M01.09.001 Vertebral Column

The vertebral column is a complex structure vital for human posture, movement, and protection. It consists of 33 vertebrae separated by intervertebral discs and is divided into five regions, each with unique features. This article explores its anatomy, function, structure, clinical significance, and associated ligaments.

Overview of the Vertebral Column

Functions of the Vertebral Column

The vertebral column serves four main purposes:

Protection: Encases the spinal cord within the spinal canal.
Support: Bears the weight of the upper body above the pelvis.
Axis: Acts as the central structural axis of the body.
Movement: Enables flexibility, posture, and motion.

Function	Description
Protection	Encloses and protects the spinal cord.
Support	Supports the body’s weight above the pelvis.
Axis	Serves as the body’s central structural framework.
Movement	Facilitates posture and motion.

Structure of a Vertebra

Common Features

Each vertebra consists of two primary parts:

Vertebral Body:
- Located anteriorly.
- Weight-bearing component; increases in size from top to bottom.
- Lined with hyaline cartilage and separated by intervertebral discs.
Vertebral Arch:
- Located posteriorly, enclosing the vertebral foramen.
- Includes:
  - Spinous process: Posterior bony projection.
  - Transverse processes: Lateral extensions; articulate with ribs in thoracic vertebrae.
  - Pedicles and laminae: Connect the body to the processes.
  - Articular processes: Form joints with adjacent vertebrae.

Component	Location	Function
Vertebral Body	Anterior	Weight-bearing.
Spinous Process	Posterior	Muscle/ligament attachment.
Transverse Process	Lateral	Rib articulation (in thoracic vertebrae).
Vertebral Foramen	Enclosed by arch	Houses the spinal cord.

Regions of the Vertebral Column

1. Cervical Vertebrae (C1–C7)

Key Features:
- Bifid spinous process: Except C1 and C7.
- Transverse foramina: Passage for vertebral arteries.
- Triangular vertebral foramen.
Special Vertebrae:
- C1 (Atlas): Supports the skull.
- C2 (Axis): Allows head rotation.

2. Thoracic Vertebrae (T1–T12)

Articulations:
- Demi-facets: Articulate with rib heads.
- Costal facets: Articulate with rib shafts.
Foramen Shape: Circular.
Spinous Processes: Oriented obliquely downward.

3. Lumbar Vertebrae (L1–L5)

Largest vertebrae for weight support.
Features:
- Kidney-shaped body.
- Triangular vertebral foramen.
- Short spinous processes.
Clinical Relevance: Common site for lumbar punctures and epidural anesthesia.

4. Sacrum

Fusion: Five fused vertebrae.
Shape: Inverted triangle.
Function: Forms posterior pelvic wall.

5. Coccyx

Composed of four fused vertebrae.
Small, non-functional, with no vertebral canal.

Clinical Relevance

Intervertebral Disc Herniation

Definition: Rupture of the nucleus pulposus through the annulus fibrosus.
Symptoms: Neurological irritation, pain, and muscular issues.
Common Sites: Lumbar and thoracic regions.

Component	Description
Nucleus Pulposus	Jelly-like core of the disc.
Annulus Fibrosus	Tough, collagenous outer layer.
Clinical Impact	Causes nerve irritation when herniated.

Joints and Ligaments

Articulations

Intervertebral Joints:
- Cartilaginous joints between vertebral bodies.
- Strengthened by anterior and posterior longitudinal ligaments.
Facet Joints:
- Allow gliding movements.
- Reinforced by:
  - Ligamentum flavum: Between laminae.
  - Interspinous and supraspinous ligaments: Between spinous processes.
  - Intertransverse ligaments: Between transverse processes.

Points to Remember

The vertebral column has five regions: cervical, thoracic, lumbar, sacrum, and coccyx.
Intervertebral discs act as shock absorbers and facilitate flexibility.
The sacrum and coccyx are composed of fused vertebrae, forming the tail-end of the spine.
Disc herniation can compress nerves, causing pain and motor deficits.

Question

M01 Human Anatomy

Curriculum