問題一覧
1
how many vertebras and IV disks?
33 vertebra, 23 IV disk
2
Regions of VC
cervical, thoracic, lumbar, sacrum, coccyx
3
How many sacrum
5 fused into 1
4
How many coccyx
4 fused into 1
5
Held the smallest functional unit in the spine
mobile segment
6
Any 2 adjacent vertebrae, intervening IV disk and all the soft tissues that secure them together
mobile segment
7
Cylindrically shaped vertebral body
anterior typical vertebrae
8
Irregularly shaped vertebral/neural arch
posterior typical vertebrae
9
Portion of the neural arch that lie anterior to the articular processes on either side and serve as the connection between the posterior elements & vertebral bodies
pedicle
10
Short, stout pillars with thick walls
pedicle
11
Increase in size from the cervical to lumbar region
Pedicle
12
Neural arch is divided into
pedicle, posterior elements
13
Centrally posterior elements
lamina
14
Region of the lamina wherein force transfers occurs, located between the superior and inferior articular process
pars interarticularis
15
Subjected to bending forces that are transmitted from the vertically oriented lamina to the more horizontally oriented pedicles
pars interarticularis
16
Pars interarticularis is most developed in what spine
lumbar
17
Block of trabecular bone covered by a layer of cortical bone
vertebral body
18
Vertical plate that constitutes the central portion of the arch posterior to the pedicles
lamina
19
Lateral projections of bone that originate from the lamina
TV process
20
Posterior projection of bone that originates from the central portion of the lamina, dividing into two
spinous process
21
Opening bordered by the posterior vertebral body and the nerual arch
vertebral foramen
22
Resist compressive loads
vertebral body
23
Transmit the bending forces from the posterior elements to the vertebral body
pedicle
24
Transmit the forces from the articulat, transverse and spinous process to the pedicle
lamina
25
Serve as muscle attachments and provide mechanical lever
TV process
26
Serve ad muscle attachment and provides mechanical lever; may also serve as a bony block to motion
spinous process
27
Combined with all segments, forms a passage and protection for the spinal cord
vertebral foramen
28
Separates two vertebral bodies
IV disk
29
Transmit load from one vertebral body to the next
IV disk
30
IV disk make up for 20-35% of tge length of the vertebral column
false
31
Ratio between the disc thickness abd vertebral body height determines the available motion
true
32
IV disc is composed of 3 parts
nucleus pulposus, annular fibrosus, vertebral end plate
33
70-90% water content depending on age and time of the day
nucleus puposus
34
60-70% water content depending on age and time of the day
annulos fibrosus
35
Nucleus pulposus
15-20% collagen fibers, both type i and type ii collagen, type ii predominates
36
Annulos fibrosus
both type i and type ii collagen, type i predominates, 50-60% collagen fibers
37
Between the vertebral bodies
cartilaginous joints of IV disk
38
Interbody joints
cartilaginous joints of IV disk
39
Joints between the zygapophyseal facets located on the superior and inferior processes of one vertebra which articular with adjacent vertebra
synovial joints of IV disk
40
Connects anterior and lateral surfaces of the vertebral bodies from the sacrum to 2nd cervical vertebrae
ALL
41
Connects posterior aspect of the vertebral bodies from c2 to sacrum
PLL
42
Connects adjacent spinous process
ligament flavum
43
Connects adjacent spinous process along with supraspinous lig.
interpinous ligament
44
First to be damaged with excessive flexion
interspinous ligament
45
Connects the tips of spinous processes from c7 to l3 or l4
supraspinous ligament
46
Ligaments pass between the transverse processes and attach to the deep muscles of the back
intertransverse ligament
47
ALL stretched
extension
48
PLL stretched
flexion
49
ALL compressed
flexion or neutral
50
PLL compressed
extension
51
Ligamentum flavum stretched
flexion, neutral under constant pressure
52
Ligamentum flavum compressed
extension
53
Interspinous ligament stretched
flexion
54
Interspinous ligament compressed
extension
55
Supraspinous ligament stretched
flexion
56
Supraspinous ligament compressed
none
57
Extended when stretched
ALL
58
Flexed when stretched
PLL, ligamentum flavum, interspinous ligament, supraspinous ligament
59
Neutral under constant tension when stretched
ligamentum flavum
60
Flexed when compressed
ALL
61
Alternately stretched and compressed during lateral flexion
intertransverse ligament
62
Extended when compressed
PLL, ligamentum flavum, interspinous ligament, supraspinous ligament
63
compressed: neutral when normal height of the disc is reduced
ALL
64
C2 to occiput
anterior atlantoaxial, tectorial membrane
65
C1 and C2
posterior atlantoaxial, alar ligaments
66
Lower lumbar region
iliolumbar ligaments
67
Limits extension
anterior atlantoaxial
68
Limits forward flexion
tectorial membrane
69
Limits flexion
posterior atlantoaxial
70
Limit rotation of the head to the same side and lateral flexion to the opposite side
alar ligaments
71
Resists anterior sliding of the L5 and S1
iliolumbar ligaments
72
Extension of the ligamentum flavum from C2 to occiput
posterior atlantoaxial and atlanto-occipital
73
Extension of the ligaments from c2 to the occiput
anterior atlantoaxial and atlanto-occipital
74
Flexed when stretched
posterior atlantoaxial and atlanto-occipital, tectorial membrane, ligamentum nuchae
75
Extended when compresed
posterior atlantoaxial and atlanto-occipital, tectorial membrane
76
Extended when stretched
anterior atlantoaxial and atlanto-occipital
77
Neutral position when stretched under constant tension
posterior atlantoaxial and atlanto-occipital
78
compressed: neutral when the normal height of the disc is reduced
anterior atlantoaxial and atlanto-occipital
79
Stretched across the ring of th atlas and divides the ring into a large posterior section for the spinal cord and a small anterior space for the dens
TV atlantal ligament
80
Has a thin layer of articular cartilage on its anterior surface for articulation with the dens
TV atlantal ligament
81
Its superior longitudinal band attaches to the occipital bone and its inferior longitudinal band attaches to posterior portion of the axis
TV atlantal ligament
82
Transver ligament and its longitudinal bands
atlanto cruciform ligament
83
Critical in maintaining stability at the C1/C2 segment
atlanto cruciform ligament
84
Dens would fracture before the ligament will tear
atlanto cruciform ligament
85
Limits anterior displacement of atlas
TV atlantal ligament
86
Prevents anterior displacement of C1 and C2
atlanto cruciform ligament
87
Help prevent distraction of C1 on C2
alar ligament
88
Specific to the cervical region
alar ligaments
89
Paired ligaments aris from the axis in either side of the dens and extend laterally and superiorly to attach to roughened areas on the medial sides of the occipital condyles and lateral masses of the atlas
alar ligaments
90
Connects the axis and occipital bone of the skull
apical ligament
91
Fan shaped arrangement from the apex of the dens to the anterior margin of the foramen magnum of the skull
apical ligament
92
Consistent association of one motion about an axis with another motion around a different axis
coupling
93
Kinematics of VC
flexion, extension, lateral flexion, rotation
94
Resist compression and transmit forces to laminae
spinous process
95
Transmits compressive forces to vertebral end plates
vertebral body
96
Transmit forces to laminae
zygapophyseal facets
97
Resist shear, compression, tensile and torsional forces
zygapophyseal facets
98
Resists compression forces to vertebral end plates and translates vertical compression forces into circumferential tensile forces in annulus fibrosus
nucleus pulposus
99
Resist tensile, torsional, and shear forces
annulus fibrosus