Vertebral Column Notes

Vertebral Column Overview

  • Functions: Protect spinal cord, support head, attachment site for muscles (back, upper limb, pelvic girdle, ribs).
  • Flexible rod, strong, allows movement and rotation.

Adult Vertebrae Count

  • Total: 2626 vertebrae (adult).
  • Breakdown: 77 cervical, 1212 thoracic, 55 lumbar, 11 sacrum, 11 coccyx.
    • Mnemonic: 7,12,57, 12, 5 (breakfast, lunch, dinner).

Spinal Curves

  • Adult: 44 curves (cervical, thoracic, lumbar, sacral).
  • Infant (Born with): 22 curves (thoracic, sacral) - primary curves.
  • Secondary Curves: Develop after birth.
    • Cervical curve (when baby holds head up).
    • Lumbar curve (when able to stand/walk).
  • Functions of curves: Balance, upright posture, increased column strength.

Intervertebral Discs

  • Located between bony vertebrae.
  • Composition: Outer rim of fibrocartilage (annulus fibrosus), inner pulpy substance (nucleus pulposus).
  • Functions: Form joints, allow flexibility, cushion, contribute to height.
  • Herniated/Slipped Disc: Rupture/protrusion of nucleus pulposus, pressing on spinal nerves.
    • Symptoms: Pain, tingling, numbness.
    • Most common in lumbar region due to bearing most body weight and frequent flexing/bending.
    • Treatment: Physical therapy (minor), surgery (severe).

General Vertebra Structure

  • Body: Thick, weight-bearing part.
  • Vertebral Foramen: Hole for spinal cord.
  • Vertebral Arch: Formed by lamina and pedicles.
  • Intervertebral Foramen: Openings for spinal nerves.
  • Processes:
    • Spinous process: 11, projects posteriorly, palpable along back.
    • Transverse processes: 22, project laterally.
    • Facets: 22 superior and 22 inferior, covered with hyaline cartilage, articulate with adjacent vertebrae.

Types of Vertebrae

  • Cervical Vertebrae (C1-C7):
    • Smallest (except coccyx).
    • Characteristic: 33 holes (vertebral foramen and 22 transverse foramina).
    • Some have bifid (split) spinous processes (e.g., C3-C6).
    • Atlas (C1): No body, no spinous process. Grooves for occipital condyles; allows