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Anatomy of the Vertebral Column

The document describes the anatomy of the vertebral column. It details the regions (cervical, thoracic, lumbar, sacral, coccyx), typical features of vertebrae in each region, and variations. Key structures of individual vertebrae are defined including the vertebral body, arch, processes, and joints. Intervertebral discs, ligaments between vertebrae, and joints connecting the atlas and axis to the skull are also summarized. Comparisons are made between typical and atypical vertebrae in different regions.

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0% found this document useful (0 votes)
121 views51 pages

Anatomy of the Vertebral Column

The document describes the anatomy of the vertebral column. It details the regions (cervical, thoracic, lumbar, sacral, coccyx), typical features of vertebrae in each region, and variations. Key structures of individual vertebrae are defined including the vertebral body, arch, processes, and joints. Intervertebral discs, ligaments between vertebrae, and joints connecting the atlas and axis to the skull are also summarized. Comparisons are made between typical and atypical vertebrae in different regions.

Uploaded by

F-med440 imam
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Vertebral column

 Cervical (C): Lordosis


 Thoracic (T): Kyphosis (rib)
 Lumbar (L): Lordosis
 Sacral (S) (pelvic bone)
 Coccyx (Cx)
Intervertebral joints

Posterior
view

Vertebrae- 1
Vertebra (Spine)
 Vertebral Body; Vertebral foramen (canal)
 Vertebral Arch: Pedicle, Lamina, Process
 Vertebral notch: superior, inferior (intervertebral foramen)
Posterior

Vertebral foramen (canal)

Upper view

Anterior Vertebrae- 2
Vertebra (Spine)
 Vertebral Body; Vertebral foramen (canal)
 Vertebral Arch: Pedicle, Lamina, Process
 Vertebral notch: superior, inferior (intervertebral foramen)
Posterior

Upper view

Anterior Vertebrae- 3
Vertebral foramen (canal) and spinal cord

Anterior

Vertebrae- 4
Intervertebral foramen and spinal nerves

Anterior

Vertebrae- 5
Anterior

Vertebrae- 6
Anterior

Vertebrae- 7
Vertebral
foramen (canal) Anterior

Vertebrae- 8
Anterior

Intervertebral
foramen

Vertebrae- 9
Vertebral process
 Spinous process, Transverse process
 Articular process (facet): superior, inferior

Vertebrae- 10
Intervertebral joints
 Hyaline cartilage
 Intervertebral disc: Annulus fibrosus + Nucleus pulposus

Vertebrae- 11
Cervical vertebrae

 Typical vertebrae (C3-C6)


 C1: atlas, C2: axis Vertebrae- 12
Cervical vertebrae: Typical (C3-C6)
Anterior
 small body; large,
triangular canal; arch
 Transverse process:
end as post. & ant.
tubercle; foramen
transversarium
 Articular process: sup.
& inf.; sup. facet
 Short, bifid spinous
process; attachment
of ligamentum nuchae

Vertebrae- 13
Ligamentum nuchae

Vertebrae- 14
Vertebral artery in
transverse foramens

 Through transverse
foramens of C1-6; but
no C7 (only for
accessory vertebral v.)
 Vascular insufficiency
during forceful rotation
of vertebral column

Vertebrae- 15
Variations: transverse foramen and
vertebral artery
 mainly through C1-6; some through C7

J Craniovertebr Junction Spine 2015; 6: 30–35


Vertebrae- 16
C1: atlas
 Sup. articular facet; with occipital condyle
 No body; No spinous proc.; Lateral mass:
ant., & post. arch
 Long transverse proc.

Vertebrae- 17
C2: axis
 Dens (odontoid proc)
 Sup. articular facet; Inf. articular facet
 Body, pedicle; Spinous proc.; Transverse proc.

Anterior

Body

Lamina

Vertebrae- 18
Assembling of C1 and C2

Anterior

Lateral mass

Vertebrae- 19
C7 vertebra
 Large, long spinous process
 Caudal end of lig. nuchae as a landmark
 No vertebral a. through transverse foramen

Anterior Anterior

Vertebrae- 20
Thoracic vertebrae: “typical” [T2~T10(9-11)] 1/2

 Body: larger than C-


vertebrae; round canal
 Upper and lower surfaces:
parallel to each other
 Spinous proc.: directly
posteriorly
 Vertical articular facets:
sup. facet faces posteriorly

Vertebrae- 21
Thoracic vertebrae: “typical” [T2~T10(9-11)] 2/2

Articular facets for ribs


With rib head: sup. &
inf. costal demifacet at
upper & lower border of
body
With tubercle of rib:
costal facet on trans.
proc.

Vertebrae- 22
Vertebra and rib

Anterior Vertebrae- 23
Vertebra T1

 Upper surface of
body: saddle-shaped
 Intermediate
between C and T
 Triangular canal
 Rib1 contact T1 body
only

Vertebrae- 24
Vertebra T11-T12

 Single rib articular facet; no


rib articular facet on trans.
proc.
 T12: intermediate between
T and L
 Sup. articular facet:
resembles T-vertebrae
 Inf. articular facet:
resembles L-vertebre

Vertebrae- 25
Lumbar vertebre: typical L1-L4
 Massive body; Small, triangular canal
 Short, square spinous proc.; sup. facet: faces medially
Anterior

Vertebrae- 26
Lumbar vertebra: L5
 body: deeper anteriorly than posteriorly; lordosis
 Short massive transverse proc.; attached by ilio-lumbar lig

Vertebrae- 27
Sacrum and Coccyx: Sacrum
 Sacrum (5)
 Transfer body weight from vertebrae to pelvis

Vertebrae- 28
Sacrum: ant. surface

 Ala of sacrum
 Promontory
 Sacro-iliac joint:
articular surface
 4 ant. sacral foramina:
S1-4 ant. primary
rami

Vertebrae- 29
Sacrum: post.
surface

 Sacral hiatus
 Median sacral crest
 Intermediate sacral
crest
 Lateral sacral crest
 Post. sacral foramina

Vertebrae- 30
Coccyx

 Formed by 3-5
fused vertebrae

Vertebrae- 31
Comparison of vertebrae

Vertebrae- 32
Joints between adjacent vertebrae
 Intervertebral
disc: body
 Zygapophyseal
joint: facet

Vertebrae- 33
Intervertebral disc
 between bodies, cartilaginous joint
Annulus fibrous (fibrocartilage) + nucleus pulposus

Vertebrae- 34
Herniation of
intervertebral disc (HIVD)

Vertebrae- 35
Lig. between adjacent
vertebrae
 body
Ant. Longitudinal lig.
Post. Longitudinal lig.
 lamina
Ligmentum flavum
 Spinous proc
Interspinous lig.
Supraspinous lig.:
ligamentum nuchae of
cervical region
Vertebrae- 36
Ligmentum flavum
 Between laminae, elastic fibers
 posterior wall of vertebral canal; vs. post. long. lig.

Vertebrae- 37
Interspinous lig.
 Between adjacent spinous
processes; membranous

Vertebrae- 38
Supraspinous lig.
 cord-like; C7-S
 nuchal ligament

Vertebrae- 39
Ligamentum nuchae: surface
anatomy

Vertebrae- 40
Interspinous ligament

Vertebrae- 41
Joints and ligaments:
right lateral view

Vertebrae- 42
Joints between Axis, Atlas, and Skull
 No intervertebral disc; wider range of movements than other
vertebrae; dens as the center of rotation (“axis”)
 Large facet joint anteriorly: to bear weight

Vertebrae- 43
Atlanto-occipital joints
 Anterior atlanto-occipital membrane ~ ant. long. lig.
 Posterior atlanto-occipital membrane ~ lig. flavum

Vertebrae- 44
Functions of craniovertebral joints
Nodding: atlanto-occipital joint
Shaking head: atlanto-axial joint

Vertebrae- 45
Ant. atlanto-occipital lig.
 continuation of ant. longitudinal lig.

Vertebrae- 46
Post. atlanto-occipital lig.: ligmentum flavum

Vertebrae- 47
Atlantoaxial joints: cruciate (cruciform) ligaments
 = transverse lig. + sup. & inf. fibers to connect dens
to foramen magnum

Vertebrae- 48
Tectorial membrane (ligament): posterior view
 extension of post. longitudinal lig.

Vertebrae- 49
Tectorial membrane (ligament): sagittal view

Vertebrae- 50
Review on Vertebrae

 Common features of vertebrae


Characters of C, T, L, S vertebrae
Typical vs. Atypical vertebrae for different levels
 Joints
Body, Lamina, Spinous proc.
Equivalent structures: between vertebrae,
vertebrocranial junctions

Vertebrae- 51

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