Flashcards in Practical 1 - The vertebral column and spinal cord Deck (78)
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1
Q
A typical vertebral column has how many vertebra?
A
33
2
Q
What does the body of a typical vertebra support and what is it connected to?
A
Supports - vertebral column
Connected to - intervertebral discs
Connected to - intervertebral discs
3
Q
What are the subdivisions of the vertebral arch of a typical vertebra?
A
1. Pedicle
2. Lamina
3. Paired superior and inferior articular processes which protrude posterior to the vertebral notches
4. Spinous and transverse processes
2. Lamina
3. Paired superior and inferior articular processes which protrude posterior to the vertebral notches
4. Spinous and transverse processes
4
Q
What do the spinous and transverse processes allow?
A
attachments of muscles and ligaments
5
Q
What region of vertebra is the smallest?
A
Cervical vertebrae
6
Q
What is a distinctive feature of cervical vertebra?
A
transverse foramina (foramen transversarium)
7
Q
What are the transverse foramina (foramen transversarium) like in C7?
A
smaller or absent than the other cervical vertebra
8
Q
What structure passes through the transverse foramina?
A
vertebral arteries and veins
9
Q
Which cervical vertebral don't follow the typical vertebra structure?
A
C1 (atlas) and C2 (axis)
10
Q
What are the spinous processes of C3 to C6 vertebrae like?
A
short and bifid
11
Q
What is the spinous process of C7 like and what is it used as?
A
very long
used as - bony landmark to count vertebra
used as - bony landmark to count vertebra
12
Q
What is another name for C7?
A
vertebra prominens
13
Q
What are the features of C1 (atlas)? (3)
A
1. no spinous process
2. anterior and posterior arches
3. tubercle each on medial surface of the lateral mass for the transverse ligament
2. anterior and posterior arches
3. tubercle each on medial surface of the lateral mass for the transverse ligament
14
Q
What are the features of C2 (axis)? (2)
A
1. 2 large flat surfaces producing the superior articular facets
2. dens/ odontoid process
2. dens/ odontoid process
15
Q
What is the vertebral body of thoracic vertebrae like?
A
-heart shaped
- has superior and inferior costal demi facets which articulate with the head of the rib
- has superior and inferior costal demi facets which articulate with the head of the rib
16
Q
What is the spinous process like for thoracic vertebrae?
A
- long
- extends posteroinferiorly
- extends posteroinferiorly
17
Q
What is the transverse process for thoracic vertebrae like?
A
- costal facet for articulation with tubercle of rib
18
Q
What direction do the articular facets in thoracic vertebrae face?
A
- superior articular facets face posteriorly
- inferior articular facets face anteriorly
- inferior articular facets face anteriorly
19
Q
What is the vertebral body like for lumbar vertebrae?
A
- large
20
Q
What direction do articular facets facets face in lumbar vertebra?
A
- superior articular facets face medially
- inferior articular facets face laterally
- inferior articular facets face laterally
21
Q
What is the spinous process like for lumbar vertebrae?
A
- short and sturdy
22
Q
What are vertebrae held together by? (3)
A
- facet joints
- intervertebral discs
-ligaments
- intervertebral discs
-ligaments
23
Q
What are facets joints also known as and what do they connect?
A
- zygapophyseal joints
- connect superior and inferior articular processes of adjacent vertebrae
- connect superior and inferior articular processes of adjacent vertebrae
24
Q
Where are intervertebral discs found?
A
- all non-fused vertebrae
25
Q
What do intervertebral discs do?
A
- provide flexibility to the spine
- acts as shock absorbers
- acts as shock absorbers
26
Q
What do ligaments do?
A
- bind the vertebrae together to provide stability
27
Q
What is the intervertebral disc composed of? (2)
A
- annulus fibrosus
- nucleus pulposus
- nucleus pulposus
28
Q
What is the structure and location of annulus fibrosus?
A
structure - fibrocartilage ring
location - attached to epiphyseal rim of vertebral body (outer ring)
location - attached to epiphyseal rim of vertebral body (outer ring)
29
Q
What is the structure and location of the nucleus pulposus?
A
structure - gelantinous substance - shock absorber
location - inner ring
location - inner ring
30
Q
What are the attachments of the anterior longitudinal ligament? (2)
A
- occipital bone
- C1 to Sacrum
- C1 to Sacrum
31
Q
What is the function of the anterior longitudinal ligament?
A
resists hyperextension of the vertebral column
32
Q
What are the attachments of the posterior longitudinal ligament?
A
C2 to Sacrum
33
Q
What is the function of the posterior longitudinal ligament?
A
prevents posterior herniation of IV discs and resists hyper flexion
34
Q
What are the attachments of the ligamentum flavum?
A
between laminae of adjacent vertebrae
35
Q
What is the function of the ligamentum flavum?
A
- binds lamina of adjacent vertebrae
- resists separation of laminae in flexion
- assists extension back to anatomical position
- resists separation of laminae in flexion
- assists extension back to anatomical position
36
Q
What are the attachments of ligamentum nuchae? (6)
A
- base of triangle
- skull
- external occipital protuberance to foramen magnum
- apex --> CVII spinous process
- deep side -posterior tubercle of C1
- spinous process of other vertebrae
- skull
- external occipital protuberance to foramen magnum
- apex --> CVII spinous process
- deep side -posterior tubercle of C1
- spinous process of other vertebrae
37
Q
What is the function of ligamentum nuchae?
A
- supports the head
- resists flexion
- facilitates returning to normal anatomical position
- attachment for adjacent muscles
- resists flexion
- facilitates returning to normal anatomical position
- attachment for adjacent muscles
38
Q
What are the attachments for interspinous ligaments?
A
- between adjacent vertebral spinous processes
- base to the apex of each spinous process
- base to the apex of each spinous process
39
Q
what is the function of interspinous ligaments?
A
limits flexion of spine
40
Q
What grows at a faster rate - the vertebral column or spinal cord?
A
vertebral column
41
Q
At which vertebral level does the spinal cord end in a newborn?
A
L3
42
Q
At which vertebral level does the spinal cord end in an adult?
A
L1/L2
43
Q
What meninges cover the spinal cord? (3)
A
- dura mater
- arachnoid mater
- pia mater
- arachnoid mater
- pia mater
44
Q
What is the space between the dura and arachnoid mater called?
A
subdural space
45
Q
What is the space between the arachnoid and pia mater?
A
subarachnoid space
46
Q
What does the subdural space contain?
A
potential space with lymph like fluid
47
Q
What does the subarachnoid space contain?
A
CSF
48
Q
What is the space between the dura and the vertebrae called?
A
epidural or extradural space
49
Q
What does the epidural or extradural space contain?
A
- fat
- small blood vessels
- small blood vessels
50
Q
Where do the anterior and posterior spinal arteries originate from?
A
vertebral arteries
51
Q
What does the anterior spinal artery supply?
A
anterior 2/3rds of the spinal cord
52
Q
What does the posterior spinal artery supply?
A
posterior 1/3 of spinal cord
53
Q
What is the venous drainage like for the spinal cord?
A
1. anterior and posterior spinal veins
2. anterior and posterior radicular veins
3. communicate with internal vertebral plexus in epidural space
4. drains into the cerebral dural venous sinuses and cerebral veins and external vertebral plexus
2. anterior and posterior radicular veins
3. communicate with internal vertebral plexus in epidural space
4. drains into the cerebral dural venous sinuses and cerebral veins and external vertebral plexus
54
Q
What is a distinctive feature of spinal veins of the spinal cord?
A
they are valveless so that blood passes directly into the systemic venous system
55
Q
What do each vertebral level connect to in terms of veins?
A
- thoracic
- abdominal
- intercostal veins
- external vertebral venous plexus
- abdominal
- intercostal veins
- external vertebral venous plexus
56
Q
What is the path along which prostatic neoplastic cells metastasise to the central nervous system?
A
- along the continuity of the vertebral venous plexus with the prostatic plexus
57
Q
What is the caudal equina?
A
- collection of dorsal and ventral roots of the lower lumbar, sacral and coccygeal segmental spinal nerves.
- bundle of spinal nerves and roots
- bundle of spinal nerves and roots
58
Q
What nerves does the caudal equina involve and where do they arise from?
A
L2-L5 and S1-S5 and Co1
- these arise from the lumbar enlargement and conus medullaris
- these arise from the lumbar enlargement and conus medullaris
59
Q
What does the spinal nerve emerge as in the upper part of the vertebral canal through the intervertebral foramen?
A
- anterior primary ramus and posterior primary ramus
60
Q
What 2 groups can the muscles of the back be divided into?
A
1. deep (intrinsic)
2. superficial (extrinsic)
2. superficial (extrinsic)
61
Q
What are the extrinsic muscles of the back innervated by?
A
- ventral rami of spinal nerves
- accessory nerve
- accessory nerve
62
Q
What are the extrinsic muscles of the back divided into?
A
- superficial
- intermediate groups
- intermediate groups
63
Q
What muscles are involved in the superficial division of the extrinsic back muscles? (5)
A
1. rhomboid major
2. rhomboid minor
3. trapezius
4. latissimus dorsi
2. rhomboid minor
3. trapezius
4. latissimus dorsi
64
Q
What muscles are involved in the intermediate division of the extrinsic back muscles? (2)
A
1. Serratus posterior superior
2. Serratus posterior inferior
2. Serratus posterior inferior
65
Q
What do the intermediate extrinsic back muscles act as?
A
weak accessory muscles for respiration
66
Q
What are the intrinsic back muscles innervated by?
A
posterior rami of spinal nerves
67
Q
What 3 groups are the intrinsic back muscles divided into?
A
1. superficial
2. intermediate
3. deep
2. intermediate
3. deep
68
Q
What does the superficial group of the intrinsic back muscles contain?
A
the splenius muscles on the posterolateral surfaces pf the neck
69
Q
What 2 parts can the splenius muscles be divided into and what does this division depend on?
A
1. Splenius capitus
2. Spenius cervicus
depends - on their insertions
2. Spenius cervicus
depends - on their insertions
70
Q
What are the attachments of the splenius captius? (5)
A
1. Lower 1/2 of ligamentum nuchae
2. spinous process of CVII to TIV
3. mastoid process
4. Skull
5.below lateral 1/3 of superior nuchal line
2. spinous process of CVII to TIV
3. mastoid process
4. Skull
5.below lateral 1/3 of superior nuchal line
71
Q
What is the action of the splenius capitus? (2)
A
1. draw head backwards extending the neck
2. draw and rotate head from one side to the other - turning face to one side
2. draw and rotate head from one side to the other - turning face to one side
72
Q
What are the attachments of the splenius cervicis?
A
1. spinous process of TIII to TVI
2. transverse processes of CI to CIII
2. transverse processes of CI to CIII
73
Q
What is the action of splenius cervicis?
A
1. extend neck
2. draw and rotate head to one side - turn face to one side
2. draw and rotate head to one side - turn face to one side
74
Q
What does muscles the intermediate group of the intrinsic back muscles compromise of and where do they lie?
A
Large erector spinae muscles
lie - each side of the vertebral column
lie - each side of the vertebral column
75
Q
What is the function of the erector spinae muscle?
A
- main extensor of the vertebral column
76
Q
What 3 muscles forms the erector spinae muscle?
A
1. Spinalis
2. Longissimus
3. Iliocostalis
2. Longissimus
3. Iliocostalis
77
Q
Where do the deep group of intrinsic back muscles originate and insert and what is this group called?
A
originate - transverse processes of the vertebrae
insert - spinous process of more superior vertebrae
called - transversospinalis group
insert - spinous process of more superior vertebrae
called - transversospinalis group
78
Q
Which muscles makes up the transversospinalis group of the deep group of the intrinsic back muscles?
A
1.semispinalis
2. multifidis
3. rotares
2. multifidis
3. rotares
