Nerve Supply of the Back Flashcards
functions of spinal cord
relay center for incoming sensory info through dorsal roots & horn
conduit for ascending (afferent) and descending (efferent) pathways
origin of LMNs = commands to muscles of body from ventral horn
What are meninges?
connective tissue membrane
Name the meninges from inside out
pia, arachnoid, dura
Subarachnoid space is filled with…
cerebrospinal fluid and arteries
Subdural space is the location of:
veins
The epidural space contains:
fat
Describe Bell-Magendie Law
Sensory info goes into the spinal cord via dorsal (posterior) roots of spinal nerves
Motor “commands” leave the spinal cord via ventral (anterior) roots of spinal nerves
Ventral horn contains:
cell bodies of alpha & gamma motor neurons (LMN)
Dorsal horn contains:
sensory cell bodies
How are spinal nerves numbered?
numbered for vertebrae above, except in cervical region
(i.e., C2= between C1-C2; C8 between C7-T1; T1 between T1-T2)
Describe the dorsal root
Sensory (afferent) route
Formed by union of smaller dorsal rootlets which emerge from dorsal side of spinal cord
Larger than ventral root
*located inside vertebral canal
what type of neuron is the dorsal root ganglion part of?
pseudounipolar
what does each ramus carry?
mixed motor and sensory fibers from both ventral and dorsal horns
spinal nerves are formed by union of…
dorsal and ventral roots in intervertebral foramen
Describe the ventral root
Motor (efferent) route
Formed by union of smaller ventral rootlets from ventral side of spinal cord
*located inside vertebral canal
Dorsal rami is divided into…
medial and lateral branches
Dorsal rami motor innervation
intrinsic muscles of the back
Medial branch of dorsal ramus function
all levels supply muscles, only levels T6 and up are also cutaneous (sensory to skin) to upper back
Lateral branch of dorsal ramus function
all levels supply muscles, only levels T6 and below are also cutaneous to lower back and medial gluteus region
Dorsal ramus of C1 name and function
suboccipital nerve
- does not branch
- supplies the muscles of the suboccipital triangle
- larger than ventral ramus
Dorsal ramus of C2 medial branch function
greater occipital nerve
- cutaneous to back of scalp
- muscular
Dorsal ramus of C2 lateral branch function
Motor
Dorsal ramus of C3 medial branch function
third occipital nerve
- cutaneous at base of occipital
- muscular
Dorsal ramus of C3 lateral branch function
muscular
Dorsal ramus of C4-C5 medial branch function
cutaneous and muscular
Dorsal ramus of C6-C8 medial branch function
muscular
Dorsal ramus of C6-C8 lateral branch function
muscular
Which dorsal rami do not split into medial and lateral branches?
C1, S4, S5, Cx1
Dorsal ramus T1-T6 medial branch function
Cutaneous and muscular
Dorsal ramus T1-T6 lateral branch function
Muscular
Dorsal ramus T7-T12 medial branch function
Muscular
Dorsal ramus T7-T12 lateral branch function
Cutaneous and muscular
Dorsal ramus L1-L5 medial branch function
Muscular
Dorsal ramus L1-L5 lateral branch function
Cutaneous and muscular
Dorsal ramus S1-S3 medial branch function
Muscular
Dorsal ramus S1-S3 lateral branch function
Cutaneous and muscular
Dorsal ramus S4-S5 function
Cutaneous and muscular
Does not divide
Dorsal ramus Cx1 function
Cutaneous and muscular
Does not divide
Ventral rami motor innervation
Hypaxial muscles including limbs
Ventral rami cutaneous innervation
Most of body except head and back
Dorsal columns of white matter are:
Fasciculus gracilis, fasciculus cuneatus
Dorsal columns of white matter function
Sensory information
Ventral and lateral columns of white matter function
Several functions (mostly motor)
Ventral rami: cervical plexus location and innervation
C2-C4
Innervates neck, parts of head and shoulders
Ventral rami: brachial plexus location and innervation
C5-T1
innervates the pectoral girdle and upper limbs
Ventral rami: lumbosacral plexus location and innervation
L1-S4
Innervates pelvic girdle and lower limbs
what are dermatomes?
areas of skin innervated by cutaneous branches of a single spinal nerve
What is the dermatome for C2 medial branch of dorsal ramus?
Greater occipital nerve dermatome: back of scalp