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Spinal Anatomy
Spinal Anatomy
Dr ANWER ALARHABI
يق
ANATOMY OF
VERTEBRAL COLUMN
Vertebral column -33 vertebrae divided into five sections
seven cervical
twelve thoracic
five lumbar
five sacral
four coccygeal
• The first and second cervical vertebrae- the atlas and axis-
specialized to accommodate movement of the head.
• The seventh cervical vertebrae – (vertebrae prominens )
named cos it had the longest spinous process, and its
not bifid .
Vertebra CI (the atlas) –
two partial facets on each side of the vertebral body--- for articulation with ribs
• The superior costal facet is much larger than the inferior costal facet.
• Each transverse process also has a facet (transverse costal facet) for
articulation with the tubercle of its own rib.
• The vertebral body - heart-shaped when viewed from above
• vertebral foramen is circular.
LUMBAR VERTEBRAE
distinguished by their large size
The vertebral body is cylindrical
vertebral foramen is triangular and larger than in the
thoracic vertebrae.
• The transverse processes are generally thin and long, with the
exception of those on vertebra LV, which are massive and cone-
shaped for the attachment of iliolumbar ligaments to connect the
transverse processes to the pelvic bones.
THE SACRUM
• The sacrum is a single bone : five fused sacral vertebrae.
• It is triangular in shape with the apex pointed inferiorly, and is curved
• concave anterior surface and convex posteriorly
• It articulates above with vertebra LV and below with the coccyx.
• It has two large L-shaped facets, one on each lateral surface, for articulation with the pelvic
bones to form the sacroiliac joints
• The posterior surface of the sacrum has four pairs of posterior sacral foramina,
• anterior surface has four pairs of anterior sacral foramina
• for the passage of the posterior and anterior rami, respectively, of S1 to S4 spinal nerves.
• Sacral Promontory : anterior upper margin of first sacral vertebra- forms posterior margin
of pelvi
SACRAL CANAL CONTAINS-
• is a triangular,
• sheet-like structure in the median sagittal plane:
• base :attached to the skull, from the external occipital protuberance to the
foramen magnum
• apex :attached to the tip of the spinous process of vertebra CVII
• the deep side of the triangle is attached to the posterior tubercle of vertebra CI and
the spinous processes of the other cervical vertebrae.
• supports the head and resists flexion and facilitates returning the head to
anatomical position.
INTERSPINOUS
LIGAMENTS
The spinal cord receives its arterial supply from three small
arteries:
the two posterior spinal arteries
anterior spinal artery.
These longitudinally running arteries are reinforced by small
segmentally arranged arteries that arise from arteries outside
the vertebral column and enter the vertebral canal through
the intervertebral foramina.
These vessels anastomose on the surface of the cord and
send branches into the substance of the white and gray
matter.
POSTERIOR SPINAL ARTERIES
• The posterior spinal arteries arise either directly from
the vertebral arteries inside the skull or indirectly from
the posterior inferior cerebellar arteries.