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Spondylosis
“pain” or degeneration
spondylolysis
“break”
spondylolisthesis
“slip”
Jefferson or Burst Fx
vertical compression in one or both arches
hangman Fx
C2 Fx of pars interarticularis
Annulus Fibrosus
strong attachments to vertebral bodies. Concentric Lamella of fibrocartilage around circumference
Nucleus Pulposus
contained within annulus, gelatinous mass of water and collagen. acts as shock absorber, maintains disc height
Most common in L4-L5
nerve compression from hernia
How many pairs of spinal nerves
31 pairs (cervical exit above, thoracic and lumbar exit below)
If L3-L4 IVD herniates, which root/spinal nerve will it impinge?
L4
Lumbar punctures are taken between which vertebrae?
between L3 and L4
What meningial layer hold CSF
subarachnoid space
What are the meningeal layers from superficial to deep?
dura mater, subdural, arachnoid, subarachnoid
What makes up the suboccipital triangle?
obliques capitis superior, obliques capitis inferior, rectus capitis posterior major
what does the vertebral artery root branch off of
the subclavian artery
what does the vertebral artery branch into?
the basilar at the top of the head
what does the vertebral artery ascend through?
the transverse foramen
where does the vertebral artery enter the head from?
the foramen magnum
what is the primary muscle for C5
bicepts brachii
what is the primary muscle for c6
wrist extensors
what is the primary muscle for c7
triceps
what is the primary muscle for c8
finger flexion
what is the primary muscle for t1
finger adduction
what does the parasympathetic do?
constricts pupils, decrease HR, constrict coronary vessels, stimulate digestive activityw
what does the sympathetic do?
dilates pupil, increase HR, coronary dilation, inhibits peristalsis and digestion
parasympathetic primary neurons in brainstem or sacral segments are what?
long preganglionic fibers
parasympathetic secondary neurons found in parasympathetic ganglion in head or microscopic ganglion in wall of organ innervated by….?
short postganglionic fibers
parasympathetic is
craniosacral outflow
sympathetic is
thoracolumber outflow
where does the spinal cord end?
L1-L2