Back and Spine
1. Indicate the number of vertebrae that comprise each region of the vertebral column.
a. cervical ____________________________________________
b. thoracic ____________________________________________
c. lumbar ____________________________________________
d. sacral ____________________________________________
2. Which two (2) regions of the vertebral column are characterized by curvatures in the sagittal plane with a concavity directed posteriorly?
a. ________________________________________________________
b. ________________________________________________________
3. Name each of the ligaments of the vertebral column described below.
a. courses vertically along the anterior surfaces of adjacent vertebral bodies
________________________________________________________
b. courses between adjacent laminae
________________________________________________________
c. courses between adjacent spinous processes
______________________________________________________
d. courses vertically along the posterior surfaces of adjacent vertebral bodies
________________________________________________________
4. What is the name of the thickened supraspinous ligament of the cervical spine?
_______________________________________________________________
5. What is the name of the synovial joint formed by the superior and inferior articular processes of adjacent vertebrae?
_______________________________________________________________
6. Which group of vertebrae is characterized by transverse foraminae?
_______________________________________________________________
7. The carotid tubercle is an osteological feature of which vertebra?
_______________________________________________________________
8. The dens is an osteological feature of which vertebra?
_______________________________________________________________
9. Which vertebra is commonly referred to a “vertebra prominens”?
_______________________________________________________________
10. Name the two (2) parts of the vertebral arch.
a. ________________________________________________________
b. ________________________________________________________
11. What are the names of the two (2) parts of the intervertebral disc?
a. central fluid part _____________________________________
b. peripheral fibrous part _____________________________________
12. What is the name of the ligamentous structure that extends from the posterior arch of C1 (atlas) to the base of the cranium?
_______________________________________________________________
13. What is the name of the venous plexus located within the vertebral canal?
_______________________________________________________________
14. What is the name of the thickened connective tissue origin of the latissimus dorsi?
______________________________________________________________
15. Name the three (3) muscles that form the borders of the triangle of auscultation.
a. _________________________________________________________
b. _________________________________________________________
c. _________________________________________________________
16. What two (2) muscles form the superficial layer of intrinsic back muscles?
a. _________________________________________________________
b. _________________________________________________________
17. What muscle group forms the intermediate layer of intrinsic back muscles?
_______________________________________________________________
18. What muscle group forms the deep layer of intrinsic back muscles?
_______________________________________________________________
19. What three (3) muscles form the suboccipital triangle?
a. ________________________________________________________
b. ________________________________________________________
c. ________________________________________________________
20. What two (2) structures lie in the floor of the suboccipital triangle?
a. artery ___________________________________________
b. nerve ___________________________________________
21. Which spinal nerve gives rise to the greater occipital nerve?
___________________________________________________________
22. What vessel passes through the posterior atlanto-occipital membrane?
___________________________________________________________
23. In the adult, what vertebral level marks the caudal extent of the spinal cord?
___________________________________________________________
24. What is the name of the collection of dorsal and ventral roots that lie caudal to the tip of the spinal cord?
___________________________________________________________
25. What is the name of the pia matter structure that lies caudal to the tip of the spinal cord?
___________________________________________________________
26. What is the name of the CSF filled space located below the caudal tip of the spinal cord?
___________________________________________________________
27. What is the name of the meningeal structure that attaches to the dorsum of the coccyx?________________________________________________________
28. What is the name of the pia-derived structure that anchors the spinal cord to the lateral wall of the vertebral canal?
___________________________________________________________
29. What are the three (3) borders of the lumbar (Petit’s) triangle?
a. ______________________________________________________
b. ______________________________________________________
c. ______________________________________________________
30. What part of the intervertebral disc is a remnant of the embryological notochord?
____________________________________________________________
31. What are the three (3) muscles that comprise the erector spinae (sacrospinalis) muscle group?
a. _____________________________________________________
b. _____________________________________________________
c. _____________________________________________________
32. What are the three (3) muscles that comprise the transversospinal group of the posterior spinal muscles?
a. _____________________________________________________
b. _____________________________________________________
c. _____________________________________________________
33. What are the four (4) components of the occipitoaxial ligament?
a. _____________________________________________________
b. _____________________________________________________
c. _____________________________________________________
d. _____________________________________________________
34. What nerve innervates the muscles of the suboccipital triangle?
____________________________________________________________
35. What is the name of the lower sacral segments of the spinal cord?
__________________________________________________________
36. What vertebral segment marks the caudal extent of the spinal subarachnoid space?
__________________________________________________________
Answer Key
1. a. eight (8)
b. twelve (12)
c. five (5)
d. five (5)
2. a. cervical spine
b. lumbar spine
3. a. anterior longitudinal ligament
b. ligamentum flavum
c. interspinous ligament
d. posterior longitudinal ligament
4. ligamentum nuchae
5. zygapophyseal (facet) joint
6. cervical vertebrae
7. C7
8. C2 (axis)
9. C7
10. a. lamina
b. pedicle
11. a. nucleus pulposus
b. anulus fibrosus
12. posterior atlanto-occipital membrane
13. internal vertebral plexus (Batson’s plexus)
14. thoracolumbar fascia (thoracodorsal fascia, lumbodorsal fascia)109
15. a. trapezius
b. latissimus dorsi
c. rhomboid major
16. a. splenius capitis
b. splenius cervicis
17. erector spinae muscles
18. transversospinal muscles
19. a. rectus capitus posterior major
b. obliquus capitus superior
c. obliquus capitus inferior
20. a. vertebral artery
b. suboccipital nerve
21. C2
22. vertebral artery
23. L1 or L2
24. cauda equina
25. filum terminale (internum)
26. lumbar cistern
27. coccygeal ligament
28. denticulate ligament
29. a. superior margin of the iliac crest
b. posterior margin of the external oblique
c. anterior margin of the latissimus dorsi
30. nucleus pulposis
31. a. iliocostalis
b. longissimus
c. spinalis
32. a. semispinalis
b. multifidus
c. rotatores
33. a. cruciform ligament
b. apical ligament
c. alar ligament
d. tectorial membrane
34. suboccipital nerve
35. conus medullaris
36. S2
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