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Vertebral Column

Vertebral column (aka, spinal column, aka, spine)
  • It encloses and protects the spinal cord.
  • It provides attachment sites for muscles of the head, neck, and trunk.
  • The individual vertebrae are named according to their region and vertical order. For example, T1 is the first vertebra of the thoracic region.
  • The S- shaped curve of the vertebral column facilitate its flexibility and resilience.
Regions of the Vertebral Column:
Cervical
  • 7 vertebrae within the neck.
  • C1 and C2 have unique anatomical features to support the skull.
  • Small bodies.
  • Transverse foramen for vertebral arteries.
  • Spinous processes of cervical vertebrae 2-6 are bifid (aka, bifurcated).
Thoracic
  • 12 vertebrae that articulate with ribs to form posterior wall of thoracic cage.
  • Bodies have costal facets for articulations with the ribs.
  • Spinous processes are typically longer and angled inferiorly.
  • Transverse processes have costal facets for articulation with ribs.
Lumbar
  • 5 vertebrae of the lower back.
  • Large bodies.
  • Spinous processes are typically short, and more horizontally oriented.
  • Short transverse processes.
Sacral/Coccygeal
  • 5 fused sacral bones.
  • 3-4 fused coccygeal bones.
  • Contribute to posterior wall of the pelvis.
General Features of Vertebrae:
Vertebral body (aka, centrum)
  • The disc-shaped weight-bearing portion of the vertebra.
Vertebral (aka, neural) arch
  • Pedicles
  • Laminae
  • Transverse processes
  • Spinous process
  • Superior and inferior articular processes for articulation with vertebrae above and below
Vertebral foramen
  • Space between body and arch
  • When stacked, vertebral foramina create vertebral canal, through which spinal cord passes
Intervertebral foramen
  • Where spinal nerves pass through vertebral column laterally
Intervertebral disc
  • Absorbs shock and acts as a cushion between the vertebrae, and allows for spinal flexibility.
  • It comprises:
    • The nucleus pulposus, which is an inner gelatinous substance
    • The anulus fibrosus is the outer ring of collagen and cartilage that encloses the nucleus pulposus
Clinical correlations:
  • Distorted spinal curvatures can be caused by poor posture, aging, disease, and other factors.
  • Scoliosis, which is a common curvature abnormality, is characterized by a lateral curvature of the vertebral column.
  • Herniated intervertebral discs are common; they occur when a fissure in the annulus fibrosus allows the nucleus pulposus to bulge and compress nearby nerves, which can cause deficits and pain.
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