Thoracic Vertebrae Anatomy
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Questions and Answers

What is the primary function of the sacrum?

  • It supports and transmits the weight of the body. (correct)
  • It protects the heart and lungs.
  • It allows for a wider range of motion in the lumbar region.
  • It serves as the attachment point for the ribs.
  • Which statement correctly describes the thoracic vertebrae?

  • They have heart-shaped vertebral bodies and articulate with ribs. (correct)
  • They consist of 10 vertebrae separated by intervertebral discs.
  • The thoracic spine is primarily responsible for weight-bearing.
  • They are situated at the base of the vertebral column.
  • Which of the following accurately describes the auricular surfaces of the sacrum?

  • They are located on the ventral side of the sacrum.
  • They articulate with the lumbar vertebrae.
  • They provide attachment for the diaphragm.
  • They articulate with the ilium. (correct)
  • What is unique about T1 among the thoracic vertebrae?

    <p>It is the only vertebra to articulate with the first rib.</p> Signup and view all the answers

    What does the median sacral crest form?

    <p>It is formed by the fusion of the spinous processes of the first three sacral vertebrae.</p> Signup and view all the answers

    Which of the following features is NOT characteristic of lumbar vertebrae?

    <p>Presence of transverse foramina.</p> Signup and view all the answers

    What is thoracic kyphosis primarily characterized by?

    <p>An excessive curvature of the thoracic spine.</p> Signup and view all the answers

    Which statement about excessive lumbar lordosis is true?

    <p>It often occurs in late pregnancy in women.</p> Signup and view all the answers

    Which ligaments support the lumbosacral joint between L5 and S1?

    <p>Iliolumbar ligaments.</p> Signup and view all the answers

    Scoliosis is most often observed during which stage of development?

    <p>Growth spurts before puberty.</p> Signup and view all the answers

    What defines the costovertebral joints?

    <p>They involve the articulation of the head of the rib with vertebral facets.</p> Signup and view all the answers

    What anatomical feature is noted to extend from the transverse processes of L5 to the ilia?

    <p>Fan-like ligaments.</p> Signup and view all the answers

    Which unusual feature characterizes T10 among thoracic vertebrae?

    <p>It only articulates with the 10th rib.</p> Signup and view all the answers

    How do lumbar vertebrae primarily differ in function from thoracic vertebrae?

    <p>Lumbar vertebrae bear more weight due to their larger size.</p> Signup and view all the answers

    Which of the following structures provides attachment to pelvic ligaments and muscles on the sacrum?

    <p>Anterior and posterior surfaces.</p> Signup and view all the answers

    What occurs as a result of poor posture and can lead to thoracic kyphosis?

    <p>Abnormally wedge-shaped vertebrae.</p> Signup and view all the answers

    Which characteristic is shared by T11 and T12 amongst thoracic vertebrae?

    <p>They each have a single pair of entire costal facets.</p> Signup and view all the answers

    What is the role of the costotransverse joint?

    <p>It connects the tubercle of a rib with the transverse process of a thoracic vertebra.</p> Signup and view all the answers

    Which ligament is attached to the intermediate sacral crest?

    <p>Posterior sacroiliac ligaments.</p> Signup and view all the answers

    Study Notes

    Thoracic Vertebrae

    • The thoracic vertebrae are the second segment of the vertebral column, located between the cervical and lumbar vertebrae.
    • There are 12 thoracic vertebrae, separated by intervertebral discs.
    • The thoracic spine, along with the sternum and ribs, forms the thoracic cage.

    Distinguishing Features

    • They have a heart-shaped vertebral body.
    • They have demi-facets on the sides of the vertebral body for articulation with rib heads.
    • They have costal facets on the transverse processes for articulation with rib tubercles (T1-T10 only).
    • They have long and inferiorly slanted spinous processes for increased spinal cord protection.

    Atypical Thoracic Vertebrae

    • T1: Has a superior facet that's not a demifacet and is the only vertebra to articulate with the 1st rib.
    • T10: Has a single pair of whole facets that articulate with the 10th rib.
    • T11 and T12: Have a single pair of whole costal facets located on the pedicles.

    Thoracic Joints

    • Costovertebral joint: Consists of the rib head articulating with the superior costal facet of the corresponding vertebra, the inferior costal facet of the superior vertebra, and the intervertebral disc.
    • Costotransverse joint: Formed by the articulation of the transverse processes of a thoracic vertebra and the tubercle of the adjacent rib. This joint is absent in T11 and T12.

    Thoracic Ligaments

    • Radiate ligament of head of rib: Fans outwards from the rib head to the bodies of the two vertebrae and the intervertebral disc.
    • Costotransverse ligament: Connects the neck of the rib with the transverse process.
    • Lateral costotransverse ligament: Extends from the transverse process to the tubercle of the rib.
    • Superior costotransverse ligament: Passes from the upper border of the neck of the rib to the transverse process of the vertebra superior to it.

    Lumbar Vertebrae

    • The lumbar vertebrae are the third region of the vertebral column, located in the lower back between the thoracic and sacral segments.
    • There are 5 lumbar vertebrae, which are the largest in the vertebral column.
    • They are important for weight-bearing and support.

    Distinguishing Features

    • They have large kidney-shaped vertebral bodies.
    • They have a triangular vertebral foramen.
    • They have long and slender transverse processes.
    • They have articular processes with nearly vertical facets.
    • They have short and broad spinous processes.
    • The 5th lumbar vertebra has a significantly larger vertebral body and transverse processes.
    • They lack transverse foramina.

    Lumbar Ligaments

    • The lumbosacral joint (L5 & S1) is strengthened by the iliolumbar ligaments.
    • These ligaments radiate from the transverse processes of the L5 vertebra to the ilia of the pelvis.

    Sacrum

    • The sacrum is a large, triangular bone located at the terminal end of the vertebral canal.
    • It forms the posterior aspect of the pelvis.
    • It is remarkably thick and supports and transmits the weight of the body.
    • It is formed by the fusion of 5 sacral vertebrae.

    Sacral Surfaces

    • Dorsal Surface: Coarse and rugged due to the fusion of sacral vertebrae, creating three bony crests.
      • Median sacral crest: Formed by the fusion of spinous processes of the first 3 sacral vertebrae, attaching to the supraspinous ligament.
      • Intermediate sacral crests: Formed by the fusion of sacral articular processes, attaching to the posterior sacroiliac ligaments.
      • Lateral sacral crests: Formed by the fusion of the transverse processes of the sacral bones, attaching to the posterior sacroiliac and sacrotuberous ligaments.
    • Pelvic Surface: Less remarkable than the dorsal surface, marked by four transverse lines (remnants of fused intervertebral discs).
      • Sacral Promontory: An anterior projection of bone, forming the posterior margin of the pelvic inlet.

    Clinical Relevance

    • Thoracic Kyphosis: An excessive curvature of the thoracic spine, resulting in a "hunched" back.
      • Can be caused by poor posture in early life, abnormally wedge-shaped vertebrae, fused vertebrae during development, or various diseases.
      • Osteoporosis is a common cause in adults, weakening the spine's ability to support weight.
    • Excessive Lumbar Lordosis: An abnormal anterior curvature of the lumbar region, with anterior tilting of the pelvis.
      • Can be temporary in late pregnancy or caused by obesity.
    • Scoliosis: A sideways curvature of the spine, often occurring during the growth spurt before puberty.
      • The cause is usually unknown, and affects about 3% of adolescents.
      • Most cases are mild, but some worsen during growth.
      • Girls have a higher risk of the curve worsening and needing treatment.

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