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Sciatic Nerve Grays Anatomy

Hi guys this is peter from anatomyzone and in this tutorial we’re going to take a look at the anatomy of the spinal cord, so to begin with we’ll look at the external features and then we’ll move on to some of the basic internal anatomy of the spinal cord. So what we’re looking at here is a model of the vertebral column containing the spinal cord, and you can see the brainstem at the top. So, rostrally, or at the top, the spinal cord is continuous with the medulla oblongata of the brainstem, and in adults, the spinal cord extends to.

The intervertebral disc between vertebral bodies l1 and l2. so i’ve just zoomed into the lumbar region of the vertebral column, and if I rotate the model round slightly, you can see the distal end of the spinal cord terminating at this level between vertebra L1 and L2. So the spinal cord is essentially a segmental structure, so it consists of 31 segments, you’ve got 8 cervical, 12 thoracic, 5 lumbar, 5 sacral, and 1 coccygeal segment. And these segments give rise to spinal nerves, so you can see the spinal nerves coming off.

Either side of the spinal cord, and the spinal nerves are paired, so you’ve got spinal nerves emerging on either side of the spinal cord. So you’ve got 31 segments of the spinal cord giving rise to 31 pairs of spinal nerves. So just taking a look at the shape of the spinal cord itself, you’ll notice that essentially it’s a cylindrical structure, but there are two areas of the spinal cord which are slightly enlarged, so you’ve got a cervical enlargement and a lumbar enlargement. So I’ve just switched over to a diagram to illustrate this, and.

On the left we’re looking at the anterior aspect of the spinal cord and on the right we’ve got the posterior aspect. So you can see that there’s this bulging out of the spinal cord in the cervical region, and the same in the lumbar region, so the cervical enlargement corresponds to the segment C4T1, the lumbar enlargement corresponds to segments L1 to S3. And it’s in these areas where the nerve plexuses, which innervate the upper and lower limbs respectively, emerge. So this is why that area of the spinal cord is thickened,.

Because a lot of nerves supplying movement in the upper and lower limbs emerge from these areas. So just coming back to the 3D model, we’re taking a look at the distal end of the spinal cord, and you can see that it terminates in this conical structure, which I’ve highlighted in green. And this is known as the conus medullaris. And extending from the tip of the conus medullaris you’ve got a strand of connective tissue, which attaches the conus medullaris to the first coccygeal vertebra, and this strand is called the filum terminale. So I’ve just.

Drawn that on there in yellow. so as you can see the lumbar and sacral spinal nerves kind of hang down from the conus medullaris and they form this kind of arrangement which looks like a horse’s tale, so the Latin for this is cauda equina, and this is what that collection of spinal nerves is known as. So just coming back to this model here with the vertebral column shown, you can see how the pairs of spinal nerves emerge from between the vertebra. So I’m just drawing this on in green, so you can see the 31 pairs of spinal nerves emerging.

From the intervertebral foramina between the vertebra. so let’s just take a look at how the spinal nerves attach to the spinal cord. So what we’re looking at now is the cervical region of the spinal cord, and you can see that I’ve removed one of the cervical vertebra just so we can take a look at how the spinal nerves attach to the spinal cord. So you can see that there’s these little rootlets which are attached to the spinal cord, and these rootlets then converge to form the ventral and dorsal roots. So if I just rotate the.

Model around, you can see that there is a root at the front and a root at the back, so that’s the dorsal root, and these roots converge to form the spinal nerve itself, and the spinal nerve exits the vertebral column via the intervertebral foramina. So immediately after leaving the intervertebral foramina, you can see that there’s another division, so the spinal nerve divides into a ventral and dorsal ramus. So it’s not actually shown clearly on this model here, but the ventral ramus is a lot thicker than the dorsal ramus,.

Nerves 3 Spinal Nerves

okay, this is really exciting, so exciting, because we’re going to look at all of our spinal nerves. We’re going to look at all of these guys right here. And how many of them do you think we have? Well, we actually have 31 pairs of spinal nerves, and I hope you remember that our spinal nerves.

Actually travel out of the spinal they travel away from the spinal cord, and they have to get out of that main hole, in this hole right here, the spinal cord is traveling through that hole, and our spinal nerves have to get out of there.

So that they can go into the periphery and do their thing. And, to get out, they have to travel between those intervertebral foramina. This is the body of my vertebra vertebra or vertebra depending on, you know, where you want to place your emphasis.

And you can imagine that the hole, the vertebral foramen, is approximately right here, and through that vertebral foramen is your entire spinal cord. Do you agree that if I was a rock star I know you think I am but,.

Every now and then, not so much but if I was, do you agree that I could actually draw my little crosssection of spinal cord right on my spinal cord? I could cut it in half and draw it.

And then, do you agree that i actually would have, you know, a dorsal root ganglion I just made that. It’s supposed to be one. There’s my dorsal root ganglion, and it’s actually going to combine and form a spinal nerve.

Do you follow what i am doing right here? I’m trying to show you that all this is is my big column of spinal cord running through the vertebral column and then, my actual spinal nerve, which we are totally comfortable with. We’ve seen these, we’ve gone in, we’ve gone out,.

We’ve taken our spinal nerve, we’ve named it, we’ve circled it, we’ve split it into an anterior ramus and a posterior ramus, that’s going to come out through these intervertebral foramina. Those were structures that we learned already in the spinal cord.

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