cervical vertebrae; the 1st, 2nd, and 7th are “atypical.” • B, C. Illustration and radiograph of articulated cervicalvertebrae. • D. Typical cervical vertebra demonstrating a rectangular body with articular unci (uncinate processes) on its lateral aspects, a triangular vertebral foramen, a bifid spinousprocess, and foramina transversaria. 1. Perbedaan C1 sampai C7 • There are three atypical cervical vertebrae • 1. The C1 vertebra or atlas: a ring-like, kidney-shaped bone lacking a spinous • process or body and consisting of two lateral masses connected by anterior • and posterior arches. Its concave superior articular facets receive the • occipital condyles. • 2. The C2 vertebra or axis: a peg-like den (odontoid process) projects superiorly • from its body. • 3. The vertebra prominens (C7): so-named because of its long spinous process, • which is not bifid. Its transverse processes are large, but its foramina • transversaria are small. No.2 Penamaan Atlas dan Axis • C1 is called the atlas. It supports the head and is named for the Greek god Atlas who was condemned to support the earth and its heavens on his shoulders. (Because the god Atlas often adorned maps, a compilation of maps came to be known as an atlas). • C2 is called the axis because the atlas rotates about the odontoid process of C2. The joint between the atlas and axis is a pivot that allows the head to turn. 3. Pengertian Conus Medullaris • the conus medullaris is the distal tapering end of the spinal cord. It is continuous with the epiconus (L4 to S1 segments) superiorly and consists of S2 to S5 as well as the coccygeal segments.[4] The pia mater of the tapering end of the conus continues downward as the filum terminale, which is a delicate strand of fibrous tissue about 20 cm in length. This structure serves to stabilize the spinal cord by connecting the conus to the coccyx via the coccygeal ligament. The lumbosacral nerve roots continue inferiorly to this as the cauda equina. On average, the conus terminates at the middle third of the L1 vertebra but can be located as high as the middle third of the T11 vertebra or as low as the middle third of L3 vertebra. On cross-section, the left and right halves are found to be separated by the ventral median fissure and posterior median sulcus. According to Grogan et al., on computed tomogram (CT) imaging, the conus appears oval in shape, with an anterior sulcus and posterior promontory.[5] The length of the anteroposterior diameter is 5 to 8 mm, and that of the transverse diameter is 8 to 11 mm. The ventriculus terminalis or the fifth ventricle is an incidentally found asymptomatic cerebrospinal fluid (CSF) containing ependymal lined cavity within the conus which is formed during embryogenesis and regresses in early childhood.[5] Sometimes, this benign imaging finding may be mistaken for a cystic neoplasm or syringohydromyelia. • The conus medullaris give rise to the lumbar sympathetic, sacral somatic and sacral parasympathetic nerves which continue downward within the cauda equina. These nerves have important functions which can be impaired by injury or ischemia. Refrensi