Spinal Anatomy Flashcards

(38 cards)

1
Q

How many vertebrae are there?

A

33

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2
Q

Clinical significance of C1 and C2

A

Allow for head rotation

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3
Q

Name of C7 and significant abnormality

A

Vertebrae Promines
Does not posses vertebral artery
May posses cervical rib

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4
Q

C7 is the attachment point for which muscle?

A

Scalenus Pleuralis

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5
Q

What is the blood supply to the cervical spine?

A

Segmental branches of ascending vertebral arteries

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6
Q

What type of joint is the intervertebral discs?

A

Fibrocartilaginous joints

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7
Q

What is the annulus fibrosis

A

Outer part of intervertebral discs

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8
Q

What is the gelatinous nucleus pulposis

A

Inner part of intervertebral discs

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9
Q

Name of C1 and C2 respectively

A

Atlas and Axis

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10
Q

Which spine has the greatest movement?

A

Cervical

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11
Q

Movements possible at the facet joints?

A

Flexion/extension

Lateral Flexion

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12
Q

What is spondylosis?

A

Water loss in the inter-vertebral discs due to aging, causing overloading on the spinal facet joints

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13
Q

What can help relieve spondylosis?

A

Facet joint injections under fluroscopy

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14
Q

Treatment for osteoarthritis (not in multilevel disease)

A

Localised fusion

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15
Q

Commonest area for disc water loss?

A

L4/5 and L5/S1

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16
Q

What is acute disc prolapse?

A

Tear of anulus due herniation or rupture of disc

17
Q

What does the spinal cord run through?

A

Vertebral Foramina of the vertebral column

18
Q

Motor cells originate ?

A

Anteriorly in the anterior horn

19
Q

Sensory cells originate

A

Dorsally in the dorsal root ganglion

20
Q

Where do mixed (motor and sensory) nerves exit?

A

Interertebral foramina

21
Q

Where do sensory and motor nerves run as two pairs in the spine?

A

The lumbar spine

22
Q

Where does the spinal cord end?

23
Q

At L1 what does the spinal cord become?

A

The cauda equina

24
Q

Where is the exiting nerve root?

A

Outside the thecal sac

25
What does the exiting nerve pass under?
The pedicle of the corresponding vertebra
26
Where is the transversing nerve root pair?
Remains in the thecal sac | is positioned anteriorly in preparation to penetrate and leave sac
27
What does the transversing nerve root become when it pierces the thecal sac?
The exiting nerve root
28
What nerve is commonly compressed in a disc prolapse?
The transversing nerve root
29
What is radiculopathy?
Pain (tingling) down the sensory distribution of the dermatome
30
What is radiculopathy known as in the leg?
Sciatica
31
What is myelopathy?
When nerve root compression causes weakness in muscles of one dermatome
32
What can cause spinal stenosis?
Ostoephytes or hypertrophied ligaments | by compressing nerve roots
33
What is neurogenic claudication?
Burning sensation on walking
34
Cause of Cauda Equina Syndrome
Pressure on all lumbar-sacral nerve roots due to prolapsed disc Affects bowel and bladder movements Also leads to saddle anaesthesia and loss of anal tone
35
Significant muscles of the spine?
Iliocostalis Longissimus Thoracis Spinalis Thoracis Erector Spinae
36
Ligaments of the spine
Anterior/Posterior longitudinal ligaments Ligamentum Flavum Supraspinous Interspinous
37
What is a chance fracture?
A very unstable spinal fracture which consists of a tension-failure injury to the anterior column of the vertebral body and a transverse fracture through the posterior elements of the vertebra and the posterior portion of the vertebral body.
38
Where can a lumbar puncture and spinal anaesthesia procedures be carried out?
L4 | PSIS S2