Applied Anatomy for the FRCA by Bobby Krishnachetty
Author:Bobby Krishnachetty
Language: eng
Format: epub
ISBN: 9780429664366
Publisher: CRC Press
Published: 2020-10-21T00:00:00+00:00
Cervical
Thoracic
Lumbar
Body
Small and oval
Medium and âheart shapedâ
Has facets for ribs
Large and oval
Foramen
Large
Medium
Small
Spinous process
Points inferiorly
Bifid
Points inferiorly
Not split
Points horizontal
Not split
Transverse process
Transverse foramina present
All except T11 and 12 have facets for ribs
No articular facets
Cervical spines â C1 and C2
C1 (Atlas) has no vertebral body or spinous process. It has lateral masses bound by the posterior and anterior arch. The anterior arch contains a facet which articulates with the dens of C2 (axis) and is supported by the transverse ligament which connects the two lateral masses. The atlanto-dens interval (predendate space) is the distance between the odontoid process and the anterior arch of the atlas. A distance of >3 mm in adults (>7 mm in children) signifies atlanto-axial subluxation and hence the patient is at risk of cervical cord injury if manipulated.
Possible clinical application questionsâ¦
1. How do you clear C-spines in a multi-trauma patient?
2. What physiological changes happen with spinal cord injury?
3. How can you prevent secondary injury?
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