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Flashcards in Lumbar Spine Deck (61):
1

Which segments of the spine are more prone to variation in morphology

L1 and L5

2

What parts of the vertebra may be used to distinguish L1-L4 from L5

vertebral body, pedicle, articular process, transverse process, spinous process

3

What is the generic shape of the typical lumbar vertebral body from the cranial view

reniform or kidney shaped

4

What would be the direction of the lumbar curve based on osseous features

anterior lordotic

5

what accounts for the direction of the lumbar curve

the vertebral body height and intervertebral disc have a greater anterior height than posterior height

6

What is the effect of agin on the vertebral body of the lumbar spine

decrease in height, increase in circumference

7

how many fibrous (amphiarthrosis) syndesmosis joint surfaces are on a typical lumbar vertebral body

4

8

how many joint surfaces are present on the vertebral body of a typical lumbar

6

9

how many synovial joint surfaces are present on the vertebral body of a typical lumbar vertebral body

none

10

How many cartilaginous (amphiarthrosis) symphysis joint surfaces are on a typical lumbar vertebral body

two

11

What muscles attach to the first lumbar vertebral body

psoas major and psoas minor

12

What muscles may attach from the second down to the fourth lumbar vertebral body

psoas major

13

Psoas minor will only attach to the vertebral body of which segments

T12, L1

14

What is the name given to ligaments that attach the vertebral body to articular process

transforaminal ligaments

15

What ligaments attach the vertebral body to the transverse process

corporotransverse ligaments

16

what corporotransverse ligaments are identified

superior corporotransverse and inferior corporotransverse ligaments

17

What are the types of hofmann ligaments

hofmann ligaments, posterior hofmann ligaments, lateral hofmann ligaments, and proximal hofmann ligaments

18

Hofmann ligaments are identified in which regions along the vertebral column

cervical-upper thoracics region and lumbar region

19

cervical - upper thoracic hofmann ligaments will attach what structures together

dura mater to segments above

20

What is the highest level known to demonstrate Hofmann ligaments

C6

21

What is the proposed function of the cervical-upper thoracic hofmann ligaments

resist caudal movement of the dural sac; resist gravitational forces on the dura and cord

22

lumbar hofmann ligaments will attach what structures together

dura mater to lower segmental levels

23

What is the proposed function of the lumbar Hofmann ligaments

resist cranial movement of the dural sac during flexion

24

What is the proposed function of the proximal root sleeve ligament

resist displacement of the peripheral nerve system in the intervertebral foramen

25

What is the orientation of the pedicle of a typical lumbar vertebrae

posterior

26

the pedicle attaches at what location on vertebral body of a typical lumbar

to the upper third or half of the vertebral body

27

What ligament attaches to the lamina of a typical lumbar

ligamentum flavum

28

what joint classification will be associated with the ligamentum flavum attachment

fibrous (amphiarthrosis) syndesmosis joint

29

What osseous conditions of lumbar vertebrae facilitate a spinal tap in this region

overlap of the laminae, shingling, diminishes;
overlap of spinous processes, imbrication, diminishes

30

What is the outline of the vertebral foramen of a typical lumbar vertebra

triangular

31

Which is the greatest diameter of the vertebral foramen of typical lumbars

transverse

32

how does the size of the vertebral foramen differ along the spine

cervicals have the greatest size
lumbars next
thoracics are the smallest

33

What part of the central nervous system is present in the lumbar spine

the conus medullaris is typically present in the vertebral foramen of L1

34

What part of the peripheral nerve system is present in the lumbar spine

the cauda equina is typically present in the vertebral foramina of L2-L4

35

Beginning with the L1 transverse process, what is the generic direction and relative length of each succeeding lumbar transverse process

each transverse process is directed straight lateral and increases in length from L1-L3

36

what is the name of the elevation near the origin of the lumbar transverse process

accessory process

37

a styloid process occurs with what frequency and as a result of what condition

7% occurrence as a result of congenital elongation of the lumbar accessory process

38

What ligaments will attach to the lumbar accessory process

mammilo-accessory ligament

39

What parts of the vertebrae are attached via the mammillo-accessory ligament

the mammillary process and the accessory process of the same segment

40

What was believed to be entrapped by the mammillo-accessory ligament

the medial branch of the dorsal ramus of a lumbar spinal nerve

41

What muscles attach to the lumbar accessory process

longissimus thoracis, and intertransversarii

42

what muscles may attach to the transverse process of a typical lumbar vertebra

psoas major, quadratus lumborum, longissimus thoracis
rotator brevis, rotator longus, and intertransversarii

43

What ligaments attach to the transverse process of a typical lumbar vertebra

the lumbocostal, mammillo-accessory and intertransverse ligaments

44

what joint classifications are present at the transverse process of a typical lumbar

fibrous (amphiarthrosis) syndesmosis

45

What are the posterior elements of the vertebrae

zygapophysis, lamina and spinous process

46

what are the anterior elements of the vertebrae

vertebral body and pedicle

47

What is the orientation of the typical lumbar superior articular facet

BUM backward upward and medial

48

What is the orientation of the typical lumbar inferior articular facet

FoLD forward lateral and down

49

what muscles will attach to the mammillary process

multifidis and intertransversarii

50

what ligament will attach to the lumbar superior articular process and transverse process

mammillo-accessory ligament

51

what was believed to be entrapped by the mammillo-accessory ligament

the medial branch of the dorsal ramus of a lumbar spinal nerve

52

What additional ligaments are said to attach to lumbar articular processes

transforaminal ligaments

53

What is the joint classification for the typical lumbar zygapophysis

synovial plane (diarthrosis arthrodia)

54

how many synovial joints are present on a typical lumbar vertebra

four

55

what is the position of the lumbar zygapophysis in children

the zygapophysis lies in the coronal plane

56

what is the position of the lumbar zygapophysis in adults

the zygapophysis lies in the sagittal plane for L1/L2, L2/L3, L3/L4
the zygapophysis lies in the coronal plane for L4/L5 and L5/S1

57

What name is given to zygapophyses between vertebral couples that lie in the same plane

joint symmetry

58

What names are given to the condition in which one zygapophysis of a vertebral couple lies in the coronal plane or postition and the other zygapophysis lies in the sagittal plane or position

joint asymmetry or joint torpism

59

define or describe joint tropism

the condition in which one zygapophysis of a vertebral couple lies in the coronal plane or position and the other zygapophysis lies in the sagittal plane or position

60

what is the name of the condition in which the typical lumbar spinous process increases in length due to the aging process

Basstrups syndrome or kissing spines

61

what muscles will attach to the typical lumbar spinous process

latissimus dorsi, serratus posterior inferior, iliocostalis lumborum
longissimus thoracis, spinalis thoracis, multifidis
rotator longus, rotator brevis and interspinalis