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Spinal Column
Spinal column or Vertebral Column consists of:
7 cervical vertebrae 12 thoracic vertebrae 5 lumbar vertebrae 5 Sacral vertebrae (fused) 4 coccygeal vertebrae (fused)
Spinal Segments
Upper Cervical Segment
Facilitate motion & stability Atlus & Axis C3-C7 Vertebrae have same anatomy Transition from mobile to fixed(prone to injury)
Rigid (provide stabilization) Associated with Vascular & Visceral injury Most common area of injury
Thoracolumbar Junction
Spinal Curves
Primary Spinal Curves (Kyphotic ): Concave anteriorly and convex posteriorly
Thoracic Kyphosis 20 -40 degrees increase with age Sacral Kyphosis Sacrum fused in a kyphotic curve
Cervical Lordosis 20-40 degrees Lumbar Lordosis 40-60 degrees decrease with age Most at L5 and S1
Spinal Cord
Spinal Cord extends from Foramena Magnum to T12/L1 Junction
Ends as Conus Medularis which has an extension called Cauda Equina, terminating as filum terminale covered with Pia matter and attach inferiorly to coccyx
Spinal Nerves
Spinal Nerve Roots
8 cervical 12 thoracic 5 lumbar 5 sacral 1 cocygeal
Dorsal+Ventral root = Spinal nerve Ventral root+Dorsal root ganglion are enclosed in IV foramen Neural Foramen Boundaries
Anteriorly Posteriorly Superiorly & Inferiorly Disc Facet Joint Pedicles
One Anterior Spinal artery (br: of Vertebral A) Two Posterior Spinal arteries
Disorders
Upper cervical spine (skull-C2) Thoracic and Thoracolumbar
Type A,B & C Craniocervical dislocation Osteoporotic wedge Atlantoaxial instability compression fracture (T1-T10) Occipital condyle fracture Jefferson fracture (C1 ring) Odontoid fracture Type-I,II,III Thoracolumbar (T11-S1) Burst fracture Hangmans fracture Chance fracture Wedge fracture Burst fracture Tear-drop fracture Facet subluxation/dislocation