SPINAL CORD Flashcards
Relationship of spinal nerves to intervertebral foramina:
C1-C7 spinal nerves pass above corresponding pedicle
C8 & below pass below corresponding pedicle
Relationship of spinal cord levels to vertebral levels:
Spinous process/Vertebral body/ Spinal cord segment C6*, C6/7, C8 T4, T5, T6 T11, T11, Lumbar L1*, L1, SACRAL SEGMENTS L2-5*, L2-5, CAUDA EQUINA
SPINAL CORD FUNCTION:
- Conduit for ascending (sensory) & descending (motor) pathways
- Intrinsic Functions – processing: reflexes & central pattern generators
WHITE MATTER
3 columnsS (funiculus) - DORSAL, LATERAL, VENTRAL funiculus contain ascending or descending axons area of white matter made up of unmylinated/ thinnly mylinated fibres called dorsolateral tract
Organisation of the spinal grey matter:
REXED LAMINAE: I - X SUBNUCLEI: SUBSTANTIA GELATINOSA NUCLEUS PROPRIUS DORSAL NUCLEUS/CLARKE'S N INTERMEDIOLATERAL NUCLEUS MOTOR NEURONS OF ANTERIOR
SUBSTANTIA GELATINOSA
PAIN MODULATION
DORSAL NUCLEUS/CLARKE’S N
*Clarke’s N C8-L3 Non-conscious proprioception
MOTOR NEURONS OF ANTERIOR
LOWER MOTOR NEURONS
Transverse sections of the spinal cord at different levels: varying amounts of white & grey matter
The amount of grey matter present in the ventral horn is proportional to the amount of muscle innervated at that level.
The amount of white matter present at any level is proportional to the number of ascending / descending fibres.
LATERAL HORNS
Contain cell bodies of pre-ganglionic autonomic neurons. Present T1-L2, S2-4.
The dorsal funiculus:
below T6 has only 1 column = Fasciculus gracilis above T6 has 2 columns separated by a dorsal intermediate sulcus = Fasciculus gracilis (MEDIAL ) & Fasciculus cuneatus
column
Funiculus
TRACT
Fasciculus
Neurons in the white & grey matter
maintain a somatotopic organisation
1 large anterior spinal artery
A branch from each vertebral artery joins and descends in the anterior median fissure as 1 large anterior spinal artery
A posterior spinal artery
A posterior spinal artery (2) branches off each posterior inferior cerebellar (or vertebral) artery
Spinal intrinsic functions: REFLEXES
- Stretch reflex
- Withdrawal reflex
- Crossed extensor reflex
Spinal intrinsic functions: Central pattern generators
• Networks of interneurons, in Rexed lamina VII, that
act as pattern generators for simple, rhythmical movements eg. walking
stretch reflex - BICEPS
REFLEX: Biceps
MUSCLE INVOLVED: Biceps brachii
Principal Cord Segment: C5
Principal Cord Segment: Musculocutaneous
stretch reflex - Brachioradialis
REFLEX: Brachioradialis
MUSCLE INVOLVED:Brachioradialis
Principal Cord Segment: C6
Principal Cord Segment: RADIAL
stretch reflex - Triceps
REFLEX: TRICEPS
MUSCLE INVOLVED - TRICEPS
Principal Cord Segment: C7
Principal Cord Segment: RADIAL
stretch reflex - Knee-jerk (patellar)
REFLEX: Knee-jerk (patellar)
MUSCLE INVOLVED - Quadriceps femoris
Principal Cord Segment: L3, 4
Principal Cord Segment: FEMORAL
stretch reflex -Ankle-jerk (Achilles)
REFLEX: Ankle-jerk (Achilles)
MUSCLE INVOLVED - Gastrocnemius, soleus
Principal Cord Segment:S1
Principal Cord Segment: TIBIAL
cervical and lumbar enlargements
innervate appendicular muscles and plexuses therefore more sensory and motor neurons = larger vertebrae
conus medularis
L1/L2
filum terminale
extends inferiorly from apex of conus med. and is a filament of connective tissue
cauda equina
bundle of spinal nerve and roots (dorsal and ventral) - occupies low L1/2-5 space
lumbar cistern
holds CSF, occupied by post. and anterior roots of cauda equina, terminal filum
site for lumbar puncture and spinal anesthesia
ventral median fissure
contains anterior spinal artery
anterior spinal artery
supplies motor areas
funiculi
portion of white matter > arachnpid then fuses to dura
pia mater and denticulate ligament
projects of dura matter
dura mater
outermost layer of connective tissue
‘dorsolateral tract’ or ‘Lissauer’s tract’.
The area of white matter between the tip of the dorsal horn and the surface. It contains sensory axons that convey nociception & temperature information
Somatotopic organisation of motor neuron cell bodies in the ventral grey horn
The motor neurons are somatotopically organised so that those innervating axial muscles are medial to those innervating the distal muscles of the limbs.
Additionally, the motor neurons innervating flexor muscles are located dorsal to those innervating extensor muscles