Anatomy of the Vertebral Column

22 August 2001

The vertebral column

Human vertebral column composed of approximately 31 vertebrae

 Five vertebral regions

 7 Cervical (neck)

 12 Thoracic (vertebrae with ribs)

 5 Lumbar (lower back)

 5 Sacral (all fused into one unit, articulate with pelvis)

 2-3 coccygeal vertebrae (all fused into one unit)

 A pair of spinal nerves (left & right) emerges from between successive vertebrae

Vertebral morphology

 All vertebrae have the same basic parts

 Body

 Bears weight in articulation with vertebrae above and below

 Neural arch

 Protects spinal cord

 Articular processes

 Articulation of neural arch with vertebrae above and below (called zygopophyses)

Spinous process

 Muscular and ligamentous attachment

 

 

Regional distinctions - cervical

 Cervical vertebrae have thin bodies and a foramen in the transverse process

 The first and second cervical vertebrae are specialized to articulate with, and move the skull

 C1-  the Atlas has no body, but has two arches (anterior & posterior)

 It has articular facets for the skull superiorly that allow for nodding of the head

 It has articular facets for the axis  (C2) inferiorly

Regional distinctions - cervical

 C2 ?the Axis - has a specialized projection from its body to articulate with the Atlas.

 Dens, or odontoid (tooth like) process

 The dens is attached to the anterior arch of the Atlas by ligaments.

 This articulation allows rotation of the head.

Regional distinctions - cervical

 Facet joints of vertebrae 3-7 are specialized to allow rotation of the head and flexion and extension of the neck

 The vertebral artery passes through the transverse foramina of C6-C1, taking blood to the brain.

 

 

Regional distinctions - thoracic

 Thoracic vertebrae have larger bodies than cervical vertebrae

 Thoracic vertebrae bear two articular facets for each rib

 One facet on the body, another on the transverse process

 Thoracic vertebrae have a long, inferiorly inclined spinous process

Regional distinctions - thoracic

 Articular facets of thoracic vertebrae allow flexion, extension and rotational movements of the trunk

 

Regional distinctions - lumbar

 Lumbar vertebrae have the largest bodies ? bear much of the weight of the body.

 They have no ribs, but have prominent transverse processes.

 Articular facets allow flexion and exension, but limit rotation.

 

 

Regional distinctions - sacral

 The five sacral vertebrae are fused into a single unit.

 Together they articulate to the coxal bones to form the bony pelvis

 They have foramina dorsally and ventrally for the posterior and anterior rami of the spinal nerves

Regional distinctions - coccygeal

 Tail vertebrae

 Little function in humans

 Usually transmit one pair of coccygeal nerves

 

The vertebrae together

 Collectively, the vertebrae from all five regions compose the vertebral column

 An intervertebral disc is found between each of the vertebral bodies (except for C1 & C2 and the fused sacrals)

 Differences in the shapes of the body and disc contribute to the normal vertebral curvature.

Soft tissue connections

 Intervertebral discs

 Annulus fibrosus

 Nucleus pulposus

 Longitudinal ligaments

 Anterior

 posterior

 Ligamenta flava

 Facet joints

 Interspinous ligaments