Spinal Cord And Spinal Nerves - Control Flashcards
How many cervical, thoracic, lumbar, sacral and coccygeal vertebrae are there?
- cervical - 7
- thoracic - 12
- lumbar - 5
- sacral - 5
- coccygeal - 1
How many coccygeal spinal nerves are there?
1
How many cervical spinal nerves are there?
8
What is the nerve root of the phrenic nerve?
C3,4,5 keeps the diaphragm alive.
How many spinal cord segments are there?
31
How many thoracic spinal nerves are there?
12
How many lumbar spinal nerves are there?
5
How many sacral spinal nerves are there?
5
How many coccygeal spinal nerves are there?
1
How many segmental spinal nerves does each segment give rise to?
1 pair
How many pairs of spinal nerves are there?
31 pairs
Where do spinal nerves lie in the cervical region?
Above the vertebra
Where do the spinal nerves lie in relation to the thoracic, lumbar, sacral and coccygeal vertebrae?
Below the vertebra
Where does spinal nerve C1 emerge?
Between the skull and C1 vertebra
Where do the spinal nerves C2 to C7 emerge?
Superior to pedicles
Where does the spinal nerve C8 emerge?
Inferior to Pedicles of C8 vertebra
Where do the spinal nerves T1 to Co emerge?
Inferior to the Pedicles of their respective vertebrae
How many vertebra does the vertebral column contain?
30
What is a laminectomy?
cut through the lamina to look into the vertebral column
What is the Cauda equine?
cluster of rootlets
what is the conus medullaris?
inferior tip of the spinal cord - L1/2 - termination of spinal cord
what is the dorsal rootlet?
a very small series of rootlets that go to a specify segment
What does the cervical enlargement contain? (what plexus?
the brachial plexus
What types of information does the dorsal rootlet contain?
sensory information
What is the filum terminale?
Extensions of Pia mater - 1 fine strand attaches to the coccyx and is a remnant of the developing spinal cord
What does the lumbar enlargement accommodate?
sciatic nerve
What are dura, arachnoid and pia mater?
meninges that surround the spinal cord
What is dura mater?
tough, fibrous sleeve separated from bone by fat filled epidural (extra) space.
How many layers of dura mater are there?
1
What is arachnoid mater?
Thin, delicate layer pressed against dura by CSF
What is Pia mater?
thin layer attached to surface of cord
what does pia mater form?
denticulate ligaments
How does CSF enter the subarachnoid space?
by leaving the median and lateral apertures of the ventricular system
What layer is the spinal cord made up of?
meningeal layer ONLY
How many layers of dura surround the spinal cord?
a single layer
What does the periosteal layer in the skull become as it leaves the skull?
Becomes part of the periosteum of the skull
When is an epidural used?
during child birth
What does the sub -arachnoid space push against?
the arachnoid mater running on the underside of the dura mater
Which space does an epidural go into?
epidural space
Does an epidural space run through the dura mater?
no
Does a spinal anaesthetic pass through the dura mater?
yes
What is the denticulate ligament?
extensions of pia mater which attach to the lateral walls of the vertebral canal for stability.
What types of fibres do ventral roots contain?
motor fibres and efferent fibres thate sit the spinal cord.
What are ganglion/ganglia?
collection of cell bodies
What does the lumbar cistern not contain?
the spinal cord
where is the lumbar cistern?
from the conus medullaris (L1/2) to S2.
What does the lumbar cistern contain? (3)
- CSF
- Filum terminale
- Cauda equina
What rootlets are in the caudal equina?
dorsal and ventral roots of lower lumbar, sacral and cocygeal segmental spinal nerves.
What happens to nerve roots when a needle is inserted during a lumbar puncture?
The nerve roots move out of the way - that is why a lumbar puncture is ideal
What is the lumbar cistern a good entry for?
Lumbar puncture
How does the spinal cord change in length from foetus to birth to adult life?
The spinal cord straightens out.
Foetus - the vertebral canal grows faster than the spinal cord hence the spinal cord is shorter
Birth - finishes at L3
Adult - L1/2
Where does the spinal cord receive arterial blood supply from?
unpaired anterior spinal arteries
paired posterior spinal arteries
Where do the anterior and posterior spinal arteries arise from?
vertebral artery
what are the vertebral arteries supported by along the length of the spinal cord?
- segmental medullary arteries
- radicular arteries
What spinal branch comes off at the neck?
vertebral artery
What spinal branch comes off in the thorax?
posterior intercostal artery
what spinal branch comes off the abdomen?
lumbar
What spinal branch comes off the pelvis?
lateral sacral artery
What spinal branches do you need to know?
- anterior segmental medullary artery
- posterior intercostal artery
- posterior dorsal branch
- posteior intercostal artery
- posterior spinal artery
- anterior spinal artery
What is contained with in grey matter (pathways) and what colour is it no a transverse section?
Cell bodies of ascending and descending pathways.
Black
What does white matter contain?
axons and tracts - long pathways
How do the dorsal grey horn and ventral grey horn span across the transverse section of the spinal cord?
across the entire length
What type of nerves does the lateral grey horn contain?
autonomic nerves
What do you need to know in regards to the transverse section of the spinal cord?
- lateral, ventral, dorsal grey horn
- ventral white commissure
- lateral, ventral and dorsal white column
Where is the lateral grey horn present (what levels of vertebrae)?
T1-L2 and S2-S4
What forms the epineurium?
spinal nerves leaving the vertebral canal taking the meningeal covering with it
What is the epineurium?
a protective outer sheath of connective tissue
What happens to white matter as it ascends the spinal cord?
it increases
When does the ventral horn enlarge?
It enlarges where motor fibres to limbs arise - cervical and lumbar enlargements
Above which segment are 2 dorsal columns on each side of the midline of the transverse section of the spinal cord?
above T6
What are the 2 dorsal columns on either side of the midline above T6?
Gracile fascicle medially
Cuneate fascicle laterally
2 regions of white matter
What does a fascicle contain?
white matter - tracts and axons
What does the gracile fascicle relate to?
Lower limbs - gracilis muscle
What does the cuneate fascicle relate to?
Upper limbs
Is the spinal grey matter specialised?
Yes
What nuclei is the spinal grey matter site of?
sensory or motor nuclei
Is the dorsal column ipsilateral or contralateral?
ipsilateral
What does the dorsal column do?
position sense
vibration sense
What does the lateral corticospinal tract do?
voluntary movement on the right
What is the ventral corticospinal tract involved in?
voluntary movement on the right
What is the spinothalamic tract involved in?
pain, light touch and temp
Is the spinothalamic tract ipsilateral or contralateral?
Contralateral
Are the ascending and descending tracts present on both sides of the spinal cord?
yes