Podcast
Questions and Answers
What is the primary function of the vertebrae?
What is the primary function of the vertebrae?
- To facilitate muscle movement at the joints.
- To form the facet joints and allow for articulation.
- To protect the spinal cord within the vertebral canal.
- To provide the body's musculoskeletal axis and connect different parts. (correct)
Which of the following describes the organization of the vertebral column?
Which of the following describes the organization of the vertebral column?
- 12 Cervical, 7 Thoracic, 5 Lumbar, 5 Sacral, 4 Coccygeal
- 7 Cervical, 12 Thoracic, 5 Lumbar, 5 Sacral, 4 Coccygeal (correct)
- 7 Cervical, 12 Thoracic, 5 Lumbar, 4 Sacral, 5 Coccygeal
- 5 Cervical, 12 Thoracic, 7 Lumbar, 5 Sacral, 4 Coccygeal
What is the main function of the spinal cord within the vertebral canal?
What is the main function of the spinal cord within the vertebral canal?
- To be protected by the vertebral column. (correct)
- To act as the main musculoskeletal axis.
- To form the primary curvatures of the spine.
- To provide the main source of movement using muscles.
Where are spinous processes located on a vertebra?
Where are spinous processes located on a vertebra?
Which joint exhibits the greatest range of mobility?
Which joint exhibits the greatest range of mobility?
What is the name of the procedure involves breaking the lamina to provide space for the spinal cord and nerves?
What is the name of the procedure involves breaking the lamina to provide space for the spinal cord and nerves?
Which of the following describes primary spinal curvatures?
Which of the following describes primary spinal curvatures?
What forms the facet joint?
What forms the facet joint?
What structure carries preganglionic fibers from the spinal nerve to the sympathetic ganglion?
What structure carries preganglionic fibers from the spinal nerve to the sympathetic ganglion?
In which space is the cerebrospinal fluid (CSF) primarily located?
In which space is the cerebrospinal fluid (CSF) primarily located?
Which meningeal layer is characterized by its avascular nature?
Which meningeal layer is characterized by its avascular nature?
A patient with a spinal nerve impingement is experiencing weakness in plantarflexion and reduced Achilles reflex. Which spinal nerve is MOST likely affected?
A patient with a spinal nerve impingement is experiencing weakness in plantarflexion and reduced Achilles reflex. Which spinal nerve is MOST likely affected?
Damage to the nerve supply of which muscle would MOST directly impair the elevation of the acromion?
Damage to the nerve supply of which muscle would MOST directly impair the elevation of the acromion?
If an intervertebral disc herniation occurs between L4 and L5, which spinal nerve will be MOST directly affected?
If an intervertebral disc herniation occurs between L4 and L5, which spinal nerve will be MOST directly affected?
Which of the following best describes the function of the rhomboid muscles?
Which of the following best describes the function of the rhomboid muscles?
Which spinal nerve primarily innervates the skin around the umbilical region?
Which spinal nerve primarily innervates the skin around the umbilical region?
Which of the following is NOT TRUE about the dorsal rami?
Which of the following is NOT TRUE about the dorsal rami?
What is the function of the trapezius muscle, when looking at the scapula??
What is the function of the trapezius muscle, when looking at the scapula??
Which muscle is primarily responsible for the retraction of the scapula?
Which muscle is primarily responsible for the retraction of the scapula?
The latissimus dorsi is responsible for all of the following actions EXCEPT:
The latissimus dorsi is responsible for all of the following actions EXCEPT:
Which nerve innervates the rhomboid muscles?
Which nerve innervates the rhomboid muscles?
The suboccipital triangle's floor is composed of:
The suboccipital triangle's floor is composed of:
A fracture of the midshaft of the humerus may endanger which nerve?
A fracture of the midshaft of the humerus may endanger which nerve?
The acromion process articulates with which bone?
The acromion process articulates with which bone?
Which of the following best describes the location of the conus medullaris?
Which of the following best describes the location of the conus medullaris?
Spinal nerves exit the vertebral column through the:
Spinal nerves exit the vertebral column through the:
In a typical individual, the spinal cord ends at which vertebral level?
In a typical individual, the spinal cord ends at which vertebral level?
Which of the following root(s) is purely motor?
Which of the following root(s) is purely motor?
A spinal nerve that innervates the skin is most closely associated with:
A spinal nerve that innervates the skin is most closely associated with:
Where are the nerve cell bodies for the sympathetic nervous chain found?
Where are the nerve cell bodies for the sympathetic nervous chain found?
Which is the common location for a disc protrusion that can affect the spinal cord?
Which is the common location for a disc protrusion that can affect the spinal cord?
Which of the following best describes the unique anatomical feature of the atlas (C1) vertebra?
Which of the following best describes the unique anatomical feature of the atlas (C1) vertebra?
A white ramus carries what type of information?
A white ramus carries what type of information?
What is the primary function of the odontoid process (dens) of the axis (C2) vertebra?
What is the primary function of the odontoid process (dens) of the axis (C2) vertebra?
Which characteristic is unique to thoracic vertebrae?
Which characteristic is unique to thoracic vertebrae?
Which of the following statements is correct regarding the relationship between cervical spinal nerves and vertebrae?
Which of the following statements is correct regarding the relationship between cervical spinal nerves and vertebrae?
What is the primary function of the mammillary process found on lumbar vertebrae?
What is the primary function of the mammillary process found on lumbar vertebrae?
What anatomical structure is formed by the fusion of the spinous processes of the sacral vertebrae?
What anatomical structure is formed by the fusion of the spinous processes of the sacral vertebrae?
Between which two vertebral structures are there no intervertebral discs?
Between which two vertebral structures are there no intervertebral discs?
Which component of an intervertebral disc is most likely to herniate?
Which component of an intervertebral disc is most likely to herniate?
What is the function of the transverse ligament in the cervical region?
What is the function of the transverse ligament in the cervical region?
What feature distinguishes veins from arteries in terms of blood flow and pressure?
What feature distinguishes veins from arteries in terms of blood flow and pressure?
What is the significance of Batson’s plexus of veins in the vertebral column?
What is the significance of Batson’s plexus of veins in the vertebral column?
What is the primary function of the deep fascia in the back region?
What is the primary function of the deep fascia in the back region?
Damage to which nerve would most likely result in a winged scapula?
Damage to which nerve would most likely result in a winged scapula?
Which of the following is an example of an extrinsic muscle of the back?
Which of the following is an example of an extrinsic muscle of the back?
Which of the following actions is NOT a function of the trapezius muscle?
Which of the following actions is NOT a function of the trapezius muscle?
A patient presents with weakness in neck flexion and scapular retraction. Injury to which nerve is most likely?
A patient presents with weakness in neck flexion and scapular retraction. Injury to which nerve is most likely?
If the L4/L5 disc is herniated, which spinal nerve roots would be compressed?
If the L4/L5 disc is herniated, which spinal nerve roots would be compressed?
An injury to the dorsal scapular nerve would directly impact which of the following muscle groups?
An injury to the dorsal scapular nerve would directly impact which of the following muscle groups?
Damage to muscles innervated by posterior rami of T3-T6 would result in weakness of?
Damage to muscles innervated by posterior rami of T3-T6 would result in weakness of?
What is the most likely consequence of a C5 spinal nerve compression?
What is the most likely consequence of a C5 spinal nerve compression?
What is the function of the rhomboid muscles?
What is the function of the rhomboid muscles?
Which ligament is also known as the ligamentum nuchae?
Which ligament is also known as the ligamentum nuchae?
Which of the following describes the motion primarily facilitated by the atlantoaxial joint?
Which of the following describes the motion primarily facilitated by the atlantoaxial joint?
What is the primary action of the latissimus dorsi muscle when it contracts?
What is the primary action of the latissimus dorsi muscle when it contracts?
Spondylolisthesis is best described as:
Spondylolisthesis is best described as:
A patient experiences unilateral lower back pain and is found to have a fracture at L5-S1. This condition is best described as?
A patient experiences unilateral lower back pain and is found to have a fracture at L5-S1. This condition is best described as?
Which of the following best describes the typical movement capabilities of the lumbar vertebrae?
Which of the following best describes the typical movement capabilities of the lumbar vertebrae?
What is the last anatomical structure a lumbar puncture needle passes through before entering the spinal canal?
What is the last anatomical structure a lumbar puncture needle passes through before entering the spinal canal?
What is the primary action of the longus cervicis muscles?
What is the primary action of the longus cervicis muscles?
Klippel-Feil syndrome is characterized by:
Klippel-Feil syndrome is characterized by:
The semispinalis cervicis muscle is most involved in which of the following actions?
The semispinalis cervicis muscle is most involved in which of the following actions?
Flashcards
Vertebral Column
Vertebral Column
The vertebral column, made up of stacked vertebrae, is the central axis of the musculoskeletal system. It connects the skull to the pelvis and provides support for the body.
Vertebral Canal
Vertebral Canal
The space within the vertebral column that encloses and protects the spinal cord.
Joints in the Vertebral Column
Joints in the Vertebral Column
The junction where two or more bones meet, allowing for movement. In the vertebral column, joints facilitate movement between vertebrae.
Primary Spine Curvatures
Primary Spine Curvatures
Signup and view all the flashcards
Secondary Spine Curvatures
Secondary Spine Curvatures
Signup and view all the flashcards
Spinous Process
Spinous Process
Signup and view all the flashcards
Vertebral Body
Vertebral Body
Signup and view all the flashcards
Vertebral Arch
Vertebral Arch
Signup and view all the flashcards
Atlas (C1)
Atlas (C1)
Signup and view all the flashcards
Axis (C2)
Axis (C2)
Signup and view all the flashcards
Atlantoaxial Joint
Atlantoaxial Joint
Signup and view all the flashcards
Symphysis
Symphysis
Signup and view all the flashcards
Annulus Fibrosis
Annulus Fibrosis
Signup and view all the flashcards
Nucleus Pulposus
Nucleus Pulposus
Signup and view all the flashcards
Herniated Disc
Herniated Disc
Signup and view all the flashcards
Internal Vertebral Venous Plexus
Internal Vertebral Venous Plexus
Signup and view all the flashcards
Batson's Plexus
Batson's Plexus
Signup and view all the flashcards
Deep Fascia
Deep Fascia
Signup and view all the flashcards
Intrinsic Back Muscles
Intrinsic Back Muscles
Signup and view all the flashcards
Extrinsic Back Muscles
Extrinsic Back Muscles
Signup and view all the flashcards
Scoliosis
Scoliosis
Signup and view all the flashcards
Lumbar Disc Herniation
Lumbar Disc Herniation
Signup and view all the flashcards
L5 Spinal Nerve Root
L5 Spinal Nerve Root
Signup and view all the flashcards
Retraction (Scapula)
Retraction (Scapula)
Signup and view all the flashcards
Upper Trapezius
Upper Trapezius
Signup and view all the flashcards
Lower Trapezius
Lower Trapezius
Signup and view all the flashcards
Rhomboid Major & Minor
Rhomboid Major & Minor
Signup and view all the flashcards
Serratus Posterior Superior
Serratus Posterior Superior
Signup and view all the flashcards
Serratus Posterior Inferior
Serratus Posterior Inferior
Signup and view all the flashcards
Latissimus Dorsi
Latissimus Dorsi
Signup and view all the flashcards
Erector Spinae
Erector Spinae
Signup and view all the flashcards
Dorsal Scapular Nerve
Dorsal Scapular Nerve
Signup and view all the flashcards
Suboccipital Triangle
Suboccipital Triangle
Signup and view all the flashcards
Subscapular Fossa
Subscapular Fossa
Signup and view all the flashcards
Suprascapular Notch
Suprascapular Notch
Signup and view all the flashcards
Glenohumeral Joint
Glenohumeral Joint
Signup and view all the flashcards
Intertubercular Sulcus
Intertubercular Sulcus
Signup and view all the flashcards
Surgical Neck of the Humerus
Surgical Neck of the Humerus
Signup and view all the flashcards
Subdural space
Subdural space
Signup and view all the flashcards
Dura mater
Dura mater
Signup and view all the flashcards
Spinal nerve
Spinal nerve
Signup and view all the flashcards
Cauda equina
Cauda equina
Signup and view all the flashcards
Pia mater
Pia mater
Signup and view all the flashcards
Subarachnoid space
Subarachnoid space
Signup and view all the flashcards
Dorsal root
Dorsal root
Signup and view all the flashcards
Ventral root
Ventral root
Signup and view all the flashcards
Intervertebral disc herniation
Intervertebral disc herniation
Signup and view all the flashcards
Dermatome
Dermatome
Signup and view all the flashcards
Spinal Bifida Occulta
Spinal Bifida Occulta
Signup and view all the flashcards
Radiating Back Pain
Radiating Back Pain
Signup and view all the flashcards
Hyperextension Injury
Hyperextension Injury
Signup and view all the flashcards
Long Thoracic Nerve Injury
Long Thoracic Nerve Injury
Signup and view all the flashcards
Thoracodorsal Nerve
Thoracodorsal Nerve
Signup and view all the flashcards
Spondylolisthesis
Spondylolisthesis
Signup and view all the flashcards
Spondylitis
Spondylitis
Signup and view all the flashcards
Spondylolysis
Spondylolysis
Signup and view all the flashcards
Hyperlordosis
Hyperlordosis
Signup and view all the flashcards
Kyphosis
Kyphosis
Signup and view all the flashcards
Klippel-Feil syndrome
Klippel-Feil syndrome
Signup and view all the flashcards
Lumbosacral Junction
Lumbosacral Junction
Signup and view all the flashcards
Study Notes
Vertebral Column Anatomy and Function
- The vertebral column forms the musculoskeletal axis of the back, connecting the skull and pelvis to other body parts.
- It houses the spinal cord and protects it. There are 33 vertebrae in total: 7 cervical, 12 thoracic, 5 lumbar, 5 sacral, and 4 coccygeal (fused).
- Movements occur at joints, facilitated by muscles. The shoulder and hip joints are the most mobile, due to ball-and-socket joint structure.
- Vertebrae size increases caudally (toward the tail) to accommodate increasing weight-bearing forces.
- The vertebral column has primary and secondary curvatures. Primary curvatures (thoracic and sacral) are present at birth and are concave anteriorly. Secondary curvatures (cervical and lumbar) develop later in life and are concave posteriorly/convex anteriorly, allowing for head and postural support.
- Spinous processes are located posteriorly; vertebral bodies are situated anteriorly.
- Intervertebral disk protrusions can cause pressure on nerves which is relieved by procedures like laminectomy to remove part of a vertebra and to make room for the spinal cord and nerve.
- Vertebral foramina house the spinal cord. Lamina lies between transverse and spinous processes; pedicle connects the body and transverse process.
- Superior and inferior articular processes form facet (zygoepiphyseal) joints.
Cervical Vertebrae (C1-C7)
- Cervical vertebrae are smaller and have larger foramina than other types.
- C1 (atlas) lacks a vertebral body and its ring-like shape is important for head movements.
- C2 (axis) is crucial for head rotation and has a dens (odontoid process) for atlantoaxial joint movement.
- The transverse foramina allow for the passage of the vertebral artery and vein, crucial for the brain’s blood supply.
Thoracic Vertebrae (T1-T12)
- Thoracic vertebrae have a heart shape and two costal facets for rib attachment.
- Each thoracic vertebra has two coastal facets (costal fossa) located on the transverse process and vertebral body.
Lumbar Vertebrae (L1-L5)
- Lumbar vertebrae have large, robust vertebral bodies to handle immense weight.
- Mammillary and accessory processes provide attachment for deep, intrinsic back muscles.
Sacrum (S1-S5)
- Five sacral vertebrae fuse to form a single sacrum.
- The fusion of sacral vertebrae forms the sacral crest: median sacral crest formed by fused spinous processes; intermediate sacral crest by fused auricular processes (superior part of the surface of each sacral bone); lateral by fused transverse processes.
- Sacral foramina allow the passage of sacral nerves.
- The sacral cornu are crucial for administering caudal anesthesia.
- Epidural anesthesia is given in the epidural space.
Intervertebral Disks
- Intervertebral discs are fibrocartilaginous pads between adjacent vertebrae.
- Annuli fibrosus (outer rings of fibrocartilage) and nucleus pulposus (inner gelatinous center) form the disks.
- Herniation can occur via posterolateral protrusion, resulting from annulus fibrosis tear.
- There are no discs between C1 and C2 or between C1 and the skull, or in the coccyx.
- Spinal ligaments act by limiting joint movements and protecting the joints.
Vertebral Ligaments (Specific Examples)
- Transverse ligament: holds dens against C1 arch and injury to it would impact spinal cord.
Vertebral Veins and Drainage
- Veins have valves for unidirectional blood flow to the heart and lungs.
- Batson's plexus is part of the vertebral venous system, but without valves. Its lack of valves can allow tumor metastasis to various parts of the body.
- Infections of internal vertebral plexus can affect meninges.
Back Muscles (Extrinsic and Intrinsic)
- Extrinsic muscles (e.g., trapezius, latissimus dorsi) have actions outside the vertebral column.
- Intrinsic muscles (transversospinalis, spinalis, longissimus, iliocostalis) act on vertebrae.
Nerve Roots and Spinal Nerves
- Spinal nerves are mixed nerves (carry motor, sensory, and autonomic signals).
- The nerve rootlets combine to form a dorsal root (sensory) and ventral root (motor). With the combination of sympathetic nervous system, these become a mixed spinal nerve.
- Spinal nerves exit through the intervertebral foramina.
Spinal Cord
- The spinal cord extends from the foramen magnum to the conus medullaris (L1-L2).
- Lumbar and sacral spinal nerves extend beyond the cord to form the cauda equina.
- Spinal nerves' emergence location differs from vertebral location with cervical nerves emerging above the corresponding vertebrae, thoracic/lumbar below.
- Spinal segments and nerves are related to spinal nerves but not necessarily to vertebral levels.
Vertebral Column Injuries and Disorders
- Common injuries occur to the cervical region or at the lumbosacral junction.
- Herniation of intervertebral discs is common in the lumbar region.
- Scoliosis, hyperlordosis, and kyphosis are examples of spinal deformities.
Additional Information
- Dermatomes describe areas of skin innervated by specific spinal nerves. (e.g. C5, T4, T10, L4-S1, S1-S4)
- Spinal cord injuries above C5 will not affect nerves below C5.
- Lumbar puncture placement is critical.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.