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Functionally Oriented Regional Anatomy Chapter 2

front 1

Vertebrae of the human body

back 1

7 cervical
12 thoracic
5 lumbar
5 sacral
4-5 coccygeal

front 2

Spinal regions

back 2

cervical, thoracic, lumbar, sacral, coccygeal

front 3

Primary Spinal Curves

back 3

Sacral and Thoracic

front 4

Secondary Spinal Curves

back 4

Cervical and Lumbar

front 5

Movements of the Vertebral Column

back 5

Flexion, extension, lateral flexion, and rotation

front 6

How many curvatures are in the adult vertebral column?

back 6

4

front 7

What is Kyphosis?

back 7

anteriorly concave curvatures in the vertebral column

front 8

What is lordoses?

back 8

anteriourly convex curvatures in the vertebral column

front 9

When does the cervical curvature become pronounced?

back 9

at three months when an infant is able to hold its head erect

front 10

When does the Lumbar curvature become apparent?

back 10

When the toddler tries to stand at the age of 9-10 months

front 11

body of a vertebrae

back 11

connects posteriorly with two vertebral arches

front 12

Vertebral foramen

back 12

formed by the fusing together of the two V.arches, contains the spinal cord, meninges, roots, vessels, and other tissue

front 13

Spinous Process

back 13

extends posteriorly from the point of fusion of the two V. arches

front 14

Pedicle

back 14

adjascent part of the body of the vertebra

front 15

Lamina

back 15

Continues posteriorly from the pedicle

front 16

Vertebral arches

back 16

made of up of the Pedicle and the Lamina

front 17

Transverse Process

back 17

a bony extension on each one of the vertebral arches

front 18

Superior Articular Process

back 18

found at the junction of the pedicle and lamina, on each side, projecting UPWARD

front 19

Inferior Articular process

back 19

found at the junction of the pedicle and lamina, on each side, projecting DOWNWARD

front 20

facet

back 20

Found on each articular process, it is an aticular surface made of hyaline cartilage, and is the site of articulation b/t the vertebrae

front 21

Vertebral notch

back 21

found b/t the articular process and the vertebral body, the bone has an indentation or depression

front 22

Vertebral foramen

back 22

formed from the articulation of the vertebral notches of vertebrae to vertebral column, and transmit nerve roots

front 23

Transverse Foramen

back 23

Transmit the vertebral artery on each side, develops as a result of incomplete fusion of the vertebral and costal elements of the transverse process of the cervical vertebrae during development

front 24

Vertebral Artery

back 24

originates from the subclavian arteries on each side, & provide the major blood supply to the spinal cord & brain stem, as well as partial blood supply to the brain

front 25

Cervical Vertebra

back 25

have smaller bodies
larger vertebral foramen
have transverse foramen
have bifid spinous processes

front 26

Atlas

back 26

C1
NO body
large vertebral foramen for DENS
NO spinous process

front 27

Axis

back 27

C2
Has an odontoid process
has an apex and two articular facets

front 28

What are the contents of the Verterbral Foramen?

back 28

the spinal cord and its surrounding meninges, nerve roots and spinal vessels, CSF (cerebral spinal fluid) and fat tissue

front 29

What are the different meningeal layers surrounding the spinal cord and the brain?

back 29

The meninges consist of three membranes, dura, pia, and arachnoid mater.

front 30

Meningeal membranes

back 30

Dura mater, Pia Mater, and arachnoid Mater

front 31

Dura Mater

back 31

outer layer of the meningeal membranes
Extends down to S2

front 32

Pia Mater

back 32

innnermost meningeal membrane, closely attached to the spinal cord
Extends to the Coccyx
Covers blood vessels

front 33

Arachnoid mater

back 33

middle meningeal membrane

front 34

denticulate ligaments

back 34

entension of pia mater from the surface of the spinal cord to the arachnoid mater, and supports the spinal cord in the vertebral canal, and separate the ventral and dorsal roots of the spinal nerves

front 35

contents of the IF (Intervetebral foramen)

back 35

DRG (dorsal root ganglion) on each side, and the spinal roots and vessels pass through the foramen

front 36

contents of the transverse foramen (only cervical vertebra have transverse foramen)

back 36

Verterbral artery, on each side, and veins
C7 TF- contains the accessory vertebral vessels

front 37

how do transverse processes develop?

back 37

asa result of incomplete fusion of the vertebral and costal elements of the transverse process of the cervical vertebrae during development

front 38

characteristics of cervical vertebrae

back 38

-smaller bodies, or no body (Atlas C1)
-larger vertebral foramen
-have transverse foramen
-have bifid spinous process

front 39

How many cervical nerves and how many cervical vertebrae are there?

back 39

There are 8 cervical nerves and 7 cervical vertebrae

front 40

special features of cervical vertebra 7

back 40

C7- has a vertebral prominence that we can feel when we bend out necks forward, the first protrusion on our necks
-anterior tubercle on transverse process is missing

front 41

contents of the I.F. (intervertebral Foramen)

back 41

-DRG- Dorsal root ganglion (at the sides of the foramen)
-The three menengial layers:
a. Dura Mater
b. Arachnoid Mater
c. Pia Mater
-The spinal Cord
-blood vessels

front 42

how many parts does the vertebral artery have?

back 42

3 parts

front 43

part one of the Vertebral artery

back 43

extends from the point of origin (at the subclavian artery) to the transverse foramen
insertion point is C6

front 44

Part two of the Vertebral artery

back 44

found ascending in the transverse foramina of the cervical vertebrae
c6-c1

front 45

Part three of the Vertebral Artery

back 45

turns medially on the posterior arch of the atlas and is found in the sub occipital triangle

front 46

Angle of the Spinous process of the Thoracic Verterbrae

back 46

Postinferior Slope

front 47

Distinguishing feature of the Thoracic vertebrae

back 47

body of the thoracic vertebrae have two costal facets that articulate with the head of the rib

front 48

Muscles that make up the sub occipital triangle

back 48

-rectus capitis posterior major
-oblique capitis superior
-oblique capitis inferior

front 49

Origin of the Spinal Cord

back 49

extends form the foramen magnum in the occipital lobe of the skull to L1 at the conus medullaris

front 50

Termination of the spinal cord

back 50

the spinal stops at the film terminale (the spinal cord roots), which insert into the coccyx

front 51

Swellings of the spinal cord

back 51

- at the cervical region -which innervates the upper limbs
-at the lumbar region- which innervates the lower limbs

front 52

epidural space

back 52

space between the vertebra and the dura mater- which contains adipose tissue

front 53

Subdural Space

back 53

space between the dura and arachnoid mater

front 54

Subarachnoid space

back 54

space between the arachnoid mater and the Pia mater, this space contains CSF

front 55

CSF (cerebral spinal Fluid)

back 55

Clear fluid produced in the ventricles (the Coroid Plexus) of the brain, contains almost NO blood cells.

front 56

indications of a hemorrhage

back 56

too much blood in the CSF-most easily seen during a lumbar puncture

front 57

Dorsal Root ganglion (DRG)

back 57

sensory only
made up of the dorsal root and the ventral root coming together
NOT inside the Intervertebral foramen

front 58

dorsal ramus

back 58

go towards the back and innervate the back muscles

front 59

Types of Anesthesia

back 59

Spinal Block
Caudal Epidural Anesthesia

front 60

Spinal Block

back 60

This kind of anesthesia will paralyze from iliac crest down. (anesthesia goes into the CSF)

front 61

Caudal (Epidural) Anesthesia

back 61

Administered through the sacral hiatus
will anesthetize up to S2, maximum S1 (hocks the pelvic nerves)
Will maintain motor ability
Usually only administered for labor and delivery

front 62

Intervertebral Discs (I.D.)

back 62

made up of two parts:
Anulous Fibrosus- tough, made of fibrocartilage
Nucleus Pulposus- inner part of the I.D. remnants of embryonic tissue (starlight cells)
make up 20-25% of vertebral height

front 63

Anencephaly

back 63

birth defect, where the babies are born without parts of the brain & skull, a type of neural tube defect. The upper part of the neural tube must close by the 24th day of conception, if not this results in the baby missing the forebrain, and the cerebellum (the thinking, and coordinating parts)

front 64

Prominense

back 64

the name for C7

front 65

Muscles of the Suboccipital Triangle

back 65

rectus capitis major
oblique capitis superior
oblique capitis inferior

front 66

Vertebral Basilar ischemia

back 66

temporary set of symptoms due to decreased blood flow in the posterior circulation of the brain.

front 67

Site of circulation for the dens to C1

back 67

Atlanto-occipital articulation

front 68

Where is the basilar artery found?

back 68

in the anterior aspect of the brain stem

front 69

inside the sub occipital triangle

back 69

the suboccipital cranial nerve
the 3rd part of the vertebral artery
C2 Sensory Nerve- Runs OVER the triangle

front 70

Cruciate ligament

back 70

keeps the dens from posterior displacement

front 71

Exit points of cranial nervers

back 71

the cranial nerves will exit ABOVE the corresponding vertebra
i.e. CN1 exits about C1 and below the occipital bone.

front 72

Characteristics of the Lumbar Vertebra

back 72

5 vertebra
mammallary process on the posterior surface of the superior articulating process
Spinous process extends in the sagittal direction

front 73

Characteristics of the Sacrum

back 73

located between the two hip bones
has a concave anterior
has a convex dorsal surface

front 74

Sacral promontory

back 74

anterior edge of the S1 vertebra

front 75

Sacral Canal

back 75

Exit point for the Cauda Equina and the surrounding meninges, to continue downward

front 76

Sacral hiatus

back 76

located in the lower part of the dorsal surface of the sacrum

front 77

Cornua

back 77

2 sacral horns, that flank the sacral hiatus

front 78

Characteristics of the Coccyx

back 78

4 rudamentary vertebrae that are fused together

front 79

Herniation of a disc

back 79

happens in the nucleus pulposus, and usually lateral and posterior

front 80

Characteristics of Thoracic Vertebrae

back 80

longer spinous processes
body of the vertebrae have articular facets that articulate with the ribs

front 81

Osteophytes

back 81

bony processes that appear superiorly on the articulating surfaces of the vertebrae, can cause pain and pinch nerves (osteoarthritis)

front 82

uncinate processes

back 82

a raised area on the body of vertebrae that over time can cause a crack on I.D.

front 83

Coccydynia

back 83

Pain in the coccyx

front 84

Endochondral ossification

back 84

Formation of bone via hyaline cartilage model

front 85

Intermembranous Ossification

back 85

Formation of bone from mesenchyme cells, from within the bone

front 86

When does ossification of the epiphyseal plate happen?

back 86

During puberty, once all growth is completed

front 87

Unconvertebral Joint

back 87

AKA Secondary joints-occur b/t the uncinate processes and the inferolateral surfaces of the vertebral bodies superior to them in the cervical region

front 88

Zygapophysial joints

back 88

articulations between the facets of the vertebral articular processes

front 89

atlanto occipital articulation

back 89

consist of the medial and lateral atlanto-axial articulations between the atlas and the axis

front 90

ALL- anterior longitudinal ligament

back 90

prevents hyperextension of the vertebral column, extends from atlas to sacrum

front 91

How many layers does the PLL- Posterior longitudinal ligament have?

back 91

2- Superficial and Deep

front 92

Superficial layer of PLL

back 92

continuation of the tectoral membrane originating from the foramen magnum in the skull, starts on the body of the axis

front 93

Deep layer of PLL

back 93

continuation of the cruciate ligament from the atlas & down to into the sacral canal

front 94

What does the PLL do?

back 94

prevents hyperextension of the VC
Helps protect agains Posterior disc herniation

front 95

Functions of the Ligamentum Flavum (active ligament)

back 95

Brings the VC back to an erect position

front 96

Location of the Ligamentum Flavum

back 96

Between the vertebral arches

front 97

loation of the Interspinous ligaments

back 97

b/t the spinous process of the vertebrae

front 98

location of the supraspinous ligaments

back 98

spinous process of the vertebrae

front 99

location of the intertransverse ligaments

back 99

b/t the transverse processes of the vertebrae

front 100

location of the ligamentum nuchae

back 100

originates from the occipital bone, extends to the spinous processes of the cervical vertebrae and become continuous with the supraspinous ligaments

front 101

Location of the Cruciate ligaments

back 101

formed by the superior and inferior longitudinal bands, and the transverse ligament of the atlas

front 102

Apical ligament of the dens

back 102

extends from the head of the odontoid process to the aneroid border of the foramen magnum

front 103

Alar ligaments

back 103

originate form both sides of the Odontoid process to the lateral borders of the foramen magnum