Applied Anatomy for the FRCA by Bobby Krishnachetty

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 ‘heart shaped’

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 – 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 questions…

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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