PS 1001:03 Lecture Notes - Lecture 14: Thoracic Vertebrae, Facet Joint, Vertebra

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23 May 2018
Department
Professor
T1 = transitional (cervical to thoracic)
Upper thoracic - T1-T4
Middle thoracic T4-T9
Includes transitional vertebrae
Lower thoracic T9-T12
3 distinct regions
Thoracic spine
Screen clipping taken: 2/04/2018 11:02 PM
Body are heart-shaped with demi facets for articulation with head of corresponding rib
and rib below
Short pedicles arising from upper half of body
Small almost circular vertebral canal
Act as muscle attachment sites - hence shape and length
Long-downward pointing spinous process
Overlapping laminae
Act as muscle attachment sites - hence shape and length
Longest in upper regions, shortest in lower
Long, thick rounded transverse process
Facet on transverse process for articulation with tubercle of corresponding rib
Screen clipping taken: 2/04/2018 11:06 PM
Vertically projecting flat articular processes
Superior process facing posteriorly
Inferior process facing anteriorly
Typical thoracic vertebra
L1 - thoracic spine
Monday, 2 April 2018
10:36 PM
wk 7 Page 1
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Inferior process facing anteriorly
Upper = similar to cervical
Lower = similar to lumbar
Osteoporosis - due to increased load -> higher incidence of compression fractures
Especially postmenopausal women in thoracic spine
Clinical observations and considerations
Vertical alignment limits flexion
Inferior facet - Only slight gliding action anteriorly on superior facet of vertebrae below
Facets align close to frontal plane
Slight limitation to axial rotation and lateral flexion
Demi-facet for head of rib on upper and lower parts of body
Joints attaching to transverse processes = costotransverse joint
Costovertebral joints - rib to vertebral body
Thoracic facets and demi-facets
Screen clipping taken: 2/04/2018 11:11 PM
12
Characterised by articulation with the ribs
Superior and inferior costal facets on each side of vertebral body for articulation with
head of its own rib and head of rib below
Superior costal is bigger than inferior
2 partial facets
Facet articulates with tubercle of own rib
Transverse process
Spinal cord occupies about 40% of canal in thoracic region
Vertebral body heart shaped - vertebral foramen is circular
Typical thoracic vertebra
wk 7 Page 2
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Document Summary

Body are heart-shaped with demi facets for articulation with head of corresponding rib and rib below. Short pedicles arising from upper half of body. Act as muscle attachment sites - hence shape and length. Facet on transverse process for articulation with tubercle of corresponding rib. Inferior process facing anteriorly wk 7 page 1. Osteoporosis - due to increased load -> higher incidence of compression fractures. Inferior facet - only slight gliding action anteriorly on superior facet of vertebrae below. Slight limitation to axial rotation and lateral flexion. Demi-facet for head of rib on upper and lower parts of body. Joints attaching to transverse processes = costotransverse joint. Superior and inferior costal facets on each side of vertebral body for articulation with head of its own rib and head of rib below. Vertebral body heart shaped - vertebral foramen is circular. Spinal cord occupies about 40% of canal in thoracic region wk 7 page 2.

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