Vertebral Column and Curvature
Vertebral Column Anatomy
Anterior View
- When viewed from the front (anterior view), a normal vertebral column should appear relatively straight.
Lateral View & Spinal Curves
When viewed from the side (lateral view), the vertebral column exhibits natural curves.
These curves include:
Cervical Curve:
- Located in the neck region, involving the seven cervical vertebrae.
- Develops postnatally, around the third month of life.
- Formation is due to lifting the head, which distributes head weight onto the vertebral column.
Thoracic Curve:
- Located in the mid-back region, involving the 12 thoracic vertebrae.
- Present from birth.
Lumbar Curve:
- Located in the lower back, involving the five lumbar vertebrae.
- Develops approximately nine months after birth, coinciding with the start of upright walking.
Sacral (Sacrococcygeal) Curve:
- Found at the base of the vertebral column, involving the fused sacrum and coccyx.
Abnormal Curvatures
Scoliosis:
- Abnormal lateral curvature of the spine.
- From an anterior or posterior view, the spine appears curved rather than straight.
- Can cause uneven shoulder or hip height.
- Women have a slightly higher risk.
- Often diagnosed during adolescence.
- Screening is performed in US public schools, involving visual inspection of the bare back.
Kyphosis:
- Exaggerated thoracic curvature.
- Commonly referred to as "hunchback."
Lordosis:
Exaggerated lumbar curvature.
Posture appears as if the person is sticking their butt out.
Risk factors in adults include:
- Large belly (e.g., "beer belly" in men).
- Pregnancy in women, due to weight distribution in the abdomen.