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What is this?
Transverse process

What’s this?
Pedicle

What’s this?
Vertebral body

What’s this?
Superior articular process

What’s this?
Spinous process

What’s this?
Inferior articular process

What are these?
L3-4 intervertebral joint and L4-5 intervertebral joint.
What’s this?

Lumbosacral joint (L5/S1)

What’s this?
Sacral base

What’s this?
Sacral promontory

What’s this?
Sacral ala (wing)

What’s this?
Transverse ridges

What’s this?
Anterior sacral foramina

What’s this?
Apex of sacrum

What’s this?
Transverse process of coccyx.

What’s this?
Apex of coccyx.

What’s this?
Superior articular processes and facets

What’s this?
Auricular articular surfaces

What’s this?
Median sacral crest

What’s this?
Posterior sacral foramina.

What’s this?
Intermediate crest

What’s this?
Sacral hiatus.

What’s this?
Sacral cornu

What’s this?
Coccygeal cornu.
Intervertebral joints are…
Secondary cartilaginous (hyaline cartilage-intervertebral disc-hyaline cartilage)
Facet joints are…
Paired synovial plane joints
Long muscle group from furthest to closest to spinous processes

Iliocostalis, Longissimus, Spinalis
Broad attachment for long muscle group
Iliac crest to end of vertebral column.

What’s this muscle?
Multifidus (oblique group)
What’s this muscle?

Rotatores (oblique group)
What’s this muscle?

Semispinalis (oblique group)

What’s this muscle?
Intertransversales (short group)

What’s this muscle?
Interspinales (short group)

What’s this muscle?
Levatores costorum (short group)

What does the anterior longitudinal ligament restrict?
Lumbar extension

What does the posterior longitudinal ligament restrict? (Lies within vertebral canal posterior to bodies)
Lumbar flexion

Ligamentum flavum and its restriction?
Connects laminae. Restricts flexion.
Interspinous ligaments are…

Between adjacent spinous processes
Intertransverse ligaments are between…
Adjacent transverse processes.
Main movements in cervicothoracic muscles
Extension, lateral flexion, rotation
What does ventral rami innervate?
Anterolateral parts of trunk, upper limb, lower limb
What does dorsal rami innervate?
Innervates back muscles, facet joints, and skin.
Dura mater
Tough outer layer meninge
Arachnoid mater
Web-like middle meninge
Pia mater
Delicate inner layer
Epidural space
Fat and venous plexus
Subdural space
Potential space
Subarachnoid
Cerebrospinal fluid filled space
Elephants Dance Slowly As Snakes Pass?
Epidural, Dura, Subdural, Arachnoid, Subarachnoid, Pia
Where does the spinal cord end?
It’s ending is called the conus medullaris and is at L1/L2.
Cauda equina
Bundle of dorsal and ventral roots extending below conus medullaris.
L2 motor fibres supply…
Hip flexors
L3 motor fibres supply…
Knee extensors such as Quadriceps
L4 motor fibres supply…
Ankle dorsiflexors such as Tibialis anterior
L5 motor fibres supply…
Big toe extensors
S1 motor fibres supply…
Ankle plantarflexors such as Gastrocnemius
S2 motor fibres supply…
Toe flexors
S3/S4 motor fibres supply
Intrinsic foot muscles
Lumbar arteries…
Branch from abdominal aorta and supply lumbar region
Anterior spinal artery (1) and Posterior spinal artery (2)…
Supply spinal cord itself
Venous drainage of lumbar region…
3 anterior spinal veins, 3 posterior spinal veins, internal and external vertebral venous plexus.
Joint between C1 and C2
Atlanto-axial joint
Atlanto-occupital joint is between…
The occiput and C1
The atlanto-occupital joint is a…
Synovial condyloid joint

What joint is this?
Costovertebral joint

What joint is the unticked one?
Costotransverse joint


Ligaments of cervicothoracic spine
Cervical curvature?
Lordosis
Thoracic curvature?
Kyphosis

What’s this muscle?
Trapezius (superficial layer 1)

What’s this muscle?
Latissimus dorsi (superficial layer 1)

What’s this muscle and what’s its action?
Levator scapulae, elevates shoulders. (Superificial layer 2)

What are these muscles?
Rhomboid minor and rhomboid major (Superficial layer 2)

What’s this muscle?
Splenius (deep intrinsic layer) - Extend cervical spine, rotate, laterally flex
What are these muscles?
Suboccipital muscles, deep cervical flexors, scalenes

Ventral primary rami innervate…
Anterior body wall and limbs
Dorsal primary rami innervate…
Posterior body wall
Arterial supply to cervicothoracic spine
Anterior spinal artery, posterior spinal arteries, posterior intercostal arteries
Contents of intervertebral foramen
Spinal nerve, dorsal root ganglion, radicular artery, recurrent meningeal nerve, segmental vein
Atlanto-occipital movement
Nodding (flexion and extension)
Atlanto-axial movement
Rotation (head turning)

Contents of sternum
Manubrium (jugular notch, clavicular notches), 4 sternabrae + 3 transverse ridges, xyphoid process

What’s this?
Acromial end of clavicle

What’s this?
Sternal end of clavicle

What’s this?
Posterior border of clavicle

What’s this?
Anterior border of clavicle

What’s this?
Deltoid tubercle

What’s this?
Acromial facet

What’s this?
Subclavian groove

What’s this?
Anterior border

What’s this?
Sternal facet

What’s this?
Impression for costoclavicular ligament

What’s this?
Posterior border of clavicle

What’s this?
Conoid tubercle

What’s this?
Trapezoid line

What’s this?
Supraglenoid tubercle

What’s this?
Infraglenoid tubercle

What’s this?
Deltoid tubercle

What’s this?
Suprascapular notch