Embryological Development of the Spine Flashcards
What are the three main structures of embryological development of the spine?
Notochord
Somites
Sclerotomes
What is the purpose of the notochord?
Creates the axial support structure - first body framework to appear in human embryo
What does the notochord transition into once it’s served its purpose?
Nucleus pulposus of the intervertebral discs
On what day does the notochord appear?
18th day of development
From what is the notochord derived?
The mesoderm
Describe the position of the notochord within the embryo
Runs midline between the neural tube and the primitive gut, extending from the skull to the coccyx
What are the three basic embryonic tissues?
Ectoderm
Mesoderm
Endoderm
What does the ectoderm become?
Skin
What does the endoderm become?
Gastrointestinal tract
What are somites made of?
Mesoderm
Where are the somites during development?
Paired on either side of the neural tube
Generally how many pairs of somites are there?
42-44
How many somite pairs for occiput?
4
How many somite pairs for cervical?
8
How many somite pairs for coccyx?
8-10
What is special about the somites for the coccyx?
Most fail to develop - leaving 3-5 segments
Into what three parts do somites differentiate?
Sclerotomes
Myotomes
Dermatomes
Define dermatomes
A specific area of skin innervated by a single spinal nerve root
What do sclerotomes become?
Vertebrae and ribs
True or false: sclerotomes are made from mesenchymal tissue
True
Describe the transition from segmental vertebra to intersegmental vertebra.
Sclerotomes proliferate from the right and left to surround the notochord.
They again proliferate on the caudal end of the segment.
Splitting into caudal and cephalad portions, the caudal segment drops to join the cephalad segment below.
What is the importance of intersegmental vertebra?
Muscles attach to two spinal levels
Nerves exit between two segments
Intersegmental artery now at the level of vertebrae
Describe the three directions of intersegmental sclerotome growth
Medial surrounds the notochord - forms the membranous VB
Dorsal - surrounds the neural tube - forms the posterior arch
Anterolateral - space btwn myotomes - forms costal processes (TPs and ribs)
What is anulus fibrosis?
The result of growth of mesenchyme - outer disc fibers
In what week do the chondrificiation centers appear?
Week 7
How many chondrification centers appear and in what week?
4 chondrification centers appear in week 7
What is synchondrosis?
The unfused joint between VB and posterior arch before ossification occurs
What are the first chondrification centers to form?
2 for the vertebral body and 2 for the posterior arch
What is ossification of cartilaginous vertebrae?
Replacement of cartilage with bone
What is another term for ossification?
Mineralization
At what week does ossification begin?
Week 9
How many primary ossification centers are there? Name them
3 primary ossification centers
Vertebral body
Right and left portion of posterior arch
In what region of the spine does ossification begin?
Thoracolumbar region and spreads
Primary ossification for cervical spine is at what year?
3 years
Primary ossification for lumbar spine is at what year?
6 years
How many secondary ossification centers are there?
9 secondary ossification centers
What are the secondary ossification centers?
(1) for epiphyseal plate on cranial surface of segment
(1) for epiphyseal plate on caudal surface of segment
(2) for superior articular processes
(2) for inferior articular processes
(2) for transverse processes
(1) for spinous process
Which ossification centers appear last and when?
Superior and Inferior endplates - 17 years
By what age do all centers fuse?
25 years
List 4 congenital anomolies of vertebra
Hemivertebra
Block vertebra
Spina bifida occulta
Butterfly Vertebra
Describe block vertebrae
The result of intersegmental vertebra not dividing properly (congenital nonsegmentation)
Describe spina bifida occulta
Posterior arch does not unite (occulta is the congenital anomaly)
Describe butterfly vertebrae
Cleft left in the vertebra by a notochord not fully receding
Describe hemivertebrae
Lack of formation of one half of a vertebral body - results in one half less vert or one half more vert - forms wedge