Spine Flashcards

(63 cards)

1
Q

How many cervical vertebrae are there

A

7

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2
Q

How many thoracic vertebrae are there

A

12

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3
Q

How many lumbar vertebrae are there

A

5

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4
Q

How many sacrum vertebrae are there

A

5 - fused

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5
Q

How many coccyx vertebrae are there

A

4 - fused

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6
Q

Which of the vertebrae are fused

A

Sacrum
Coccyx

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7
Q

What is the basic common structure which all vertebrae share

A

Anterior vertebral body
Posterior vertebral arch

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8
Q

Describe the vertebral body

A

Forms anterior part of each vertebrae

Weight-bearing component - lower column has larger bodies than upper

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9
Q

What are the superior and inferior aspects of the vertebral body lined with

A

Hyaline cartilage

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10
Q

How are adjacent vertebral bodies separated

A

Fibrocartilaginous intervertebral disc

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11
Q

Describe the vertebral arch

A

Forms the lateral and posterior aspect of each vertebrae

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12
Q

What is the hole which the vertebral body and vertebral arch form

A

Vertebral foramen

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13
Q

Where do all foramina of the vertebrae line up to form

A

Vertebral canal - encloses the spinal cord

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14
Q

In the vertebrae what do the transverse processes articulate with

A

Ribs

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15
Q

What do the ribs articulate with

A

Transverse processes on the vertebrae

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16
Q

What are pedicles

A

Connect the vertebral body to the transverse processes

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17
Q

What are lamina

A

Connect the transverse and spinous processes

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18
Q

What are articular processes

A

Form joints between one vertebra and its superior and inferior counterparts

Located at the intersection of the laminae and pedicles

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19
Q

What are the features of cervical vertebrae

A

Bifid spinous processes

Opening in each transverse process

Triangular vertebral foramen

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20
Q

What travels through the openings in the transverse processes in cervical vertebrae

A

Vertebral arteries travel to the brain

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21
Q

Describe bifid processes in the cervical vertebrae

A

Spinous process bifurcates at the distal end

C1 - no spinous process
C7 spinous processes longer + may not bifurcate

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22
Q

Describe the thoracic vertebrae

A

Increase in size superior to inferior

Specialised function to articulate with the ribs

Two ‘demi facets’

Costal facet on transverse processes

Spinous processes orientated obliquely inferiorly and posteriorly

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23
Q

What do the thoracic vertebrae and ribs articulate to form

A

Bony thorax

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24
Q

Describe the demi facets of the thoracic vertebrae

A

Each has 2

Either side of the vertebral body

Articulate with the heads of two different ribs

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25
Describe the lumbar vertebrae
Largest in vertebral column Large vertebral bodies - kidney shaped Lack characteristics of other vertebrae Triangular-shaped vertebral foramen
26
Describe the sacrum
Collection of 5 fused vertebrae Inverted triangle with apex pointing downwards Lateral walls are facets for articulation with the pelvis at the sacroiliac joints
27
Describe the coccyx
Small bone - articulates with the apex of the sacrum Recognised by the lack of vertebral arches No vertebral canal
28
What type of joints are vertebral body joints
Cartilaginous Designed for weight-bearing
29
What are the articular surface of vertebrae covered and connected by
Covered by - hyaline cartilage Connected by - intervertebral discs
30
What are the ligaments which strengthen the vertebral body joints
Anterior and posterior longitudinal ligaments Run full length of the vertebral column
31
Describe the anterior longitudinal ligament
Thick Prevents hyperextension of the vertebral column
32
Describe the posterior longitudinal ligament
Weaker Prevents hyperflexion
33
What is the name of the joints between articular facets
Facet joints
34
What is the purpose of facet joints
Allow for some gliding motions between vertebrae
35
What are the facet joints supported by
Ligamentum flavum Interspinous and supraspinous Intertransverse ligaments
36
Where does the ilioinguinal nerve come off
L1
37
Describe the ilioinguinal nerve
Sensory - superior/antero/medial thigh - roue of penis, anterior scrotum - skin over mons pubis, labia majora Motor - internal obliques - transverse abdominas
38
Where does the genitofemoral nerve come off
L1 - L2
39
Where does the genitofemoral nerve come off
L1 - L2
40
Describe the genitofemoral nerve
Sensory - anterior scrotum - mons pubis, labia majora Motor - cremaster muscle Femoral branch - skin to the upper anterior thigh
41
Where does the lateral cutaneous nerve of the thigh come off
L2 - L3
42
Describe the lateral cutaneous nerve of the thigh
No motor Sensory - anterior/lateral thigh down to the knee level
43
Where does the obturator nerve come off
L2, L3, L4
44
Describe the obturator nerve
Motor - muscles of the medial thigh Sensory - skin of medial thigh
45
Where does the femoral nerve come off
L2, L3, L4
46
Describe the femoral nerve
Motor - muscles of the anterior thigh Sensory - skin of the anterior thigh, medial leg
47
What are the nerves of the lumbar plexus
Ilioinguinal Genitofemoral Lateral cutaneous nerve of the thigh Obturator nerve Femoral nerve
48
Where does the superior gluteal nerve come off
L4, L5, S1
49
Describe the superior gluteal nerve
Motor - gluteus minimums and Medius - tensor fascia late No sensory
50
Where doe the inferior gluteal nerve come off
L5, S1, S2
51
Describe the inferior gluteal nerve
Motor - gluteus maximus
52
Where does the sciatic nerve come off
L4, L5, S1, S2, S3
53
Describe the sciatic nerve
Has a tibial and fibular portion Motor - muscles in posterior compartment of thigh - hamstring compartment of adductor magnus - all muscles in posterior compartment of leg - sole of foot - lateral and anterior compartment of leg - extensor digitorum brevis Sensory - posterolateral leg - lateral foot - sole of foot - skin of lateral leg - dorsum of foot
54
Where does the posterior femoral cutaneous nerve come off
S1, S2, S3
55
Describe the posterior femoral cutaneous nerve
No motor Sensory - skin on posterior surface of thigh and leg - skin on peritoneum
56
Where does the pudendal nerve come off
S2, S3, S4
57
Describe the pudendal nerve
Motor - peritoneum - external urethral sphincter - external anal sphincter - levator ani Sensory - innervates penis/clitoris - most of the skin of the peritoneum
58
Name the nerves of the sacral plexus
Superior gluteal nerves Inferior gluteal nerves Sciatic nerves Posterior femoral cutaneous nerves Pudendal
59
What are the nerve routes of the cervical plexus
C1-4 Divided into two groups muscular and sensory
60
What is the nerve from C3,4,5 anterior rami
Phrenic
61
What does the phrenic nerve supply
Motor function to diaphragm
62
What does the phrenic nerve supply
Motor function to diaphragm
63
Describe the thoracic plexus
Not one Nerves distributes cutaneous to dermatomes