Cervical Vertebrae Anatomy and Function Quiz
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Questions and Answers

What is the primary function of the uncovertebral joints?

To maintain the central position of the disc during rotation.

What types of forces can uncovertebral joints not tolerate due to their structure?

Repetitive or large forces.

How many pairs of apophyseal joints are present in the human spine?

24 pairs.

What specific role do subcapsular fat pads play in the lumbar spine?

<p>They fill spaces between the capsule and synovial membrane.</p> Signup and view all the answers

What is the composition of the nucleus pulposus?

<p>It consists of 70% to 90% water.</p> Signup and view all the answers

What happens during excessive motion of the apophyseal joints related to fibro-adipose meniscoids?

<p>They can become impinged, restricting or locking the joint.</p> Signup and view all the answers

What are the unique features of cervical vertebrae?

<p>Cervical vertebrae have transverse foramina, uncinate joints, and short bifid spinous processes.</p> Signup and view all the answers

How does neural canal volume vary with spinal positions?

<p>Neural canal volume is greatest in full flexion and least in full extension.</p> Signup and view all the answers

What is the significance of proteoglycans in the nucleus pulposus?

<p>They provide a gel-like consistency and help in water retention.</p> Signup and view all the answers

Where is the orientation of the apophyseal joints near-vertically located, and what does it prevent?

<p>In the lower thoracic and lumbar regions; it prevents excessive anterior translation of vertebrae.</p> Signup and view all the answers

What is the function of the atlas (C1)?

<p>The atlas supports the head and allows for its nodding motion.</p> Signup and view all the answers

Describe the characteristic feature of the axis (C2).

<p>The axis has a large, tall body and an upwardly projecting dens that acts as a pivot for the atlas.</p> Signup and view all the answers

What distinguishes the vertebra prominens (C7) from other cervical vertebrae?

<p>The vertebra prominens is the largest cervical vertebra, featuring large transverse processes and a prominent spinous process.</p> Signup and view all the answers

What is the significance of the transverse foramina in cervical vertebrae?

<p>Transverse foramina allow for the passage of the vertebral artery.</p> Signup and view all the answers

Why are individuals with neural canal stenosis at risk during extension?

<p>They are more vulnerable to spinal cord injury and myelopathy during extension due to reduced canal volume.</p> Signup and view all the answers

What unique structural feature does the atlas possess that aids its function?

<p>The atlas has large lateral masses joined by anterior and posterior arches to support the head.</p> Signup and view all the answers

What is the primary composition of the annulus fibrosus?

<p>The annulus fibrosus is primarily composed of 50% to 60% collagen and elastin protein.</p> Signup and view all the answers

What is the effect of dehydration and thinning of the disc?

<p>Dehydration and thinning of the disc increase compression on the apophyseal joints, raising the risk of arthritis.</p> Signup and view all the answers

How are the collagen rings oriented in the lumbar region?

<p>In the lumbar region, collagen rings are oriented at 65 degrees from vertical.</p> Signup and view all the answers

What percentage of movement in flexion occurs at the atlanto-occipital and atlanto-axial joints?

<p>Approximately 25% of flexion movement occurs at the atlanto-occipital and atlanto-axial joints.</p> Signup and view all the answers

What happens during flexion of the spine?

<p>During flexion, the ligamentum nuchae stretches and the anterior annulus fibrosus compresses.</p> Signup and view all the answers

How does prolonged protraction affect posture?

<p>Prolonged protraction can lead to chronic forward head posture and strain on the extensor muscles.</p> Signup and view all the answers

What is the range of rotation in young adults?

<p>Young adults have a range of rotation of 65 to 75 degrees to each side.</p> Signup and view all the answers

What occurs during the extension of the spine?

<p>During extension, the apophyseal joints approximate and the posterior annulus fibrosus compresses.</p> Signup and view all the answers

What percentage of movement occurs at the atlanto-axial joint during cervical rotation?

<p>50–60%</p> Signup and view all the answers

Describe the coupling that occurs during right side bending in the cervical spine.

<p>Right side bending occurs with right rotation (ipsilateral coupling) and is compensated by left rotation (contralateral coupling) at the atlanto-axial joint.</p> Signup and view all the answers

How do the upper and lower trapezius muscles influence cervical and upper thoracic spine movement?

<p>They rotate the spine to the left during right upper limb movement, demonstrating contralateral coupling.</p> Signup and view all the answers

What is the role of the sternocleidomastoid muscle when acting unilaterally?

<p>It causes side bending and rotation to the opposite side.</p> Signup and view all the answers

What anatomical features do the scalenes have concerning their origin and insertion?

<p>They originate from the transverse process tubercles of middle to lower vertebrae and insert on the first two ribs.</p> Signup and view all the answers

How do the scalenes function when the cervical spine is stabilized?

<p>They raise the ribs to assist in inspiration.</p> Signup and view all the answers

What impact does forward head posture have on the sternocleidomastoid's function?

<p>It doubles the muscle's flexion torque by increasing the moment arm, exaggerating forward head posture.</p> Signup and view all the answers

What can happen if there is hypertrophy or spasm in the scalenes?

<p>It can compress the brachial plexus.</p> Signup and view all the answers

Flashcards

Cervical Vertebrae

The smallest and most mobile vertebrae in the spine. They have unique features like transverse foramina for the vertebral artery and uncinate joints.

Transverse Foramina

Openings within the transverse processes of cervical vertebrae that allow passage of the vertebral artery, a major blood vessel supplying the brain.

Atlas (C1)

The first cervical vertebrae, also known as the atlas. It lacks a body and supports the skull.

Axis (C2)

The second cervical vertebra, also known as the axis. It contains the dens, a bony projection that allows rotation of the head.

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Neural Canal Stenosis

Refers to the narrowing of the spinal canal, potentially causing compression of the spinal cord.

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Vertebra Prominens (C7)

The seventh cervical vertebrae, it is the largest cervical vertebra. It is easily palpable due to its prominent spinous process.

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Vertebra Prominens Character

The largest cervical vertebra, with features resembling thoracic vertebrae. It may have a large spinous process and an extra cervical rib that can compress the brachial plexus.

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Brachial Plexus

A group of nerves located in the neck that innervates the upper limb, originating from the spinal cord.

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Annulus Fibrosus

The outer layer of the intervertebral disc, composed of concentrically arranged collagen fibers, providing strength and flexibility to the disc.

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Orientation of Annulus Fibrosus in Lumbar Region

The layers of the annulus fibrosus are oriented at 65 degrees to the vertical in the lumbar region, allowing for optimal force distribution during compression and shear.

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Transitional Zone between Annulus and Nucleus

The inner layers of the annulus fibrosus contain less type I collagen and more water, gradually transitioning into the characteristics of the nucleus pulposus.

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Innervation of Annulus Fibrosus

The only innervated part of the intervertebral disc, located in the outermost layers of the annulus fibrosus. It provides sensory feedback regarding disc health and potential injury.

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Annulus Fibrosus during Rotation

During rotation, only the layers of the annulus fibrosus aligned with the direction of rotation become taut, while the others slacken. This uneven tension can lead to disc injuries with repetitive forceful rotations.

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Lordosis (Lumbar Curvature)

The natural curvature of the spine, with a slight extension or backward bend, allowing for optimal posture and supporting the body's weight.

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Protraction

The movement of the head and neck forward, flexing the lower spine and extending the upper cervical spine.

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Retraction

The movement of the head and neck backward, extending the lower spine and flexing the upper cervical spine.

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Apophyseal joints

A joint between the superior and inferior articular processes of adjacent vertebrae, formed by synovial, plane (flat) joints. They are responsible for limiting motion and providing stability.

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Uncovertebral joint

Also known as the Luschka joint, these joints are found between the superior and inferior uncinate processes of the vertebral bodies from C2-3 to C6-7. They help maintain the central position of the disc.

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Nucleus pulposus

A specialized structure within intervertebral discs that acts as a shock absorber. Composed primarily of water (70-90%), proteoglycans, and collagen fibers, it provides a gel-like consistency.

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Fibro-adipose meniscoids

Structures within the apophyseal joints that act as deformable spacers, dissipating compression forces. They cover the articular cartilage, protecting it during extreme motion.

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Proteoglycans

A specialized fluid found in the nucleus pulposus, composed of proteoglycans that bind water and create a gel-like consistency. These proteoglycans are key to the disc's shock absorbency and flexibility.

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Mechanical 'coupling'

A term used to describe the phenomenon of naturally occurring coupling between axial rotation and lateral flexion of the spine. It's facilitated by the uncovertebral joints.

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Subcapsular fat pads

Spaces within the apophyseal joints that help to cushion the joints. They are filled with fat pads and may extend outside the joint capsule.

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Hydraulic shock absorption

The ability of the nucleus pulposus to provide shock absorption. It's a consequence of its high water content and unique structure.

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What joint is primarily responsible for head rotation?

The atlanto-axial joint, formed by the atlas (C1) and axis (C2) vertebrae, is responsible for 50-60% of the head's rotational movement.

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What happens to the vertebral arteries during full head rotation?

Both vertebral arteries are stretched when the head is fully rotated, ensuring blood flow to the brain.

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Describe the coupling between side bending and rotation in the cervical spine.

In the mid and lower cervical spine, bending to the right is associated with rotation to the right (ipsilateral coupling). This is compensated by left rotation (contralateral coupling) at the atlanto-axial joint, allowing the eyes to stay focused on a stationary object during side bending.

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What is contralateral coupling, as demonstrated by the trapezius muscles?

The upper and lower trapezius muscles rotate the cervical and upper thoracic spine to the left when the right upper limb is moved. This is known as contralateral coupling.

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How do the trapezius and rhomboid muscles contribute to scapular stability and vertebral rotation?

The trapezius and rhomboid muscles help stabilize the scapula against the pull of the deltoid muscle. As the trapezius pulls the spinous process to the right, the anterior side of the vertebra rotates to the left.

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Describe the origin, insertion, and actions of the sternocleidomastoid muscle.

The sternocleidomastoid muscle originates from the sternum and clavicle, and inserts on the mastoid process and superior nuchae line. It allows for side bending and rotation of the head, as well as flexion of the cervical spine.

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How can the sternocleidomastoid muscle contribute to forward head posture?

The sternocleidomastoid muscle, when working bilaterally, can contribute to forward head posture by flexing the mid-to-lower cervical spine.

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Describe the origin, insertion, and actions of the scalene muscles.

The scalene muscles originate from the transverse processes of lower cervical vertebrae and insert on the first two ribs. They assist in breathing and can contribute to cervical side bending and rotation. They also play a role in raising the ribs during inspiration.

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Study Notes

Cervical Biomechanics

  • Cervical biomechanics examines the movement, structure, and function of the cervical spine.
  • This includes the vertebrae, their junctions, the movement they allow, and the muscles involved.

Vertebrae

  • Cervical vertebrae are the smallest and most mobile vertebrae in the spine.
  • Unique features include transverse foramina, which allow the passage of the vertebral artery, and uncinate joints.
  • Spinous processes are short and bifid.
  • C1 (atlas) supports the head, lacks a body, and has large lateral masses.
  • C2 (axis) has a large body and a dens (odontoid process), which acts as a pivot point for rotation.
  • C7 (vertebra prominens) is the largest cervical vertebra and has a prominent spinous process.

Neural Canal Volume

  • The neural canal is largest in flexion and smallest in extension.
  • People with neural canal stenosis are more vulnerable to spinal cord injury and myelopathy, particularly during extension.

Vertebral Junction

  • The cervical spine's junctions include uncovertebral joints and apophyseal joints.
  • Uncovertebral joints, or Luschka joints, are located between C2-3 to C6-7.
  • Discs act as spacers between vertebrae, unloading them. Increased loading can cause osteophyte growth, which compresses nerve roots.
  • Uncovertebral joints maintain the central position of the disc during rotation and function as a mechanical coupling between axial rotation and lateral flexion.

Apophyseal Joints

  • Apophyseal joints are plane synovial joints connecting adjacent vertebrae.
  • They are primarily oriented near-vertically in the lower thoracic and lumbar regions, preventing excessive anterior translation (spondylolisthesis).
  • In the upper cervical region, they are more horizontally oriented, favoring axial rotation.
  • Accessory structures in lumbar apophyseal joints include subcapsular fat pads and fibro-adipose meniscoids, which protect and help lubricate the joints.

Discs

  • The nucleus pulposus, the central part of the disc, is made up of 70-90% water, acting as a hydraulic shock absorber.
  • Proteoglycans provide a gel-like consistency, and type II collagen fibers form a network for support.
  • The annulus fibrosus, consisting of 15-25 layers of collagen and elastin, provides strength and flexibility to the disc.
  • Inner layers of the annulus fibrosus contain more water and less collagen for gradual transformation into nucleus pulposus characteristics.
  • Dehydrated discs increase compression on apophyseal joints, which can increase the risk of arthritis.
  • In the lumbar region, collagen rings are oriented at 65 degrees from the vertical to distribute force and prevent shear force. Fibers in adjacent layers travel in opposite directions, allowing for rotation without injuring the layers

Movement

  • Resting position of the cervical spine is 30-35 degrees of extension (lordosis).
  • Flexion ranges from 45-50 degrees, and extension ranges from 75-80 degrees.
  • 25% of this movement occurs at the atlanto-occipital and atlanto-axial joints.
  • Cervical flexion stretches the ligamentum nuchae and interspinous ligaments, and compresses the anterior annulus fibrosus.
  • Cervical extension approximates apophyseal joints and compresses the posterior annulus fibrosus.
  • Protraction moves the head forward by 6.23 cm, flexing the lower to mid-spine and extending the upper cervical region.
  • Retraction moves the head backward by 3.34 cm, extending the lower to mid-spine and flexing the upper cervical region.
  • Prolonged protraction can lead to chronic forward head posture and extensor muscle strain.

Cervical Rotation

  • Rotation in children (3.5-5 years) is 100° to each side. For young adults, this is 80° to each side, with visual fields reaching 330°.
  • 50-60% of rotation occurs at the atlantoaxial joint.
  • Full rotation stretches vertebral arteries. Side bending in the mid-to-low cervical regions occurs with right and left rotation. This coupling helps stabilize the eyes' fixation on stable objects during neck movement.

Muscles

  • Several muscles support and facilitate cervical movement.
  • The sternocleidomastoid muscle acts unilaterally to perform side bending and rotation to the opposite side, and bilaterally for cervical flexion and upper cervical extension.
  • Scalene muscles, particularly the anterior scalene, assist with inspiration by raising the first two ribs.
  • Muscle function and the initial posture of the spine are intricately linked.

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Cervical Biomechanics PDF

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Test your knowledge on the anatomy and function of cervical vertebrae with this quiz. Explore various structural features, functions, and the significance of joints and ligaments in the cervical region. Perfect for students studying human anatomy or related fields.

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