Spinal Anatomy and Disorders Quiz

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

How many thoracic vertebrae are there in the human spine?

  • 5
  • 5 fused
  • 7
  • 12 (correct)

Which of the following best describes neutral spine?

  • The spine is completely straight with no natural curves.
  • The spine is curved as much as possible for maximum flexibility.
  • The spinal curves are excessively pronounced in all regions.
  • The spinal curves are neither excessively curved nor straightened. (correct)

What type of spinal curve is characterized by excessive posterior curvature?

  • Kyphosis (correct)
  • Lordosis
  • Neutral spine
  • Scoliosis

Which of the following is NOT a function of the vertebrae?

<p>Allowing for extensive sideways rotation (A)</p> Signup and view all the answers

Which of the following is NOT a component of each vertebra?

<p>Medullary cavity (C)</p> Signup and view all the answers

What is the primary function of facet joints?

<p>To allow for smooth and flexible movement of the spine (A)</p> Signup and view all the answers

What is the fluid found inside facet joint capsules called?

<p>Synovial fluid (A)</p> Signup and view all the answers

What is the process called that causes a back to 'crack'?

<p>Cavitation (B)</p> Signup and view all the answers

What is the primary function of the rectus abdominis?

<p>Flexes the trunk/spine (B)</p> Signup and view all the answers

Which muscle is responsible for supporting the abdominal wall and assisting with breathing?

<p>Transverse Abdominis (A)</p> Signup and view all the answers

What primary action do the oblique muscles control?

<p>Trunk/spine rotation (B)</p> Signup and view all the answers

Which muscle assists with cervical flexion and breathing?

<p>Scalenes (C)</p> Signup and view all the answers

A patient presents with pain lateral to the spine, muscle spasms and stiffness after a twisting injury. Which injury is most likely?

<p>Muscle Strain (D)</p> Signup and view all the answers

Which mechanism of injury is MOST likely to cause a ligament sprain in the back?

<p>Trunk flexion with rotation (C)</p> Signup and view all the answers

What are the common signs and symptoms of a herniated disc?

<p>Burning pain, numbness/tingling, weakness of the lower extremities (A)</p> Signup and view all the answers

Which diagnostic method is NOT used to diagnose a disk injury?

<p>Blood Test (A)</p> Signup and view all the answers

Which of the following is NOT a typical cause of joint cracking?

<p>Excessive cartilage production (B)</p> Signup and view all the answers

What is the primary function of the intervertebral discs in the spine?

<p>To act as shock absorbers and provide flexibility (C)</p> Signup and view all the answers

Which part of the intervertebral disc is responsible for bearing compressive forces?

<p>The annulus fibrosus (B)</p> Signup and view all the answers

What is the main shortcoming associated with the intervertebral discs?

<p>They have poor regenerative and healing capabilities (B)</p> Signup and view all the answers

Which muscle is primarily responsible for shoulder elevation?

<p>Upper Trapezius (D)</p> Signup and view all the answers

What movement is primarily associated with the middle trapezius?

<p>Horizontal abduction (B)</p> Signup and view all the answers

Which action is primarily facilitated by the latissimus dorsi muscle?

<p>Shoulder adduction (D)</p> Signup and view all the answers

The rhomboids are primarily responsible for which action?

<p>Scapular retraction (B)</p> Signup and view all the answers

Which initial treatment is NOT typically recommended for a herniated disc?

<p>Acupuncture (B)</p> Signup and view all the answers

What percentage of individuals with a herniated disc can be successfully treated without surgery?

<p>90-95% (A)</p> Signup and view all the answers

According to content, under what condition is long term physical therapy treatment most important for disk injury?

<p>When patients are obese and have poor posture (D)</p> Signup and view all the answers

When is surgical intervention typically recommended for a herniated disc?

<p>When the patient is unable to stand or walk, and traditional treatment has failed (A)</p> Signup and view all the answers

Which of these surgical procedures involves the removal of the affected disc and the joining of vertebrae?

<p>Spinal fusion (C)</p> Signup and view all the answers

What is the primary purpose of an artificial disc replacement?

<p>To replace the disc between vertebrae with a prosthetic ‘spacer’ and improve spinal stability (A)</p> Signup and view all the answers

Which of the following is NOT a stated risk factor for developing a herniated disc?

<p>Genetics (C)</p> Signup and view all the answers

Regarding scoliosis, the content mentions that if left untreated, it could cause what TWO physical problems?

<p>Lung and heart damage (A)</p> Signup and view all the answers

Which condition is characterized by damage to the developing brain, often occurring before birth, and subsequently affecting movement and muscle tone?

<p>Cerebral palsy (D)</p> Signup and view all the answers

What is the primary underlying cause of muscular dystrophy?

<p>Abnormal genes affecting muscle protein production (A)</p> Signup and view all the answers

Which of the following best describes spina bifida?

<p>A birth defect where part of the spinal column doesn't close properly. (C)</p> Signup and view all the answers

Polio is caused by a virus that can lead to paralysis by infecting what?

<p>The spinal cord (A)</p> Signup and view all the answers

When assessing a patient for scoliosis, what is typically assessed first?

<p>Shoulder height (A)</p> Signup and view all the answers

During a scoliosis assessment, what becomes visible when the patient bends forward?

<p>A 'rib hump' (B)</p> Signup and view all the answers

During scoliosis surgery, what is primarily used to provide support and alignment along the spine?

<p>Screws and metal rods (A)</p> Signup and view all the answers

What action do surgeons take to ensure scoliosis does not return after surgery?

<p>They perform a bone graft from the facet and spinous processes (A)</p> Signup and view all the answers

Which healthcare professionals are MOST likely to be involved in managing spinal conditions?

<p>Surgeons, Physical Therapists, and Nurses (C)</p> Signup and view all the answers

What is a common nonsurgical option used to treat spinal conditions?

<p>Back Bracing (C)</p> Signup and view all the answers

Which of the following best describes spondylosis?

<p>Degenerative condition of the spine, often due to wear and tear (C)</p> Signup and view all the answers

Which group is MOST commonly affected by spondylolysis?

<p>Young athletes (A)</p> Signup and view all the answers

A patient reports back pain that increases with activity, especially bending backward. Based on this, which spinal condition is more likely?

<p>Spondylolysis (A)</p> Signup and view all the answers

What is a key characteristic of spondylolisthesis that differentiates it from the other conditions?

<p>Forward slippage of one vertebra over another (C)</p> Signup and view all the answers

What is the BEST way to assess posture in athletes, in terms of minimizing injuries?

<p>By analyzing core musculature and its relation to the upper and lower body (B)</p> Signup and view all the answers

Which of the following is a typical sign or symptom of spondylolisthesis?

<p>Pain radiating to the feet, muscle spasm, and tight hamstrings (D)</p> Signup and view all the answers

Flashcards

Annulus Fibrosus

The tough, dense outer layer of the intervertebral disk that helps resist compression and keeps the vertebrae separated.

Nucleus Pulposus

The flexible inner layer of the intervertebral disk that acts as a shock absorber and allows for movement.

Degenerative Joint Disease (Osteoarthritis)

A condition where the cartilage in joints wears down, causing bones to rub against each other, leading to cracking and grinding sounds.

Upper Trapezius

The muscle that helps with shoulder elevation, neck extension, lateral flexion, and rotation.

Signup and view all the flashcards

Middle Trapezius

The muscle that helps with horizontal abduction and stabilization of the shoulder.

Signup and view all the flashcards

Lower Trapezius

The muscle that helps with scapular depression, rotation, and retraction.

Signup and view all the flashcards

Latissimus Dorsi

The muscle that helps with shoulder adduction, extension, and medial rotation.

Signup and view all the flashcards

Erector Spinae

The muscle group that helps with trunk extension, lateral trunk flexion, and maintaining trunk posture.

Signup and view all the flashcards

What are the bones of the spine called?

The bones that make up the spinal column.

Signup and view all the flashcards

What are the four segments of the spine?

The four main sections of the spine are the cervical, thoracic, lumbar and sacral regions.

Signup and view all the flashcards

How many of each type of vertebrae are there?

The cervical region has 7 vertebrae, the thoracic region has 12, the lumbar region has 5, and the sacral region has 5 fused vertebrae.

Signup and view all the flashcards

What is NEUTRAL spine?

The ideal position of the spine where the curves are balanced, not too much or too little, making it the strongest position.

Signup and view all the flashcards

What is necessary to keep the spine aligned?

To maintain neutral spine, both normal anatomical alignment and balanced muscle strength are crucial.

Signup and view all the flashcards

What are the curves of the spine?

The natural curves of the spine. The cervical and lumbar regions are lordotic, while the thoracic and sacral regions are kyphotic.

Signup and view all the flashcards

What is Kyphosis?

Excessive posterior/backward curve usually seen in the thoracic and sacral regions.

Signup and view all the flashcards

What is Lordosis?

Excessive forward curve, usually seen in the lumbar or cervical regions.

Signup and view all the flashcards

What is Scoliosis?

A condition where the spine curves sideways, typically in an S-shape.

Signup and view all the flashcards

If untreated Scoliosis can cause what TWO physical problems?

Poor posture and back pain.

Signup and view all the flashcards

What is Spondylolisthesis?

A condition where one or more vertebrae in the spine slip forward.

Signup and view all the flashcards

What is Piriformis Syndrome

Pain in the buttock and down the leg caused by compression of the sciatic nerve.

Signup and view all the flashcards

What is Ankylosing Spondylitis?

A chronic inflammatory disease that primarily affects the spine, causing the vertebrae to fuse together.

Signup and view all the flashcards

What is Degenerative Disc Disease?

A condition where the discs in the spine degenerate and lose their ability to cushion the vertebrae.

Signup and view all the flashcards

What is Herniated Disc?

A condition where a portion of the disc pushes out of its normal position, compressing nearby nerves

Signup and view all the flashcards

What is Discectomy?

A surgical procedure that removes the herniated disc and the damaged part of the disc, relieving pressure on the nerves

Signup and view all the flashcards

Rectus Abdominis

The rectus abdominis is a long, flat muscle that runs vertically down the center of the abdomen. It's responsible for flexing the trunk and spine, helping you bend forward.

Signup and view all the flashcards

Transverse Abdominis

The transverse abdominis is a deep muscle that wraps around your abdomen like a corset. It's important for supporting the abdominal wall, maintaining posture, and assisting with breathing.

Signup and view all the flashcards

Obliques

The obliques are two sets of muscles (external and internal) that run diagonally on the sides of your abdomen. They're responsible for rotating your trunk and spine, helping with twisting motions.

Signup and view all the flashcards

Scalenes

The scalenes are a group of muscles located in your neck that help you flex your neck and assist with breathing. They attach to your ribs, so they can also pull on your chest during inspiration.

Signup and view all the flashcards

Sternocleidomastoid

The sternocleidomastoid is a large, prominent muscle in your neck that runs from your sternum and clavicle (collarbone) to your mastoid process (behind your ear). It's responsible for lateral flexion (bending your neck to the side) and rotation of your neck.

Signup and view all the flashcards

Levator Scapulae

The levator scapulae is a muscle located at the back of your neck that elevates (raises) your scapula (shoulder blade). It also helps to rotate and depress your scapula.

Signup and view all the flashcards

Ligament Injuries (Sprains)

A sprain refers to an injury to a ligament, which connects bones to each other. In the spine, a sprain usually occurs due to a combination of trunk flexion and rotation.

Signup and view all the flashcards

Muscle & Tendon Injuries (Strains)

A strain is an injury to a muscle or tendon, which connects muscle to bone. In the spine, strains are common and often happen due to extending the back under stress or sudden twisting movements.

Signup and view all the flashcards

Cerebral Palsy

A group of disorders affecting movement, muscle tone, or posture, caused by damage to the developing brain, often before birth.

Signup and view all the flashcards

Muscular Dystrophy

A group of diseases causing progressive muscle weakness and loss of muscle mass.

Signup and view all the flashcards

Spina Bifida

A birth defect where the spinal column doesn't form properly, exposing the spinal cord and nerves.

Signup and view all the flashcards

Polio

A disabling and life-threatening disease caused by the poliovirus, which can infect the spinal cord and cause paralysis.

Signup and view all the flashcards

Scoliosis

A sideways curvature of the spine.

Signup and view all the flashcards

Idiopathic Scoliosis

Scoliosis where the cause is unknown.

Signup and view all the flashcards

Rib Hump

A prominent rib on one side of the back when bending forward, indicating a scoliosis curve.

Signup and view all the flashcards

Scoliosis Surgery

A surgery for scoliosis involving inserting screws and rods along the spine, removing the facet joints, and making a bone graft.

Signup and view all the flashcards

What is spondylolysis?

A stress fracture in the pars interarticularis, a small bone segment that connects two vertebrae. This usually impacts young athletes from repetitive strain.

Signup and view all the flashcards

What is spondylosis?

The breakdown of cartilage in the spine due to normal wear and tear, mainly affecting the neck and lower back, resulting in pain and stiffness.

Signup and view all the flashcards

What does an Anesthesiologist do?

A medical professional who specializes in administering anesthesia before, during, and after surgeries. They monitor a patient's vital signs and administer medications for pain control.

Signup and view all the flashcards

What does a Physical Therapist do?

A healthcare professional who provides non-surgical treatment for musculoskeletal and neurological conditions, focusing on rehabilitation and pain management.

Signup and view all the flashcards

What does a Nurse do?

A medical professional who works closely with patients providing care, medication, and education, often under the supervision of a physician.

Signup and view all the flashcards

What does a Surgeon do?

A specialized type of medical doctor who performs surgeries on patients across various specialties, including open heart surgery, orthopedic procedures, and neurosurgery.

Signup and view all the flashcards

Study Notes

Introduction to Back and Spinal Injuries

  • Unit 8 covers back and spinal injuries.
  • Images of the spine and spinal injury are included.

Anatomy of the Spine

  • The bones of the spine are called vertebrae.
  • The spinal column has four main segments: cervical, thoracic, lumbar, and sacral.
  • The cervical vertebrae (7) are in the neck region
  • The thoracic vertebrae (12) are in the upper back region
  • The lumbar vertebrae (5) are in the lower back region
  • The sacral vertebrae (5 fused) are in the pelvis region
  • The coccyx is also part of the spine, located at the lowest part of the lumbar region (tailbone)
  • The sacroiliac joint connects the sacrum to the ilium (pelvis bone).
  • A neutral spine maintains proper spinal curves, neither overly curved nor straight.
  • This is the strongest, most anatomically stable spine position.
  • The spinal column consists of normal curves:
    • Cervical lordosis (anterior curve in the neck)
    • Thoracic kyphosis (posterior curve in the upper back)
    • Lumbar lordosis (anterior curve in the lower back)
    • Sacral kyphosis (posterior curve in the pelvis)
    • Coccyx (tailbone)

Vertebral Anatomy

  • Each vertebra has a body, transverse processes, spinous processes, vertebral foramen/canal, and facets.
  • The vertebral foramen/canal houses the spinal cord.
  • Facets are joints that allow movement between vertebrae.
  • Healthy facet joints have cartilage for smooth movement.
  • Synovial fluid in the joints lubricates them for flexibility.

Intervertebral Disks

  • Intervertebral disks have two main parts: annulus fibrosus (tough outer layer) and nucleus pulposus (flexible inner layer).
  • The disks act as shock absorbers and keep the vertebrae separated.
  • They also create space for nerves to leave the spinal cord.
  • The disks themselves lack a good blood supply, which is a factor in how they heal or don't heal.

Muscles of the Upper & Lower Back

  • Key back muscles include the trapezius (upper, middle, and lower), latissimus dorsi, erector spinae, and rhomboids (major & minor).
  • Trapezius: shoulder elevation, neck extension, lateral flexion, and rotation.
  • Latissimus Dorsi: shoulder adduction, extension, and medial rotation.
  • Rhomboids: scapular retraction.
  • Erector spinae: trunk extension and lateral flexion.

Acute Back/Spine Injuries

  • Acute injuries include ligament sprains, muscle strains, and intervertebral disc injuries.
  • Ligament sprains usually result from trunk flexion with twisting motions.
  • Muscle strains often come from extension under stress or sudden twisting movements.
  • Intervertebral disc injuries result from poor posture or physical stress from flexing and extending the spine.

Signs & Symptoms

  • Signs of spinal injuries include pain over the spine, limited movement (muscle spasm), pain with twisting/rotation, local pain.
  • Muscle strains often show pain lateral to the spine.
  • For herniated discs, signs/symptoms may appear as burning pain that radiates down the leg.

Diagnosis & Treatment

  • Diagnosing disc injuries often uses X-rays, MRI (magnetic resonance imaging), and EMG (electromyography).
  • Initial treatment involves ice, rest, and NSAIDs (non-steroidal anti-inflammatory drugs).
  • Sometimes corticosteroids are used.
  • Long-term treatments can involve physical therapy, addressing poor posture/obesity, and surgery.
  • Surgery is more often recommended if conservative methods do not improve symptoms within weeks or there are persistent neurological symptoms, or patient has difficulty performing basic body functions.

Scoliosis

  • Scoliosis refers to a lateral curvature of the spine.
  • Signs may be uneven shoulders, unequal hips, or a rib hump.
  • Assessment commonly assesses shoulder height, and hip height at the iliac crest.
  • Measurement uses scoliometer for visual confirmation, and sometimes apps, that are now commonly used.
  • Bracing, physical therapy, and surgery are treatment options.
  • During scoliosis surgery, screws and metal rods are inserted to stabilize/correct the spine's alignment.

Other Chronic Conditions

  • Chronic back conditions include scoliosis, chronic back pain, spondylolisthesis/spondylolysis, piriformis syndrome, ankylosing spondylitis, and degenerative disc disease.
  • Spondylolisthesis is when a vertebra slips forward, usually due to a pars fracture (spondylolysis).
  • Ankylosing spondylitis is a chronic inflammatory disease that causes fusion/bamboo-like appearance of the spine.
  • Degenerative disc disease is part of 'wear and tear' aging process that causes spine changes.

Possible Causes

  • Causes for Scoliosis can be genetic, cerebral palsy, muscular dystrophy, spina bifida, poliomyelitis, unequal leg lengths, or fused ribs.
  • Cerebral palsy, Muscular dystrophy and Spina bifida describe a group of disorders that affect movement, or can sometimes be a cause of Scoliosis.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

Related Documents

More Like This

Spinal Anatomy and Function Quiz
24 questions
Use Quizgecko on...
Browser
Browser