number of pairs of spinal nerves
31 total, 8 cervical, 12 thoracic, 5 lumbar, 5 sacral, 1 coccygeal
cervical enlargement
supplies nerves to the shoulders and upper limbs.
lumbar enlargement
supplies nerves to the pelvis and lower limbs.
conus medullaris
tapered, cone-shaped part of the spinal cord inferior to the lumbar enlargement
cauda equina
collection of dorsal and ventral roots of spinal segments L2 to S5 (name comes from resemblance of a horses tail).
falilum terminale
a thin cord that ties the lower end of the spinal cord to the coccyx
denticulate ligaments
extend from pia mater through arachnoid mater to dura mater.
white matter
contains large numbers of myelinated and unmyelinated axons, this area contains tracts.
gray matter
dominated by cell bodies of neurons, neuroglia, and unmyelinated axons, surrounds small central canal, forms a butterfly shape, three horns in each half of gray matter.
posterior median sulcus
shallow groove on the posterior surface
anterior median fissure
deep groove along anterior surface
ventral root
contains axons of motor neurons
dorsal root
contains axons of sensory neurons whose cell bodies are in the dorsal root ganglion
dorsal root ganglion
contains cell bodies of sensory neurons, each spinal cord segment has pair of dorsal root ganglia (one on each side)
spinal nerve
formed by union of two roots, contains axons of sensory and motor neurons, spinal nerve divides into ventral and dorsal rami
posterior gray horn
contains somatic and visceral sensory nuclei
lateral gray horn
found only in thoracic and lumbar segments, contains visceral motor nuclei
anterior gray horn
contains motor nuclei
length of spinal cord
about 45 cm (18 in)
lumbar puncture
procedure for withdrawing sample of cerbrospinal fluid, needle inserted into subarachnoid space in lower lumbar region inferior to tip of conus medullaris.
dorsal ramus
innervates muscles, joints, and skin of the back
ventral ramus
innervates structures in the upper and lower limbs and the lateral and anterior trunk
communicating rami
present in the throacic and superior lumbar segments of spinal cord, contain axons of sympathetic neurons
posterior white column
between posterior gray horns and posterior median sulcus
lateral white column
between the anterior and posterior columns
anterior white column
between the anterior gray horns
anterior white commissure
interconnects anterior white columns
bone
vertebrae for a canal for the spinal cord
epidural fats
between the bone and the dura mater
dura mater
outermost layer of the spinal meninge, covering of the spinal cord, tough and fibrous
arachnoid mater
middle middle layer of the spinal meninge, includes simple squamous epithelium, arachnoid membrane, located in the subarachnoid space
pia mater
innermost layer of the spinal meninge, meshwork of elastic and collagen fibers, firmly bound to underlying neural tissue
ascending tracts
carry sensory information
descending tracts
carry motor commands
dermatome
an area innervated by a single pair of nerves, boundaries of adjacent dermatomes overlap, clinically important to determine extent of damage or injection of spinal nerve or dorsal root ganglion.
nerve plexus
complex, interwoven network of nerves, formed during development, ventral rami of adjacent spinal nerves converge and blend their fibers producing plexuses.
cervical plexus
consists of ventral rami of spinal nerves C1-C5, branches innervate muscles of the neck, skin of the neck, skin of the superior part of the chest, and the diaphragm.
brachial plexus
innervates the pectoral girdle and upper limbs
lumbar and sacral plexuses
arise from the lumbar and sacral segments of spinal cord, innervate the pelvic girdle and lower limbs, contain the sciatic nerve.
innate reflex
result from connections formed during development, genetically or developmentally programmed, generally appear in predictable sequence from simplestto more complex.
acquired reflexes
conditioned reflexes, rapid and automated, learned, enhanced by repetition
babinski sign/reflex
stroking foot on the lateral side of the sole, positive response is extention of the lallux and fanning of other toes.