Spinal Cord Flashcards
Where does the spinal cord begin?
Foramen magnum
Where does the spinal cord end in adults?
L1 to L2
Where is the spinal cord located?
In the vertebral canal of the vertebral column
What are the functions of the spinal cord?
Sensory and motor innervation of the entire body inferior to head (via spinal nerves)
Two way condiction pathway between body and brain
Major centre for reflexes
Until what gestation does the spinal cord run the full length of the vertebral canal?
12 weeks gestation
What causes regression of spinal cord to L3/L2 by birth?
Rapid growth of vertebral canal - differential rates of growth
What is left at the caudal end of the vertebral canal due to the regression of the spinal cord during gestation?
Filum terminale
What is the filum terminale?
Fibrous tissue that is a continuation of pia mater
What is the function of the filum terminale?
Connects conus medullaris (caudal end of spinal cord) to coccyx
How many weeks post birth does the spinal cord reach L1/L2?
3 weeks post birth
What is the embryological cause of Spina Bifida?
Failure of vertebrae fusion in embryonic development
Which area of the spine does Spina Bifida usually occur?
Lumbosacral region
What are the four subtypes of Spina Bifida?
Occulta
Meningocele
Myelocele
Meningomyelocele
Where is the rostral end of the adult spinal cord?
Medulla oblongata
What is the caudal end of the adult spinal cord?
Conus medullaris
What is the cauda equina?
Collection of nerves at the caudal end of the spinal cord
At which vertebrae does the cauda equina emerge?
L3/L2
How many spinal nerves are there?
31 spinal nerve pairs
Which vertebrae do the nerve roots from the cauda equina emerge from?
L3 - S5
Which cistern is the conus medullaris located in?
Lumbar cistern
What are the meningeal layers of the spinal cord?
Pia
Arachnoid
Dura
What are the three potential spaces in the spinal cord meninges?
Epidural (outside the dura)
Subdural (between dura and arachnoid)
Subarachnoid
What is the denticulate ligament?
Anchors the dura mater to the pia mater
What is the spinal dura surrounded by?
Extradural venous plexus
What does the extradural venous plexus do?
Drains red marrow of spine
How does the extradural venous plexus facilitate metastasis of malignancies?
The plexus lacks valves, allows malignant cells to spread easily
What are the two spinal enlargements?
Cervical enlargement (brachial plexus)
Lumbar enlargement (lumbo-sacral plexus)
What does the brachial plexus innervate?
Upper extremities
How many cervical spinal nerves are there?
8
How many thoracic spinal nerves are there?
12