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Flashcards in Week 3 Deck (40)
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1

Identify and describe the characteristics of the atypical vertebrae in the thoracic spine.

T1 - cervical-shaped body w/ long and prominent spinous process
T12 - thoracic like superior facets and lumbar like inferior facets
- T10 and T11 - Full costal facets as opposed to demifacets – ribs at these vertebras only articulate w/ 1 vertebra

2

Identify and describe the characteristics of the typical vertebrae in the thoracic spine.

BODY
- wedge-shaped
- demifacets (ribs touch both vertebra)
INTERVERTEBRAL DISC
- smallest ratio of disc height to vertebrae height
PEDICLES
- face posteriorly, not laterally - Results in narrowing of vertebral canal that limits motions

3

Describe the facet joint orientation for the thoracic spine. What motion(s) does this orientation allow for?

- 20 degrees off frontal plane
- allows for greater motion into lateral flexion and rotation and less flexion/extension

4

What structures limit flexion in the thoracic spine?

posterior longitudinal ligament, ligamentum flavum, interspinous ligaments and capsule of facet joints

5

What structures limit extension in the thoracic spine?

contact of spinous processes, laminae, facet joints and tension from ALL, facet joint capsule and abdominal muscles

6

What structures limit lateral flexion in thoracic spine?

facets and ribs

7

What structure limits rotation in thoracic spine?

rib cage

8

Describe the spinal coupling relationship in the upper thoracic spine

- T1-T6
- lateral flexion and rotation are coupled in the same direction

9

Describe the spinal coupling relationship in the lower thoracic spine

- T7-T12
- lateral flexion and rotation are coupled in the opposite direction

10

What are the osteokinematic motions at thoracic spine?

- flexion/extension
- lateral flexion/side bending
- rotation

11

What are arthrokinematics of thoracic facet joints during flexion/extension?

- flexion - slides superior and anterior
- extension - slides inferior and posterior

12

Is there a greater degree of flexion/extension in upper or lower thoracic spine? Why?

lower b/c facet joints have more sagittal orientation

13

What are arthrokinematics of UPPER thoracic facet joints during lateral flexion/side bending?

- ipsilateral - inferior and posterior slide
- contralateral - superior and anterior slide

14

What are arthrokinematics of UPPER thoracic facet joints during rotation?

- ipsilateral - posterior and inferior
- contralateral - anterior and superior

15

What are arthrokinematics of LOWER thoracic facet joints during lateral flexion/side bending?

- ipsilateral - inferior and anterior slide
- contralateral - superior and posterior slide

16

What are arthrokinematics of LOWER thoracic facet joints during rotation?

- ipsilateral - posterior and superior slide
- contralateral - anterior and inferior slide

17

Describe the orientation and axis of movement in the upper ribs and the lower ribs.

UPPER
- sagittal plane (anterior/posterior)
- pump handle motion

LOWER
- frontal plane (medial/lateral)
- bucket handle motion

18

Identify and describe the characteristics of the atypical vertebrae in the lumbar spine.

L5
- wedge shaped - b/c of angulation of sacrum
- smaller spinous process - allows for extension
- large transverse process

19

Identify and describe the characteristics of the typical vertebrae in the lumbar spine.

- large transverse diameter
- mamillary and accessory processes for multifidus attachment
- triangular vertebral foramen

20

What makes the facet joints of the lumbar spine unique?

- curved and biplanar
aligned w/ sagittal plane (restricts rotation)

21

Describe the facet joint orientation for the lumbar spine anteriorly. What motion(s) does this orientation allow for?

- anteriorly aligned w/ frontal plane (resists anterior shear force)
- allows for lateral flexion

22

Describe the facet joint orientation for the lumbar spine posteriorly. What motion(s) does this orientation allow for? What motion(s) does this orientation restrict?

- posterior aligned w/ sagittal plane (restricts rotation)
- allows for flexion/extension

23

What is the lumbosacral angle? What structures resist the natural shearing force that occurs at this transitional zone?

- angle formed by L5 and S1
- resists natural shearing force - intervertebral disc, facet joint capsules, anterior longitudinal ligament, and iliolumbar ligaments

24

How does an increased lumbosacral angle impact lordosis of the lumbar spine?

- increases the angle which increases shear forces on lumbar spine

25

What is spondylolisthesis?

slipping of L5 from S1

26

Describe the characteristics of the lumbar spine intervertebral discs and why they are important to the function of the lumbar spine.

- largest discs in spine
- annulus fibrosis has alternating layers (lamellae) to resist tensile forces in all direction
- disc has posterior concavity to increase surface area (increase ability to resist tension)

27

What is unique about the coupling relationship of lateral flexion and rotation in the lumbar spine?

pattern is inconsistent

28

Arthrokinematics of lumbar flexion. What plane is it and what are the motions?

- sagittal plane - lower lumbar
- superior and anterior

29

Arthrokinematics of lumbar extension. What plane is it and what are the motions?

- sagittal plane - lower lumbar
- inferior and posterior

30

Arthrokinematics of lumbar lateral flexion. What plane is it and what are the motions?

- frontal plane - superior lumbar
- ipsilateral - inferior glide
- contralateral - superior glide