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: 26 vertebrae (adult).
- Breakdown: 7 cervical, 12 thoracic, 5 lumbar, 1 sacrum, 1 coccyx.
- Mnemonic: 7,12,5 (breakfast, lunch, dinner).
Spinal Curves
- Adult: 4 curves (cervical, thoracic, lumbar, sacral).
- Infant (Born with): 2 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: 1, projects posteriorly, palpable along back.
- Transverse processes: 2, project laterally.
- Facets: 2 superior and 2 inferior, covered with hyaline cartilage, articulate with adjacent vertebrae.
Types of Vertebrae
- Cervical Vertebrae (C1-C7):
- Smallest (except coccyx).
- Characteristic: 3 holes (vertebral foramen and 2 transverse foramina).
- Some have bifid (split) spinous processes (e.g., C3-C6).
- Atlas (C1): No body, no spinous process. Grooves for occipital condyles; allows