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Questions and Answers

How does a failure in vertebral segmentation, such as the formation of block vertebrae, result in nerve root compression within the intervertebral foramina?

Block vertebrae reduce the size of the intervertebral foramina, leading to nerve root compression.

Explain the developmental relationship between somites and the formation of thoracic ribs.

Thoracic ribs develop from the costal elements of the thoracic vertebrae which are derived from somites.

Describe the difference in location between the vertebral centrum and the neural arch, and how this relates to their function.

The centrum is ventral, forming the vertebral body, while the neural arch is dorsal, surrounding the spinal cord.

If a patient presents with scoliosis, alongside nerve symptoms; explain why a lesion of a segmental spinal nerve near a hemivertebra may be a likely cause?

<p>A lesion to a spinal nerve in the vicinity of a hemivertebra can induce asymmetric muscle development, leading to scoliosis.</p> Signup and view all the answers

Describe the specific boundaries of the intervertebral foramina and explain why understanding these boundaries is clinically important.

<p>The intervertebral foramina are bounded by the pedicles (superior and inferior), the intervertebral disc/vertebral bodies (anterior), and the zygapophyseal joints (posterior).</p> Signup and view all the answers

What is the developmental significance of the notochord in the formation of the vertebral column, and is it pre-axial or post-axial?

<p>The notochord acts as a pre-axial central scaffold for the development of the vertebral column.</p> Signup and view all the answers

What is the common action between the erector spinae and interspinales muscles on the vertebral column?

<p>Both the erector spinae and interspinales muscles contribute to extension of the vertebral column.</p> Signup and view all the answers

Explain the contents found within the intervertebral foramina and why each component is clinically significant.

<p>The intervertebral foramina contain spinal nerve roots, dorsal root ganglia, and blood vessels. All of which are clinically significant as their compression or harm can lead to significant neurological and/or vascular deficits.</p> Signup and view all the answers

If the erector spinae muscles are lengthening, is the movement occurring eccentric or concentric?

<p>Eccentric</p> Signup and view all the answers

Describe the difference in the position of the centrum versus the neural arch relative to the spinal cord.

<p>The vertebral centrum is ventral to the spinal cord, while the neural arch is dorsal.</p> Signup and view all the answers

Which vertebral structure is derived from the embryonic notochord?

<p>The nucleus pulposus of the intervertebral disc.</p> Signup and view all the answers

During lateral flexion, which muscle group will act unilaterally to produce movement, and on which side of the vertebral column?

<p>The intervertebral muscles act on the ipsilateral side.</p> Signup and view all the answers

What specific vertebral region is identified by the presence of transverse foramina, and which structure passes through them?

<p>The cervical region; vertebral arteries.</p> Signup and view all the answers

If a patient has difficulty extending their spine, which nerve is most likely involved, and specifically which muscle group would be affected?

<p>Dorsal rami; epaxial muscles.</p> Signup and view all the answers

A patient suffers a spinal cord injury, and the medical report mentions damage to the sclerotome. What vertebral structures might now demonstrate malformation?

<p>Both the vertebral body and the neural arch.</p> Signup and view all the answers

Besides the atlanto-occipital joint, what other joint is NOT directly acted upon by the intervertebral discs?

<p>The sacroiliac joint.</p> Signup and view all the answers

Which type of ossification error is most likely to result in block vertebrae?

<p>Too few notochordal cells remaining during development.</p> Signup and view all the answers

During vertebral column hyperextension, which specific ligament is primarily responsible preventing excessive backward bending?

<p>The anterior longitudinal ligament.</p> Signup and view all the answers

A patient has a herniated disc resulting from improper lifting technique. What mechanical loading pattern most likely contributed to this mechanism?

<p>Repetitive axial loading.</p> Signup and view all the answers

If the erector spinae muscles are challenged, during what movement of the spine is it most likely to occur?

<p>Vertebral flexion.</p> Signup and view all the answers

If a vertebra is hyperextended, which ligament prevents excessive motion?

<p>Anterior longitudinal ligament.</p> Signup and view all the answers

Name three muscle groups that attach at the spinous processes of the developing vertebrae.

<p>Multifidus, spinalis, and interspinales.</p> Signup and view all the answers

Which muscles attaching at the spinous process are most likely to be insufficient during extreme hyperextension, and why?

<p>Erector spinae, because of the extreme lengthening of muscles.</p> Signup and view all the answers

What movement will the lumbar zygapophyseal joints restrict, and why?

<p>Rotation; due to their orientation.</p> Signup and view all the answers

During vertebral column flexion, what happens to the angle between individual vertebrae?

<p>The angle decreases.</p> Signup and view all the answers

During vertebral development, in what space is the intervertebral disc located?

<p>The space between adjacent vertebral bodies.</p> Signup and view all the answers

Describe the type of muscle contraction performed by the multifidus muscle group during extension of the vertebral column.

<p>Concentric contraction.</p> Signup and view all the answers

What is the most distal joint influenced by movements of the vertebral body?

<p>Sacroiliac joint</p> Signup and view all the answers

How many adjacent somites contribute to the development of each centrum?

<p>Two adjacent somites.</p> Signup and view all the answers

Which vertebral region is most susceptible to growth abnormalities in the vertebral centrum?

<p>The thoracic region.</p> Signup and view all the answers

If a patient's exam notes mention a 'butterfly vertebra', which ossification centers are most likely affected?

<p>Lateral ossification centers</p> Signup and view all the answers

What process results in the formation of the neural arch of the vertebra?

<p>Migration and development of sclerotome cells.</p> Signup and view all the answers

During early development, what spinal movement is notably reduced due to the underdevelopment of facet joints?

<p>Significant rotation.</p> Signup and view all the answers

In vertebral development, what structure signals the mesoderm to form the vertebral column and contributes to the intervertebral disc?

<p>The notochord.</p> Signup and view all the answers

What specific structural element provides support during early vertebral development and guides vertebral body formation?

<p>The perinotochordal sheath.</p> Signup and view all the answers

In the context of vertebral development, what is the significance of blood vessels forming between somites?

<p>They drive segmentation by nourishing developing vertebrae.</p> Signup and view all the answers

What developmental deficiency leads to a split vertebral body, resulting in butterfly vertebrae?

<p>Failure of ossification of lateral cartilage centers.</p> Signup and view all the answers

In the context of intervertebral disc function, what two structures provide tensile strength and shock absorption?

<p>Annulus fibrosus and nucleus pulposus, respectively.</p> Signup and view all the answers

What is the role of the anterior longitudinal ligament in the vertebral column?

<p>It prevents hyperextension of the spine.</p> Signup and view all the answers

How does the ligamentum flavum contribute to spinal integrity?

<p>Its highly elastic nature prevents buckling during flexion.</p> Signup and view all the answers

What is the clinical significance of the suboccipital triangle?

<p>It contains the vertebral artery and dorsal ramus of C1, crucial for head movement.</p> Signup and view all the answers

Describe the movements allowed between vertebrae in the lumbar region.

<p>Flexion and extension are favored; significant rotation is not possible.</p> Signup and view all the answers

What actions do the rotatores and multifidus muscles perform?

<p>They resist rotational movement and stabilize the vertebral column.</p> Signup and view all the answers

What are the boundaries and contents of the intervertebral foramen, and how does its structure allow for the passage of spinal nerves?

<p>The intervertebral foramen is bordered by the superior and inferior vertebral notches, the vertebral body, and the zygapophyseal joints. It contains the spinal nerves and dorsal root ganglia, allowing them to exit the vertebral column.</p> Signup and view all the answers

What commonly leads to lesions of the posterior longitudinal ligament?

<p>Chronic hyperflexion or herniated intervertebral discs can cause stress.</p> Signup and view all the answers

Explain the differences in movement capabilities between the cervical and thoracic vertebrae, including the anatomical features that contribute to these differences.

<p>Cervical vertebrae are highly flexible and allow for flexion, extension, lateral flexion, and rotation. Thoracic vertebrae are more restricted due to rib attachments, primarily allowing for rotation. These differences are influenced by the shapes of the vertebral bodies, the arrangement of the zygapophyseal joints, and the presence or absence of ribs.</p> Signup and view all the answers

What is the distinguishing feature of the semispinalis muscle in terms of its location?

<p>It is primarily found in the cervical and thoracic regions.</p> Signup and view all the answers

How many vertebral segments does the multifidus cross in the lumbar spine?

<p>The multifidus crosses 3–4 vertebral segments.</p> Signup and view all the answers

Explain how the multifidus muscle's design and action affect its role in vertebral stabilization and how it may be challenged by active and passive insufficiency.

<p>The multifidus is a short, segmental muscle that crosses 3-4 vertebral segments, providing localized stability and fine-tuning movements. Its structure allows for efficient segmental control, but it's susceptible to active and passive insufficiency due its short length and multi-joint crossing.</p> Signup and view all the answers

What are the key differences in the roles of the anterior and posterior longitudinal ligaments in vertebral column stability, and how do these differences relate to their functions in the atlanto-occipital joint?

<p>The anterior longitudinal ligament prevents hyperextension (over-backward bending) and supports the vertebral bodies, while the posterior longitudinal ligament restricts hyperflexion (over-forward bending) and prevents posterior displacement of the intervertebral discs. The atlanto-occipital joint is a unique joint that is not influenced by the anterior longitudinal ligament because it does not need to be stabilized against hyperextension due to the presence of the dens (odontoid process).</p> Signup and view all the answers

What is a function of the zygapophyseal joint capsular ligaments?

<p>They stabilize the facet joints and restrict excessive movement.</p> Signup and view all the answers

Describe the evolutionary adaptations in mammalian lumbar vertebrae that allow for different movements compared to amphibians and reptiles, and explain the functional significance of these changes.

<p>Mammals evolved true lumbar vertebrae alongside the rotation of their limbs under their bodies. This allows for greater flexion and extension movements in the lumbar region, supporting a more efficient galloping motion. Amphibians and reptiles lack true lumbar vertebrae and rely on lateral undulation in their movements.</p> Signup and view all the answers

What type of contraction does the erector spinae perform during thoracolumbar spine flexion?

<p>The erector spinae performs eccentric contraction.</p> Signup and view all the answers

What nerves supply the erector spinae muscles?

<p>The dorsal rami of mixed spinal nerves supply the erector spinae muscles.</p> Signup and view all the answers

Explain how the shape and size of the vertebral bodies in different regions (cervical, thoracic, and lumbar) reflect their functional demands.

<p>Cervical vertebral bodies are small and oval-shaped, allowing for a high degree of flexibility and supporting head movements. Thoracic vertebral bodies are heart-shaped with rib facets for stability, supporting the rib cage and facilitating respiration. Lumbar vertebral bodies are large and kidney-shaped, designed to tolerate the weight-bearing and stress associated with the lower back.</p> Signup and view all the answers

Explain the role of the zygapophyseal joints in limiting or allowing specific movements in the lumbar spine, and how these joints interact with the other structures of the vertebral column to provide stability.

<p>The zygapophyseal joints, also known as facet joints, are synovial joints that connect the superior and inferior articular processes (facet surfaces) of adjacent vertebrae. They help limit unwanted movements like excessive flexion and extension while permitting controlled movements like rotation. The complex interplay between the zygapophyseal joints, intervertebral discs, ligaments, and muscles contributes to the stability and flexibility of the lumbar spine, supporting the weight of the upper body and facilitating movement.</p> Signup and view all the answers

Identify a key action of the semispinalis capitis muscle.

<p>It performs extension of the cervical spine.</p> Signup and view all the answers

How does the anatomical arrangement of the intervertebral foramen benefit spinal nerves?

<p>It provides space for spinal nerve roots and dorsal root ganglia.</p> Signup and view all the answers

Describe the specific actions of the erector spinae muscles in the thoracic region, and explain how their unilateral and bilateral actions contribute to overall spinal movement.

<p>The erector spinae muscles in the thoracic region are responsible for extension, lateral flexion, and rotation of the vertebral column. Unilaterally, the erector spinae muscles cause lateral flexion of the thoracic vertebrae to the same side. Bilaterally, they extend the thoracic vertebrae, straightening the spine. These actions demonstrate how the erector spinae muscles contribute to complex movements by coordinating their activity on both sides of the spine.</p> Signup and view all the answers

Explain the relationship between the multifidus muscle and the semispinalis muscle in terms of their segmental control and actions, and how these differences affect their respective roles in stabilizing the spine.

<p>The multifidus and semispinalis muscles are both deep back muscles that contribute to spinal stability. However, they differ in their segmental control and actions. The multifidus crosses 3-4 vertebral segments, allowing for precise segmental control and fine-tuning movements. The semispinalis crosses 5-6 vertebral segments, contributing more to overall stability with less localized control. Both muscles contribute to extension and rotation of the spine, but the multifidus's greater segmental control makes it more effective in preventing excessive movement and maintaining spinal stability.</p> Signup and view all the answers

What happens at the atlanto-occipital and atlantoaxial joints when there is a lesion to the dorsal ramus of C1?

<p>Extension and ipsilateral rotation are impaired at these joints.</p> Signup and view all the answers

Explain the significance of the transverse foramen in the cervical vertebrae and its role in accommodating specific structures. What would be the potential consequences of damage to this foramen, and why?

<p>The transverse foramen is a unique feature of cervical vertebrae that serves as a passageway for the vertebral artery and vein, as well as the sympathetic plexus. The vertebral artery supplies the brain with blood, and the sympathetic plexus carries nerve signals that regulate various functions like blood pressure and heart rate. Damage to the transverse foramen could disrupt these vital structures, leading to complications like a stroke, altered blood pressure, or neurological deficits.</p> Signup and view all the answers

Explain the relationship between the costal element of cervical vertebrae and the development of the transverse foramen, and how this anatomical feature reflects the evolutionary origins of the cervical region.

<p>The transverse foramen is derived from the costal element of cervical vertebrae, which represents the remnants of rib-like structures that were present in the early ancestors of mammals. These structures became modified during evolution, leading to the development of the transverse foramen in cervical vertebrae. This adaptation facilitated the passage of the vertebral artery, a crucial development that supported the increasing metabolic demands of the brain in mammals.</p> Signup and view all the answers

Explain the functional differences between the cervical and lumbar vertebrae in terms of their susceptibility to degeneration and trauma, and how these differences are related to their anatomical features and biomechanical roles.

<p>The lumbar vertebrae are more prone to degeneration due to their heavier weight-bearing function and the stresses associated with supporting the upper body and the lower extremities. The cervical vertebrae are more susceptible to trauma due to their delicate structure and the significant mobility of the neck, making them vulnerable to injuries from whiplash and other impact events.</p> Signup and view all the answers

Explain the anatomical and functional differences between the intertransversarii and interspinales muscles, and how their actions contribute to the stability of the vertebral column.

<p>The intertransversarii and interspinales muscles are both small muscles that contribute to the stability of the vertebral column by assisting in fine-tuning movements and preventing excess movement. The intertranversarii muscles span between the transverse processes of vertebrae, while the interspinales muscles connect the spinous processes. The intertransversarii assist in lateral flexion, whereas the interspinales contribute to extension.</p> Signup and view all the answers

Explain the anatomical and functional differences between the cervical and lumbar vertebrae that enable them to function differently in terms of movement and susceptibility to specific types of injuries.

<p>Cervical vertebrae are highly flexible, designed for a wide range of movements, including flexion, extension, lateral flexion, and rotation. They are vulnerable to trauma due to this mobility and the delicate nature of the cervical region. Lumbar vertebrae are more rigid, with limited movement owing to their weight-bearing role. Their larger size and more robust structure make them more susceptible to degeneration due to repetitive stress and heavy lifting.</p> Signup and view all the answers

Explain how the movement capabilities between vertebral segments in the thoracic region differ from those in the cervical region, and how these differences relate to the presence of ribs and the functional requirements for each region.

<p>The thoracic vertebrae are more restricted in their range of movement compared to cervical vertebrae. This limitation is primarily due to the attachments of the ribs to the thoracic vertebrae, which provide stability and protection for the thoracic cavity. This restricted movement in the thoracic region allows for proper rib cage function in respiration, whereas the cervical region's greater mobility is essential for head movement and orientation.</p> Signup and view all the answers

Explain the anatomical features that contribute to the unique mobility of the cervical vertebrae, and how these features facilitate their complex range of movement.

<p>The cervical vertebrae possess several anatomical features that contribute to their unique mobility. These features include small and oval-shaped vertebral bodies, which allow for greater flexibility; the presence of transverse foramen for the passage of the vertebral artery, supporting the vascular supply to the brain; and the presence of a unique joint between the atlas (C1) and axis (C2), which allows for rotation of the head. These adaptations facilitate the complex range of motion required for head movement and orientation.</p> Signup and view all the answers

What is the relationship between vertebral growth plates and secondary ossification centres?

<p>Vertebral growth plates remain active until early adulthood, while secondary ossification centres form processes like spinous and transverse processes.</p> Signup and view all the answers

How do Hox genes regulate vertebral region differentiation?

<p>Hox genes control the expression of region-specific features, influencing structures such as ribs in thoracic vertebrae and transverse foramina in cervical vertebrae.</p> Signup and view all the answers

Describe the characteristics that define the lumbar vertebrae.

<p>Lumbar vertebrae have large kidney-shaped vertebral bodies, short spinous processes, and articular facets oriented medially and laterally.</p> Signup and view all the answers

What common injury mechanism often leads to disc herniation in the lumbar region?

<p>Repetitive axial loading and improper lifting mechanics commonly lead to disc herniation in the lumbar region.</p> Signup and view all the answers

What is the bilateral action of the erector spinae muscles in the thoracic region?

<p>The erector spinae muscles extend the thoracic vertebral column when acting bilaterally.</p> Signup and view all the answers

Which joint in the thoracic region does not allow rotation?

<p>The costovertebral joints restrict rotation in the thoracic region due to rib attachments.</p> Signup and view all the answers

What are the primary contents that traverse the cervical transverse foramina?

<p>The cervical transverse foramina contain the vertebral artery and vein, along with an accompanying sympathetic plexus from C6 to C1.</p> Signup and view all the answers

What type of contraction does the erector spinae perform during forward flexion of the thoracic spine?

<p>During forward flexion, the erector spinae muscles perform an eccentric contraction to control the descent.</p> Signup and view all the answers

Which nerve supplies the intertransversarii muscles in the cervical region?

<p>The intertransversarii muscles in the cervical region are supplied by the lateral branches of the dorsal rami.</p> Signup and view all the answers

What movement is restricted by the anterior longitudinal ligament in the cervical spine?

<p>The anterior longitudinal ligament restricts hyperextension in the cervical spine.</p> Signup and view all the answers

Describe the key features of a thoracic vertebra.

<p>Thoracic vertebrae have a heart-shaped body, costal facets for rib attachment, and long, downward-sloping spinous processes.</p> Signup and view all the answers

How does the structure of cervical vertebrae differ from that of thoracic vertebrae?

<p>Cervical vertebrae have small oval bodies and transverse foramina, while thoracic vertebrae have a heart-shaped body and costal facets.</p> Signup and view all the answers

What is the most distal joint influenced by the sacral vertebrae?

<p>The most distal joint influenced by the sacral vertebrae is the sacroiliac joint.</p> Signup and view all the answers

Explain the function of the lumbar vertebral column during different movements.

<p>The lumbar vertebral column allows flexion and extension, primarily supported by interlocking articular facets.</p> Signup and view all the answers

What structures are formed by the anterior wall of the vertebral canal?

<p>The anterior wall consists of vertebral bodies, intervertebral discs, and the posterior longitudinal ligament.</p> Signup and view all the answers

Describe the function of the denticulate ligaments.

<p>The denticulate ligaments stabilize the spinal cord by anchoring it laterally to the dura mater.</p> Signup and view all the answers

What occurs to the spinal cord during lumbar flexion?

<p>The spinal cord moves ventrally during lumbar flexion.</p> Signup and view all the answers

Which space is filled with cerebrospinal fluid?

<p>The subarachnoid space lies between the arachnoid mater and the pia mater, filled with cerebrospinal fluid.</p> Signup and view all the answers

What is the role of the pia mater in relation to the spinal cord?

<p>The pia mater is the innermost meningeal layer, adhering directly to the spinal cord and nerve roots.</p> Signup and view all the answers

What kind of nerve lesion affects the dura mater?

<p>A lesion to the recurrent meningeal nerve may result in pain localized to the intervertebral joints and surrounding dura.</p> Signup and view all the answers

How does the filum terminale function in the spinal cord?

<p>The filum terminale anchors the spinal cord to the coccyx, preventing superior displacement.</p> Signup and view all the answers

What are the contents of the lumbar cistern?

<p>The contents of the lumbar cistern include the cauda equina, cerebrospinal fluid, and filum terminale.</p> Signup and view all the answers

What is the significance of the sacral hiatus?

<p>The sacral hiatus provides access to the epidural space for caudal epidural anaesthesia.</p> Signup and view all the answers

What movements are restricted by the denticulate ligaments?

<p>The denticulate ligaments restrict excessive lateral movement of the spinal cord.</p> Signup and view all the answers

What forms the posterior wall of the vertebral canal?

<p>The posterior wall consists of the laminae, ligamentum flavum, and zygapophyseal joints.</p> Signup and view all the answers

Which nerve supplies the structures in the epidural space?

<p>The recurrent meningeal nerves supply structures in the epidural space.</p> Signup and view all the answers

Describe the characteristics of the dura mater.

<p>The dura mater is the tough outer meningeal layer forming a loose sheath around the spinal cord.</p> Signup and view all the answers

What causes spinal stenosis related to the ligamentum flavum?

<p>Degeneration and thickening of the ligamentum flavum can lead to spinal stenosis.</p> Signup and view all the answers

What actions does the rectus capitis posterior major perform?

<p>Extension and ipsilateral rotation of the head.</p> Signup and view all the answers

How does the thoracolumbar fascia enhance lumbar stability?

<p>It forms a dense sheath that is reinforced by the latissimus dorsi and gluteus maximus.</p> Signup and view all the answers

What are the three layers of the thoracolumbar fascia?

<p>Anterior, middle, and posterior layers.</p> Signup and view all the answers

What distinguishes intrinsic from extrinsic back muscles?

<p>Intrinsic muscles are innervated by dorsal rami and stabilize the spine, while extrinsic muscles are limb-associated and innervated by ventral rami.</p> Signup and view all the answers

Which extrinsic muscles are associated with the thoracolumbar fascia?

<p>Serratus posterior superior and serratus posterior inferior.</p> Signup and view all the answers

What movement does the erector spinae perform during lateral flexion?

<p>Ipsilateral lateral flexion of the vertebral column.</p> Signup and view all the answers

How does the ligamentum nuchae differ from the supraspinous ligament?

<p>The ligamentum nuchae is an extension of the supraspinous ligament in the cervical region.</p> Signup and view all the answers

What function does the obliquus capitis inferior muscle serve?

<p>It performs ipsilateral rotation of the head at the atlanto-axial joint.</p> Signup and view all the answers

What role does the interspinous ligament play in vertebral stability?

<p>It connects adjacent spinous processes and limits excessive flexion.</p> Signup and view all the answers

How do the thoracic and lumbar ligaments differ in function?

<p>Thoracic ligaments are thinner and allow for more flexibility, while lumbar ligaments are thicker and stronger.</p> Signup and view all the answers

What is the clinical significance of the greater occipital nerve (C2)?

<p>It is often associated with neuralgia and headaches due to its anatomical position.</p> Signup and view all the answers

Which group of muscles contributes most to postural stability during standing?

<p>The erector spinae group.</p> Signup and view all the answers

How do radiate ligaments stabilize rib and vertebral joints?

<p>They anchor the rib heads to the vertebral bodies, ensuring joint stability.</p> Signup and view all the answers

What role do the interlocked radial orientations of zygapophyseal joints in the lumbar spine play in movement?

<p>They prevent rotation while allowing flexion and extension.</p> Signup and view all the answers

How does the tangential orientation of thoracic articular facets influence lateral flexion?

<p>It permits rotation but limits lateral flexion due to rib attachments.</p> Signup and view all the answers

What are the multi-segmental ligaments of the vertebral column?

<p>Anterior longitudinal ligament, posterior longitudinal ligament, and supraspinous ligament.</p> Signup and view all the answers

What is the role of the ligamentum flavum?

<p>It prevents buckling and compression of the spinal cord due to its elastic properties.</p> Signup and view all the answers

What structural components make up the anterior segment of the motion segment, and what is their main function?

<p>The anterior segment consists of vertebral bodies and discs, primarily serving as load-bearing structures.</p> Signup and view all the answers

In cervical vertebrae, how do oblique facet angles enhance mobility?

<p>Oblique facet angles allow for coupled movements of lateral flexion and rotation, increasing overall neck mobility.</p> Signup and view all the answers

What are the consequences of weakening in the annulus fibrosus of intervertebral discs?

<p>It leads to disc herniation or bulging, compromising spinal stability.</p> Signup and view all the answers

How do Hox genes contribute to the distinctive features of cervical and thoracic vertebrae?

<p>Hox genes regulate the development of region-specific characteristics like transverse foramina in cervical vertebrae and rib facets in thoracic vertebrae.</p> Signup and view all the answers

What changes occur in the intervertebral disc with aging, and how do these affect vertebral column mechanics?

<p>Water content decreases with age, resulting in reduced elasticity and height, which diminishes shock absorption capacity.</p> Signup and view all the answers

What key features can be used to differentiate between cervical, thoracic, lumbar, and sacral vertebrae?

<p>Cervical vertebrae have transverse foramina, thoracic have rib facets, lumbar lack both, and sacral are fused vertebrae.</p> Signup and view all the answers

Explain how the anterior and posterior longitudinal ligaments contribute to vertebral stability.

<p>The anterior longitudinal ligament resists hyperextension, while the posterior longitudinal ligament restrains hyperflexion.</p> Signup and view all the answers

What distinguishes the load-bearing capabilities of lumbar vertebrae from those of cervical and thoracic vertebrae?

<p>Lumbar vertebrae have larger bodies designed for significant weight-bearing, whereas cervical vertebrae prioritize flexibility.</p> Signup and view all the answers

In what way do coupled movements vary between the lumbar, thoracic, and cervical regions due to their anatomical structures?

<p>Cervical allows coupled movements due to oblique facets, thoracic is limited by ribs, and lumbar exhibits minimal coupling due to interlocked facets.</p> Signup and view all the answers

How does the nucleus pulposus maintain intervertebral disc integrity under load?

<p>The nucleus pulposus absorbs pressure, while the annulus fibrosus resists tension to maintain disc integrity.</p> Signup and view all the answers

What adaptations in the vertebral columns of aquatic mammals differentiate them from terrestrial mammals?

<p>Aquatic mammals have flattened cervical vertebrae and retained lumbar regions optimized for swimming.</p> Signup and view all the answers

What mechanisms can lead to disc herniation, and how might the location of the injury affect its manifestation?

<p>Disc herniation typically results from axial loading in the lumbar spine; its effects can vary based on the injury’s location.</p> Signup and view all the answers

What structures define the femoral triangle?

<p>The femoral triangle is bordered by the inguinal ligament, sartorius, and adductor longus.</p> Signup and view all the answers

What are the contents of the popliteal fossa?

<p>The popliteal fossa contains the popliteal artery, vein, tibial nerve, and fibular nerve.</p> Signup and view all the answers

Which nerve is responsible for innervating the anterior compartment of the forearm?

<p>The median nerve innervates most muscles in the anterior compartment of the forearm.</p> Signup and view all the answers

What is a common action performed by the muscles in the anterior compartment of the thigh?

<p>A common action of the anterior compartment of the thigh is the extension of the knee.</p> Signup and view all the answers

What clinical sign may result from a lesion to the brachial plexus?

<p>Weakness of the shoulder and elbow may lead to a 'waiter's tip' deformity.</p> Signup and view all the answers

What muscles are primarily responsible for flexion of the knee?

<p>The hamstrings are primarily responsible for flexion of the knee.</p> Signup and view all the answers

Which segments contribute to the formation of the sciatic nerve?

<p>The sciatic nerve arises from the spinal segments L4-S3.</p> Signup and view all the answers

What spaces do the femoral nerve and brachial plexus pass through?

<p>The femoral nerve passes through the femoral triangle, while the brachial plexus passes through the posterior triangle of the neck.</p> Signup and view all the answers

What is the primary movement controlled by the tibial nerve?

<p>The tibial nerve prevents dorsiflexion at the ankle.</p> Signup and view all the answers

Which muscle is likely to be challenged by active insufficiency during shoulder flexion?

<p>The pectoralis major is the muscle most likely challenged.</p> Signup and view all the answers

What is the bilateral action of the gastrocnemius muscle?

<p>The gastrocnemius performs plantarflexion of the ankle.</p> Signup and view all the answers

Which joint movements are possible in the popliteal fossa?

<p>Flexion and extension are favored movements in the popliteal fossa.</p> Signup and view all the answers

What nerve is likely affected due to lumbar region injuries?

<p>The femoral nerve is commonly affected by injuries in the lumbar region.</p> Signup and view all the answers

What is the key function of the triceps brachii?

<p>Extension of the elbow.</p> Signup and view all the answers

Which muscle does the musculocutaneous nerve pierce, and why is it significant?

<p>The musculocutaneous nerve pierces the coracobrachialis, serving as a landmark for the nerve's pathway.</p> Signup and view all the answers

Describe the effect of a musculocutaneous nerve lesion on elbow positioning.

<p>It would weaken elbow flexion and supination, leaving the forearm in a pronated position.</p> Signup and view all the answers

What are the constituents of the quadrangular space?

<p>The axillary nerve and the posterior circumflex humeral artery.</p> Signup and view all the answers

What spinal segments contribute to the brachial plexus for the radial nerve?

<p>C5-T1 spinal segments.</p> Signup and view all the answers

Identify a common action shared by the coracobrachialis and biceps brachii.

<p>Flexion and internal rotation at the glenohumeral joint.</p> Signup and view all the answers

Which nerve is responsible for controlling excessive elbow extension?

<p>The musculocutaneous nerve.</p> Signup and view all the answers

What is the bilateral action of the biceps brachii?

<p>Flexion and supination of the forearm.</p> Signup and view all the answers

Which movement occurs through the sagittal plane at the elbow facilitated by the brachialis?

<p>Flexion of the elbow.</p> Signup and view all the answers

What will be the positioning of the elbow if the radial nerve is lesioned?

<p>The elbow will remain partially flexed.</p> Signup and view all the answers

What type of muscle contraction occurs in the biceps brachii during forearm supination?

<p>Concentric contraction.</p> Signup and view all the answers

Name a common injury mechanism for the musculocutaneous nerve aside from generic trauma.

<p>Entrapment as it pierces the coracobrachialis muscle.</p> Signup and view all the answers

Which joint does the brachialis act on as its most distal joint?

<p>The elbow joint.</p> Signup and view all the answers

What is the unilateral action of the coracobrachialis?

<p>Flexion and adduction of the shoulder.</p> Signup and view all the answers

Describe the typical positioning of the forearm in cases of biceps brachii weakness due to nerve lesions.

<p>The forearm tends to be in a pronated position.</p> Signup and view all the answers

What muscles originate from the coracoid process and how do they contribute to upper limb movement?

<p>The pectoralis minor, coracobrachialis, and short head of the biceps brachii originate from the coracoid process, aiding in scapular and arm movements.</p> Signup and view all the answers

Why is the lumbar cistern a preferred site for lumbar puncture, given the termination of the spinal cord at L1?

<p>The lumbar cistern offers a generous subarachnoid space at L3/4, allowing for safe cerebrospinal fluid extraction without risking spinal cord damage.</p> Signup and view all the answers

Describe the actions of the upper, middle, and lower fibres of the trapezius.

<p>The upper fibres elevate the scapula, the middle fibres retract it, and the lower fibres depress and assist in upward rotation.</p> Signup and view all the answers

Explain how the denticulate ligaments contribute to the stability of the spinal cord within the vertebral canal.

<p>These ligaments, extending laterally from the pia mater and attaching to the dura mater, prevent excessive movement of the cord within the vertebral canal.</p> Signup and view all the answers

How does the serratus anterior contribute to scapular positioning?

<p>The serratus anterior assists in scapular protraction and upward rotation, essential during arm elevation.</p> Signup and view all the answers

What makes the subdural space a potential clinical concern, and why is it considered a pathological space?

<p>The subdural space is a pathological space that may form during trauma, housing a potential subdural hematoma which could compress the spinal cord.</p> Signup and view all the answers

Which nerve innervates the latissimus dorsi and what functional roles does this muscle serve?

<p>The thoracodorsal nerve innervates the latissimus dorsi, enabling powerful shoulder extension, adduction, and medial rotation.</p> Signup and view all the answers

Describe the specific function of the internal vertebral venous plexus, and what structures it drains from.

<p>This plexus acts as a venous drainage system for the spinal cord and its surrounding structures.</p> Signup and view all the answers

What is the significance of the medial pectoral nerve in scapular movement?

<p>The medial pectoral nerve innervates the pectoralis minor and major, and injury to it can impair shoulder protraction and depression.</p> Signup and view all the answers

Explain the role of the latissimus dorsi in scapular movement.

<p>The latissimus dorsi pulls the humerus posteriorly, contributing to scapular retraction and downward rotation.</p> Signup and view all the answers

Explain the segmental changes observed in the organization of grey and white matter in the spinal cord and their functional implications.

<p>Cervical and lumbar enlargements contain more grey matter for limb innervation, while the thoracic and sacral regions exhibit a predominance of autonomic nerve components related to visceral control.</p> Signup and view all the answers

Relate the variations in vertebral canal size across different regions to the specific requirements of the spinal cord in those regions.

<p>The cervical and lumbar spinal cord requires more space due to its larger diameter and increased movement, while the thoracic canal is narrower due to rib attachments.</p> Signup and view all the answers

What effect does injury to the long thoracic nerve have on shoulder function?

<p>Injury to the long thoracic nerve causes weakness in the serratus anterior, leading to scapular winging and impaired arm elevation.</p> Signup and view all the answers

What is the function of the filum terminale, and how does its location contribute to the structural maintenance of the spinal cord?

<p>The filum terminale anchors the spinal cord to the coccyx, ensuring longitudinal stability throughout the vertebral canal.</p> Signup and view all the answers

How do the serratus anterior and trapezius interact to facilitate upward scapular rotation?

<p>The serratus anterior and upper and lower fibres of the trapezius work together to achieve upward scapular rotation during arm elevation.</p> Signup and view all the answers

Describe the role of cerebrospinal fluid (CSF) in the subarachnoid space and its significance for the spinal cord.

<p>CSF acts as a protective cushion for the spinal cord, removes metabolic waste products, and provides essential nutrients for neural tissue.</p> Signup and view all the answers

What anatomical relationship exists between the accessory nerve and the trapezius muscle?

<p>The accessory nerve (CN XI) innervates the trapezius as it courses through the posterior triangle of the neck.</p> Signup and view all the answers

Distinguish between the conus medullaris and the cauda equina, highlighting their anatomical relationship and functional differences.

<p>The conus medullaris is the tapered end of the spinal cord, whereas the cauda equina comprises spinal nerve roots extending below the conus.</p> Signup and view all the answers

Identify the muscles that contribute to downward rotation of the scapula.

<p>The rhomboids, levator scapulae, latissimus dorsi, and pectoralis minor work together to facilitate downward scapular rotation.</p> Signup and view all the answers

Explain how compression of the cauda equina can lead to the development of cauda equina syndrome, and describe the common clinical manifestations of this condition.

<p>Cauda equina syndrome occurs when the nerve roots are compressed, leading to sensory and motor deficits in the lower limbs, bladder dysfunction, and perineal numbness.</p> Signup and view all the answers

Describe the functional significance of the arachnoid trabeculae in the subarachnoid space, and how they contribute to the stability of the spinal cord within the CSF.

<p>The arachnoid trabeculae, connections between the arachnoid and pia mater, help to stabilize the spinal cord within the cerebrospinal fluid.</p> Signup and view all the answers

Explain the importance of the epidural space in anaesthesia and describe its clinical applications.

<p>The epidural space allows for the delivery of anaesthetics, providing segmental nerve blocks for procedures such as labor and caesarean sections.</p> Signup and view all the answers

Describe how spinal cord movement within the vertebral canal during flexion and extension can contribute to back pain.

<p>Flexion and extension movements of the spinal column can lead to compression of nerve roots, causing flexion or extension-induced back pain.</p> Signup and view all the answers

Compare and contrast the subarachnoid and epidural spaces, highlighting their anatomical differences and the structures they contain.

<p>The subarachnoid space is filled with cerebrospinal fluid and lies between the arachnoid and pia mater, whereas the epidural space is exterior to the dura mater and houses fat and veins.</p> Signup and view all the answers

Explain why the conus medullaris shifts its position during development, from the coccyx in the fetus to L1 in adults.

<p>The vertebral column undergoes a rapid growth rate compared to the spinal cord, resulting in the conus medullaris moving from the coccyx to L1.</p> Signup and view all the answers

Identify the structural features that protect the spinal cord within the vertebral canal, and explain their respective functions.

<p>The vertebral canal walls, meninges (dura, arachnoid, pia mater), cerebrospinal fluid, and denticulate ligaments provide mechanical protection.</p> Signup and view all the answers

What is the clinical significance of the last denticulate ligament being located at L1, and how does this relate to the function of the filum terminale?

<p>The last denticulate ligament at L1 marks the end of lateral stabilization of the spinal cord, with the filum terminale taking over longitudinal stability beyond this point.</p> Signup and view all the answers

Explain the relationship between the spinal nerve segments and the intervertebral foramina in the lumbar region, and how this difference affects their course.

<p>Lumbar spinal nerves descend 3–5 vertebral segments to reach their respective intervertebral foramina, necessitating a longer course to reach the foramina.</p> Signup and view all the answers

Describe the distribution patterns of white and grey matter along the spinal cord, and relate these to the functional responsibilities of different spinal cord segments.

<p>White matter increases towards the brain, reflecting ascending and descending tracts, while grey matter enlargements in the cervical and lumbar regions indicate greater limb innervation.</p> Signup and view all the answers

What are the autonomic components of the spinal cord, and where are they located within its structure?

<p>The intermediolateral horn, located within the grey matter, houses sympathetic nerves in T1–L2 and parasympathetic nerves in S2–S4, controlling involuntary functions.</p> Signup and view all the answers

Describe the structural adaptations that support the cauda equina within the lumbar cistern, and how they contribute to its protection.

<p>The cauda equina is surrounded by cerebrospinal fluid, which acts as a protective cushion, preventing direct contact with bony structures.</p> Signup and view all the answers

Identify the boundaries and contents of the sacral canal, highlighting its unique features and what structures pass through it.

<p>The sacral canal is bounded by the sacral vertebrae, laminae, and the sacral hiatus. It contains the filum terminale externum, sacral nerve roots, fat, and veins.</p> Signup and view all the answers

What structures form the lateral wall of the vertebral canal, and how do these structures relate to the intervertebral foramina?

<p>The pedicles, which are bony projections from the vertebral body, and the intervertebral foramina, openings between adjacent vertebrae, form the lateral wall of the vertebral canal.</p> Signup and view all the answers

Compare and contrast the sizes of the vertebral canal in different regions, and explain why the size variations occur.

<p>The vertebral canal is larger in the cervical and lumbar regions due to larger spinal cord diameters and greater mobility, smaller in the thoracic region due to rib attachments, and reduced in the sacral region as the spinal cord ends.</p> Signup and view all the answers

What is the function of the epidural fat in the vertebral canal, and how does it relate to other structures within the epidural space?

<p>Epidural fat acts as a cushion for the spinal cord and provides space for the internal vertebral venous plexus.</p> Signup and view all the answers

Explain the significance of the posterior longitudinal ligament within the vertebral canal, and how it functions in relation to vertebral movements.

<p>The posterior longitudinal ligament supports the posterior vertebral bodies and restricts hyperextension, preventing damage to the spinal cord.</p> Signup and view all the answers

Describe the role of the internal vertebral venous plexus within the epidural space, and what structures it drains venous blood from.

<p>The internal vertebral venous plexus drains venous blood from the vertebral column and spinal cord, contributing to the overall venous drainage of the spinal region.</p> Signup and view all the answers

Compare and contrast the attachments of the dura mater along the vertebral canal, highlighting how its attachment varies and the functional consequences.

<p>The dura mater attaches firmly to the foramen magnum, loosely to the posterior longitudinal ligament, firmly to the dorsal surface of the coccyx, and forms dural sleeves around spinal nerves, allowing flexibility and stability.</p> Signup and view all the answers

Explain the clinical relevance of the lumbar cistern, and why it plays a critical role in various medical procedures.

<p>The lumbar cistern provides a large subarachnoid space, making it the preferred site for lumbar puncture to obtain CSF, as well as for epidural anesthesia.</p> Signup and view all the answers

Is the subclavius muscle classified as dorsal or ventral?

<p>The subclavius is ventral.</p> Signup and view all the answers

What is the origin, insertion, and key function of the serratus anterior muscle?

<p>Origin: Outer surfaces of the upper 8-9 ribs; Insertion: Medial border of the scapula; Key function: Protraction and upward rotation of the scapula.</p> Signup and view all the answers

Which nerve it supplies the serratus anterior, and what is its significance?

<p>The long thoracic nerve (C5, C6, C7) supplies the serratus anterior, enabling scapular movement.</p> Signup and view all the answers

What makes the brachialis muscle the primary mover of elbow flexion?

<p>The brachialis inserts closer to the ulnar tuberosity, providing a consistent force during elbow flexion regardless of forearm position.</p> Signup and view all the answers

Why is the bicipital aponeurosis important in the cubital fossa?

<p>It protects vital structures like the median nerve and brachial artery, and aids in force transmission during supination.</p> Signup and view all the answers

Describe the clinical sign associated with a lesion to the spinal accessory nerve regarding the trapezius.

<p>A lesion would cause drooping of the shoulder and difficulty elevating the scapula.</p> Signup and view all the answers

In what way does the anconeus muscle contribute to elbow stability?

<p>The anconeus assists the triceps brachii in elbow extension and helps stabilize the joint during forearm movements.</p> Signup and view all the answers

What is the unilateral action of the levator scapulae?

<p>The unilateral action of the levator scapulae is elevation and downward rotation of the scapula.</p> Signup and view all the answers

What anatomical structure is housed within the spiral groove of the humerus?

<p>The radial nerve and deep brachial artery are located in the spiral groove, making it vulnerable to injury during fractures.</p> Signup and view all the answers

Which movements can be performed at the scapulothoracic joint?

<p>Favored movements include protraction, retraction, elevation, depression, upward rotation, and downward rotation.</p> Signup and view all the answers

What is the functional significance of the long thoracic nerve in relation to scapular movement?

<p>It innervates the serratus anterior, enabling scapular protraction and upward rotation essential for overhead movements.</p> Signup and view all the answers

How does the deltoid muscle influence shoulder movements?

<p>The deltoid aids in shoulder flexion, extension, and abduction by crossing the glenohumeral joint with its different fiber orientations.</p> Signup and view all the answers

What role does the long head of the triceps brachii play in shoulder function?

<p>It contributes to shoulder extension and adduction while also facilitating elbow extension.</p> Signup and view all the answers

Which muscle groups are involved in upward rotation of the scapula?

<p>The serratus anterior and trapezius muscle groups perform upward rotation of the scapula.</p> Signup and view all the answers

Name a common injury mechanism for the long thoracic nerve.

<p>Compression or damage during surgery, such as mastectomy or axillary lymph node dissection.</p> Signup and view all the answers

How does the pathway of the radial nerve make it prone to injury?

<p>Its course through the triangular interval and spiral groove exposes it to compression during midshaft humeral fractures.</p> Signup and view all the answers

What is the role of the rhomboids group in scapular posture?

<p>The rhomboids retract and medially rotate the scapula, supporting its position against the thoracic wall.</p> Signup and view all the answers

What is the significance of the coracoid process in upper limb biomechanics?

<p>It serves as an origin for several muscles, including the coracobrachialis and biceps brachii, affecting shoulder movements.</p> Signup and view all the answers

How does the trapezius muscle contribute to scapular stability during upper limb movement?

<p>The trapezius stabilizes the scapula, preventing unwanted protraction or depression.</p> Signup and view all the answers

What anatomical features does the triangular interval encompass?

<p>It contains the radial nerve and profunda brachii artery, both vulnerable during arm injuries.</p> Signup and view all the answers

How does the musculocutaneous nerve affect sensory perception in the forearm?

<p>It transitions into the lateral cutaneous nerve, providing sensory innervation to the lateral forearm.</p> Signup and view all the answers

What are the boundaries and contents of the axilla?

<p>Boundaries: Anterior: Pectoralis major and minor; Posterior: Latissimus dorsi and subscapularis; Medial: Serratus anterior; Lateral: Intertubercular sulcus of the humerus. Contents: Axillary artery, vein, brachial plexus cords, and lymph nodes.</p> Signup and view all the answers

Why is the olecranon process crucial for elbow extension?

<p>It acts as the insertion point for the triceps brachii and anconeus, enabling effective force generation during extension.</p> Signup and view all the answers

What type of muscle contraction does the serratus anterior perform during scapular protraction?

<p>The serratus anterior performs concentric contraction during scapular protraction.</p> Signup and view all the answers

Which movements are most affected by an injury to the musculocutaneous nerve?

<p>Elbow flexion and forearm supination would be significantly weakened due to the impact on biceps brachii and brachialis.</p> Signup and view all the answers

What is the relation between the bicipital groove and the biceps brachii's function?

<p>The bicipital groove guides the tendon of the biceps brachii, facilitating stabilization and assistance with shoulder flexion.</p> Signup and view all the answers

How does the axillary nerve contribute to shoulder movement?

<p>It innervates the deltoid and teres minor, enabling shoulder abduction and external rotation.</p> Signup and view all the answers

What role does cerebrospinal fluid in the lumbar cistern play during a lumbar puncture?

<p>Cerebrospinal fluid provides a safe medium for lumbar punctures, allowing for the collection of fluid and administration of anaesthesia without damaging spinal cord structures.</p> Signup and view all the answers

How do spinal nerves maintain their position within the vertebral canal?

<p>Spinal nerves are anchored by the dura mater as it forms sleeves around them, stabilising their exit through the intervertebral foramina.</p> Signup and view all the answers

Describe how denticulate ligaments function in relation to the spinal cord.

<p>Denticulate ligaments function by anchoring the spinal cord to the dura mater, limiting excessive movement and providing stability.</p> Signup and view all the answers

What is the significance of the filum terminale muscles in the anatomy of the spinal cord?

<p>The filum terminale anchors the conus medullaris to the sacrum, providing stability to the spinal cord's lower end.</p> Signup and view all the answers

Explain how vertebral flexion and extension affect spinal cord positioning.

<p>During flexion, the spinal cord shifts ventrally and cranially, while during extension, it moves dorsally and caudally.</p> Signup and view all the answers

What distinguishes the cervical enlargement from the lumbar enlargement?

<p>The cervical enlargement innervates the upper limbs, while the lumbar enlargement innervates the lower limbs.</p> Signup and view all the answers

Why is understanding the location of the epidural space clinically important?

<p>The epidural space is essential for administering regional anaesthesia, allowing for effective pain relief during childbirth and surgeries.</p> Signup and view all the answers

Identify the functional differences between the dorsal and ventral nerve roots.

<p>Dorsal nerve roots carry sensory information to the spinal cord, while ventral nerve roots transmit motor signals to the muscles.</p> Signup and view all the answers

What critical role does the conus medullaris play in the nervous system?

<p>The conus medullaris serves as the origin for the cauda equina, supplying nerves to the lower limbs and pelvic structures.</p> Signup and view all the answers

Differentiate between the subdural and subarachnoid spaces in terms of clinical relevance.

<p>The subdural space is a potential space that may indicate pathology, while the subarachnoid space is a true space filled with cerebrospinal fluid important for protective functions.</p> Signup and view all the answers

Explain how the spinal cord's diameter changes throughout its length.

<p>The spinal cord diameter decreases caudally, with notable enlargements at the cervical and lumbar regions for limb innervation.</p> Signup and view all the answers

How does the sacral hiatus contribute to medical practices involving the spine?

<p>The sacral hiatus is utilized for caudal epidural anaesthesia, allowing access to sacral nerve roots without puncturing the dural sac.</p> Signup and view all the answers

What anatomical relationship exists between the dorsal root ganglion and the meninges?

<p>The dorsal root ganglion resides within the epidural space, where the meninges transition to peripheral nerve tissue.</p> Signup and view all the answers

In what manner do the layers of connective tissue surrounding peripheral nerves relate to the structure of the meninges?

<p>The epineurium, perineurium, and endoneurium of peripheral nerves are continuous with the dura mater, arachnoid, and pia mater, respectively.</p> Signup and view all the answers

If a patient experiences weakness in abduction and external rotation of the shoulder, which nerve and artery might be compromised, and what anatomical space are they located in?

<p>The axillary nerve and posterior circumflex humeral artery are likely compromised, located within the quadrangular space.</p> Signup and view all the answers

A patient presents with a compromised triceps muscle function. Which nerve is likely affected, and where would you find it in relation to the humerus?

<p>The radial nerve is likely affected, and it would be found in the posterior compartment of the arm, running alongside the humerus.</p> Signup and view all the answers

Explain the clinical significance of the posterior triangle of the neck, including its relevance to surgical procedures and potential complications.

<p>The posterior triangle houses crucial structures like the accessory nerve (CN XI) and is a site for central venous access. Surgical procedures in this region risk injury to the accessory nerve, leading to impaired shoulder movement.</p> Signup and view all the answers

A patient experiences numbness and tingling in the medial leg and foot. Which nerve is likely involved, and what triangle is it associated with?

<p>The saphenous nerve is likely affected, and it is associated with the femoral triangle.</p> Signup and view all the answers

Why is the adductor hiatus crucial for the vascular system of the lower limb, and what happens to the femoral vessels as they pass through it?

<p>The adductor hiatus allows the femoral artery and vein to transition into the popliteal fossa, becoming the popliteal artery and vein, supplying the posterior compartment of the leg.</p> Signup and view all the answers

A patient experiences pain and weakness in their wrist extension. Which nerve is likely affected, and where would you locate it in relation to the humerus?

<p>The radial nerve is likely affected, and it would be found in the posterior compartment of the arm, running alongside the humerus.</p> Signup and view all the answers

What is the connection between the cubital fossa and venipuncture, and which vein is commonly accessed in this region?

<p>The median cubital vein, a prominent vein visible across the cubital fossa, is frequently targeted for venipuncture due to its superficial location and ease of access.</p> Signup and view all the answers

Explain why the great saphenous vein is important in vascular surgery, and what clinical procedure commonly utilizes it?

<p>The great saphenous vein is a common source for grafts in coronary artery bypass surgery due to its size and accessibility.</p> Signup and view all the answers

What nerve is most commonly compressed in the carpal tunnel, and what is the clinical consequence of this compression?

<p>The median nerve is most commonly compressed in the carpal tunnel, leading to carpal tunnel syndrome, characterized by numbness, tingling, and pain in the hand.</p> Signup and view all the answers

Why is it crucial to administer gluteal intramuscular injections with caution, and what nerve is particularly at risk in this region?

<p>Improper gluteal injections can injure the sciatic nerve, leading to significant lower limb dysfunction, emphasizing the importance of proper injection technique.</p> Signup and view all the answers

What is the significance of the subclavian artery in the posterior triangle of the neck, and what are its primary branches?

<p>The subclavian artery supplies blood to the upper limb and neck via its branches, including the vertebral artery and thyrocervical trunk.</p> Signup and view all the answers

Explain the relationship between the femoral sheath and femoral hernias, and why are they more common in females?

<p>The femoral sheath houses the femoral artery, vein, and lymphatics, but not the nerve, making it a common site for femoral hernias, with a higher prevalence in females due to their wider pelvis.</p> Signup and view all the answers

What is the clinical relevance of the cervical plexus in nerve blocks, and where is it located?

<p>The cervical plexus, located in the posterior triangle, is targeted in nerve blocks for neck surgeries and regional anesthesia, providing pain relief and muscle paralysis.</p> Signup and view all the answers

Explain the potential complications associated with axillary lymph node dissection in cancer treatment, and how the long thoracic or thoracodorsal nerves are related to these complications.

<p>Axillary lymph node dissection can lead to lymphedema and injury to the long thoracic or thoracodorsal nerve, resulting in scapular winging and difficulty with arm movement.</p> Signup and view all the answers

How does the tibial nerve contribute to plantarflexion in the lower limb, and what specific muscles does it innervate?

<p>The tibial nerve innervates the gastrocnemius, soleus, and other muscles in the posterior compartment of the leg, enabling plantarflexion at the ankle.</p> Signup and view all the answers

Is the vertebral centrum dorsal or ventral?

<p>The vertebral centrum is ventral</p> Signup and view all the answers

Is the notochord pre-axial or post-axial?

<p>The notochord is pre-axial</p> Signup and view all the answers

Name the ossification centres involved in vertebral development and describe what they form/develop into.

<ol> <li>Centrum: Forms the central portion of the vertebral body.</li> <li>Neural arch elements: Form the dorsal aspect of the vertebral column, surrounding the spinal cord.</li> <li>Costal elements: Develop into ribs in the thoracic region or transverse processes in other regions.</li> </ol> Signup and view all the answers

Which nerve supplies intervertebral muscles and how does it exit the vertebral canal?

<p>The mixed spinal nerve supplies intervertebral muscles, exiting the vertebral canal through intervertebral foramina at the level of the intervertebral discs.</p> Signup and view all the answers

A lesion to which spinal nerve would produce scoliosis due to hemivertebrae? Describe the clinical presentation.

<p>Lesions of a segmental spinal nerve near a hemivertebrae may cause scoliosis. It clinical presents with an asymmetric curvature of the vertebral column.</p> Signup and view all the answers

Aside from generic trauma, what is a common injury mechanism leading to nerve root compression at intervertebral foramina?

<p>A common mechanism is failure of vertebral segmentation, such as in block vertebrae, leading to reduced foraminal space and nerve root compression.</p> Signup and view all the answers

Name a common action of the erector spinae and interspinales muscles.

<p>Both the erector spinae and interspinales muscles contribute to extension of the vertebral column.</p> Signup and view all the answers

Which segment of the vertebral column contributes to thoracic rib development?

<p>The thoracic vertebrae, derived from somites at corresponding levels, contribute to rib formation through their costal elements.</p> Signup and view all the answers

Through which space does a spinal nerve exit the vertebral column?

<p>Spinal nerves exit through the intervertebral foramina, formed by the superior and inferior notches of adjacent vertebrae.</p> Signup and view all the answers

What are the boundaries and contents of the intervertebral foramina?

<p>Superior: Pedicle of the vertebra above. Inferior: Pedicle of the vertebra below. Anterior: Intervertebral disc and vertebral bodies. Posterior: Zygapophyseal joints. Contents: Spinal nerve roots, dorsal root ganglia, and accompanying blood vessels.</p> Signup and view all the answers

Name a sagittal plane movement of the lumbar vertebrae.

<p>Flexion and extension occur in the sagittal plane at lumbar vertebrae.</p> Signup and view all the answers

What is the bilateral action of the multifidus muscle?

<p>The multifidus performs extension of the vertebral column when contracting bilaterally.</p> Signup and view all the answers

What is the most distal joint affected by vertebral body movement?

<p>The sacroiliac joint is the most distal joint influenced by vertebral body movements.</p> Signup and view all the answers

Which joint in the vertebral column performs no action on rotation?

<p>The lumbar zygapophyseal joints restrict rotational movements due to their orientation.</p> Signup and view all the answers

Which movement can the anterior longitudinal ligament restrict in the vertebral column?

<p>The anterior longitudinal ligament restricts hyperextension of the vertebral column.</p> Signup and view all the answers

Which muscles are most likely to face active/passive insufficiency during hyperextension of the vertebral column?

<p>The erector spinae muscles may face insufficiency during extreme hyperextension of the vertebral column.</p> Signup and view all the answers

Which muscles attach at the spinous processes of vertebrae?

<p>Rhomboid minor, trapezius (lower fibres), latissimus dorsi muscles</p> Signup and view all the answers

What movements in which planes are permissible at the cervical vertebrae?

<p>Flexion and extension in the sagittal plane, rotation in the transverse plane, and lateral flexion in the frontal plane.</p> Signup and view all the answers

What type of contraction does the erector spinae perform during trunk flexion and why?

<p>The erector spinae performs eccentric contraction to control the descent during trunk flexion.</p> Signup and view all the answers

How many somites contribute to the formation of a single vertebra?

<p>Two adjacent somites contribute to the formation of a single vertebra through the process of re-segmentation.</p> Signup and view all the answers

Which vertebral region is characterised by transverse foramina?

<p>The cervical vertebral region is identified by the presence of transverse foramina.</p> Signup and view all the answers

From which mesodermal component is the vertebral body derived?

<p>The vertebral body is derived from the sclerotome, part of the paraxial mesoderm.</p> Signup and view all the answers

Which congenital malformation results from too few notochordal cells remaining during vertebral development?

<p>Block vertebrae occur when insufficient notochordal cells remain, leading to fused vertebrae.</p> Signup and view all the answers

Which vertebral anomaly results from failure of lateral ossification centres?

<p>Butterfly vertebrae result from failure of lateral ossification centres to fully form and fuse.</p> Signup and view all the answers

Is the vertebral centrum dorsal or ventral and what does it form?

<p>The vertebral centrum is ventral, forming the anterior body of the vertebra.</p> Signup and view all the answers

Is the neural arch dorsal or ventral and what does it surround?

<p>The neural arch is dorsal, surrounding the spinal cord posteriorly.</p> Signup and view all the answers

Is the intervertebral disc pre-axial or post-axial and where does it form?

<p>The intervertebral disc is pre-axial, forming anterior to the neural arch.</p> Signup and view all the answers

Describe the vertebral centrum.

<p>The vertebral centrum is the bony structure forming the main weight-bearing body of the vertebra.</p> Signup and view all the answers

Describe the neural arch.

<p>The neural arch is the posterior structure enclosing the vertebral foramen and supporting the processes.</p> Signup and view all the answers

Describe the notochord.

<p>The notochord is the embryonic structure that becomes the nucleus pulposus of the intervertebral discs.</p> Signup and view all the answers

Describe the intervertebral disc.

<p>The intervertebral disc is the fibrocartilaginous joint between vertebral bodies, providing flexibility and cushioning.</p> Signup and view all the answers

Which nerve supplies the intervertebral muscles?

<p>The dorsal rami of mixed spinal nerves supply the intervertebral muscles.</p> Signup and view all the answers

Which nerve supplies the epaxial muscles in vertebral development?

<p>The dorsal rami of spinal nerves supply the epaxial muscles.</p> Signup and view all the answers

A lesion to which nerve would produce the observed clinical sign involving the vertebral centrum? Describe the positioning at joints.

<p>A lesion to the spinal nerve root compressing the centrum may impair sensory and motor function at the affected vertebral level.</p> Signup and view all the answers

A lesion to which nerve would produce the observed clinical sign involving the neural arch? Describe the positioning at joints.

<p>A lesion to the dorsal ramus may impair motor function and stability of the neural arch.</p> Signup and view all the answers

Aside from generic trauma, what is a common injury mechanism for lesions to the intervertebral disc?

<p>Repetitive axial loading or improper lifting can lead to disc herniation</p> Signup and view all the answers

Aside from generic trauma, what is a common injury mechanism for lesions to the notochord?

<p>Incomplete resorption of the notochord can result in chordoma, a rare tumour.</p> Signup and view all the answers

Name a common action of the intervertebral muscles and the multifidus.

<p>Both stabilize the vertebral column and resist excessive movement.</p> Signup and view all the answers

Name a common action of the epaxial muscles and the erector spinae.

<p>Both extend the vertebral column.</p> Signup and view all the answers

Which segment of the paraxial mesoderm contributes to the vertebral body?

<p>The sclerotome contributes to the vertebral body.</p> Signup and view all the answers

Which segment of the paraxial mesoderm contributes to the neural arch?

<p>The sclerotome contributes to the neural arch.</p> Signup and view all the answers

Which space does the notochord occupy during vertebral development?

<p>The notochord occupies the midline of the mesenchyme that forms the vertebral column.</p> Signup and view all the answers

Which space does the intervertebral disc occupy during vertebral development?

<p>The intervertebral disc occupies the space between adjacent vertebral bodies.</p> Signup and view all the answers

What are the boundaries/contents of the vertebral foramen?

<p>Boundaries: Vertebral body, pedicles, and laminae. Contents: Spinal cord, meninges, and spinal nerves.</p> Signup and view all the answers

Name a sagittal plane movement of the vertebral column during development.

<p>Flexion of the vertebral column.</p> Signup and view all the answers

Name a sagittal plane movement of the intervertebral disc.

<p>Compression and extension of the intervertebral disc.</p> Signup and view all the answers

Name the ossification centers involved in vertebral development.

<p>The ossification centers of the vertebra are the centrum, neural arch elements, and costal elements.</p> Signup and view all the answers

What is the unilateral action of the intervertebral muscles?

<p>The intervertebral muscles contribute to lateral flexion of the vertebral column.</p> Signup and view all the answers

What is the bilateral action of the epaxial muscles?

<p>The epaxial muscles contribute to extension of the vertebral column.</p> Signup and view all the answers

What is the most distal joint the vertebral centrum acts on?

<p>The vertebral centrum acts on the sacroiliac joint.</p> Signup and view all the answers

What is the most distal joint the intervertebral disc acts on?

<p>The intervertebral disc acts on the sacroiliac joint.</p> Signup and view all the answers

Which joint of a vertebra does the intervertebral disc perform no action on?

<p>The intervertebral disc has no action on the atlanto-occipital joint.</p> Signup and view all the answers

Which joint of a vertebra does the vertebral centrum perform no action on?

<p>The vertebral centrum does not act on the atlanto-occipital joint.</p> Signup and view all the answers

Which movement can the anterior longitudinal ligament prevent/restrict/control?

<p>The anterior longitudinal ligament prevents hyperextension of the vertebral column.</p> Signup and view all the answers

Which of the vertebral muscles is most likely to be challenged by active/passive insufficiency during vertebral flexion?

<p>The erector spinae muscles are the most likely to be challenged.</p> Signup and view all the answers

Which of the vertebral ligaments is most likely to be challenged by active/passive insufficiency during vertebral extension?

<p>The anterior longitudinal ligament is the most likely to be challenged.</p> Signup and view all the answers

Which muscles attach at the spinous processes of the developing vertebrae

<p>The multifidus, spinalis, and interspinales muscles attach at the spinous processes.</p> Signup and view all the answers

Which muscles attach at the transverse processes of the developing vertebrae?

<p>The levator costarum, intertransversarii, and longissimus muscles attach at the transverse processes.</p> Signup and view all the answers

Movements in which cardinal planes are permissible at developing vertebral joints?

<p>Sagittal plane: flexion and extension. Frontal plane: lateral flexion. Transverse plane: rotation.</p> Signup and view all the answers

What movement occurs through the sagittal plane at the vertebral column during flexion?

<p>Flexion of the vertebral column reduces the angle between adjacent vertebrae.</p> Signup and view all the answers

What type of muscle contraction does the multifidus perform during extension of the vertebral column?

<p>The multifidus muscle performs concentric contraction during extension.</p> Signup and view all the answers

How many vertebral segments does the vertebral centrum develop from?

<p>The vertebral centrum develops from two adjacent somites.</p> Signup and view all the answers

How many vertebral segments does the intervertebral disc develop from?

<p>The intervertebral disc develops from two adjacent somites.</p> Signup and view all the answers

Which vertebral region is the vertebral centrum most affected by growth abnormalities?

<p>The thoracic region is most affected by growth abnormalities.</p> Signup and view all the answers

Which vertebral region is the intervertebral disc most prone to degeneration?

<p>The lumbar region is most prone to degeneration.</p> Signup and view all the answers

Which vertebral element is the neural arch derived from?

<p>The neural arch derives from the sclerotome.</p> Signup and view all the answers

Which vertebral element is the centrum derived from?

<p>The centrum is derived from the sclerotome.</p> Signup and view all the answers

Which movements are favoured/NOT possible between vertebrae during early development?

<p>Flexion and extension are favoured. Rotation is not possible between segments during early development due to underdeveloped facet joints.</p> Signup and view all the answers

What is the role of the notochord in vertebral development?

<p>The notochord signals the surrounding mesoderm to form the vertebral column and becomes the nucleus pulposus of intervertebral discs.</p> Signup and view all the answers

Describe the process of vertebral segmentation and re-segmentation.

<p>Vertebrae form from two adjacent somites through re-segmentation, aligning with intervertebral discs and spinal nerve roots.</p> Signup and view all the answers

What is the function of the perinotochordal sheath during vertebral development?

<p>It provides structural support and guides the formation of the vertebral bodies.</p> Signup and view all the answers

What are the three stages of vertebral development?

<p>Mesenchymatous (cell migration), cartilaginous (formation of hyaline cartilage), and osseous (ossification of primary centres).</p> Signup and view all the answers

How do vertebral anomalies like hemivertebrae occur?

<p>Hemivertebrae results from the failure of one cartilage centre to develop, leading to vertebral asymmetry and potential scoliosis.</p> Signup and view all the answers

What is the role of sclerotome cells in vertebral development?

<p>Sclerotome cells migrate to form the vertebral bodies, neural arches, and costal elements.</p> Signup and view all the answers

Which regions of the mesoderm contribute to vertebral development?

<p>The paraxial mesoderm forms somites, which contribute to vertebrae, ribs, and muscles</p> Signup and view all the answers

What developmental process results in butterfly vertebrae?

<p>Failure of ossification of lateral cartilage centers results in butterfly vertebrae with a split vertebral body.</p> Signup and view all the answers

How do costal elements differ in the thoracic and lumbar regions?

<p>In the thoracic region, costal elements form ribs, while in the lumbar region, they contribute to transverse processes.</p> Signup and view all the answers

What is the significance of interlaminar and neurocentral cartilage in vertebral growth?

<p>They allow vertebral growth during childhood and fuse around 6–8 years of age.</p> Signup and view all the answers

How do vertebral elements vary between cervical, thoracic, and lumbar regions?

<p>Cervical vertebrae have transverse foramina and bifid processes. Thoracic vertebrae have rib facets. Lumbar vertebrae have large vertebral bodies and interlocking facets.</p> Signup and view all the answers

What are the clinical implications of reduced notochordal cells during development?

<p>Reduced notochordal cells lead to poor nucleus pulposus development, contributing to disc degeneration and block vertebrae.</p> Signup and view all the answers

What is the role of the annulus fibrosus and nucleus pulposus in intervertebral discs?

<p>The annulus fibrosus provides tensile strength, while the nucleus pulposus absorbs compressive forces.</p> Signup and view all the answers

Why are intervertebral discs thinner in adults compared to infants?

<p>Water content decreases with age, reducing disc height and elasticity.</p> Signup and view all the answers

Which nerve supplies the zygapophyseal joints in the cervical region?

<p>The medial branches of the dorsal rami of spinal nerves.</p> Signup and view all the answers

A lesion to which spinal nerve would produce pain in the thoracic intercostal space? Describe the clinical presentation.

<p>A lesion to a thoracic spinal nerve, such as T5, could result in intercostal neuralgia, presenting as radiating pain in the intercostal space corresponding to the nerve's dermatome.</p> Signup and view all the answers

Aside from generic trauma, what is a common injury mechanism causing disc herniation in the lumbar region?

<p>Repetitive axial loading and improper lifting mechanics often lead to disc herniation in the lumbar region, typically between L4 and L5 or L5 and S1.</p> Signup and view all the answers

Name a common action of the multifidus and rotatores muscles in the lumbar region.

<p>Both the multifidus and rotatores contribute to stabilisation and rotation of the lumbar vertebral column.</p> Signup and view all the answers

Which vertebral element forms the transverse processes in the thoracic region?

<p>In the thoracic region, the transverse processes are formed from costal elements that later develop ribs.</p> Signup and view all the answers

Through which space does the spinal nerve exit the lumbar vertebral column?

<p>The spinal nerves exit through the intervertebral foramina, bounded by adjacent vertebral pedicles and zygapophyseal joints.</p> Signup and view all the answers

What are the primary ossification centres of the vertebra and are they paired or unpaired?

<p>Centrum: unpaired, neural arches: paired, costal elements: variable fusion or rib formation.</p> Signup and view all the answers

What role do blood vessels play in vertebral segmentation?

<p>Blood vessels from the aorta form between somites, driving segmentation by providing nourishment to developing vertebrae.</p> Signup and view all the answers

What structural changes occur during the cartilaginous stage of development?

<p>Hyaline cartilage replaces mesenchyme, forming the annulus fibrosis and nucleus pulposus in intervertebral discs.</p> Signup and view all the answers

What is a block vertebra, and how does it form?

<p>Block vertebra occurs when segmentation fails, leading to fused vertebrae with obliterated intervertebral discs.</p> Signup and view all the answers

What is the relationship between vertebral growth plates and secondary ossification centres?

<p>Vertebral growth plates are sites where cartilage is replaced by bone, allowing for vertebral growth and secondary ossification centres form processes like spinous and transverse processes, contributing to the final shape of the vertebrae.</p> Signup and view all the answers

Is the cervical vertebra dorsal or ventral?

<p>Both, the ventral aspect refers to the vertebral body and the dorsal aspect includes the neural arch and processes.</p> Signup and view all the answers

How do Hox genes regulate vertebral region differentiation?

<p>Hox genes control the expression of region-specific features, such as ribs in thoracic vertebrae and transverse foramina in cervical vertebrae.</p> Signup and view all the answers

Is the thoracic vertebra pre-axial or post-axial and why?

<p>The thoracic vertebra is post-axial, as it is located posterior to the embryonic notochord.</p> Signup and view all the answers

Name the features of the lumbar vertebra.

<p>The lumbar vertebra have large, kidney-shaped vertebral bodies, short spinous processes, and transverse processes that are thin and long. Their articular facets are orientated medially and laterally to allow flexion and extension.</p> Signup and view all the answers

What are the boundaries and contents of the intervertebral foramen?

<p>The intervertebral foramen is bounded by the pedicles of adjacent vertebrae, the intervertebral disc, and the facet joints. Its contents include spinal nerve roots, dorsal root ganglia, blood vessels, and surrounding connective tissue.</p> Signup and view all the answers

What movement does the anterior longitudinal ligament restrict?

<p>The anterior longitudinal ligament restricts hyperextension of the vertebral column.</p> Signup and view all the answers

What type of contraction does the multifidus perform during extension of the vertebral column?

<p>The multifidus performs concentric contraction during extension.</p> Signup and view all the answers

How many segments does the vertebral centrum develop from?

<p>The vertebral centrum develops from two adjacent somites.</p> Signup and view all the answers

How many segments does the intervertebral disc develop from?

<p>The intervertebral disc develops from two adjacent somites.</p> Signup and view all the answers

Explain the process of vertebral segmentation and re-segmentation.

<p>Vertebrae form from two adjacent somites through re-segmentation, aligning with intervertebral discs and spinal nerve roots.</p> Signup and view all the answers

Which nerve innervates the zygapophyseal joints of the cervical vertebrae?

<p>The cervical zygapophyseal joints are innervated by the medial branches of the dorsal rami of spinal nerves.</p> Signup and view all the answers

Which nerve is most likely to be affected by a lesion that causes pain in the thoracic intercostal space?

<p>A lesion to a thoracic spinal nerve, such as T5, could result in intercostal neuralgia.</p> Signup and view all the answers

Aside from generic trauma, what is a common injury mechanism that leads to disc herniation in the lumbar region?

<p>Repetitive axial loading and improper lifting mechanics can lead to disc herniation in the lumbar region.</p> Signup and view all the answers

What common action do the multifidus and rotatores muscles perform in the lumbar region?

<p>Both the multifidus and rotatores contribute to the stabilization and rotation of the lumbar vertebral column.</p> Signup and view all the answers

What space does the spinal nerve exit the lumbar vertebral column?

<p>The spinal nerves exit through the intervertebral foramina.</p> Signup and view all the answers

Describe the boundaries and contents of the cervical transverse foramina.

<p>The cervical transverse foramina are located in the transverse processes of the cervical vertebrae C1 to C7. They are bounded laterally by the pedicles and are filled with the vertebral arteries, veins, and sympathetic plexus.</p> Signup and view all the answers

What movement occurs in the sagittal plane at the thoracic vertebral column?

<p>Flexion occurs in the sagittal plane, though it is limited by rib attachments.</p> Signup and view all the answers

Which joint of a vertebra does the anterior longitudinal ligament have no action on?

<p>The anterior longitudinal ligament does not act on the atlanto-occipital joint.</p> Signup and view all the answers

Which movement is restricted by the posterior longitudinal ligament?

<p>The posterior longitudinal ligament restricts hyperflexion.</p> Signup and view all the answers

What is the bilateral action of the erector spinae muscles in the thoracic region?

<p>The erector spinae muscles extend the thoracic vertebral column when acting bilaterally.</p> Signup and view all the answers

Which muscles attach to the spinous processes of thoracic vertebrae?

<p>The trapezius, rhomboid major, and latissimus dorsi muscles attach to the thoracic spinous processes.</p> Signup and view all the answers

Which joint in the thoracic region does not allow rotation and why?

<p>The costovertebral joints restrict rotation in the thoracic region due to rib attachments.</p> Signup and view all the answers

What type of contraction does the erector spinae perform during forward flexion of the thoracic spine and what does this do?

<p>The erector spinae performs eccentric contraction during forward flexion to control the descent.</p> Signup and view all the answers

How many segments does a sacral vertebra originally consist of before fusion?

<p>A sacral vertebra originally consists of five segments before fusing into a single sacrum.</p> Signup and view all the answers

Which vertebral region is characterized by articulation with the ribs and what structure mitigates this?

<p>The thoracic vertebral region articulates with the transverse processes of the ribs.</p> Signup and view all the answers

Is the thoracic vertebra dorsal or ventral?

<p>The thoracic vertebra has both dorsal and ventral aspects.</p> Signup and view all the answers

Is the lumbar vertebra dorsal or ventral?

<p>The lumbar vertebra has both dorsal and ventral components.</p> Signup and view all the answers

Is the sacral vertebra dorsal or ventral?

<p>The sacral vertebra has both dorsal and ventral components.</p> Signup and view all the answers

Is the cervical vertebra pre-axial or post-axial?

<p>The cervical vertebra is post-axial, posterior to the notochord.</p> Signup and view all the answers

Is the lumbar vertebra pre-axial or post-axial?

<p>The lumbar vertebra is pre-axial, anterior to the notochord.</p> Signup and view all the answers

Is the sacral vertebra pre-axial or post-axial?

<p>The sacral vertebra is post-axial, posterior to the notochord.</p> Signup and view all the answers

Describe the cervical vertebra.

<p>The cervical vertebra has a small, oval body, transverse foramina, and bifid spinous processes.</p> Signup and view all the answers

Describe the thoracic vertebra.

<p>The thoracic vertebra has a heart-shaped body, costal facets for rib attachment, and long, downward-sloping spinous processes.</p> Signup and view all the answers

Describe the sacral vertebra.

<p>The sacral vertebrae are fused to form the sacrum, providing a stable base for the spine and transmitting weight to the pelvis.</p> Signup and view all the answers

Which nerve supplies the intertransversarii muscles in the cervical region?

<p>The ventral rami of cervical spinal nerves supply the intertransversarii muscles.</p> Signup and view all the answers

Which nerve supplies the intertransversarii muscles in the lumbar region?

<p>The dorsal and ventral rami of lumbar spinal nerves supply the intertransversarii muscles.</p> Signup and view all the answers

A lesion to which nerve would produce the observed clinical sign involving the cervical vertebra? Describe the positioning at joints.

<p>A lesion to the cervical spinal nerves may cause weakness or sensory deficits at the intervertebral joints between cervical vertebrae.</p> Signup and view all the answers

A lesion to which nerve would produce the observed clinical sign involving the lumbar vertebra? Describe the positioning at joints.

<p>A lesion to the lumbar spinal nerves may cause motor and sensory deficits at the intervertebral joints between lumbar vertebrae.</p> Signup and view all the answers

Aside from generic trauma, what is a common injury mechanism for the cervical vertebrae?

<p>Hyperextension injuries, such as whiplash, are common in the cervical vertebrae</p> Signup and view all the answers

Aside from generic trauma, what is a common injury mechanism for the lumbar vertebrae?

<p>Repetitive axial loading or improper lifting can cause injury to the lumbar vertebrae.</p> Signup and view all the answers

Name a common action of the multifidus and erector spinae muscles.

<p>Both stabilize the spine and assist in extension.</p> Signup and view all the answers

Name a common action of the intertransversarii and interspinales muscles.

<p>Both assist in vertebral stabilization and fine-tune movements.</p> Signup and view all the answers

Which segment of the paraxial mesoderm contributes to the cervical vertebrae?

<p>The sclerotome from cervical somites contributes to the cervical vertebrae.</p> Signup and view all the answers

Which segment of the paraxial mesoderm contributes to the lumbar vertebrae?

<p>The sclerotome from lumbar somites contributes to the lumbar vertebrae.</p> Signup and view all the answers

What is the unilateral action of the erector spinae in the thoracic region?

<p>Lateral flexion of the thoracic vertebrae.</p> Signup and view all the answers

What is the bilateral action of the multifidus in the lumbar region?

<p>Extension of the lumbar vertebrae</p> Signup and view all the answers

Which of the vertebral muscles is most likely to be challenged by active/passive insufficiency during rotation?

<p>The multifidus is most likely to be challenged.</p> Signup and view all the answers

Which muscles attach at the transverse processes of the thoracic vertebrae?

<p>The levator costarum, longissimus, and intertransversarii muscles attach at the transverse processes.</p> Signup and view all the answers

What type of muscle contraction does the multifidus perform during extension of the vertebral column?

<p>The multifidus performs concentric contraction.</p> Signup and view all the answers

How many vertebral segments does the multifidus cross in the lumbar spine?

<p>The multifidus crosses 3–4 vertebral segments in the lumbar spine.</p> Signup and view all the answers

How many vertebral segments does the semispinalis cross in the cervical region?

<p>The semispinalis crosses 5–6 vertebral segments in the cervical region.</p> Signup and view all the answers

Which vertebral region is the vertebrae most prone to degeneration?

<p>The lumbar region is most prone to degeneration.</p> Signup and view all the answers

Which vertebral region is the vertebrae most affected by trauma?

<p>The cervical region is most affected by trauma.</p> Signup and view all the answers

Which vertebral element is the transverse foramen derived from?

<p>The transverse foramen is derived from the costal element of cervical vertebrae.</p> Signup and view all the answers

Which vertebral element is the spinous process derived from?

<p>The spinous process is derived from the neural arch.</p> Signup and view all the answers

Which movements are favored and not possible between vertebrae in the cervical region?

<p>Favoured: Flexion, extension, lateral flexion, and rotation. Not possible: None; cervical vertebrae allow all movements.</p> Signup and view all the answers

Which movements are favoured and not possible between vertebrae in the thoracic region?

<p>Favoured: Rotation. NOT possible: Significant lateral flexion due to rib attachments.</p> Signup and view all the answers

What is the functional role of the zygapophyseal joints in limiting or permitting specific movements in the lumbar spine?

<p>Zygapophyseal joints in the lumbar spine limit rotation while permitting flexion and extension due to their interlocked radial orientation.</p> Signup and view all the answers

How does the orientation of the thoracic articular facets affect rotational movement, and why is lateral flexion constrained in this region?

<p>Thoracic facets are tangential, permitting rotation but limiting lateral flexion due to rib attachments.</p> Signup and view all the answers

What are the structural differences between the anterior and posterior components of the motion segment, and how do these differences influence their respective functions?

<p>Anterior: Vertebral bodies and discs, load-bearing.<br /> Posterior: Neural arch and ligaments, motion control.</p> Signup and view all the answers

What are the primary ossification centers of a vertebra?

<p>The primary ossification centers of a vertebra are the centrum, neural arches, and costal elements.</p> Signup and view all the answers

Is the thoracic vertebra pre-axial or post-axial?

<p>The thoracic vertebra is post-axial, as it is located posterior to the embryonic notochord.</p> Signup and view all the answers

What are the boundaries and contents of the cervical transverse foramen?

<p>Boundaries are the surrounding transverse processes. Contents are the vertebral artery and vein, and the sympathetic plexus.</p> Signup and view all the answers

Name a movement in the sagittal plane allowed at the thoracic vertebral column.

<p>Flexion occurs in the sagittal plane of the thoracic vertebral column, though it is limited by rib attachments.</p> Signup and view all the answers

Which movement does the anterior longitudinal ligament restrict in the cervical spine?

<p>The anterior longitudinal ligament restricts hyperextension in the cervical spine.</p> Signup and view all the answers

Which vertebral region is characterised by ribs articulating with transverse processes?

<p>The thoracic vertebral region is characterised by rib articulation with the transverse processes.</p> Signup and view all the answers

Flashcards

Centrum of Vertebra

The ventral, anterior portion of a vertebra, forming its body.

Neural Arch

The dorsal, posterior portion of a vertebra that encloses the vertebral foramen and supports the processes.

Notochord

The pre-axial structure that serves as the central scaffold during vertebral column development. Incomplete resorption can lead to chordoma.

Intervertebral Disc

The pre-axial structure located anterior to the neural arch forming the joint between adjacent vertebral bodies.

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Vertebral Foramen

The opening formed by the vertebral body, pedicles, and laminae. It contains the spinal cord, meninges, and spinal nerves.

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Intervertebral Foramina

Openings formed by superior and inferior notches of adjacent vertebrae. Spinal nerve roots, dorsal root ganglia, and blood vessels pass through.

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Somites and Vertebral Development

Paired blocks of mesoderm that contribute to the formation of the vertebral column. Two adjacent somites contribute to one vertebra.

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Anterior Longitudinal Ligament

A strong ligament located on the anterior surface of the vertebral bodies, preventing hyperextension of the spine.

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Posterior Longitudinal Ligament

A strong ligament located in the vertebral canal along the posterior surface of the vertebral bodies, preventing hyperflexion of the spine.

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Ligamentum Flavum

A ligament that connects adjacent laminae and is elastic, preventing buckling during flexion of the spine.

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Supraspinous Ligament

A ligament that connects the tips of spinous processes and continues as the ligamentum nuchae in the cervical region.

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Intrinsic Back Muscles

A group of muscles that stabilize and move the spine, innervated by the dorsal rami.

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Transversospinales Muscles

Muscles within the transversospinales group, such as rotatores, multifidus, and semispinalis, that help resist rotation and stabilize the vertebral column.

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Erector Spinae

A group of muscles that extend the vertebral column, performing eccentric contractions during flexion.

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Interspinales and Intertransversarii

Muscle groups, such as interspinales and intertransversarii, that stabilize and fine-tune movements of the spine.

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Semispinalis Capitis

A muscle that extends the vertebral column and head.

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Rectus Capitis Posterior Major and Minor

Muscles that extend and rotate the head.

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Obliquus Capitis Inferior

A muscle that rotates the head and neck.

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Multifidus

A muscle that stabilizes the spine and resists rotational movement.

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Intervertebral Muscles

Small muscles that stabilize and resist excessive movement within the vertebrae.

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Epaxial Muscles

Muscles that extend the vertebral column.

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Dura Mater

The tough outer layer of the meninges surrounding the spinal cord.

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Arachnoid Mater

The thin, web-like middle layer of the meninges surrounding the spinal cord.

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Pia Mater

The innermost layer of the meninges that adheres to the spinal cord.

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Epidural Space

The space between the dura mater and the vertebral canal walls, containing fat, veins, and arteries.

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Subarachnoid Space

The space between the arachnoid and pia mater containing cerebrospinal fluid.

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Filum Terminale

A fibrous extension of the pia mater that anchors the spinal cord to the coccyx, preventing its superior displacement.

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Cauda Equina

The bundle of spinal nerve roots extending below the conus medullaris.

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Conus Medullaris

The tapered end of the spinal cord, located at the L1 vertebral level.

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Brachial Plexus

A network of nerves arising from C5-T1 that innervates the upper limb.

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Lumbosacral Plexus

A network of nerves arising from L1-S4 that innervates the lower limb.

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Femoral Triangle

A triangular region in the thigh containing the femoral nerve, artery, and vein. Bordered by the inguinal ligament, sartorius, and adductor longus muscles.

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Popliteal Fossa

A diamond-shaped space behind the knee containing the popliteal artery, vein, tibial nerve, and fibular nerve. Bordered by the hamstrings and gastrocnemius muscles.

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Axillary Nerve

A nerve that innervates the deltoid and teres minor muscles, facilitating shoulder abduction and external rotation.

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Trapezius Muscle

A large muscle that elevates, depresses, retracts, and rotates the scapula.

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Serratus Anterior Muscle

A muscle that protracts and upward rotates the scapula.

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Pectoralis Minor Muscle

A muscle that protracts and depresses the scapula.

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Rhomboid Muscles

Muscles that retract and downward rotate the scapula.

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Levator Scapulae Muscle

A muscle that elevates the scapula.

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Latissimus Dorsi Muscle

A large muscle that adducts, extends, and medially rotates the arm. It also contributes to scapular downward rotation.

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Subclavius Muscle

A small muscle that stabilizes the clavicle.

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Study Notes

Vertebral Column Anatomy and Function

  • Centrum: Ventral; forms the anterior body of the vertebra.
  • Neural Arch: Dorsal; encloses the vertebral foramen and supports the processes.
  • Notochord: Pre-axial; serves as the central scaffold for vertebral column development. Incomplete resorption can lead to chordoma.
  • Intervertebral Disc: Pre-axial; located anterior to the neural arch, forms the joint between vertebral bodies.
  • Vertebral Foramen: Formed by vertebral body, pedicles, and laminae. Contains spinal cord, meninges, and spinal nerves.
  • Intervertebral Foramina: Formed by superior and inferior notches of adjacent vertebrae. Spinal nerve roots, dorsal root ganglia, and blood vessels pass through.
  • Somites: Two adjacent somites contribute to one vertebra.

Spinal Ligaments

  • Anterior Longitudinal Ligament: Prevents hyperextension, located on the anterior surface of the vertebral bodies.
  • Posterior Longitudinal Ligament: Prevents hyperflexion, located in the vertebral canal along the posterior vertebral bodies.
  • Ligamentum Flavum: Connects adjacent laminae; elastic, preventing buckling during flexion.
  • Supraspinous Ligament: Connects tips of spinous processes; continues as the ligamentum nuchae in the cervical region.

Intrinsic Back Muscles

  • Stabilise and move the spine, innervated by dorsal rami.
  • Transversospinales muscles: (Rotatores, multifidus, semispinalis) resist rotation and stabilize the vertebral column.
  • Erector Spinae: Extend the vertebral column; perform eccentric contractions during flexion.
  • Interspinales and Intertransversarii: Stabilize and fine-tune movements.
  • Semispinalis Capitis: Extends the vertebral column and head.
  • Rectus Capitis Posterior Major and Minor: Extend and rotate the head.
  • Obliquus Capitis Inferior: Rotate the head and neck.
  • Multifidus: Stabilize the spine and resist rotational movement.
  • Intervertebral muscles: Stabilise and resist excessive movement of the vertebral column.
  • Epaxial Muscles: Extend the vertebral column.

Spinal Cord and Meninges

  • Dura Mater: Tough outer meningeal layer.
  • Arachnoid Mater: Thin, web-like membrane.
  • Pia Mater: Innermost meningeal layer, adhering to the spinal cord.
  • Epidural Space: Space between dura mater and vertebral canal walls; contains fat, veins, and arteries.
  • Subarachnoid Space: Space between arachnoid and pia; contains cerebrospinal fluid.
  • Filum Terminale: Anchors the coccyx; prevents superior displacement of spinal cord.
  • Cauda Equina: Spinal nerve roots extending below the conus medullaris.
  • Conus Medullaris: Tapered end of the spinal cord, located at the L1 vertebral level.

Peripheral Nerves

  • Brachial Plexus: Network of nerves arising from C5-T1; innervates the upper limb.
  • Lumbosacral Plexus: Network of nerves arising from L1-S4; innervates the lower limb.
  • Femoral Triangle: Contains femoral nerve, artery, and vein, bordered by inguinal ligament, sartorius, and adductor longus.
  • Popliteal Fossa: Contains popliteal artery, vein, tibial nerve, and fibular nerve; bordered by hamstrings and gastrocnemius.
  • Axillary Nerve: Innervates the deltoid and teres minor; facilitates shoulder abduction and external rotation.

Scapular Region Muscles

  • Trapezius: Elevates, depresses, retracts, and rotates the scapula.
  • Serratus Anterior: Protracts and upward rotates the scapula.
  • Pectoralis Minor: Protracts and depresses the scapula.
  • Rhomboids: Retract and downward rotates the scapula.
  • Levator Scapulae: Elevates the scapula.
  • Latissimus Dorsi: Adducts, extends, and medially rotates the arm; contributes to scapular downward rotation.
  • Subclavius: Stabilizes the clavicle.

Additional Points

  • Vertebral Region Differences: Cervical (transverse foramina, small bodies), thoracic (rib facets, longer spinous processes), lumbar (large bodies, short processes).
  • Developmental Anomalies: Block vertebrae (insufficient notochordal cells), butterfly vertebrae (lateral ossification failure).
  • Nerve Root Compression: Reduced foraminal space due to vertebral segmentation failure leads to nerve root issues.
  • Joint Movements: Lumbar zygapophyseal joints limit rotation; thoracic costovertebral joints limit rotation due to ribs; cervical vertebrae support flexion/extension, rotation, and lateral flexion.
  • Muscle Actions: Unilateral versus bilateral actions; eccentric and concentric contractions during movement.
  • Clinical Implications: Correlations between lesions, nerve damage and observed movement impairments.

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Description

This quiz explores the anatomy and developmental aspects of the vertebral column, including vertebral segmentation, rib formation, and spinal nerve relationships. It also addresses the clinical significance of conditions like scoliosis and the relevance of intervertebral foramina. Understand the relationship between structure and function in vertebral anatomy.

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