Transcript Slide 1
SPINAL CORD ANATOMY
General Characteristics
Approx. ½ meter in length.
Varies from 1 to 1.5 cm in diameter.
Enlargements:
Cervical:
C3 – T1.
Lumbar region:
L1 – S2.
General Characteristics
Conus medullaris:
Ends at about the level of L2.
Cauda equina.
Filum terminale:
Thin filament of meningeal tissue extending
from conus medullaris to the coccyx.
Spinal Nerves
08 cervical.
12 thoracic.
05 lumbar.
05 sacral.
01 coccygeal.
Plexuses
Cervical:
C1 – C4.
Brachial:
C5 – T1.
Lumbosacral:
L1 – S4.
Cross-Sectional Anatomy
Central canal.
Gray matter:
“H”-shaped.
White matter.
Gray Matter
Horns are equivalent to CNS nuclei.
Posterior (dorsal) horns:
Receive incoming sensory fibers.
Anterior (ventral) horns:
Site of cell bodies of alpha motor neurons to
skeletal muscle fibers.
Lateral horns:
Located only in thoracic and upper lumbar
region:
Site of cell bodies of ANS motor neurons.
White Matter
Columns are referred to as funiculi.
Columns consist of myelinated tracts.
Posterior (dorsal) columns.
Anterior (ventral) columns.
Lateral columns.
Commissures
White:
Anterior and posterior.
Gray:
Anterior and posterior.
Spinal Nerves
Dorsal rootlets.
Dorsal root:
Carries afferent fibers.
With dorsal root ganglion:
Location of cell bodies of afferent neurons.
Ventral root:
Carries efferent fibers.
No associated ganglion.
Spinal Nerves
Spinal nerve carries a mixture of fibers:
Both afferent and efferent.
Both visceral and somatic.
Proprioceptive.
Primary Rami
Dorsal (posterior):
To expaxial musculature (deep back
muscles) and skin on either side of dorsum
of back.
Ventral (anterior):
To hypaxial musculature (rest of skeletal
musculature including muscles of limbs) and
rest of skin.
Autonomic Rami
White ramus communicans:
Carries pre-ganglionic sympathetic fibers
from lateral horns of central gray of spinal
cord (thoracolumbar regions).
Gray ramus communicans:
Carries post-ganglionic sympathetic fibers
from paravertebral ganglia back to spinal
nerve.
Meniniges
Epidural space.
Dura mater:
Tough outer layer.
Subdural space.
Arachnoid.
Meniniges
Subarachnoid space:
Contains CSF.
Pia mater:
Delicate innermost layer.
Denticulate ligaments.