Chapter 13 - Spinal Cord & Spinal Nerves Flashcards
Spinal Cord
- 2 Main Functions: Conduction pathway & reflex center
- Located within vertebral canal
- 3 Main Protections: Vertebral column, 3 meninges, cerebrospinal fluid
3 Meninges
- Dura Mater
- Arachnoid Mater
- Pia Mater
Denticulate Ligaments
- Supports/protects/centers spinal cord within subarachnoid space
- Located between anterior & posterior roots of spinal nerves
Cerebrospinal Fluid
- Made by choroid plexuses & secreted by ependymal cells of brain ventricles
- Circulates in brain ventricles, connecting channels, subarachnoid space & central canal of spinal cord
3 Spaces Between Meninges
- Epidural: Between Dura & bone
- Subdural: Under Dura
- Subarachnoid: Between Pia & Arachnoid
Lumbar Puncture
- Insertion of a needle between L3-L4 or L4-L5
- Used for extraction of CSF/injection of anesthesia
- Supracristal line identifies L4
- AKA “Spinal Tap”
External Anatomy of Spinal Cord
- Extends from foramen magnum to the space between vertebrae L1 & L2
- Conus Medullaris = Tapered end
- Filum Terminale = Anchoring cord
- Cauda Equina = Spinal nerve roots
31 Spinal Nerve Pairs (Typing)
- 8 Cervical
- 12 Thoracic
- 5 Lumbar
- 5 Sacral
- 1 Coccygeal
2 Enlarged Areas of the Spinal Cord
- Cervical (C4 - T1) = Upper Limbs
2. Lumbar (T9 - T12 L1 & Cauda Equina) = Lower Limbs
Posterior Median Sulcus
Divides the posterior side of the spinal cord
Anterior Median Fissure
Divides the anterior side of the spinal cord
Gray Matter of Spinal Cord
- Contains sensory axon terminals, interneurons, and motor neurons (all unmyelinated)
- Also contains neuroglia
- Integrating center for spinal reflexes
- Is “H-shaped”
Gray Commissure
Cross-bar of the gray matter
Central Canal
- Extends the length of spinal cord
- Continuous w/ 4th ventricle
- Contains CSF
Sensory Nuclei
Cell bodies of interneurons within gray matter
Motor Nuclei
Cell bodies of motor neurons within gray matter
3 Types of Gray Horns
- Anterior Gray Horn: Contains somatic motor neurons (connects to skeletal muscle)
- Lateral Gray Horn: Contains visceral motor neurons (connects to visceral smooth muscle)
- Posterior Gray Horn: Contains interneurons (connects to incoming sensory axons)
2 Spinal Nerve Roots on Each Side (Gray Matter)
- Anterior Root & Rootlets
2. Posterior Root & Rootlets
Anterior Root & Rootlets
- Contains axons of lateral & anterior horn motor neurons
- Motor fibers exit cord via anterior roots
Posterior Root & Rootlets
- Contains axons of sensory neurons & posterior root ganglion
- Sensory fibers enter cord via posterior roots
Spinal Nerve
Combination of both anterior root & posterior root
Spinal Nerve Root Damage
- Most common cause: Spinal disc herniation
- Effects: Loss of sensation, muscle coordination + pain