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Anatomy Of Spine
Spinal anatomy is a remarkable combination of strong bones, flexible ligaments and tendons, large muscles and highly sensitive nerves. It is designed to be incredibly strong, protecting the highly sensitive nerve roots, yet highly flexible, providing for mobility on many different planes. Most of us take this juxtaposition of strength, structure and flexibility for granted in our everyday livesâuntil something goes wrong. Once we’re in pain, we’re driven to know what’s wrong and what it will take to relieve the pain and prevent a recurrence.
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There are four major regions of the spine
The cervical spine (neck)
The neck supports the weight of the head and protects the nerves that come from the brain to the rest of the body. This section of the spine has seven vertebral bodies (bones) that get smaller as they get closer to the base of the skull. Most of the rotation of the cervical spine comes from the top two segments whereas most of the flexion/extension movement comes from C5-C6 and C6-C7 (each motion segment is named by the two vertebral bodies that are connected)…
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The thoracic spine (upper back)
The 12 vertebral bodies in the upper back make up the thoracic spine.The firm attachment of the rib cage at each level of the thoracic spine provides stability and structural support to the upper back and allows very little motion. The thoracic spine is basically a strong cage and it is designed to protect the vital organs of the heart and lungs. The upper back is not designed for motion, and subsequently, injuries to the thoracic spine are rare…
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The lumbar spine (lower back)
The lower back has a lot more motion than the thoracic spine and also carries all the weight of the torso, making it the most frequently injured area of the spine.
The motion in the lower back is divided between five motion segments, although a disproportionate amount of the motion is in the lower segments (L3-L4 and L4-L5). Consequently, these two segments are the most likely to breakdown from wear and tear (e.g. Osteoarthritis)…
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The sacral region (bottom of the spine)
Below the lumbar spine is a bone called the sacrum, which makes up the back part of the pelvis. This bone is shaped like a triangle that fits between the two halves of the pelvis, connecting the spine to the lower half of the body…
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Normal Spinal Anatomy
1.
Lateral (side) view of a normal spine. The drawing shows the locations of the five major spinal levels. The cervical region has seven vertebrae (C1 through C7), the thoracic region has 12 vertebrae (T1 through T12) and the lumbar region has five vertebrae (L1 through L5). The sacral region consists of five vertebrae, all fused together to form one continuous bone mass known as the sacrum. The coccygeal region consists of four vertebrae, all fused together to form the coccyx or tailbone…
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 2.
Detailed views of a vertebra and vertebral segment. The drawing to the right represents a top view of a lumbar vertebra. The drawing below is a lateral (side) view of a segment of three lumbar vertebrae…
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Abnormal Spinal Anatomy
1.
The drawings to the right and below represent the appearance of a herniated or ruptured disc. Both drawings show the disruption of the annulus fibrosus, the outer ring-like portion of an intervertebral disc…
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 2.
An abnormal spinal condition known as scoliosis is shown in this drawing. Scoliosis is a lateral (sideways) curvature of the spine…
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3.
Spondylolisthesis is an abnormal spinal condition in which one vertebra slips or is displaced over another vertebra. The drawing shows spondylolisthesis as a result of a lumbar vertebra (L5) slipping over the sacrum (S1)…
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