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8-trunk and spine 1

AB
the vertebral column (spine) acts as a...modified elastic rod providing support and flexibility
there are ... vertebrae in the vertebral column33
...vertebrae are moveable and contribute to...24, joint movements
the motion segment of the spine is the ....of the spine and consists offunctional unit of the spine, two adjacent verterae and the disc that separates them
spine curvescervical spine is an inward/concave curve lordosis. thoracid sine is an outward/convex curve (kyphosis), lumbar spine has another inward/concave curve (sway back)
anterior part of movement segementcontains the two vertebral bodies, the iner-vertebral disc and the anterior posterior longitudinal ligaments
invertabral discshock absorbers for compression
vertebral bodythickest part, withstand compression/thicker in front where most compression exists. covered with hyaline cartilage
the two vertebral bodies and the disc of the anterior portion of movement segment form aform a cartilaginous joint
each vertebral body consists ofcancellous tissue surrounded by a thick cortical layer
the vertebral body has a ...to facilitate the...a raised rim to facilitate the attachment of the disc, muscles and ligaments
the invertebral disc ...the two bodies which allows..separates, movement between the bodies and resists compressive, torsional and bending forces
role of the disc is tobear and distribute loads and restrain excessive motion in the vertebral segment
the load transmitted via the discs distributes...stress uniformly over the vertebral end plates
each dics consists of the ...nucleus pulposus and annulus fibrosis
nucleous pulposusa gel-like material (80% water and 20% collagen) in central portion of the disc. creates a fluid mass that is always under pressure thus exerting a preload on the disc. well suited to withstand compressive forces. during the day, the water conctent of the disc is reduced due to compressive forces (spinal column reduces by about 15 to 35mm)
the nucleus pulposus is surround by..rings of fibrous tissue called the annulus fibrosus
the fibers of the annulus run..but are oriented...each alternate layer runs...when rotation is applied...run parallel in concentric layers but are oriented diagonally at 45 degrees to 65 degrees to the vertebral body. each alternate layer runs perpendicular to the previous layer creating a crisscross pattern. when rotation is applied to the disc, half the fibrs tighten while the fibers runnin in the other direction will be loose
the fiber direction in the annulus limit...androtational and shearing motions between the vertebrae
fibers in the annulus are made up of ...50-60% collagen to provide tensile strength
collagen is ...in response to changes in loadingremodeled
thicker annulus fibers in the..and thinner fibers in theanterior disc, posterior
discs function ...hydrostatically (flexible under low loads and stiff under high loads) by absorbing water
pressure in the nucleus pulposus....with compressive loadsincreases linearly. the nucleus exerts a pressure to absorb water
two weak points where disc injury occurscartilage and plates to which the discs are attached, posterior annulus is thinner and not attached as firmly as other portion of the disc
longitudinal ligamentsrun from the base of the skull to the sacrum
anterior longitudinal ligamentattaches to the anterior disc and the vetebral bodies (limits hyperextension and restrains forward movement of one vetebrea over anohter)
posterior longitudinal ligamentruns down the posterior surface inside the spinal canal (resists flexion)
posterior portion of the movement segmentcontains the neural arches, intervertebral joints, transverse and spinous processes and ligamens
there are...formed by the articulating facets on the supper and lower sides of the vertebraetwo synovial joints
the superior facets are...and fit into the..concave, into the interior facets of the adjacent vertebrae
the articulating facets are oreinted...in the regions of the sinedifferently
there are ...ligaments that support the posterior portion of the vertebral segment5
ligamentum flavumconnects adjacent vertebral arches longitudinally (elongates in trunk flexion and contracts in extension)
suprasinous and interspinous ligamentsbut run from spinous process to spinous process (resists both shear and forward bending of the spine)
intertransverse ligamentsconnect transverse process to transverse process (resists lateral bending of the trunk)


nahant, MA

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