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Questions and Answers
What is a primary characteristic of lumbar vertebrae distinct from those in other regions of the spine?
What is a primary characteristic of lumbar vertebrae distinct from those in other regions of the spine?
Which ligament primarily provides support in preventing excessive forward displacement of the vertebrae?
Which ligament primarily provides support in preventing excessive forward displacement of the vertebrae?
What is the primary function of the facet joints in the vertebral column?
What is the primary function of the facet joints in the vertebral column?
What variation might be observed in the lumbar region compared to other spinal regions?
What variation might be observed in the lumbar region compared to other spinal regions?
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Which type of movement is primarily allowed in the thoracic region of the spine compared to the lumbar region?
Which type of movement is primarily allowed in the thoracic region of the spine compared to the lumbar region?
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What is the primary function of the facet joints in the cervical spine?
What is the primary function of the facet joints in the cervical spine?
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Which characteristic differentiates lumbar vertebrae from cervical vertebrae?
Which characteristic differentiates lumbar vertebrae from cervical vertebrae?
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What is the role of the alar ligament in the cervical spine?
What is the role of the alar ligament in the cervical spine?
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Which movement has the greatest range of motion in the cervical spine?
Which movement has the greatest range of motion in the cervical spine?
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What is a key difference in the structure of cervical vertebrae compared to thoracic vertebrae?
What is a key difference in the structure of cervical vertebrae compared to thoracic vertebrae?
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What characterizes the lumbar vertebrae compared to other regions of the spine?
What characterizes the lumbar vertebrae compared to other regions of the spine?
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What is the primary function of the intra-articular ligaments in the costovertebral joints?
What is the primary function of the intra-articular ligaments in the costovertebral joints?
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Which statement correctly describes the orientation of facet joints in the lumbar region?
Which statement correctly describes the orientation of facet joints in the lumbar region?
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What variation of vertebrae is referred to as a 'caudal shift'?
What variation of vertebrae is referred to as a 'caudal shift'?
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What is the normal range of motion for lumbar flexion?
What is the normal range of motion for lumbar flexion?
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In the thoracic spine, how does the orientation of the facets affect motion as one moves lower?
In the thoracic spine, how does the orientation of the facets affect motion as one moves lower?
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What is the maximum range of motion for rotation in the lumbar region?
What is the maximum range of motion for rotation in the lumbar region?
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Which ligaments provide support at the costotransverse joints?
Which ligaments provide support at the costotransverse joints?
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Study Notes
Vertebrae
- The body of a vertebrae supports the weight of the body
- The vertebral arch protects the spinal cord
- The vertebral foramen houses the spinal cord
- Intervertebral foramina houses spinal nerves and vessels
Vertebral Arch
- Composed of two lamina and two pedicles
- Vertebral notches form the intervertebral foramen
- The arch has 7 projections:
- Two transverse processes
- One spinous process
- Two superior articulating processes
- Two inferior articulating processes
- The articulating processes form a small synovial joint
Cervical Vertebrae
- CV1 (Atlas)
- Has no body
- Articulates with the occiput
- Has no true spinous process
- Has lateral masses
- Movements:
- Flexion/extension 15'
- Sidebending 5'
- Rotation 0'
- Movement is primarily gliding or chin tuck
- CV2 (Axis)
- Distinguished by the dens, held in place by the alar ligament and transverse ligament
- Has a body
- Transverse processes are small and bifid
- Movements
- Rotation 40-45'
- Flexion/Extension 5' Flex/10' Extension
- Sidebending 0'
- Rotation is greatest due to the horizontally directed articulating processes between CV1 and CV2.
Thoracic Vertebrae
- TV1:
- Complete facet on the superior aspect of the body to articulate with the whole head of rib 1
- Demifacet inferiorly to articulate with rib 2
- TV9:
- Often has no inferior demifacet to articulate with rib 10
- TV10, 11, 12:
- Articulates with their own respective ribs
- Has costal facets that articulate with the ribs
- Orientation allows for sidebending movements.
- Ribs restrict motion.
- ROM:
- Flexion 30-40'
- Extension 20-25'
- Rotation 30'
- Sidebending 25'
Costovertebral Joint
- Articulation between the head of the rib with facets on the body of the vertebrae and with the intervertebral disc between them.
- It is a synovial joint.
- Ligaments:
- Radiate
- Intra-articular
Costotransverse Joint
- Synovial articulation between the tubercle of the rib and transverse process of the vertebrae
- Ligaments
- Costotransverse
- Superior and lateral costotransverse
Lumbar Vertebrae
- 5 in number
- Characterized by:
- Greater body size
- Absence of costal facets
- Absence of transverse foramina
- Body is wider laterally than anteroposteriorly
- Spinous process is almost horizontal and quadrangular in shape
- Superior articulating process face medially and posteriorly
- Inferior articulating process face laterally and anteriorly
- Facets are saddle-like and oriented in a sagittal plane favoring flexion and extension
- Transverse processes are thin and long.
- LV5:
- Distinguished by a massive transverse process with a large body and small spinous process
- Mamillary process:
- Located on the superior articulating process, providing attachment for multifidi muscles
- Accessory process:
- For muscle attachment
- Gross AROM:
- 50' Flexion/15' Extension
- 20' Sidebending (unilateral)
- 5' Rotation (unilateral)
Variations in Vertebrae
- Cranial shift:
- 13 ribs, including a cervical rib articulating with vertebra C7 and a diminished 12th rib articulating with vertebra T12.
- Caudal shift:
- 12th rib is increased in size, and there is a small lumbar rib.
Ligamentous support:
- The ligaments support the spine, provide stability and prevent excessive movement.
Cauda Equina
- The spinal cord ends around LV1,2.
- The nerves below this level extend as the cauda equina.
- The cauda equina nerves are responsible for innervating the lower limbs and pelvis.
Thoracic Vertebrae vs. Cervical Vertebrae
- The main difference is the presence of costal facets on thoracic vertebrae.
- These facets allow for articulation with the ribs, which are absent in cervical vertebrae.
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Description
Test your knowledge on the structure and function of vertebrae. This quiz covers key concepts related to the vertebral arch, cervical vertebrae, and their movements. Ideal for students studying anatomy or related fields.