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

Flashcards

Sacrum

The section of the vertebral column made up of the 5 fused sacral vertebrae.

Zygapophysial Joint

A type of joint found between adjacent vertebrae, allowing for limited movement.

Intervertebral Discs

The flexible, resilient discs positioned between vertebrae.

Lumbosacral Angle

The area at the junction of the lumbar vertebrae and the sacrum.

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Coccyx

Composed of four fused coccygeal vertebrae, it represents the most inferior segment of the vertebral column.

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Vertebral Body

The main, weight-bearing part of a vertebra, shaped like a cylinder.

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Vertebral Arch

The bony arch that protects the spinal cord, located behind the vertebral body.

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Compact Bone

A thin, smooth layer of bone surrounding the trabecular bone of the vertebral body, providing strength and protection.

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Trabecular Bone

A network of interconnected bony beams inside the vertebral body, providing strength and housing red bone marrow for blood cell production.

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Red Bone Marrow

The soft tissue inside the vertebral body, responsible for blood cell formation in adults.

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Vertebral End Plates

The cartilage covering the top and bottom surfaces of the vertebral body, providing smooth surfaces for joint movement and nutrient exchange.

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Epiphysial Rim

The ring of smooth bone at the periphery of the vertebral body, formed from an anular epiphysis.

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Vertebral Processes

Processes that extend from the vertebral arch, providing attachment sites for muscles and ligaments, allowing for movement and support.

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Spinous Process

The projection extending from the back of the vertebral arch, serving as a point of attachment for muscles and ligaments.

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Transverse Processes

Lateral projections from the vertebral arch, providing attachment for muscles and ligaments.

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Articular Processes

Paired projections from the vertebral arch, forming joint surfaces with adjacent vertebrae, restricting movement and providing stability.

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Vertebral Foramen

The opening formed by the vertebral arch, providing passage for the spinal cord, blood vessels, and nerves.

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Superior Vertebral Notch

A small notch located above the pedicle of a vertebra, contributing to the formation of the intervertebral foramen.

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Inferior Vertebral Notch

A large notch located below the pedicle of a vertebra, contributing to the formation of the intervertebral foramen.

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Intervertebral Foramen

The opening formed by the vertebral notches of adjacent vertebrae and the intervertebral disc, providing passage for spinal nerves.

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Pedicles

Two bony projections extending posteriorly from the vertebral body, forming part of the vertebral arch.

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Laminae

Broad, flat plates of bone that join in the midline to complete the vertebral arch.

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Vertebral Canal (Spinal Canal)

The series of vertebral foramina in the stacked vertebrae, creating a channel for the spinal cord to pass through.

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Vertebral Notch

One of the notches observed laterally in the vertebral column, located superior and inferior to each pedicle.

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Articular Processes (Zygapophyses)

Four bony projections arising from the vertebral arch, each bearing an articular surface (facet), that articulate with corresponding processes of adjacent vertebrae.

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Zygapophysial (Facet) Joints

The joint formed between the articular processes of adjacent vertebrae, allowing for controlled movement.

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Anulus Fibrosus

The tough, fibrous outer layer of intervertebral discs, composed of concentric rings of collagen fibers.

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Nucleus Pulposus

The soft, gel-like center of an intervertebral disc, acting as a shock absorber.

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Posterior Longitudinal Ligament

The strong ligament running along the posterior aspect of the vertebral bodies, helping to stabilize the vertebral column.

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Cervical Vertebrae Size

The smaller size of cervical vertebrae compared to lumbar vertebrae reflects their reduced load-bearing responsibility.

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Cervical Disc Thickness

Despite being thinner than lumbar discs, cervical discs are relatively thick compared to the size of cervical vertebrae.

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Cervical Movement

The unique combination of thick discs, nearly horizontal articular facets, and lighter weight allows for a wide range of motion in the cervical region.

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Foramen Transversarium

The hole in the transverse process of cervical vertebrae, except for C7.

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Vertebral Arteries and Veins

These arteries and their accompanying veins pass through the transverse foramina in all cervical vertebrae except C7.

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C7 Foramen Transversarium

The foramen transversarium in C7 is smaller and may be absent, transmitting only small accessory veins.

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Tubercles of Transverse Processes

The transverse processes of cervical vertebrae end in two projections: an anterior tubercle and a posterior tubercle.

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Carotid Tubercles

The anterior tubercles of vertebra C6 are called carotid tubercles, used to control bleeding from the common carotid arteries by compression in the groove between the tubercle and body.

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Cervical Spinal Nerves

The anterior rami of the cervical spinal nerves course initially on the transverse processes in grooves for spinal nerves between the tubercles.

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Vertebral Foramina in Typical Cervical Vertebrae

Typical cervical vertebrae (C3-C7) are characterized by large vertebral foramina.

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Cervical Enlargement of Spinal Cord

These large vertebral foramina accommodate the cervical enlargement of the spinal cord, which is responsible for innervating the upper limbs.

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Superior Border of Cervical Vertebrae

The superior borders of the cervical vertebrae are elevated posteriorly and laterally, resembling a sculpted seat.

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Reciprocal Shape of Cervical Vertebrae

The inferior border of the superior cervical vertebra is reciprocally shaped to the superior border of the inferior vertebra.

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Articulation of Cervical Vertebrae

The unique articulation of cervical vertebrae allows for free flexion, extension, and some lateral flexion, but restricts rotation.

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Position of Atlas (C1)

The anterior arch of the atlas (C1) lies anterior to the curved line formed by the anterior surfaces of the C2-C7 vertebral bodies.

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Uncus of the body

The superior aspect of the vertebral body in the cervical spine, which has a hook-like projection.

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Uncinate process

The raised edge on the superior aspect of the vertebral body in the cervical spine.

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Spinous process (C3-C6)

A short, two-pronged (bifid) process projecting from the back of the cervical vertebrae (C3-C6), often prominent in white males.

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Vertebra prominens

The prominent spinous process of the 7th cervical vertebra (C7).

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Atlas (C1)

The first cervical vertebra, lacks a body and spinous process.

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Axis (C2)

The second cervical vertebra with a tooth-like process (dens) that projects upwards.

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Dens (odontoid process)

The upward projection from the body of the axis (C2), serving as the pivot point for head rotation.

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Transverse ligament of atlas

A strong ligament connecting the lateral masses of the atlas, spanning behind the dens, preventing displacement.

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Thoracic vertebrae

The upper back vertebrae, characterized by costal facets for rib articulation.

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Costal facets

The articular facets on thoracic vertebrae, allowing for rotation and some lateral flexion of the spine.

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Thoracic rotation (T5-T8)

The area of the spine that allows for the greatest degree of rotation, occurring between vertebrae T5-T8.

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T1 - Atypical thoracic vertebra

The first thoracic vertebra (T1), which has both a full and half facet for rib connections.

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T9-T12 - Atypical thoracic vertebrae

The lowest thoracic vertebrae (T9-T12), which have features similar to lumbar vertebrae.

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Thoracic Rotation

The area of the spine, below the thoracic vertebrae, that is most prone to rotation.

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Dens of the Axis

The tooth-like projection on the axis (C2) that allows the atlas (C1) to rotate around it and carries the cranium.

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Transverse Ligament of the Atlas

A strong ligament connecting the posterior arch of the atlas (C1) to the anterior arch of the atlas.

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Lateral Atlanto-Axial Joint

A joint formed between the lateral mass of the atlas (C1) and the lateral mass of the axis (C2).

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Mammillary Process

A small projection located on the posterior surface of the vertebral body, found mainly in thoracic vertebrae.

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Transverse Costal Facet

A small projection located on the transverse processes of thoracic vertebrae, providing articulation with the tubercule of the rib.

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Intervertebral Disc Space

The area between two adjacent vertebral bodies where the intervertebral disc is located.

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Head of Rib Attachment

The area where the head of the rib articulates with the vertebral body.

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Tubercle of Rib Attachment

The area where the tubercle of the rib articulates with the transverse process of the vertebra.

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What is the coccyx?

The coccyx, also known as the tailbone, is a small triangular bone located at the end of the vertebral column. It is typically formed by the fusion of four rudimentary coccygeal vertebrae.

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What is the coccyx's developmental origin?

The coccyx is a remnant of the embryonic tail-like structure called the caudal eminence, which is present in developing human embryos.

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What are the variations in coccygeal vertebrae fusion?

The coccygeal vertebrae, especially the first one (Co1), may not fully fuse with the rest of the coccyx, and can even remain separate in some individuals.

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What is the anatomical orientation of the coccyx?

The anterior surface of the coccyx faces towards the pelvic cavity and is smooth, while the posterior surface features rudimentary articular processes.

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Describe the features of Co1, the first coccygeal vertebra.

The largest and broadest coccygeal vertebra is Co1, its transverse processes connect to the sacrum, and its articular processes form coccygeal cornua that articulate with the sacral cornua.

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How does the coccyx change with age?

As we age, Co1 often fuses with the sacrum, and the remaining coccygeal vertebrae typically fuse together to form a single bone.

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Does the coccyx bear weight during different activities?

Although the coccyx doesn't bear weight during standing, it can flex forward when sitting, suggesting it does receive some weight.

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What are the attachments associated with the coccyx?

The coccyx provides attachment points for muscles like the gluteus maximus and coccygeus, as well as ligaments like the anococcygeal ligament.

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What is the functional significance of the coccyx?

The coccyx, although small, plays a role in supporting the pelvic floor and its muscles, contributing to overall pelvic stability.

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What covers the auricular surface of the coccyx?

During life, the auricular surface is covered with hyaline cartilage.

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L5 Vertebra

The largest of all movable vertebrae, L5 is characterized by a massive body and transverse processes. It carries the weight of the upper body and is significantly taller anteriorly, contributing to the lumbosacral angle.

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Sacral Promontory

A crucial obstetrical landmark, the sacral promontory is the anterior projection of the body of the S1 vertebra on the base of the sacrum.

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Sacral Canal

The sacral canal is the continuation of the vertebral canal within the sacrum. It houses the cauda equina, a bundle of nerve roots.

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Sacral Foramina

The sacral foramina are openings on the pelvic and posterior surfaces of the sacrum, providing passage for spinal nerves.

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Lumbosacral Joint

The articulation between the L5 vertebra and the sacrum is called the lumbosacral joint. This joint is critical for the transfer of the weight of the upper body to the pelvis.

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Auricular Surface

The auricular surface is a distinctive area on the lateral surface of the sacrum, shaped like an ear, used for articulation with the ilium.

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Sacral Hiatus

The sacral hiatus is a U-shaped opening on the dorsal surface of the sacrum resulting from missing laminae and spinous processes. It allows access to the sacral canal.

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Sacral Cornua

The sacral cornua are bony projections on either side of the sacral hiatus, serving as landmarks for its location.

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Median Sacral Crest

The median sacral crest is a prominent longitudinal ridge on the dorsal surface of the sacrum, representing fused spinous processes.

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Intermediate Sacral Crests

The intermediate sacral crests are ridges on the dorsal surface of the sacrum, representing fused articular processes.

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Lateral Sacral Crests

The lateral sacral crests are ridges on the dorsal surface of the sacrum, representing fused transverse processes.

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Sacral Articular Processes

The superior articular processes of the sacrum articulate with the inferior articular processes of the L5 vertebra.

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Fusion of Sacral Vertebrae

Fusion of sacral vertebrae begins after age 20 and usually completes by middle life. The individual vertebrae are connected by hyaline cartilage during childhood and separated by intervertebral discs.

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Where can you palpate the C2 spinous process?

The C2 spinous process is located in the midline, just below the external occipital protuberance, a bony bump at the back of the skull where the head meets the neck.

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What distinguishes the C1 vertebra from other cervical vertebrae?

The C1 vertebra lacks a spinous process and has a small posterior tubercle that is neither visible nor palpable.

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Why are the C3-C5 spinous processes difficult to feel?

The bifi d spinous processes of C3-C5 are found in the nuchal groove, a depression between neck muscles, but they are difficult to palpate due to the curve of the cervical spine.

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How do you palpate the C6 spinous process?

The C6 spinous process is easily felt superior to the C7 spinous process (vertebra prominens) because it is longer.

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When are upper thoracic spinous processes visible?

When you flex your head and neck or lean forward significantly, the spinous process of the upper thoracic vertebrae become visible.

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What forms the supraspinous ligament?

A continuous ridge formed by the connected tips of the thoracic spinous processes can be seen in lean individuals. This ridge is part of the supraspinous ligament.

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Which spinous process is usually the most prominent?

The C7 spinous process is usually the most superior and easily palpable spinous process, although the T1 spinous process is sometimes more prominent.

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How can you find the thoracic spinous processes?

In thin individuals, the thoracic spinous processes may be visible, while in others, they can be identified by palpation starting at the C7 spinous process and moving down.

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How do the thoracic spinous processes relate to their vertebral bodies?

The tips of thoracic spinous processes do not correspond to the level of the vertebral bodies because they overlap the vertebra below.

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Where are the thoracic spinous processes located when the back is relaxed?

When the back is not flexed or the scapulae are not retracted, the tips of the thoracic spinous processes lie deep to a median longitudinal furrow.

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What can a disruption in the alignment of spinous processes signify?

Normally, the tips of the spinous processes are aligned, although the overall line might deviate slightly from the midline. Sudden shifts in alignment might indicate a dislocation or fracture.

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What can help identify the T12 spinous process?

The 12th rib, which can be palpated in the posterior axillary line, can be used to confirm the location of the T12 spinous process.

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How are the transverse processes of C1 palpated?

The transverse processes of C1 can be felt laterally by deep palpation between the mastoid processes (behind the ears) and the angles of the jaws.

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What is the carotid tubercle, and why is it significant?

The carotid tubercle, the anterior tubercle of the C6 transverse process, may be large enough to be palpable. The carotid artery lies anterior to it.

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Where can you locate the transverse processes of thoracic vertebrae?

In most individuals, the transverse processes of thoracic vertebrae can be palpated on each side of the spinous processes in the thoracic region.

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Where are the lower ribs typically palpable?

In lean individuals, the ribs can be palpated from the tubercle to the angle, especially in the lower back, inferior to the scapula.

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What are the key features of lumbar vertebrae?

Lumbar vertebrae are located in the lower back between the thorax and sacrum. They have massive bodies to support the increasing weight towards the inferior end of the vertebral column.

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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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