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Cervical Spine
Cervical Spine
139
Medical
Graduate
02/22/2016

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Cards

Term
How many vertebra in the spine
Definition
33
Term
how many discs in the spine
Definition
23
Term
4 curves of the spine
Definition
lordosis in cervical and lumbar
kyphosis in thoracic and sacrum
Term
functional unit of the spinal colum consist sof what
Definition
2 vertebra, 1 disc, and the articulating facets
Term
what is the body of the vertebra
Definition
trabecular bone with compact bone cover
resists compressive load
Term
what are the 5 arches of the spinal column/vertebra
Definition
pedicle
lamina
tranverse process
spinous process
vertebral foramen
Term
arches: what is the role of the pedicle (2)
Definition
connect body to posterior element
transmits bending force from posterior elements to body
Term
arches: what is the role of the lamina (2)
Definition
vertical plate that is the central portion of the arch
transmit force from articular, transverse and spinous process to the pedicles
Term
arches: role of teh transverse processes
Definition
muscle attachment
Term
arches: role of the spinous process (3)
Definition
muscle attachments
lever
mechanical block
Term
arches: role of the vertebral foramen
Definition
opening between teh body and neural arch, passage for neural structures
Term
Describe the body of the cervical vertebrae: anterior/posterior surfaces
Definition
anterior convex
posterior surface is flat
Term
Describe the body of the cervical vertebrae: superior surface
Definition
saddle shapped d/t uncinate process
Term
Describe the body of the thoracic vertebrae:
Definition
2 demifacets for articulation with ribs on posteiror lateral corners of the plateau
Term
3 parts of the disc
Definition
nucleus pulposus
annulus fibrosus
vertebral endplate
Term
disc: characterteristics of the nucleus pulposus
Definition
gelatinous (has viscoelastic properties)
Term
Describe the body of the cervical vertebrae: what is the endpalte
Definition
cartilaginous layer above and below
Term
nucleus pulposus: % water
Definition
70-90% water
Term
nucleus pulposus: high water content implies what type of applicability
Definition
viscoelastic applicability
Term
nucleus pulposus: what makes up 65% of the dry weight
Definition
proteoglycans
Term
nucleus pulposus: what attracts H20 to the nucleus pulposus?
Definition
high GAG content
Term
nucleus pulposus: presence of what types of colalgen
Definition
type 1 and 2
Term
nucleus pulposus: which collagen dominates
Definition
type 2
Term
nucleus pulposus: why does type 2 collagen dominate
Definition
d/t resistance to compressive loads
Term
Annulus fibrosis: 50-60% dry weight is what
Definition
collagen
Term
20% of the dry weight of the annulus fibrosus is what
Definition
proteoglycans
Term
Annulus fibrosis: which collagen dominates
Definition
type 1
Term
Annulus fibrosis: why does type 1 collagen dominate
Definition
yields resistance to tensile loads
Term
end plates: thickness
Definition
.6-1 mm thick
Term
end plates: covers what top and bottom
Definition
pulposus
Term
end plates: is strongly attached to _____ but not the _____
Definition
fibrosus
body
Term
end plates: consists of what tissue types (2)
Definition
hyaline
fibrocartilage
Term
end plates: which tissue type is closest to the pulposus? hyaline or fibrocartilage
Definition
fibrocartilage
Term
end plates: with age, what tissue type dominates the endplate, hyaline or fibrocartialge
Definition
fibrocartilage
Term
end plates: fibrocartilage resists what force
Definition
compression
Term
the outer 1/3 of the annulus fibrosis is innervated by what
Definition
sinu-vertebral nerve
Term
2 articulations of the cervical spine
Definition
cartilagionous (symphysis)
synovial (diarthrodial) facets
Term
6 motions of the vertebra
Definition
side to side (glide)
axial distraction/compression
anterior-posterior translation
side to side rotation (tilting)
rotation
anteroposterior rotaiton
Term
side to side (glide) is in what plane
Definition
frontal
Term
axial distraction/compression is in what plane
Definition
verticla
Term
antero-posterior translation is in what plane
Definition
sagittal
Term
side side rotation (tiliting) is in what plane
Definition
frontal
Term
Rotation is in what plane
Definition
transverse plane
Term
anteroposterior rotation is in what plane
Definition
sagittal
Term
cervical facet articulation (2)
Definition
45 degree incline above the horizontal
parallel to the frontal plane
Term
anterior longitudinal ligament is compressed in what motion
Definition
flexion
Term
anterior longitudinal ligamnet is stretched in what motion
Definition
extension
Term
posterior longtiudinal ligamnet is stretched in what motion
Definition
flexion
Term
posterior longitudinal ligamnet is compressed in what motion
Definition
extension
Term
what does spinal movement depend on
Definition
coupling
Term
facet and interbody motion are interdepdent: amount of motion is dependent mostly on what
Definition
disc size
Term
facet and interbody motion are interdepdent: direction is dependent on what
Definition
facet orientation
Term
the vertebral disc allows for what type of motions
Definition
tilting which greatly increases ROM
Term
without a disc what is the only vertebral motion allowed
Definition
translation
Term
what is spinal extension limited to
Definition
bony checks (spinous process and the height of the disc)
Term
what is spinal flexion limited by
Definition
supraspinous and interspinous ligaments and disc height
Term
spinal sidebending: what is the motion of the superior vertebra
Definition
tilts laterally and rotates over the lower vertebra
Term
spinal sidebending: what limits sidebending
Definition
intertransverse ligaments
Term
spinal sidebending: what does the facet opposite the concavity do
Definition
opens
Term
spinal sidebending: what happens on the facet on the side of the concavity
Definition
closes
Term
what is axial compression caused by (4)
Definition
gravity
GRFs
ligaments
muscles
Term
what resists the majority of teh forces from axial compression (2)
Definition
discs
vertebral bodfies
Term
what resists the reamining forces from axial comrpession (not discs and vertebral bodies) [2]
Definition
arch's
facets
Term
after age 40 what carries 55% or more of teh compressive load d/t trabecular bone strength and stifness decresaing as bone density decrease
Definition
corticla bone
Term
pressure on the nucleus pulposus pushes on what 2 structures (2)
Definition
annulus fibrosus
end plate
Term
when taking axial compression, which of these structures can take the least load: pulposus, fibrosis, end plate
Definition
end plate
Term
failure of teh end plate results in what
Definition
schmorl's node
Term
disc creep yields loss of what
Definition
disc height
Term
disc creep yields loss of height which leeds to what bearing mroe axial load (3)
Definition
neural arch
ligaments
facets
Term
a change in the structures takign axial load will shift what?
Definition
the posterior disc
Term
shifting of the posterior disc as a result of disc creep will yield what (2)
Definition
bulging
prolapse
Term
features of teh Atlas (C1) [3]
Definition
no vertebral body
no spinous process
internal facet for the odontoid
Term
feature of the axis (C2) [1]
Definition
dens articulates with C1
Term
atlanto-axial jt is what type of jt
Definition
synovial
Term
how many synovial jts are present in the atlanto-axial jt? what are they
Definition
3
2 facet, 1 dens
Term
additional structure present in teh atlanto-axial jt
Definition
transeverse ligament
Term
what is the Yes jt
Definition
Co-C1
Term
what is the no jt
Definition
C1-C2
Term
3 ligaments present in the cervical spine
Definition
ligamentum nuchae
interspinous ligament
supraspinous ligament
Term
cervical discs have the same features except: what is different about the fibrosus
Definition
not a continuous ring
Term
cervical discs have the same features except: anteiror vs posterior differences
Definition
anteriorly thick
thin posteriorly
Term
the uncovertebral jt of the cervical spine forms by what age
Definition
9 yo
Term
interbody jts of the cervical region: are what type of jts
Definition
saddle jts
Term
interbody jts of the cervical region: in the sagittal plane what is the shape of the inferior surface
Definition
concave
Term
interbody jts of the cervical region: in teh sagittal plane what is the shape of the superior surface
Definition
convex
Term
interbody jts of the cervical region: dominant motion of the sagittal plane
Definition
rocking motions
Term
interbody jts of the cervical region: shape of the inferior surface in the frontal plane
Definition
convex
Term
interbody jts of the cervical region: shape of teh superior surface in the frontal plane
Definition
concave
Term
zygagopophyseal (facet) jts: are what type of jts
Definition
synovial
Term
zygagopophyseal (facet) jts: contain what type of meniscoid
Definition
fibroadipose
Term
zygagopophyseal (facet) jts: characteristic of the jt capsule
Definition
fairly lax
Term
zygagopophyseal (facet) jts: orienation
Definition
45 degrees to the horizontal
Term
in addition to flex/ext/SB/rot there are also these motions of the neck
Definition
translations
Term
C0-C1 is the nodding jt and its total motion is limited by what
Definition
capsules
Term
55% of cervical rotation occurs at what level
Definition
C1-C2
Term
upper cervical motion coupling: SB is coupled with what
Definition
contralateral rotation
Term
upper cervical motion coupling: rotation is coupled with what
Definition
contralateral SB
Term
lower cervical (C3-C7) motion is depenent on what
Definition
shape of the facets and the interbody jt
Term
lower cervical motion: flexion is accompanied by what
Definition
anterior tilt and translation
Term
lower cervical motion: why is cervical flexion accompanied by anterior tilt and translation
Definition
d/t 45 degree slope
Term
lower cervical motion: ext is accompanied by what motions (2)
Definition
posterior tilt and translation
Term
lower cervical motion: SB is coupled with what
Definition
ipsilateral rotation
Term
lower cervical motion: rotation is coupled with what
Definition
ipsilateral SB
Term
how does DDD/DJD occur
Definition
disc dehydration adn degeneration results in disc shrinkage resulting in facets moving closer together, this results in the facets NOT the discs taking axial load
Term
Injuries of the C spine: compression (3)
Definition
jefferson fx
multipart atlas fx
multipart vertebral body fx
Term
Injuries of the C spine: compression-flexion (2)
Definition
burst fx
wedge compression fx
Term
Injuries of the C spine: compression-extension
Definition
posterior element fx
Term
Injuries of the C spine: tension
Definition
occiptioatlantal dislocation
Term
Injuries of the C spine: tension-extension
Definition
hangman's fx
Term
Injuries of the C spine: flexion moment (3)
Definition
hyperflexion sprain
bilateral facet dislocation
unilateral facet dislocation
Term
Injuries of the C spine: extension moment (4)
Definition
hangman's fx
anterior longituidinal ligamentous rupture
disc rupture
horiziontal fx of vertebral body
Term
Injuries of the C spine: torsion (2)
Definition
atlantoaxial rotatory dislocation
atalantoaxial unilateral facet discloation
Term
Injuries of the C spine: horizontal shear
Definition
transverse ligament rupture
Term
Injuries of the C spine: multiple mechanisms (3)
Definition
odontoid fx
teardrop fx
clay shoveler's fx
Term
disruption of musculature from an anterior or posterior direction when doing an anterior/posterior cervical fusion
Definition
less mm disrupted anteriorly
Term
Atlanto-occiptal jt: structural classification
Definition
synovial (hinge)
Term
Atlanto-occiptal jt: movements available
Definition
flexion
extension
Term
Atlanto-occiptal jt: plane of motion
Definition
sagittal
Term
Atlanto-occiptal jt: axial and planar characteristics
Definition
uniaxial
uniplanar
Term
vertebral column Atlanto-axial jt: structural classification
Definition
synovial (pivot)
Term
vertebral column Atlanto-axial jt: movement
Definition
rotation right
rotation left
Term
vertebral column Atlanto-axial jt: plane
Definition
transverse
Term
vertebral column Atlanto-axial jt: axial and planar characteristics
Definition
uniaxial and uniplanar
Term
vertebral bodies structural classification
Definition
symphysis
Term
articular processes C2-L5 structural classification
Definition
synovial
plane
Term
C2-L5 vertebral bodies and articular processes: sagittal motions
Definition
flexion
extension
hyperextension
Term
C2-L5 vertebral bodies and articular processes: frontal motions
Definition
lateral flexion right
lateral flexion left
Term
C2-L5 vertebral bodies and articular processes: transverse motions
Definition
rotation right
rotation left
Term
C2-L5 vertebral bodies and articular processes: axial and planar characteristics
Definition
triplanar and triaxial
Term
what is the vertebral body made up of
Definition
trabecular bone with compact bone cover
Term
what load does the vertebral body resist
Definition
compressive
Term
functional unit of the vertebra: 4 item summary
Definition
2 vertebrae
1 disc
articulating facets
Term
functional unit: 14 structures: what are the ligaments (5)
Definition
post longitudinal
anterior longitudinal
ligamentum flavum
supraspinous ligament
interspinous ligmanet
Term
functional unit: 14 structures: structures between the vertebral bodies (2)
Definition
disc
cartilaginous endplate
Term
functional unit: 14 structures: processes (2)
Definition
transverse
spinous
Term
functional unit: 14 structures: structure between the vertebral body and the spinous process on the posterolateral surface (1)
Definition
canal
Term
functional unit: 14 structures: structure above and below the IVD and its endplate
Definition
vertebral body
Term
functional unit: 14 structures: 2 intervertebral structures
Definition
jt
foramen
Term
functional unit: 14 structures: structure that connects the SP to the vertebral body
Definition
vertebral arch
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