Bones and Ligaments
Spinal Cord and Nerves
Blood Supply
Clinical Pearls and Pathology
Surgical Approaches
100

The normal thoracic kyphosis has an apex at this vertebral level, with a range of 20–50°

What is T7?

100

The spinal cord typically ends at this vertebral level, forming the conus medullaris, with the filum terminale continuing down to the coccyx.

What is L1-L2

100

What region of the spine is called the "Critical vascular zone"

 What is the T4-T9 Region

100

In children, back pain should be considered this diagnosis until proven otherwise.

 What is spondylolisthesis?

100

In posterior cervical spine exposure, placing the patient in this position reduces venous bleeding.

What is Reverse Trendelenburg (head up)?

200

 The motion segment (functional spinal unit) consists of these two components.

What are two adjacent vertebrae and their connecting ligamentous tissues?

200

There are 31 pairs of spinal nerves. Name the breakdown by region.

What are 8 cervical, 12 thoracic, 5 lumbar, 5 sacral, and 1 coccygeal?

200

Which arteries unite to form the anterior spinal artery, and what fraction of the spinal cord does it supply?

What is the paired vertebral arteries and anterior 2/3rds of the spinal cord 

200

The most common level for disc herniation is this.

What is L4–L5?

200

This is the most common anterior cervical approach used from C3–C7.

What is the Smith–Robinson approach?

300

This ligament is a dense band along the anterior vertebral bodies, running from C2 to the sacrum

What is the anterior longitudinal ligament (ALL)?

300

This incomplete spinal cord syndrome is most common, occurs with hyperextension in an arthritic spine, and produces greater weakness in the upper extremities than the lower extremities.

What is Central Cord Syndrome?

300

This artery, also called the arteria radicularis magna, usually arises on the left between T9–L2 and supplies the anterior spinal artery.

What is the Artery of Adamkiewicz?

300

This ligament pathology is characterized by abnormal calcification and can cause compressive myelopathy, especially in the cervical spine.

What is ossification of the posterior longitudinal ligament (OPLL)?

300

In the posterior C1–C2 approach, this artery is at risk as it passes behind the atlanto-occipital joint.

What is the vertebral artery?

400

What is the major stabiliser of the atlantoaxial joint? 

Transverse ligament

400

These tracts are most peripheral in the posterior spinal cord, making them especially vulnerable to injury in large compressive lesions.

What are the sacral sensory fibers (posterior column) and lateral corticospinal tracts?

400

The vertebral artery passes through these foramina from C6 to C1 before entering the skull.

What are the transverse foramina of C6–C1?

400

This degenerative inflammatory disease of the spine is associated with pannus formation and potential atlantoaxial instability.

What is rheumatoid arthritis of the spine?

400

The thoracic spine watershed zone (T4–T9) is particularly vulnerable during these surgical approaches.

What are transthoracic and posterolateral thoracic approaches?

500

In the Denis three-column theory, the middle column includes these structures.

What are the posterior 1/3 of the vertebral body, the posterior 1/3 of the annulus fibrosus, and the posterior longitudinal ligament (PLL)?

500

Injury to the anterior spinal artery may cause this clinical syndrome, with motor and pain/temperature loss but preserved proprioception.

What is anterior spinal artery syndrome?

500

In the anterior lumbar approach to L4–5, these vessels must be mobilized to the right.

What are the aorta, inferior vena cava, and left common iliac vessels?

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