Podcast
Questions and Answers
How many total vertebrae are present in the human spine?
How many total vertebrae are present in the human spine?
33
What are the two types of spinal curves and how do they differ?
What are the two types of spinal curves and how do they differ?
Primary curves are present at birth, while secondary curves develop after birth.
What percentage of the length of the spinal cord do intervertebral discs account for?
What percentage of the length of the spinal cord do intervertebral discs account for?
25%
What are the two main parts of an intervertebral disc?
What are the two main parts of an intervertebral disc?
What structure do the vertebral arteries travel superiorly through?
What structure do the vertebral arteries travel superiorly through?
At what vertebral level does the aorta bifurcate into the left and right common iliac arteries?
At what vertebral level does the aorta bifurcate into the left and right common iliac arteries?
What is the main function of the nucleus pulposus in intervertebral discs?
What is the main function of the nucleus pulposus in intervertebral discs?
What is the orientation of the thoracic zygapophyseal joints?
What is the orientation of the thoracic zygapophyseal joints?
What is the primary role of uncovertebral joints in the cervical spine?
What is the primary role of uncovertebral joints in the cervical spine?
Which cervical vertebrae typically develop uncovertebral joints?
Which cervical vertebrae typically develop uncovertebral joints?
What functions do the anterior and posterior roots of spinal nerves serve?
What functions do the anterior and posterior roots of spinal nerves serve?
Where does the C1 nerve root exit relative to the C1 vertebra?
Where does the C1 nerve root exit relative to the C1 vertebra?
What condition occurs when L5 is fused to the sacrum?
What condition occurs when L5 is fused to the sacrum?
In what way does the inferior articular process of vertebrae face?
In what way does the inferior articular process of vertebrae face?
What spinal nerves pass through the intervertebral foramen (IVF) inferior to their corresponding vertebrae?
What spinal nerves pass through the intervertebral foramen (IVF) inferior to their corresponding vertebrae?
Identify one example of a continuous ligament in the vertebral column.
Identify one example of a continuous ligament in the vertebral column.
What ligament connects the tips of the spinous processes in the spine, restricting flexion?
What ligament connects the tips of the spinous processes in the spine, restricting flexion?
Which part of the spine carries the most load?
Which part of the spine carries the most load?
What is the primary role of the ligamentum flavum?
What is the primary role of the ligamentum flavum?
At what vertebral level should the hyoid bone be level with at rest?
At what vertebral level should the hyoid bone be level with at rest?
What is the composition of the cauda equina related to spinal nerves?
What is the composition of the cauda equina related to spinal nerves?
Which ligaments are paired in the spinal column?
Which ligaments are paired in the spinal column?
What happens to the nucleus pulposus as a person ages?
What happens to the nucleus pulposus as a person ages?
What does the annulus fibrosus provide protection against in intervertebral discs?
What does the annulus fibrosus provide protection against in intervertebral discs?
Which part of the vertebral column has the cervical zygapophyseal joints oriented towards?
Which part of the vertebral column has the cervical zygapophyseal joints oriented towards?
What structure do the vertebral arteries merge to form at the brainstem?
What structure do the vertebral arteries merge to form at the brainstem?
Which specific area of the spine is absent of intervertebral discs?
Which specific area of the spine is absent of intervertebral discs?
What is the primary function of the spine in relation to functional movement?
What is the primary function of the spine in relation to functional movement?
Where do the jugular veins drain into in the body?
Where do the jugular veins drain into in the body?
During what movements are secondary curves of the spine typically developed?
During what movements are secondary curves of the spine typically developed?
What structural feature aids in the articulation of cervical vertebrae above C3?
What structural feature aids in the articulation of cervical vertebrae above C3?
What motion do uncovertebral joints primarily assist in limiting?
What motion do uncovertebral joints primarily assist in limiting?
At which vertebral levels do the L2-4 nerve roots experience pinching?
At which vertebral levels do the L2-4 nerve roots experience pinching?
In which direction do the superior articular processes of the lumbar vertebrae typically face?
In which direction do the superior articular processes of the lumbar vertebrae typically face?
What ligaments are involved in restricting lateral flexion in the spine?
What ligaments are involved in restricting lateral flexion in the spine?
Where does the spinal cord terminate in the vertebral column?
Where does the spinal cord terminate in the vertebral column?
Which ligaments primarily prevent hyperflexion of the spine?
Which ligaments primarily prevent hyperflexion of the spine?
What is the function of the anterior root of a spinal nerve?
What is the function of the anterior root of a spinal nerve?
Identify one effect of lumbarization in the lumbar spine.
Identify one effect of lumbarization in the lumbar spine.
What is the anatomical position of the hyoid bone at rest?
What is the anatomical position of the hyoid bone at rest?
Which area denotes the passage for cervical nerves C2-C7?
Which area denotes the passage for cervical nerves C2-C7?
Name the anatomical connections of the apical ligament.
Name the anatomical connections of the apical ligament.
Which ligaments are categorized as non-paired ligaments?
Which ligaments are categorized as non-paired ligaments?
To which vertebrae does the C8 nerve root pass?
To which vertebrae does the C8 nerve root pass?
What are the two primary functions of the spine?
What are the two primary functions of the spine?
What are the three regions of the spine?
What are the three regions of the spine?
How many intervertebral discs are present in the human spine?
How many intervertebral discs are present in the human spine?
What is the weakest part of the annulus fibrosus?
What is the weakest part of the annulus fibrosus?
What is the composition of the nucleus pulposus in terms of water percentage?
What is the composition of the nucleus pulposus in terms of water percentage?
At what vertebral level do the vertebral arteries re-enter after merging to form the basilar artery?
At what vertebral level do the vertebral arteries re-enter after merging to form the basilar artery?
What adjustments in the spine occur as a result of secondary curves developing?
What adjustments in the spine occur as a result of secondary curves developing?
What does the aorta bifurcate into at the L4 level?
What does the aorta bifurcate into at the L4 level?
What is the primary function of the uncovertebral joints in the cervical spine?
What is the primary function of the uncovertebral joints in the cervical spine?
At which cervical vertebrae do uncovertebral joints typically develop?
At which cervical vertebrae do uncovertebral joints typically develop?
Which spinal nerve root is positioned superior to the arch of the C1 vertebra?
Which spinal nerve root is positioned superior to the arch of the C1 vertebra?
What is the specific effect of lumbarization on the vertebral column?
What is the specific effect of lumbarization on the vertebral column?
What direction does the inferior articular process face in lumbar vertebrae?
What direction does the inferior articular process face in lumbar vertebrae?
What is the role of the anterior longitudinal ligament in the spine?
What is the role of the anterior longitudinal ligament in the spine?
What is the anatomical significance of the cauda equina?
What is the anatomical significance of the cauda equina?
Which vertebra is typically affected when pinching occurs at the L2-4 nerve roots?
Which vertebra is typically affected when pinching occurs at the L2-4 nerve roots?
Which ligaments are primarily involved in limiting hyperflexion of the spine?
Which ligaments are primarily involved in limiting hyperflexion of the spine?
Which two movements do the upper cervical ligaments (e.g., alar ligaments) limit?
Which two movements do the upper cervical ligaments (e.g., alar ligaments) limit?
What structure of the spinal column runs between the vertebral body and neighboring pedicle?
What structure of the spinal column runs between the vertebral body and neighboring pedicle?
Which ligaments connect the tips of adjacent spinous processes?
Which ligaments connect the tips of adjacent spinous processes?
What is the characteristic orientation of thoracic zygapophyseal joints?
What is the characteristic orientation of thoracic zygapophyseal joints?
Which area of the spine does the costovertebral joint connect?
Which area of the spine does the costovertebral joint connect?
What are the two main mobility zones of the spine?
What are the two main mobility zones of the spine?
What region of the spine is the intervertebral disc absent from?
What region of the spine is the intervertebral disc absent from?
What is the function of the annulus fibrosus within intervertebral discs?
What is the function of the annulus fibrosus within intervertebral discs?
Name the artery that bifurcates into the left and right common iliac arteries at L4.
Name the artery that bifurcates into the left and right common iliac arteries at L4.
What is the primary function of the vertebral arteries in relation to the brain?
What is the primary function of the vertebral arteries in relation to the brain?
Which spinal curves are classified as primary curves and are present at birth?
Which spinal curves are classified as primary curves and are present at birth?
What is the predominant characteristic of the cervical zygapophyseal joints in terms of orientation?
What is the predominant characteristic of the cervical zygapophyseal joints in terms of orientation?
What happens to the nucleus pulposus with age?
What happens to the nucleus pulposus with age?
What are the functions of uncovertebral joints in the cervical spine?
What are the functions of uncovertebral joints in the cervical spine?
Where do the thoracic spinal nerves pass relative to the corresponding vertebrae?
Where do the thoracic spinal nerves pass relative to the corresponding vertebrae?
Which areas are innervated by the C8-T4 spinal nerves?
Which areas are innervated by the C8-T4 spinal nerves?
What specific segment of the spine typically experiences the most load?
What specific segment of the spine typically experiences the most load?
Describe the direction in which the superior articular processes of lumbar vertebrae face.
Describe the direction in which the superior articular processes of lumbar vertebrae face.
At what aspect and which intervertebral disc does the L5 nerve root experience pinching?
At what aspect and which intervertebral disc does the L5 nerve root experience pinching?
What ligament acts as the primary stabilizer from the base of the skull to the sacrum?
What ligament acts as the primary stabilizer from the base of the skull to the sacrum?
Identify the anatomical structures through which the spinal nerves run based on the acronym AAV.
Identify the anatomical structures through which the spinal nerves run based on the acronym AAV.
What specific changes occur during sacralization and lumbarization?
What specific changes occur during sacralization and lumbarization?
Which ligaments are categorized as non-continuous in the spinal column?
Which ligaments are categorized as non-continuous in the spinal column?
How does the anterior root of a spinal nerve differ in function from the posterior root?
How does the anterior root of a spinal nerve differ in function from the posterior root?
Which ligament connects the tips of spinous processes from C7 to the sacrum, and what movement does it restrict?
Which ligament connects the tips of spinous processes from C7 to the sacrum, and what movement does it restrict?
What structures commonly refer pain to the thoracic spine?
What structures commonly refer pain to the thoracic spine?
What anatomical feature provides support to the spine and links it to the abdominal structures?
What anatomical feature provides support to the spine and links it to the abdominal structures?
What role do interarticular ligaments play in the costovertebral joint?
What role do interarticular ligaments play in the costovertebral joint?
What are the two primary sections of the spine responsible for mobility?
What are the two primary sections of the spine responsible for mobility?
What is the main function of intervertebral discs in relation to force?
What is the main function of intervertebral discs in relation to force?
Name the part of the spine that is absent from intervertebral discs.
Name the part of the spine that is absent from intervertebral discs.
What percentage of the nucleus pulposus is composed of water?
What percentage of the nucleus pulposus is composed of water?
What does the basilar artery extend from?
What does the basilar artery extend from?
At which vertebral level do the common iliac arteries bifurcate from the aorta?
At which vertebral level do the common iliac arteries bifurcate from the aorta?
Where does neovascularization occur in the intervertebral discs?
Where does neovascularization occur in the intervertebral discs?
Which spinal region exhibits zygapophyseal joint orientation towards the midline?
Which spinal region exhibits zygapophyseal joint orientation towards the midline?
What is the role of uncovertebral joints in cervical stability?
What is the role of uncovertebral joints in cervical stability?
At what vertebral levels are the L5 nerve roots typically pinched?
At what vertebral levels are the L5 nerve roots typically pinched?
How do the superior and inferior articular processes of the lumbar vertebrae orient?
How do the superior and inferior articular processes of the lumbar vertebrae orient?
What structural condition occurs during sacralization?
What structural condition occurs during sacralization?
What motion is primarily limited by the ligamentum flavum?
What motion is primarily limited by the ligamentum flavum?
How many ribs and vertebrae should normally be present in a human?
How many ribs and vertebrae should normally be present in a human?
What are the two divisions of spinal nerves and their functions?
What are the two divisions of spinal nerves and their functions?
In which direction do cervical nerves C2-C7 exit?
In which direction do cervical nerves C2-C7 exit?
What limitation does the posterior longitudinal ligament impose?
What limitation does the posterior longitudinal ligament impose?
What structures run through the intervertebral foramen (IVF)?
What structures run through the intervertebral foramen (IVF)?
What is the anatomical significance of the hyoid bone?
What is the anatomical significance of the hyoid bone?
What directional movement is restricted by the intertransverse ligaments?
What directional movement is restricted by the intertransverse ligaments?
What role does the thoracolumbar fascia serve?
What role does the thoracolumbar fascia serve?
Flashcards
Vertebrae in the spine
Vertebrae in the spine
There are 33 vertebrae in the human spine.
Spinal curves (primary)
Spinal curves (primary)
Natural curves of the spine present at birth.
Spinal curves (secondary)
Spinal curves (secondary)
Develop after birth due to growth and movement.
Intervertebral disc function
Intervertebral disc function
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Intervertebral Disc Structure
Intervertebral Disc Structure
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Intervertebral disc composition
Intervertebral disc composition
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Facet joints orientation in the spine
Facet joints orientation in the spine
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Vertebral artery pathway
Vertebral artery pathway
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Uncovertebral joints
Uncovertebral joints
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Uncinate processes
Uncinate processes
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Cervical spine stabilization
Cervical spine stabilization
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Cervical Spondylosis
Cervical Spondylosis
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L4-L5 and L5-S1
L4-L5 and L5-S1
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Superior articular process
Superior articular process
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Inferior articular process
Inferior articular process
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Spinal Nerve Termination
Spinal Nerve Termination
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Cauda Equina Location
Cauda Equina Location
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Anterior Spinal Nerve Root
Anterior Spinal Nerve Root
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Posterior Spinal Nerve Root
Posterior Spinal Nerve Root
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Spinal Nerve Root Function Differences
Spinal Nerve Root Function Differences
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Heart Innervation
Heart Innervation
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Supernumerary ribs/vertebrae
Supernumerary ribs/vertebrae
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What are the 3 regions of the spine?
What are the 3 regions of the spine?
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What are the 2 types of spinal curves?
What are the 2 types of spinal curves?
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What are the 2 spine mobility zones?
What are the 2 spine mobility zones?
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What are the 3 spine stability zones?
What are the 3 spine stability zones?
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What are the 3 functions of intervertebral discs?
What are the 3 functions of intervertebral discs?
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What are the 2 parts of an intervertebral disc?
What are the 2 parts of an intervertebral disc?
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What is the role of the vertebral artery?
What is the role of the vertebral artery?
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What are zygapophyseal joints?
What are zygapophyseal joints?
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Uncovertebral Joint Location
Uncovertebral Joint Location
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Uncovertebral Joint Function
Uncovertebral Joint Function
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Most Loaded Spinal Segments
Most Loaded Spinal Segments
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Superior Articular Process Orientation
Superior Articular Process Orientation
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Inferior Articular Process Orientation
Inferior Articular Process Orientation
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Cauda Equina
Cauda Equina
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Anterior Spinal Nerve Root Function
Anterior Spinal Nerve Root Function
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Posterior Spinal Nerve Root Function
Posterior Spinal Nerve Root Function
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Spinal Nerve Root Divisions
Spinal Nerve Root Divisions
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C1 Nerve Root Pathway
C1 Nerve Root Pathway
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C2-C7 Nerve Root Pathway
C2-C7 Nerve Root Pathway
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C8 Nerve Root Pathway
C8 Nerve Root Pathway
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Thoracic Nerve Root Pathway
Thoracic Nerve Root Pathway
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Lumbar Nerve Root Pathway
Lumbar Nerve Root Pathway
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Vertebrae in Spine
Vertebrae in Spine
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Primary Spinal Curves
Primary Spinal Curves
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Secondary Spinal Curves
Secondary Spinal Curves
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Spine Mobility Zones
Spine Mobility Zones
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Spine Stability Zones
Spine Stability Zones
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Intervertebral Disc Parts
Intervertebral Disc Parts
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Spinal Regions
Spinal Regions
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Spinal Curves
Spinal Curves
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Zygapophyseal Joint Orientation
Zygapophyseal Joint Orientation
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L4-L5 and L5-S1: Load Bearing
L4-L5 and L5-S1: Load Bearing
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L2-L4 Nerve Root Pinch
L2-L4 Nerve Root Pinch
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L5 Nerve Root Pinch
L5 Nerve Root Pinch
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Sacralization
Sacralization
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Lumbarization
Lumbarization
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Primary Curves
Primary Curves
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Load Bearing Segments in the Spine
Load Bearing Segments in the Spine
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Study Notes
Spinal Anatomy
- Vertebrae: The spine contains 33 vertebrae.
- Spinal Regions: The spine has three main regions: Cervical, Thoracic, and Lumbar.
- Spinal Curves:
- Primary Curves: Present at birth.
- Secondary Curves: Develop after birth due to activity like head-lifting, sitting, and walking.
- Spine Functions: Provides mobility for body movement and stability for torso support.
- Spine Mobility/Stability Zones:
- Mobility Zones: Cervical (C) spine and Lumbar (L) spine.
- Stability Zones: Thoracic (T) spine, Sacral(S) spine, and Pelvis.
Spinal Bones
- Bony Components: Vertebrae have a body, spinous process, transverse process, lamina, pedicle, superior articular process, and inferior articular process.
Intervertebral Discs
- Disc Length: Account for 25% of the spinal cord's length.
- Disc Functions (PAPS): Protect the spine, absorb force, and provide tensile strength.
- Total Discs: Twenty-three intervertebral discs.
- Absent Region: Absent from the C0-C1 region.
- Disc Parts:
- Annulus Fibrosus: Outer layer; weakest posteriorly.
- Nucleus Pulposus: Inner core, mostly water (70-80%); degenerates with age; herniation increases AF load.
- Vertebral End Plate: Part of the disc.
- Neovascularization: A process involving new blood vessel growth.
Spinal Vasculature
- Carotid Artery: Splits at C4 into external/internal branches for head/neck.
- Jugular Veins: Drain into brachiocephalic veins behind the clavicle.
- Vertebral Arteries: Clinically relevant; travel through transverse foramina, merge to form basilar artery, re-enter at C6.
- Basilar Artery: Supplies 10-20% of the brain's blood flow, especially the deep parts; extension of vertebral arteries.
- Aorta: Bifurcates into left and right common iliacs at L4.
- Vena Cava: Major vein.
- Common Iliac Artery/Vein: Merge to form the inferior vena cava (IVC).
Spinal Articulations
- Zygapophyseal/Facet Joints: Covered in hyaline cartilage;
- Orientation:
- Cervical: Oblique.
- Thoracic: Away from midline.
- Lumbar: Towards midline.
- Orientation:
- Cervical Articulations:
- Uncovertebral Joints: Small synovial joints, stabilize cervical spine and limit movement.. Found between cervical bodies (C3-C7), between uncinate processes(lateral borders of upper surfaces of cervical vertebral bodies) and vertebrae above.
- Atlanto-occipital: Joint between the occipital bone and the atlas (C1).
- Atlanto-axial: Joint between the axis (C2) and the atlas (C1), including the dens.
- Thoracic Articulations: Costovertebral and costotransverse joints between ribs and thoracic vertebrae.
Spinal Nerves
- Termination: Spinal cord terminates at cauda equina (L1-L2).
- Nerve Root Functions:
- Anterior Roots: Motor.
- Posterior Roots: Sensory.
- Nerve Root Passage:
- Cervical (C1): Superior to C1 arch.
- Cervical (C2-C7): Through IVF superior to corresponding vertebra.
- Cervical (C8): IVF between C7 and T1.
- Thoracic, Lumbar: Through IVF inferior to corresponding vertebra.
- L2-L4 Nerve Root Pinch: Superior-lateral part of the corresponding disc.
- L5 Nerve Root Pinch: Inferior-lateral aspect of L4 disc.
Spinal Bony Anatomy
- Rib/Vertebrae Count: Normal number of ribs and vertebrae.
- Abnormal Counts: Supernumerary (extra) or subnumerary (less) ribs/vertebrae are possible.
- Sacralization/Lumbarization: Variations in the fusion of L5 and S1 vertebrae.
- Hyoid Bone: Anterior; should be level with C3 vertebra at rest.
Spinal Ligaments
- Continuous Ligaments: Anterior Longitudinal, Supraspinous, Posterior Longitudinal, & Ligamentum Nuchae
- Non-Continuous Ligaments: Intertransverse, Interspinous, Ligamentum Flavum, Transverse, Alar, Apical, Iliolumbar
- Paired Ligaments: Intertransverse, Ligamentum Flavum, Iliolumbar
- Non-Paired Ligaments: Anterior Longitudinal, Interspinous, Supraspinous, Posterior Longitudinal, Transverse, Alar, Apical
Visceral Innervation/Pain Referrals
- Detailed information on visceral innervation by areas.
Rule of 3s (Spinous Process/Transverse Process Relationship (T1-T12).
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