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.