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ligaments of the spine, general nervous system
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What are the ligaments of the spine?
Anterior Longitudinal ligament, posterior longitudinal ligament, ligamentum flavum, interspinous ligament, supraspinous ligament, alar ligament, cruciate ligament
where is the Ant. longitudinal ligament located?
extends from the sacrum to anterior tubercle C1
What does the anterior longitudinal ligament do?
resists extension
Where is the posterior longitudinal ligament located?
extends from the sacrum to C2
What does the posterior longitudinal ligament do?
limits hyperflexion
Where is the ligamentum flavum thickest?
in the lumbar region
What is the purpose of the ligamentum flavum
preserve curvature of spine, resist seperation of laminae, limit flexion, protect IVDs
What does the interspinous ligament connect?
connects the spinous process
What does the supraspinous ligament connect?
connects the tips of the spinous process
Where is the alar ligament located?
sides of the dens on C2 to lateral margins of foramen magnum
What does the alar ligament do?
prevents excessive rotation
What is the cruciate ligament made up of?
transverse ligament and sup/inf longitudinal bands
What does the cruciate ligament do?
prevent anterior/posterior translation of C1 and C2
What defining feature can you use to identify cervical vertebrae?
transverse foramen, bifed spinous process
What defining feature can you use to identify thoracic vertebrae?
costal facets and steep downward slop of spinous process
What are the regions of the spine?
cervical (C1-C7), thoracic (T1-T12), lumbar (L1-L5), sacral (S1-S5), Coccyx (4 segments)
What is the curvature associated with each region?
cervical (lordosis), thoracic (kyphosis), lumbar (lordosis), sacral (kyphosis)
What comes out of the right and left sides of the conus medullaris? Composed of what?
cauda equina, made of the nerve root endings of the spinal cord
What is the conus medullaris?
the tapered end of the spinal cord
What extends off the tip of the conus medullaris and anchors to the coccyx? Made up of what?
filum terminale, thread like extension of the pia mater
what is the direction of afferent nerves?
afferent is for sensory and moves towards spinal cordwh
what is the direction of efferent nerves?
efferent are motor and moves from spinal cord to region of the body
What is a dermatome?
area of skin supplied by fibers of a single dorsal root?
What region of the body is T4 associated with?
the nipple line
What is the somatic nervous system for?
the voluntary sensory and motor
What is the autonomic nervous system for?
involuntary sensory and motor
Where does the sympathetic nervous system originate?
the lateral horn region of spinal cord
What region does the white rami communicans originate from?
T1-L2 only
Which splanchnic nerves are sympathetic?
cardiopulmonary, abdominopelvic, sacral
Where does the parasympathetic NS originate?
Cranial or Sacral
Which splanchnic nerves are parasympathetic?
pelvic splanchnic
Primary neurons of parasympathetic are from which CN in brainstem?
CN III, CN VII, CN IX, CN X
Where does the parasympathetic synapse?
4 named ganglion in head, at/near target organ
Where does sympathetic NS originate
thoracolumbar region of SC (T1-L2)
Where does the sympathetic NS synapse
sympathetic chain ganglion, unpaired arteries off abdominal aorta
Your parasympathetic is for what?
rest and digest
your sympathetic is for what?
fight or flight
What is the effect of parasympathetic stimulation in the skin?
There is none in the skin