Contents of the Vertebral Canal SDL Flashcards
The spinal cord, spinal nerve roots and their meningeal coverings are the primary contents of the canal. However, because of differential growth between the spinal cord and the vertebral column, they do not maintain the same relationship throughout life.
In adulthood, why is the spinal cord is much shorter than the length of the vertebral column?
Due to the differential growth between the spinal cord and the vertebral column
A which vertebral level does the spinal cord end in the newborn?
Approx L3
A which vertebral level does the spinal cord end in adults?
Between L1-L2
Due to the spinal cord ending around L1-L2 in adults, what does this mean for the lower spinal nerve roots?
At the end of the spinal cord, it tapers to form a cone called the conus medullaris. At the bottom of the spinal cord (conus medullaris) is the cauda equina. The cauda equina is a bundle of spinal nerves and spinal nerve rootlets, consisting of the second through fifth lumbar nerve pairs, the first through fifth sacral nerve pairs, and the coccygeal nerve, all of which arise from the lumbar enlargement and the conus medullaris of the spinal cord.
What is the conus medullaris?
The tapered end of the spinal cord from which a thin pial thread the filum terminale, continues downwards to attach to the coccyx
What is the filum terminale?
A delicate strand of fibrous tissue, about 20 cm in length, proceeding downward from the apex of the conus medullaris. It is one of the modifications of pia mater.
What is the cauda equina? What is it made up of?
A bundle of spinal nerves and spinal nerve rootlets, made up of lower lumbar, sacral and coccygeal nerve roots descending through the lumbar cistern
What is the lumbar cistern?
The region of subarachnoid space between the level of termination of the cord and the level at which the dura and arachnoid coverings terminate (about S2).
Complete the labelling in the diagrams below:
The spaces between the dura and arachnoid, and the arachnoid and pia, are called the subdural and subarachnoid spaces, respectively.
- What does the subdural space contain?
- What does the subarachnoid space contain?
- Subdural: potential space
- Subarachnoid: CSF
There is also a space between the dura and vertebra called the epidural (or extradural) space. What does this contain?
Fat
Vertebral level of:
- Termination of cord in adult?
- Termination of cord in neonate?
- Termination of subarachnoid space?
- Termination of epidural space:
- inferiorly?
- superiorly?
- L1-L2
- Around L3
- S2
- …
- S2
- Base of skull (C1)
What does the spinal cord receive its arterial supply from?
3 small longitudinally running arteries: one anterior and two posterior spinal arteries.
Where do the anterior and posterior spinal arteries originate? Describe the areas of the spinal cord supplied by these arteries.
- The anterior spinal artery is formed rostrally from paired branches of the intracranial vertebral arteries that descend from the level of the medulla. These two arteries fuse to form a single anterior spinal artery that overlies the anterior longitudinal fissure of the spinal cord.
- Supplies the anterior side of the spinal cord
- The posterior spinal arteries arise from the vertebral artery in 25% of humans or the posterior inferior cerebellar artery (PICA) in 75% of humans, adjacent to the medulla oblongata.
- It supplies the grey and white posterior columns of the spinal cord.
The anterior and posterior spinal arteries are small. What are they reinforced by?
Are reinforced by radicular branches of the intercostal and lumbar arteries which enter the vertebral canal through the intervertebral foramina.
How are the veins that drain the spinal cord orientated?
Longitudinally
What fissure/sulcus in the spinal cord does the:
- Anterior spinal vein parallel?
- Posterior spinal vein parallel?
- The anterior spinal vein parallels the anterior median fissure
- The posterior spinal vein parallels the posterior median sulcus
What do the posterior and anterior spinal veins drain into?
These veins drain into the internal vertebral plexus embedded in the extradural/epidural fat of the vertebral canal.