Term
What are the superficial muscles of the back concerned with? |
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Definition
Positioning and moving the upper limbs |
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Term
There are four curves of the back. Which two are normal? When are the other two formed? |
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Definition
Thoracic and sacral curves are "normal" Cervical curve is formed when baby can hold its head up by itself and lumbar curve is formed when baby can stand and walk on its own |
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Term
Describe movements of the head enabled by CI and CII |
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Definition
CI= atlas- allows head to flex and extend CII= axis- allows head to rotate as CI moved on CII |
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Term
How many vertebrae are there? What are the five sections? |
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Definition
26. 7 cervical, 12 thoracic, 5 lumbar, 5 fused sacral (plus coccyx) |
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Term
What are the deep muscles of the back concerned with? |
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Definition
maintaining the position of the axial skeleton |
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Term
When do the sacral vertebrae become fused? |
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Definition
when you become weight bearing |
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Term
Describe the position of the cervical and lumbar curves. Describe the position of the thoracic and sacral curves. |
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Definition
Cervical and lumbar are concave posteriorly or convex anteriorly. Thoracic and sacral are concave anteriorly or convex posteriorly |
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Term
What forms the spinal canal? |
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Definition
All the vertebral foramen together |
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Term
What forms the intervertebral foramen? |
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Definition
Superior and inferior vertebral notches of adjacent vertebrae |
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Term
What sections of the vertebrae is the sympathetic chain of the autonomic nervous system located? the parasympathetic chain? |
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Definition
symp= thoracolumbar para=craniosacral |
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Term
What forms the zygapophysial facet joint? |
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Definition
Superior and inferior articular processes |
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Term
What does the anterior and posterior longitudinal ligament connect? ligamenta flava? interspinous ligaments? |
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Definition
-run vertically along the anterior and posterior sides of the vertebral bodies -laminae of adjacent vertebrae -spinous processes of adjacent ligaments |
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Term
Laminectomy are preformed to alleviate what? |
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Definition
neural impingement caused by spinal stenosis |
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Term
What is special about the space between the atlas and the axis? |
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Definition
There is no intervertebral disc |
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Term
What is unique about the transverse process of cervical vertebrae? |
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Definition
they contain the foramen trasversarium |
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Term
What do the lateral masses of the atlas articulate with superiorly? |
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Definition
the occipital condyle of the skull |
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Term
What is the special feature to the axis? How is it attached to the atlas? |
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Definition
the dens process (odontoid process), transverse ligament holds it in place at atlas. allows rotation |
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Term
Every single thoracic vertebrae articulates with what? |
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Definition
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Term
There are three areas on the thoracic vertebrae that articulate with ribs, what are they? |
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Definition
superior and inferior costal (demi)facets and the transverse process |
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Term
what is special about the spinous processes of the cervical vertebrae? |
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Definition
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Term
What marker on the back shows the SI joint? |
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Definition
The dimples on the lower back |
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Term
The extrinsic muscles are involved with the movement of what? What nerves are they innervated by? |
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Definition
upper limbs and thoracic wall, innervated by anterior rami |
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Term
Intrinsic muscles of the back are are associated with what? what nerves are they innervated by? |
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Definition
they are deep and support and move the vertebral column and participate in moving the head. innervated by the posterior rami of spinal nerves |
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Term
What are the three layers of meninges? |
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Definition
Pia mater, arachnoid mater, dura mater |
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Term
What is the anterior wall of the vertebral canal made up of? |
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Definition
vertebral bodies, posterior longitudinal ligament, and intervetebral discs |
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Term
what are the lateral walls of the vertebral canal made up of? |
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Definition
ligaments and the vertebral arches |
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Term
How many spinal nerves are there? From where do they emerge? |
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Definition
31, from the vertebral canal between the pedicles |
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Term
posterior ramus innervates the what? anterior ramus innervates what? |
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Definition
posterior- back anterior- most other regions except the head |
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Term
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Definition
failure of vertebral laminae to unite, nervous tissue is unprotected, paralysis |
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Term
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Definition
Filling a vertebral body with cement to restore it to its original height and reduce vertebral compression |
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Term
What is a cervical rib? What are some complications due to the presence of a cervical rib? |
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Definition
Part of the transverse process of C7 becomes enlarged and may become a complete rib. Puts pressure on subclavian artery and inferior trunk of the brachial plexus |
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Term
What is a Jefferson fracture? |
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Definition
A fracture of the CI ring due to an axial loading injury of the head |
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Term
What is the hangman's fracture? |
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Definition
Unstable fracture as a result of hyperextension of the head relative to the neck. Fracture of the C2 pedicles with forward displacement of C1 and the body of C2 on C3 |
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Term
How can you palpate to find the sacral hiatus? |
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Definition
Identify the two PSIS and draw an equilateral triangle connecting the two, sacral hiatus is at apex. Also can palpate the convexity of the coccyx and move cephalic to palpate the concave sacral hiatus |
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Term
How many joints does a typical vertebrae have with adjacent vertebrae? What are they? |
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Definition
4 synovial joints between articular processes. 2 sympheses between intervertebral disc |
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Term
what type of cartilage lines each vertebrae between the vertebral body and the intervertebral disc? |
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Definition
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Term
What are zygapophysial joints? |
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Definition
Joints between the vertebral arches superior and inferior articular processes on adjacent vertebrae |
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Term
Zygapophysial joints in the cervical region allow what type of movement? |
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Definition
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Term
Zygapophysial in the thoracic region facilitate what kind of movement? |
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Definition
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Term
Zygapophysial in the lumbar region facilitate what type of movement? |
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Definition
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Term
What are three signs of lumbar DDD? |
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Definition
-horizontal nuclear cleft -signal loss -height loss |
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Term
What lines the anterior surface of the vertebral canal? |
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Definition
posterior longitudinal ligament |
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Term
Where is the ligamentum lava? What is it composed of? What is its function? |
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Definition
Pass between the lamina of adjacent vertebrae and form part of the posterior surface of the vertebral canal. Composed of elastic connective tissue. Resists separation of lamina in flexion and assist in extension |
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Term
Describe the supraspinous ligament and ligamentum nuchae |
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Definition
Supraspinous= connects spinous processes from CVII to sacrum. Ligamentum nuchae connects from CVII up to skull |
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Term
What three instances cause spinal stenosis? |
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Definition
1. zygapophysial joint hypertrophy 2. ligamentum flava hypertrophy 3. mild disc protrusions |
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Term
Where is the lesion in a lumbar spondylolysis? Where do the majority occur? |
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Definition
pars interarticularis or the neural arch. most occur at L5 |
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Term
what is a spondylolisthesis? |
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Definition
forward displacement of the vertebrae |
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Term
What nerve comes through the sub occipital triangle? |
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Definition
the posterior ramus of CI |
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