Vertebral Column Regions and Structure
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Questions and Answers

How many vertebrae are typically found in the adult vertebral column?

  • 30
  • 35
  • 33 (correct)
  • 26
  • What forms the sacrum in adults?

  • The fusion of the four coccygeal vertebrae
  • The fusion of the twelve thoracic vertebrae
  • The fusion of the five sacral vertebrae (correct)
  • The fusion of the five lumbar vertebrae
  • What does the lumbosacral angle represent?

  • The angle between the cervical and thoracic regions
  • The junction of the lumbar region and the sacrum (correct)
  • The angle formed by the sacrum and the coccyx
  • The angle between the sacrum and the pelvic girdle
  • Why do vertebrae become larger toward the sacrum?

    <p>To bear increasing amounts of body weight (C)</p> Signup and view all the answers

    What enhances the flexibility of the vertebral column?

    <p>The presence of resilient IV discs between vertebrae (B)</p> Signup and view all the answers

    What is the primary function of the vertebral body?

    <p>Support of body weight (C)</p> Signup and view all the answers

    Which part of the vertebra is primarily responsible for muscle attachment?

    <p>Spinous process (B)</p> Signup and view all the answers

    What characteristic of the vertebral bodies changes as you move down the vertebral column?

    <p>Mass and size (C)</p> Signup and view all the answers

    What type of bone structure primarily composes the vertebral body?

    <p>Trabecular bone (A)</p> Signup and view all the answers

    What is the primary function of the auricular surface of the sacrum?

    <p>To form a synovial joint with the ilium. (C)</p> Signup and view all the answers

    What feature allows for the passage of spinal nerves between vertebrae?

    <p>Intervertebral foramina (B)</p> Signup and view all the answers

    What characterizes the coccyx in terms of vertebrae?

    <p>It typically consists of four fused rudimentary vertebrae. (B)</p> Signup and view all the answers

    Which of the following statements about Co1 is true?

    <p>Co1 may remain separate from the fused coccygeal vertebrae. (D)</p> Signup and view all the answers

    Which component of the vertebra is involved in forming synovial joints with adjacent vertebrae?

    <p>Articular processes (A)</p> Signup and view all the answers

    What structural feature is found on the posterior surface of the vertebral body?

    <p>Large foramina for veins (C)</p> Signup and view all the answers

    How does the coccyx behave when a person is sitting?

    <p>It flexes anteriorly, indicating some weight reception. (B)</p> Signup and view all the answers

    Which muscles are associated with the coccyx?

    <p>Gluteus maximus and coccygeus. (D)</p> Signup and view all the answers

    In which part of the vertebra are the intervertebral discs found?

    <p>Directly between vertebral bodies (D)</p> Signup and view all the answers

    What is the anatomical significance of the coccygeal cornua?

    <p>They articulate with the sacral cornua. (C)</p> Signup and view all the answers

    Which vertebral region contains the most vertebrae?

    <p>Thoracic (C)</p> Signup and view all the answers

    What is the function of the zygapophysial joints?

    <p>Provide flexibility (B)</p> Signup and view all the answers

    What describes the surface of the coccyx?

    <p>It is smooth and concave on the pelvic side. (C)</p> Signup and view all the answers

    What happens to Co1 with increasing age?

    <p>It typically fuses with the sacrum. (D)</p> Signup and view all the answers

    What tissue primarily occupies the spaces between the trabecular bone of the vertebral body?

    <p>Red bone marrow (A)</p> Signup and view all the answers

    How is the vertebral arch related to the vertebral body in a typical vertebra?

    <p>The vertebral arch forms a distinct canal (C)</p> Signup and view all the answers

    Which description is accurate regarding the developmental origin of the coccyx?

    <p>It is formed from the embryonic tail-like caudal eminence. (B)</p> Signup and view all the answers

    Which structures are primarily responsible for the stabilization of the vertebral column?

    <p>Pedicles and laminae (A)</p> Signup and view all the answers

    What is the structural composition of the coccyx?

    <p>It is made up of fused and rudimentary vertebrae. (C)</p> Signup and view all the answers

    What key feature characterizes the axis (C2) that allows for rotation of the atlas (C1)?

    <p>Dens of axis (B)</p> Signup and view all the answers

    Which structure does not exist in the atlas (C1) vertebra?

    <p>Spinous process (A), Body (C)</p> Signup and view all the answers

    How are the superior articular facets of the atlas (C1) oriented?

    <p>Directed posteriorly and laterally (D)</p> Signup and view all the answers

    What specific feature is found on the thoracic vertebrae to allow articulation with the ribs?

    <p>Costal facets (D)</p> Signup and view all the answers

    Which cervical vertebra is known as the 'vertebra prominens' due to its prominent spinous process?

    <p>C7 (C)</p> Signup and view all the answers

    In which plane do the articular facets of the thoracic vertebrae primarily lie?

    <p>Coronal plane (D)</p> Signup and view all the answers

    What is the shape of the vertebral body in thoracic vertebrae?

    <p>Heart-shaped (D)</p> Signup and view all the answers

    How does the intervertebral foramen function in relation to spinal nerves?

    <p>Allows passage of spinal nerves (B)</p> Signup and view all the answers

    Which feature differentiates lumbar vertebrae from thoracic vertebrae?

    <p>Presence of costal facets (A)</p> Signup and view all the answers

    Which unique feature on the posterior side of the atlas is responsible for ligamentous attachment?

    <p>Posterior tubercle (D)</p> Signup and view all the answers

    What orientation do the inferior articular facets of thoracic vertebrae exhibit?

    <p>Posteriorly and medially (D)</p> Signup and view all the answers

    Which vertebra is subjected to transitional stress due to its unique characteristics as the T12 vertebra transitions to lumbar?

    <p>T12 (D)</p> Signup and view all the answers

    What structural configuration allows the atlas (C1) to support the cranium?

    <p>Anterior and posterior arches (B)</p> Signup and view all the answers

    At what approximate age do the superior and inferior epiphyses typically unite with the centrum?

    <p>25 years (A)</p> Signup and view all the answers

    What is formed by the succession of vertebral foramina in the articulated vertebral column?

    <p>Vertebral canal (B)</p> Signup and view all the answers

    Which of the following processes projects posteriorly from the vertebral arch?

    <p>Spinous process (B)</p> Signup and view all the answers

    What type of bone primarily composes the vertebral bodies?

    <p>Trabecular (spongy) bone (A)</p> Signup and view all the answers

    Which ligament links the intervertebral discs and covers the posterior aspect of the vertebral bodies?

    <p>Posterior longitudinal ligament (C)</p> Signup and view all the answers

    How many processes arise from the vertebral arch of a typical vertebra?

    <p>7 processes (C)</p> Signup and view all the answers

    Which type of joint is formed by the articular processes of adjacent vertebrae?

    <p>Zygapophysial (facet) joint (A)</p> Signup and view all the answers

    What determines the types of movement permitted between adjacent vertebrae?

    <p>Articular facet orientation (D)</p> Signup and view all the answers

    Which feature is unique to cervical vertebrae?

    <p>Foramina in the transverse processes (C)</p> Signup and view all the answers

    What function do the spinous and transverse processes serve?

    <p>Facilitate muscle attachment (A)</p> Signup and view all the answers

    What adaptation allows the vertebral canal to accommodate the thickness of the spinal cord?

    <p>Regional variations in size and shape of vertebrae (D)</p> Signup and view all the answers

    What do the inferior articular processes of the L5 vertebra primarily support?

    <p>Erect posture (D)</p> Signup and view all the answers

    What is characteristic of vertebra C7?

    <p>It is known as the vertebra prominens. (A)</p> Signup and view all the answers

    Which of the following processes does NOT arise from the vertebral arch?

    <p>Pedicle (C)</p> Signup and view all the answers

    Which structure allows for the rotation of the head, specifically indicating 'no'?

    <p>The dens of C2. (B)</p> Signup and view all the answers

    What is the function of intervertebral foramina?

    <p>Allow spinal nerves to emerge (B)</p> Signup and view all the answers

    What feature distinguishes vertebra C1 from other cervical vertebrae?

    <p>It has paired lateral masses. (C)</p> Signup and view all the answers

    In which cervical vertebrae are bifid spinous processes typically found?

    <p>C3 to C6. (C)</p> Signup and view all the answers

    What is the primary function of the transverse ligament of the atlas?

    <p>To prevent displacement of the dens. (A)</p> Signup and view all the answers

    What is the primary characteristic feature of thoracic vertebrae?

    <p>Presence of costal facets. (B)</p> Signup and view all the answers

    Which cervical vertebra is considered atypical for not having a spinous process?

    <p>C1. (A)</p> Signup and view all the answers

    What occurs at the articulation between the atlas and the occipital condyles?

    <p>Flexion and extension of the neck. (D)</p> Signup and view all the answers

    What is a distinguishing feature of thoracic vertebrae between T1 and T4 compared to the others?

    <p>They share characteristics with cervical vertebrae. (B)</p> Signup and view all the answers

    Which cervical vertebra is known to be the strongest?

    <p>C2. (C)</p> Signup and view all the answers

    How are the superior articular facets of the axis oriented?

    <p>Superoposteriorly. (A)</p> Signup and view all the answers

    What is the primary limitation imposed by thoracic vertebrae's structure?

    <p>Limited lateral flexion and extension. (D)</p> Signup and view all the answers

    What is the shape and orientation of the articular facets in thoracic vertebrae?

    <p>Coronally oriented articular facets. (A)</p> Signup and view all the answers

    What is the characteristic shape of the lumbar vertebral body when viewed from above?

    <p>Kidney-shaped (B)</p> Signup and view all the answers

    How does the spinous process of lumbar vertebrae compare to those of other vertebrae?

    <p>Short and sturdy (D)</p> Signup and view all the answers

    What is the primary function of the intertransversarii muscles attached to the lumbar vertebrae?

    <p>Support lateral flexion (D)</p> Signup and view all the answers

    What distinguishes the L5 vertebra from the other lumbar vertebrae?

    <p>It is the largest movable vertebra (D)</p> Signup and view all the answers

    Which statement is true regarding the orientation of the lumbar vertebral articular processes?

    <p>They are nearly vertical with varying directions (A)</p> Signup and view all the answers

    What anatomical feature is formed by the fusion of the sacral vertebrae?

    <p>Sacrum (C)</p> Signup and view all the answers

    What is the role of the sacral foramina?

    <p>Exit points for spinal nerves (A)</p> Signup and view all the answers

    What is the shape of the sacrum and how does it relate to its function?

    <p>Wedge-shaped for stability (C)</p> Signup and view all the answers

    Which statement about the lumbar vertebrae is correct?

    <p>They allow for significant lateral flexion (D)</p> Signup and view all the answers

    How does the anterior height of the L5 vertebra influence the lumbar region?

    <p>It affects the lumbosacral angle (A)</p> Signup and view all the answers

    What is a characteristic feature of the dorsal surface of the sacrum?

    <p>It is rough and marked by ridges (A)</p> Signup and view all the answers

    What anatomical structures project inferiorly from the sacral hiatus?

    <p>Sacral cornua (A)</p> Signup and view all the answers

    What is the superior part of the lateral surface of the sacrum called due to its shape?

    <p>Auricular surface (D)</p> Signup and view all the answers

    What indicates where fusion of the sacral vertebrae occurred in adults?

    <p>Transverse lines on the pelvic surface (D)</p> Signup and view all the answers

    Which cervical vertebra does not have a spinous process?

    <p>C1 (B)</p> Signup and view all the answers

    What feature distinguishes the spinous process of C6 from those of C3 to C5?

    <p>It is longer and easily palpated. (B)</p> Signup and view all the answers

    Where can the T1 spinous process be more prominent than usual?

    <p>In individuals who are lean. (C)</p> Signup and view all the answers

    What anatomical feature correlates to the overlap of thoracic spinous processes?

    <p>They lie at the level of the vertebra below. (B)</p> Signup and view all the answers

    What can a sudden shift in the alignment of spinous processes indicate?

    <p>Unilateral dislocation of a zygapophyseal joint. (B)</p> Signup and view all the answers

    How does the position of the neck and back affect the palpation of spinous processes?

    <p>Flexion allows them to become easily visible. (D)</p> Signup and view all the answers

    Which vertebrae are characterized by short bifid spinous processes that may be difficult to palpate?

    <p>C3 to C5 (B)</p> Signup and view all the answers

    What structure can be palpated in the mid- and paravertebral lines?

    <p>Transverse processes (A)</p> Signup and view all the answers

    What is the primary role of the supraspinous ligament?

    <p>To connect spinous processes (A)</p> Signup and view all the answers

    Which lumbar vertebrae are characterized by massive bodies due to increased weight support?

    <p>All lumbar vertebrae (D)</p> Signup and view all the answers

    Where is the carotid tubercle located?

    <p>On C6 vertebra (C)</p> Signup and view all the answers

    In which anatomical position are thoracic spinous processes typically less visible?

    <p>Anatomical position (A)</p> Signup and view all the answers

    Which vertebra is referred to as the 'vertebra prominens'?

    <p>C7 (D)</p> Signup and view all the answers

    What can make the thoracic spinous processes more palpable in patients?

    <p>Decreased subcutaneous tissue (B)</p> Signup and view all the answers

    What is the primary orientation of the articular facets in cervical vertebrae?

    <p>Horizontal orientation directed primarily superiorly and inferiorly (C)</p> Signup and view all the answers

    Which cervical vertebrae have foramina that are typically smaller than those in other cervical vertebrae?

    <p>C7 (D)</p> Signup and view all the answers

    What unique feature is prominent in the transverse processes of cervical vertebrae?

    <p>Foramen transversarium (A)</p> Signup and view all the answers

    Which of the following characteristics applies to lumbar vertebrae compared to cervical vertebrae?

    <p>They possess a massive kidney-shaped body. (B)</p> Signup and view all the answers

    What is the role of the anterior tubercles on cervical vertebrae?

    <p>Attachment for cervical muscles (C)</p> Signup and view all the answers

    How does the size of the vertebral bodies change as you move down the vertebral column?

    <p>They increase in size to support increasing weight (D)</p> Signup and view all the answers

    What distinguishes the cervical region from other vertebral regions in terms of movement?

    <p>Greater range and variety of movement (D)</p> Signup and view all the answers

    In what arrangement do vertebrae C3-C7 articulate with each other?

    <p>That allows for free flexion and extension and some lateral flexion (D)</p> Signup and view all the answers

    Which cervical vertebra is specifically referred to as having carotid tubercles?

    <p>C6 (C)</p> Signup and view all the answers

    What feature distinguishes thoracic vertebrae from cervical and lumbar vertebrae?

    <p>Presence of costal facets (A)</p> Signup and view all the answers

    What shape do the superior and inferior surfaces of cervical vertebral bodies generally exhibit?

    <p>Reciprocally convex and concave (B)</p> Signup and view all the answers

    What happens to the diameter of the vertebral canal as the vertebral column descends?

    <p>It increases in diameter. (B)</p> Signup and view all the answers

    What mechanism allows for the flexibility of the cervical spine?

    <p>The oblique orientation of the articular facets (D)</p> Signup and view all the answers

    Which spinal feature can assist in controlling bleeding from the common carotid arteries?

    <p>Carotid tubercles (A)</p> Signup and view all the answers

    Study Notes

    Vertebral Column Regions

    • Adult vertebral column typically has 33 vertebrae, organized in 5 regions: 7 cervical, 12 thoracic, 5 lumbar, 5 sacral, and 4 coccygeal.
    • Significant movement occurs only between the first 25 superior vertebrae.
    • Sacral vertebrae (5) fuse into sacrum after age 30.
    • Coccygeal vertebrae (4) fuse into coccyx after age 30.
    • Lumbosacral angle: Point where lumbar region meets the sacrum.
    • Vertebrae size increases descending the column, reaching maximum size superior to the sacrum, then decrease to coccyx apex. This correlates with increasing weight-bearing.

    Vertebrae Structure and Function

    • Vertebrae are small bones separated by resilient intervertebral (IV) discs making the column flexible.
    • Basic structure: vertebral body, vertebral arch, and 7 processes.
    • Vertebral body: anterior, cylindrical part; supports weight; size increases downward. Composed of spongy (trabecular) bone, encased by thin compact bone.
    • Trabecular bone spaces filled with red bone marrow.
    • Vertebral arch: posterior to the vertebral body; made from pedicles (short, stout) and laminae (flat plates joining in midline).
    • Vertebral foramen: formed by vertebral arch and body; vertebral canal: series of vertebral foramina, houses spinal cord, spinal nerve roots, and meninges plus vessels.
    • Vertebral notches: indentations superior/inferior to pedicles; form intervertebral foramina (passageways for spinal nerves).
    • Seven processes arise from vertebral arch: (1) spinous, (2) transverse, (4) articular (paired superior & inferior), that provide attachment for muscles and create joint surfaces.

    Regional Characteristics

    • Cervical Vertebrae:
      • Smallest movable vertebrae, between cranium and thoracic regions.
      • Thinner IV discs compared to size of bodies.
      • Greatest range of movement due to relative thickness of IV discs, nearly horizontal articular facets, and smaller surrounding body mass. Facets permit flexion, extension and lateral flexion but restricted rotation.
      • Unique characteristic: Foramen transversarium in transverse process (transmit vertebral arteries/veins except C7).
      • Anterior/posterior tubercles on transverse processes. C6's anterior tubercle is called the carotid tubercle.
      • C3-C7 are typical cervical vertebrae. C1 (atlas) and C2 (axis) are atypical. Atlas lacks body & spinous process; Atlas bears weight of the skull, C1 lateral masses articulate to occipital condyles. Axis has prominent dens (odontoid process) which acts as a pivot.
      • C7 (vertebra prominens): longest spinous process, often visible/palpable.
    • Thoracic Vertebrae:
      • Located in upper back, with rib attachments via costal facets for articulation.
      • Middle thoracic vertebrae (T5-T8) have vertical orientation of articular facets, allowing rotation & lateral flexion.
      • T1-T4: share some cervical features (eg. T1 has a long spinous process, complete costal facet for 1st rib, demifacet for 2nd rib).
      • T12: transitional vertebra; superior half thoracic (costal facets), inferior half lumbar (no costal facets).
    • Lumbar Vertebrae:
      • Largest movable vertebrae in lower back (between thorax & sacrum).
      • Massive bodies due to increased weight-bearing.
      • Articular facets oriented sagittally at superior levels, then become coronally oriented (L5-S1), permitting flexion, extension, & lateral flexion but not rotation.
      • Transverse processes project posterosuperiorly, with accessory processes & mammillary processes for muscle attachment.
      • L5 is the largest; body is larger anteriorly supporting a lot of the weight.
    • Sacrum:
      • Wedged-shaped bone formed by fused sacral vertebrae.
      • Forms part of the pelvic cavity. -The sacral canal continues the vertebral canal. -Contains cauda equina (roots of spinal nerves) inferior to L1. -Sacral foramina for exiting spinal nerves. -Base formed by S1; articulates with L5 at the lumbosacral angle (130–160 degrees). -Auricular surfaces articulate (via hyaline cartilage) with ilium to form sacroiliac joint).
    • Coccyx:
      • Small, triangular bone formed by the fused coccygeal vertebrae. Co1 may remain separate
      • Remnant of embryonic tail.
      • Rudimentary articular processes, may receive weight while sitting.
      • Attachment site for gluteus maximus, coccygeus muscles, and anococcygeal ligament.

    Surface Anatomy

    • Spinous processes visible/palpable when back is flexed with scapulae protracted. C7 (vertebra prominens) commonly most visible. T1 sometimes more prominent.
    • Spinous processes overlap the vertebra below, so their tips don't accurately reflect the vertebrae levels.
    • Transverse processes of C1 can be felt laterally between mastoid processes and jaw angles. Carotid tubercle of C6 may be palpable.
    • Transverse processes of thoracic vertebrae palpable on each side of spinous processes in thorax, ribs may be felt by palpation.

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    Description

    This quiz covers the anatomy of the adult vertebral column, including its five regions and the structure of vertebrae. Learn the differences between cervical, thoracic, lumbar, sacral, and coccygeal vertebrae and their functions. Test your knowledge on vertebral sizes, movements, and the significance of intervertebral discs.

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