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state the number of vertebrae in the cervical column
7
state the number of vertebrae in the thoracic column
12
state the number of vertebrae in the lumbar column
5
state the number of vertebrae in the sacral column
5, which are fused to form the sacrum.
state the number of vertebrae in the coccygeal column
4, which are fused to form the coccyx.
state the 3 functions of the vertebral column
support upper body weight
protect spinal cord and nerves
allow trunk movement
state the functions of the vertebral body
weight bearing and movement
state the functions of the vertebral arch
protection, movement
state the functions of the vertebral foreamen/cannel
passageway for spinal nerves
what is the vertebral cannal bound by
IV disc in front
bone of the pedicle above and below
Z joints behind
classify the intervertabral disk joint
modified fibrocartilaginous joint
what are the components of the intervertebral disk joint
cartilage end plate (top and bottom)
annulus fibrosis
nucleus pulposus
what is the annulus fibrosis in the intervertebral disk joint
alternating layers of dense regular connective tissue
describe the neucleus pulposus in the intervertebral disk joint
toothpaste like consistency
End plate
cartilage disc
what is the function of the cartilage end plate in the IV disk
transmits weight to adjacent vertebral body
confines nucleus pulposus and annulus fibrosis
role in securing nutrition for disc
what is the function of the annulus fibrosis in the IV disk
retain the nucleus pulposus
allow and limit movement
what is the function of the nucleus pulposus in the IV disk
shock absorber – rapidly applied loads are temporarily diverted into bracing the annulus fibrosis – stiffens vertebrae
force distributor
classify the interbody joints
Fibrous cartilaginous joint
what is the thickest and thinnest interbody joint
thickest in lumbar region (more weight goes through lumbar region)
thinnest in upper thoracic region
why is the interbody joint avasuclar
it has little blood flow therefor it gains nutrition viathe diffusion of nutrients from the surrounding vertebral bodies.
describe the function of determining movement in the interbody joints
oblique orientation of annulus fibres mean that shear movements are limited in every direction. the length of the annulus fibres allows rocking movements
describe the function of weight bearing in the interbody joints and what it results in
there is radial expansion of the nucleus pulposus which causes tension in the annulus fibrosis. Allows load transmission, shock absorption
ibe the function of the Contribution to normal vertebral column curvature in the interbody joints and what it results in
increase the shock absorbing function of the vertebral column
which regions of the spine are kyphotic and lordotic
Thoracic/sacral regions = kyphotic (primary/structural) curve
Cervical/lumbar regions = lordotic (secondary/functional) curve
describe the line of gravity in the spine
passes through junctions of normal vertebral column curves
classify the Z joint
synovial multiaxial plane
describe the articular surfaces of the Z joint
superior and inferior articular facets
describe the joint capsule of the Z joint
loose but reinforced by: ligamentum flavum multifidus ligament
describe the functions of the Z joint
to determine the direction of vertebral column movement
to determine the range of vertebral column movement
to bear weight (67% in cervical region, 15% in lumbar region)
what are vertebral column movements determined by
articular triad: nterbody joint and zygapophyseal joints of each vertebral level
what movements are available in the whole vertebral column
flexion/extension
right and left lateral flexion
right and left rotation
Segmental range of movement small but total range large
what movements are available in the cervicale region of the vertebral column
superior articular facets tipped forward from the coronal plane
conjunct rotation - ipsilateral coupling with lateral flexion
large range of flexion/extension " intervertebral disc degeneration (fissures in annulus fibrosis)
what movements are available in the thoracic region of the vertebral column
superior articular facets close to the coronal plane
equal range movements in all directions
all movements limited in range due to ribs
what movements are available in the lumbar region of the vertebral column
J-shaped” superior articular facets in upper lumbar region (coronal and sagittal sections)
Therefore: very, very limited rotation - sagittal portion
protection for intervertebral disc - coronal portion
describe the anterior longitudinal ligament
extends from C1 to sacrum attaching to anterior surfaces of vertebral bodies and discs
broad, strong
outer fibres span 3-4 segments, inner fibres span 1 segment
what does the anterior longitudinal ligament limit
extension of the vertebral column
describe the posterior longitudinal ligament
extends from C2 to sacrum attaching to posterior surfaces of margins of vertebral bodies and discs
separated from vertebral bodies by venous plexus •
weak and narrow in lumbar area
what does the posterior longitudinal ligament limit
flexion of the vertebral column
describe ligamentum flavum
contains a significant amount of elastic tissue
connects laminae of adjacent vertebrae
passes from the posterior surface of the lamina of one vertebra to the anterior surface of the lamina of the vertebra above (zig zag)
attach to anterior part of capsule of zygapophyseal joints
what does ligamentum flavum limit
“brake” flexion
protect zygapophyseal joint capsules
protect neural tissue
describe the supraspinous ligament
connects apices of spinous processes from C7 to sacrum
may be absent in low lumbar area
expands as ligamentum nuchae over cervical area
what dos the supraspinous ligament limit
limits flexion of the spine
describe the interspinous ligament
connect transverse processes of adjacent vertebrae
what does the interspinous ligament limit
limits lateral flexion
classify the atlanto occipital joints
synovial, biaxial, ellipsoid (often considered a single joint)
describe the articular surfaces of the atlanto-occipital joints
Superior articular facets of C1
Occipital condyles of skull
describe the articular capsule of the atlanto-occipital joint
thin and loose
describe the movements available at the atlanto-occipital joints
Flexion and extension
Lateral flexion and rotation – coupled contralaterally
what does the atlanto-occipital ligaments limit
Limit all movements at atlanto-occipital joints
classify the median atlanto-axial joint
synovial, uniaxial, pivot
classify the 2 lateral atlanto-axial joints
synovial, multiaxial, plane (zygapophyseal joints)
what are the articular surfaces of the median atlanto-axial joint
Facet for dens on anterior arch of C1
Dens of C2
Transverse ligament of atlas
what are the articular surfaces of the 2 lateral atlanto-axial joints
Inferior articular facets of C1
Superior articular facets of C2
describe the atlanto-axial joint movements
rotation - C1 and the head rotate as a unit on C2
describe the apical ligament of dens
From tip of dens to anterior margin of
foramen magnum
• Anterior to superior longitudinal band of
cruciform ligament
describe the alar ligaments
• From tip of dens to medial sides of
occipital condyles
what is the function of the alar ligaments
limit flexion, lateral flexion and
contralateral rotation of the head
describe the tectorial membrane
Superior continuation of posterior
longitudinal ligament – from posterior
surface of body of C2 to anterior margin
of foramen magnum
• Posterior to cruciform ligament and alar
ligaments
what is the funciton of the tectorial membrane
limits flexion of the head
describe ligamentum nuchae
• Not a “true” ligament of the neck
• Fibroelastic septum in the
midline of the posterior neck
• From spinous process of C7 to
occipital bone
• Superior continuation/expansion
of supraspinous ligament