spinal cord - back anatomy Flashcards
What membranes surround the spinal cord?
meninges
Where is the spinal cord in adults?
from the foramen magnum to the inferior border of the first lumbar vertebra
Where is spinal cord derived from?
from the caudal part of the neural tube
Where is the spinal cord in newborns?
from the foramen magnum to the third lumbar vertebra
Where does the spinal cord lie that extends caudally to the level of the second sacral vertebra?
subarachnoid space
Spinal cord is continuous with the __ __ at the spinomedullary junction, a plane defined by three structures.
medulla oblongata
Where does the spinal cord suspend and anchor?
within the dural sac
Where does the spinal cord arise which closely invests the spinal cord?
pia mater
Two flattened bands of pial tissue that attach to the spinal dura comprising 21 pairs of tooth-shaped extensions
Denticulate ligaments
An extension of pia mater that extends from the conus medullaris to the dural sec (internus) and from the dural sec to the coccyx (externus)
Filum terminale
Provide strong anchorage and fixation of the spinal cord to the vertebral canal
Spinal nerve roots
Where are the enlargements for the nerve supply of the upper and lower extremities?
Cervical (C5-T1)
Lumbar (L1-S2)
Spinal cord terminates caudally as the __ __
conus medullaris
What sensory fibers does the spinal nerves have?
Contain both motor and sensory fibers
What nerves do not have posterior roots nor corresponding dermatomes?
C1
coccygeal nerve
What is the sensory fiber of C1 and coccygeal nerve?
pure motor
With the exception of C1, where do spinal nerves exit the vertebral canal ?
intervertebral or sacral foramina
All other nerve exits below, except the __
C1-C7
Where does the spinal cord end in adults?
at lower border of L1-L2 vertebrae
Where does the spinal nerve terminate in adults?
L2
Where does the spinal nerve terminate in newborns?
L3
Where does the subarachnoid space extend?
to lower border of S2 vertebra
Where is lumbar puncture usually performed?
L3-L4 or L4-L5 (level of coda equina)
What is the goal of lumbar puncture?
to obtain sample of CSF without damaging spinal cord
Where does epidural anesthesia stop?
epidural space
What layer of the meninges does the needle not pass through?
pia mater
Convey sensory input from skin, muscle, bone, and joints to the central nervous system
General somatic afferent (GSA) fibers
Convey sensory input from visceral organs to the CNS
General visceral afferent (GVA) fibers
Convey motor output from anterior horn motor neurons to skeletal muscle
General somatic efferent (GSE) fibers
Convey motor output from intermediolateral cell column neurons, via paravertebral or prevertebral ganglia, to glands, smooth muscle, and visceral organs
General visceral efferent (GVE) fibers
Convey motor output from the sacral parasympathetic nucleus to the pelvic viscera via intramural ganglia
General visceral efferent (GVE) fibers
Formed by the union of posterior and anterior roots within the intervertebral foramen, resulting in a mixed nerve
spinal nerve
Enters the posterior lateral sulcus as posterior rootlets and conveys sensory input from the body via spinal ganglion
Posterior root
Located within the posterior root and within the intervertebral foramen
Spinal ganglion
Contains pseudounipolar neurons of neural crest origin that transmit sensory input from the periphery (GSA and GVA) to the spinal cord via posterior roots
Spinal ganglion
Emerges as anterior rootlets from the anterior lateral sulcus and conveys motor output from visceral and somatic motor neurons
Anterior root
Consists of lumbosacral (posterior and anterior) nerve roots (L2-Co) that descend from the spinal cord through the subarachnoid space to exit through their respective intervertebral or sacral foramina
Cauda equina
Why is coda equina named as such?
because it looks like a horse tail
innervates the skin and muscles of the back
Posterior ramus