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Spinal Movement and Shear Forces

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24 Questions

What direction does the upper vertebra tilt and glide slightly during flexion?

Forward

What happens to the nucleus pulposus during flexion?

It is driven posteriorly

What happens to the intervertebral foramina during flexion?

They increase in size

What is the result of flexion on the load of the spine?

The load is transferred from the apophyseal joints to the intervertebral discs

What is the role of the apophyseal joints in resisting shear force in the lumbar spine?

They resist some of the shear force

What happens to the annulus fibrosus during flexion?

It becomes more compressed and bulged

What limits flexion?

The tension of the ligaments

What is the cumulative effect of the small ranges of movement at each level of the spine?

It is significant

What happens to the posterior longitudinal ligament during extension of the upper vertebra?

It becomes relaxed

What is the result of the disc becoming flatter posteriorly and thicker anteriorly during extension?

The nucleus is pushed anteriorly

What happens to the size of the intervertebral foramina during extension?

It decreases

What is the role of the apophyseal joints during extension?

They become more weight-bearing

What happens to the articular processes of the upper and lower vertebrae during extension?

They become more tightly interlocked

What is the limiting factor of extension in the vertebral column?

The impact of the bony structures of the arch

What happens to the disc during lateral flexion of the upper vertebra?

It becomes wedge-shaped on the concave side

What happens to the contralateral intertransverse ligament during lateral flexion?

It becomes stretched

What determines the direction of rotation that accompanies lateral flexion?

The orientation of the apophyseal joints’ facets

What is the greatest risk of injury to the spine?

Rotation combined with flexion and compressive forces

Which ligament limits flexion in the cervical region?

Ligamentum nuchae

What limits lateral flexion in the lumbar region?

Intertransverse ligament

Which ligament limits axial rotation in the craniocervical region?

Alar ligament

What are the structures that limit extension in the cervical region?

Cervical viscera and anterior longitudinal ligament

What is the function of the posterior annulus fibrosus?

To limit flexion

What is the function of the contralateral annulus fibrosus?

To limit lateral flexion

Understand the movements of the spine, including shear forces, and how they affect the vertebrae. Learn about the role of apophyseal joints and disks in resisting shear forces. Test your knowledge of spinal movement and its cumulative effects.

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