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9-trunk and spine 2

AB
functions of cervical spinegives strong support to skull, protects the neural components, protects the vascular structures, provides muscular attachments, acts as a shock absorber to protect the brain, provides portals for passages for neurovascular structures
cervical region must provide...to integrate the ehad with the body and its environmentflexibility (i.e. large range of movement)
cervical region has how many vertebrae7
c3-C7 have structures in anterior and posterior compartments similar to..the typical vertebrae
the bodies of the cervical vertebrae are...relative to the vertebrae in other regions of the spinesmall
2 specialized vertebrae of cervical regionatlas (C1), axis(C2). there is no disc between the axis and atlas
odontoid processaka dens. protrudes through the atlass
anterior longitudinal ligament (CR)strongly attached to the vertebral bodies (but not strongly attached to discs)
posterior longitudinal ligament (CR)lies inside the spinal canal firmly attached to the discs
ligamentum flavum (CR)lies inside the spinal canal and attaches to each lamina (begins between C2 and C3)
other ligamanets of CR besideds all, pll, and ligamentum flavum includecapsular ligements (arranged perpendicular to surface of each facet joint), interspinous and intertransverse ligaments.
cruciform ligament (CR)provides stability to C1-C2 articulation
cervical discs are...laterally than their corresponding vertebral bodies. cervical discs are also...anterior than posterio. this gives the cervical discs as ...shapesmaller, thicker, wedge shape (continutes to the lordotic curvature of the cervical spine)
cercial region is the most...region of the spinemobile
the articulation of the atlas with the skull is called the..which allowsatlantooccipital joint allows sagittal plane movement (i.e. 10-15 degrees of flexion and extension)
the articulation of the atlas and axis is called the...which allowsatlanto-axial joint allows 10 degrees of flexion/extension and 47-50 degrees of rotation
C1 can move...of the rest of the cervical regioncan move independently of rest of cervical spine
motion below C1 involves theentire cervical spine bc the vertebrae are attached to each other functionally in motion segments
the facets guide the motion (i.e.) coupled motion bc...each type of motion is always accompanied by another
flexion/extension is couple withtransverse (horizontal) translation; lateral flexion with rotation; rotation with axial translation
arrangment of the facetsthe articulating facets of the cercial vertebrae face 45 degrees to the transverse plane to the frontal plane. facets slope downward laterally and posteriorly
to create instabilitythe majority of the ligaments had to be transected before failure occured. flexion was more limited by posterior ligaments. extension was more limited by anterior ligaments. removal of the facets decreased angular displacement and increased horizontal displacement
cercical spine is unstable or on the brink of instability whengreater than 3.5mm of transverse displacement. greater than 11degrees difference in rotation between adjacent vertebrae
loads on the cervical spine are produced mainly bythe weight of the head, the activity of the surrounding muscles, the inherent tension of adjacent ligaments, the application of external loads
static loads on the cervical spine vary with ..the position of the head and body
loads on the cervical spine are low duringupright standing and sitting
structure of the head and neck makes the cervical spine and surrounding tissues...to injuryparticularly vulnerable to injury
what injuries most common to cervical regionflexion/extension
flexion-extension injury involves..an impact that forces the head into flexion disrupting the posterior ligaments
excessive motion at the C1-C2 aritculation can poseparticular problems (during normal axial rotation, the size of the spinal canal is decreased)


nahant, MA

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