina
  • Superior/Inferior notches
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2
Q

Define the terms for abnormal curvatures of the spine.

A
  • Kyphosis - Anterior FLEXION
  • Lordosis - posterior EXTENSION
  • Scoliosis - Lateral curvature/deviation
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3
Q

What components make up the intervertebral disc?

A
  • Nucleus pulposus
  • Annulus fibrosus
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4
Q

What is posterolateral herniation of the intervertebral disc?

A

A condition where the disc herniates posteriorly and laterally, potentially compressing spinal nerves.

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5
Q

List the six ligaments of the spine.
mentally picture a vertebrae

A
  • Anterior longitudinal ligament (sandwich the vertebral body)
  • Posterior longitudinal ligament (sandwich the vertebral body)
  • Supraspinous ligament (end of spinous process)
  • Interspinous ligaments (thru spinous process)
  • Ligamentum flavum (through lamina of vertebrae)
  • Intertransverse ligaments (end of lateral tranverse process)
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6
Q

What motions do the spinal ligaments limit?

A

They limit excessive movement and provide stability to the vertebral column

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7
Q

Describe the structure and function of the ligamentum nuchae.

neck nougat

A

A ligament that supports the head and limits flexion and extension of the cervical spine.

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8
Q

What is spinal stenosis?

A

A condition characterized by narrowing of the spinal canal, which can lead to nerve compression.

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9
Q

What is the function of the thoracolumbar fascia?

A

It provides structural support and attachment for muscles of the back.

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10
Q

True or False: The cervical spinal nerves exit below their corresponding vertebrae.

A

False. Cervical spinal nerves exit above their corresponding vertebrae.

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11
Q

What are the three layers of meninges covering the spinal cord?

A
  • Dura mater
  • Arachnoid mater
  • Pia mater
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12
Q

What are the differences between lumbar epidural anesthesia and lumbar spinal anesthesia?

A
  • Lumbar epidural anesthesia requires a larger dose and takes time to take effect; it involves placing a catheter.
  • Lumbar spinal anesthesia is administered directly into the CSF and has potential for bleeding/headache.
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13
Q

What are the functions of the intrinsic back muscles?

A
  • Maintain posture
  • Control spinal movements
  • Proprioception
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14
Q

What is the role of the psoas major muscle in spinal movement?

A

It assists in flexing the lumbar spine.

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15
Q

What is the clinical correlate associated with lumbar spinal stenosis?

A

It may cause compression of one or more spinal nerve roots occupying the inferior vertebral canal.

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16
Q

Hpw many spinal nerve pairs are present in the cervical region? Name them

A

8 pairs

C1 / head and neck
C2
C3 / cervical plexus
C4 / diaphragm
C5 / deltoids biceps
C6 / wrist exten
C7 / triceps
C8 / hand /

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17
Q

What clinical changes occur in vertebrae with advancing age?

A
  • Decrease in bone density
  • Articular surfaces bow inward
  • Compression at periphery
  • Formation of osteophytes
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18
Q

What are the primary spinal curvatures?

A
  • Thoracic
  • Sacral
19
Q

What are the secondary spinal curvatures?

A
  • Cervical
  • Lumbar
20
Q

What motions do the spinal ligaments limit?

A

They limit excessive movement and provide stability to the vertebral column

21
Q

Describe the structure and function of the ligamentum nuchae.

A

A ligament that supports the head and limits flexion and extension of the cervical spine.

22
Q

What are the six primary movements of the spine?

A
  • Flexion
  • Extension
  • Lateral flexion
  • Rotation
  • Axial rotation
  • Circumduction
23
Q

What are the regions of the spine and their respective vertebrae counts?

A
  • Cervical: 7 vertebrae
  • Thoracic: 12 vertebrae
  • Lumbar: 5 vertebrae
  • Sacral: 5 fused vertebrae
  • Coccygeal: 4 fused vertebrae
24
Q

What is the significance of the cauda equina? What is at the end of cauda equina?

A

It is a bundle of spinal nerves and nerve roots located below the termination of the spinal cord.

Filum terminale

25
True or False: The cervical spinal nerves exit below their corresponding vertebrae.
False. Cervical spinal nerves **exit above** their corresponding vertebrae.
26
What are the differences between lumbar epidural anesthesia and lumbar spinal anesthesia?
* Lumbar epidural anesthesia requires a larger dose and takes time to take effect; it involves placing a catheter. * Lumbar spinal anesthesia is administered directly into the CSF and has potential for bleeding/headache.
27
Fill in the blank: The _______ joints are responsible for allowing rotation in the cervical spine.
zygapophysial
28
What are the four deep cervical fascia and what do they contain?
1. **Investing (sippy cup) fascia ** --> encircles neck, splits at sternocleoidmastoid 2. **Pretracheal (guitar pick) fascia** --> encircles trachea, esophagus, thyroid cartilage 3. **Prevertebral (main attraction) fascia** --> encicles vertebral column and deep neck flexor and extensor muscles 4. **Caro(w)tid Sheath (knobs)** --> Neuromuscular bundle of carotid, vagus nerve, jugular vein. Bundles are medial to sternocleoidmastoid
29
Name the suprahyoid anterior muscles of the neck | Diga (the) Style, Genious Myle
Digastric Stylohyoid Geniohyoid Mylohyoid
30
Name the infrahyoid anterior muscles of the neck and their innervations | Oh/Sh/St/T
**Oh/Sh/St/T** Omohyoid Sternohyoid SternoTHYroid Thryohyoid
31
What are the posterior triangles of the neck? | ox soup
Occipital Supraclavicular
32
______ degree of motion is found in cervical vertebrae by zygapop
45
33
____ degree of motion is found in thoracic vertebrae by zygapop
60
34
____ degree of motion is found in lumbar vertebrae by zygapop
90
35
What is the arrow pointing to?
Conus medullaris at very top and filum terminale in the cauda equina
36
List axio-appendicular muscles? Are they all intrinsic or extrinsic? Innervation? Layer?
They are all extrinsic, superficial * Trapezius (cranial nerve XI) * Latissimus Dorsi * Levator Scapulae * Rhomboids the rest are ventral rami of spine nn
37
Serratus posterior (superior and inferior) are what type of back muscles, what layer, and innervated by what? ## Footnote these muscles are very thin and tricky to isolate on cadavers
Extrinsic, intermediate, intercostal nn. | innervated by intercostal nerves because of their proximity (right on) t
38
Which vertebrae has no spinous process?
C1 (Atlas) it is ring shaped bone
39
What ligament resists neck extension?
Nuchal ligament
40
Where does the spinal cord end? Which vertebae
L2
41
Fill in the blank: _________________ ligament comes off with the Pia Mater (starts with D)
Dentriculate Ligament
42
Posterior Intercostal Arteries supply which region of the spine?
Thoracic. think about whats in the thoracic region, ribs etc
43
Name the suboccipital muscles of the neck, function, and innveration:
*Rectus CAPitus posterior major / head extension and ipsilateral rotation *Rectus CAPitus posterior minor / same as major *Obliquus CAPitus Inferior (Inferior obliques) / ispilateral rotation Innervation total: Dorsal ramus of C1 (suboccipital nerve)