Spine Flashcards

1
Q

What ligament is found between the base of the skull, C1, and C2?
Holds dens in place

A

Cruciate ligament

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Which part of the cruciate ligament allows for side to side movement, indicative of ‘no’?

A

Transverse ligament

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Which bands of the cruciate ligament pass from the transverse ligament to the occipital bone and to the body of C2?

A

Occipital- superior longitudinal band

Body of C2 - inferior longitudinal band

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Which ligament attaches the dens to the skull and is found deep within the cruciate ligament?

A

Apical ligament

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Which ligaments attaches laterally from dens to skull?

A

Alar ligaments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How many spinal ligaments are there?

A

5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Which spinal ligaments limits hyperextension?

A

Anterior longitudinal ligament

Supraspinous

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Which spinal ligament is responsible for flexion and prevents hyperflexion?

A

Posterior longitudinal ligament

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What acts as a recoil during flexion and also prevents hyperflexion?

A

Ligamentum flavum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

The anulus fibrosus of the intervertebral disc is made of?

A

Mesenchyme

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Primary curvature (or flexion) is seen in which stage of development?

A

Fetal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Secondary curvatures that are resulted from extension and maintained by thickness between ant. and post. IV discs occurs when?

A

Head control - 1-2 months
Sitting up - 6 months
Walking - 12 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Abnormal increase in thoracic curvature leading to posterior protrusion of vertebrae?

A

Kyphosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Anterior tilting of the pelvis with increased inward curve of the spine?
Common in pregnant woman

A

Lordosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Abnormal lateral curvature of the spine with rotation of vertebra?

A

Scoliosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Where does the spinal cord taper?

A

Conus medularis

17
Q

What is the sack of nerve roots at the lower end of the spinal cord?

A

Cauda equina

18
Q

+1 rule in nerve compression from herniated discs

A

L4-L5 herniated disc —> L5 nerve compression

19
Q

What are the segmented blood supply arteries from the vertebral artery?

A

Segmented medullary arteries anastomose with longitudinal arteries
Segmented radial branches that supply dorsal and ventral roots

20
Q

Which is the largest segmental medullary artery and is imperative to the lower lumbar and sacral parts?

A

Artery of Adamkiewicz

21
Q

What communicates with pelvic veins and allows for venous drainage of the spinal cord?

A

Internal vertebral venous (Batson’s) plexus

This is how pelvic tumors can metastasize

22
Q

What surrounds the dura mater of the spinal meninges and contains nerve roots, loose fatty tissue, small arteries, and the internal vertebral venous plexus of Baston?

A

Epidural space

23
Q

What contains the cauda equina, filum terminale, and CSF?

A

Dural sac/lumbar cisternae

24
Q

Where does the spinal cord terminate in a newborn?

25
Where does the spinal cord terminate in an adult?
L1
26
What separates the dorsal and ventral rootlets from each other and helps to hold the spinal cord in place?
Denticulate ligaments (made of pia mater)
27
Where is the best lumbar puncture site for children?
L4/L5
28
Where is the best lumbar puncture site for adults?
L3/L4 or L4/L5
29
What helps you to designate a lumbar puncture?
Supracristal line (between L2 and L3 in adults)
30
When do you NOT perform a lumbar puncture?
In patients with increased intracranial pressure (like herniated disc)
31
Which two pops do you listen for prior to entering the subarachnoid space for a lumbar puncture?
1. Ligamentum flavum | 2. Dura mater
32
A traumatic lumbar puncture occurs from?
Penetrating a vein in Batson’s plexus | Blood will be in CSF sample