Vertebral Canal Flashcards
What are 2 groups are the ligaments of the vertebral column divided into?
- Ligaments of the arch
- Ligaments of the body
What are the 2 ligaments of the vertebral body?
- Anterior longitudinal ligament
- Posterior longitudinal ligament
What ligament is highlighted in green?
Anterior longitudinal ligament
Where does the anterior longitudinal ligament lie?
On the Anterolateral aspect of the vertebral bodies
What are the attachments of the anterior longitudinal ligament?
Runs from the base of the skull to the sacrum
Describe the layers of the anterior longitudinal ligament?
- Made up of 3 layers of dense collagen fibres
- The deep fibres bind adjacent vertebrae together
- Superficial fibres span multiple segments
What movement does the anterior longitudinal ligament limit?
EXTENSION
What ligament is highlighted in green?
Posterior Longitudinal ligament
Where does the posterior longitudinal ligament lie?
Within the vertebral canal on the posterior aspect of the vertebral bodies
At which vertebral level does the posterior longitudinal ligament start?
C2
What are the attachments of the posterior longitudinal ligament?
Runs from C2 to the sacrum
Attaches to the IV discs and margins of the vertebrae
What is often found between the posterior longitudinal ligament and the bone?
Fat and vessels
What is the role of the posterior longitudinal ligament?
- Prevents posterior herniation of the IV disc
- Limits FLEXION (weakly)
What are the ligaments of the vertebral arch and processes?
- Ligamenta Flava
- Interspinous Ligaments
- Supraspinous Ligaments
- Intertransverse ligaments
- Nuchal Ligament
What ligament is highlighted in green?
Ligamentum Flavum
Where do the ligamenta flava attach?
Connect the laminae of the adjacent vertebrae together
What are the roles of the ligamenta flava?
- To help maintain the curvatures of the spine
- To reinforce the wall of the vertebral canal posteriorly
- Limits flexion
What ligament is highlighted?
Interspinous ligament
Where do the interspinous ligaments attach?
Connect adjacent spinous processes
What is the ligament that is highlighted?
Supraspinous Ligament
Where does the supraspinous ligament run?
Connects the tips of the spinous processes
Runs from C7 to the sacrum
What ligament is highlighted?
Intertransverse ligament
Where does the intertransverse ligament attach?
Connects adjacent transverse processes
How do the fibres of the intertransverse ligament change throughout the vertebral column?
Cervical - scattered fibres
Thoracic - fibrous
Lumbar - membranous
What structure is highlighted?
Nuchal ligament
What is the nuchal ligament?
A thickened fibroelastic tissue that is continuous with the supraspinous ligament in the cervical region
Where does the nuchal ligament attach?
External occipital protuberance
Posterior border of the foramen magnum
Spinous processes C1-7
What is the role of the nuchal ligament?
Muscle attachment
Limits flexion
At which vertebral level does the spinal cord end?
L1/2
How many nerves are in each spinal region?
Cervical - 8 pairs Thoracic - 12 pairs Lumbar - 5 pairs Sacral - 5 pairs Coccygeal - 1 pair
Where are the spinal enlargments?
Cervical enlargement - C4-T1
Lumbosacral enlargement - L1-S3
How are the spinal nerves named?
- Cervical spinal nerves are named after the vertebrae below (exception is C8)
- T1-Co1 are named after the vertebrae above
What is the structure highlighted?
The Cauda Equina
Lumbar and Sacral roots that extend below the end of the spinal cord
What is the filum terminale?
Remenant of the caudal part of the spinal cord
What is highlighted?
The conus medullaris - the tapering off of the spinal cord
List the spinal meninges from superficial to deep
Spinal Dura Mater
Spinal Arachnoid Mater
Spinal Pia Mater
What is the attachments of the spinal dura mater?
Tough outer covering of the spinal cord
Attached to the coccyx inferiorly by the filum terminale
What forms the dural root sheaths?
Lateral extensions of the spinal dura mater cover the nerve roots as dural root sheaths
What is found in the epidural space?
Internal vertebral venous plexuses
Epidural fat
What attaches the spinal arachnoid mater to the pia?
Arachnoid Trabeculae
What is found within the subarachnoid space?
CSF
What does the spinal pia mater cover?
The spinal cord, nerve roots and spinal blood vessels
What are Denticulate ligaments?
Ligaments that run on either side of the spinal cord between the anterior and posterior nerve roots
They suspend the spinal cord in the dural sac
What is the arterial supply to the spinal cord?
- 1 Anterior spinal artery
- 2 Posterior spinal arteries
- Run longitudinally from medulla oblongata to conus medularris
- Supported by medullary segmental arteries
What arteries supply the spinal cord nerve roots?
Radicular arteries
Describe the venous drainage of the spinal cord?
- 3 anterior and 3 posterior veins
- Drained by medullary and radicular veins
- Join the internal vertebral venous plexuses in the epidural space