Vertebral Column And Contents Of The Vertebral Canal

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Vertebral Column and its Contents

Salud y medicina Deportes

Lecturer: Dante Roel Fernandez RT, M.D. Associate Professor I Gross Anatomy Fatima College of Medicine

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Anatomy: >Atlas is the topmost vertebra and chief peculiarity of atlas is that it has no body, it is ring like and consist of anterior and posterior arch and two lateral masses. >Axis, the 2nd cervical vertebra has a concave under side and convex from side to side. The most distinctive characteristic of this bone is strong odontoid process, the dens. TheJoint: >Atlanto-occipital joint (articulation between the atlas and the occipital bone) consists of a pair of condyloid joints. >The atlanto-occipital joints are synovial socket-type joints Ligaments: > Posterior atlanto-occipital membrane: extend from anterior arch of atlas to posterior margin of foramen magnum. >Anterior atlanto-occipital membrane: extend from anterior arch of atlas to anterior margin of foramen magnum. >The ligamentam flavam join laminae of adjacent vertebral arches. >The interspinous ligaments expand to form the ligamentum nuchae which inserts along the posterior foramen magnum and external occipital condyle. > The following four ligaments stabilize these joints: 1.Apical ligament: Connects the dens to the foramen magnum of the occipital bone. 2.Alar ligaments: Connect the dens to the lateral margins of the foramen magnum. 3.Cruciate ligament: Attaches the dens to the anterior arch of the atlas and the body of the axis to the foramen magnum of the occipital bone. 4.Tectorial membrane: Starts at the skull and becomes the posterior longitudinal ligament. >Atlanto-axial articular capsules are thick and loose, and connect the margins of the lateral masses of the atlas with those of the posterior articular surfaces of the axis. Muscles: >Flexion is produced mainly by the action of longis capitis, rectus capitis anterior and sternocleidomastoid (anterior fibres) >Extension by the rectus capitis posterior major and minor, the obliquus capitis superior, the semispinalis capitis, splenius capitis, longissimus capitis, sternocleidomastoid and upper fibres of the trapezius >The recti lateralis are concerned in the lateral movement, assisted by the trapezius, splenius capitis, semispinalis capitis, and the sternocleidomastoid of the same side, all acting together. Movements: >Flexion and extension in the Sagittal axis, which give rise to the ordinary forward and backward nodding of the head. >Lateral flexion to one or other side in the Frontal axis(titling of head >Lateral AAJ Movement: It is a synovial joint which allows only gliding >Medial AAJ Movement: This joint allows the rotation of the atlas the axis i.e round the dens. Clinical anatomy: > Headaches can arise from many different sources including dysfunctional muscles, tears in the ligaments, misalignment of the vertebral bodies, injury to cervical facets and degenerative discs. >Excessive flexion could rupture the supraspinous ligament. >Posterior atlanto-occipital membrane ossification cause migraine headaches due to compression of artery.

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