35-Slides - Spine Biomechanics
Transcription
35-Slides - Spine Biomechanics
Section 35: Spine – Structural Components 35-1 Human Spine • Functions to protect the spine spine, transfers loads from head and trunk to pelvis • 24 vertebrae that permit motion in all 3 planes • Stability St bilit comes from: f – Intrinsic: intervertebral discs and ligaments – Extrinsic: muscles 35-2 From: Iatridis 35-3 From: Peeler 35-4 From: Yoon Cervical Spine • Seven vertebrae • C 1-7 • More flexible • Supports the head • Wide range of motion – Rotation R t ti tto lleft ft and d right i ht – Flexion • Up p and down • Peripheral nerves – Arms – Shoulder, Chest and diaphragm 35-5 From: Ziv Thoracic Spine • Mid Mid-back back or dorsal region • Twelve vertebrae – T 1-12 1 12 • Ribs attached to vertebrae • Relatively immobile • Peripheral e p e a nerves e es – Intercostal 35-6 From: Ziv Lumbar Spine • Lower back • Five vertebrae – L 1-5 15 • Carries the the weight of the upper body – Larger, broader • Peripheral p nerves – Legs – Pelvis 35-7 From: Ziv Sacral and Coccygeal region • Sacrum – Triangular structure – Base of the spine – Connects spine to pelvis – Nerves to pelvic organs • Coccyx – Few small bones – Remnant of tail 35-8 From: Ziv 35-9 From: Peeler 35-10 From: Iatridis 35-11 From: Peeler 35-12 From: Iatridis 35-13 From: Peeler Intervertebral Disc • Soft fibro-cartilaginous fibro cartilaginous cushions – Between two vertebra – Allows some motion – Serve as shock absorbers • Total – 23 discs • ¼ th of the spinal column's length • Avascular • Nutrients diffuse through end plates 35-14 From: Ziv Intervertebral Disc Anatomy • Spongy center – Nucleus pulposus • Surrounded by a tougher outer fibrous ring – Anulus fibrosus 35-15 From: Ziv Anulus Fibrosus • Strong radial tire–like tire like structure • Series of lamellae • Concentric sheets of collagen fibers – Connected to end plates p – Orientated at various angles – Under compression • Become horizontal • Encloses nucleus pulposus 35-16 From: Ziv 35-17 From: Yang 35-18 From: Iatridis 35-19 From: Iatridis