Anatomy of the vertebrae By: Dr. Mamdouh Basheir Cervical vertebrae Typical (3rd, 4th, 5th& 6th) Last (7th) Cervical vertebrae Cervical vertebrae st 1 Inferior view (ATLAS) Superior view Cervical vertebrae st 1 (ATLAS) Superior view Cervical vertebrae st 1 (ATLAS) Cervical vertebrae nd 2 (AXIS) Cervical vertebrae nd 2 (AXIS) Atlanto axial joints Median atlanto-axial joint Articulation Type Dense (odontoid process of axis) Articular facet on back of anterior arch of atlas Transverse ligament of atlas synovial pivot Lateral atlanto-axial joint synovial plane Atlanto axial joints Ligaments 1) Transverse ligament of atlas 2) Cruciate ligament LIGAMENTS CONNECTING AXIS TO BASE OF SKULL 1. Membrana tectoria 2. Vertical band of cruciate ligament 3. Apical ligament 4. Alar ligaments Membrana tectoria Apical ligament Alar ligament Posterior longitudinal lig. Atlanto occipital joint Articulation Type Movement Flexion & extension Small lateral flexion Above: occipital condyle Below: superior articular facet of atlas synovial ellipsoid Atlanto occipital joint Ligaments Anterior atlanto-occipital membrane Posterior atlanto-occipital membrane Atlanto occipital joint Ligaments Atlanto occipital joint Ligaments Ant. view Post. view Any Vertebra (OSPE) • Direct question (Identify this vertebra) • Indirect question: 1. Identify the attached ligament 2. Identify the structure related 3. Identify the structure passing through this foramen 4. Identify name and type of the related joint Median atlanto axial J Syn pivot Related to dens Transverse lig Atlanto occipital J Syn condyloid Lat atlanto axial J Syn plane Ligamentum nuchae Ant long lig Ant atlanto occipital memb Post atlanto-occipital memb Vertebral A Dorsal ramus of C1 Vertebral vessels Median atlanto axial J Lateral atlanto axial J Anterior long lig Transverse lig Alar lig Apical lig Cruciate lig Post long lig Ligamentum flavum Lig nuchae Vertebral vessels Facet joint (syn plane) Intervertebral disc Annulus fibrosis & nucleus bulbosus 2ry cartilaginous J Anterior long lig Post long lig Ligamentum flavum Lig nuchae Vertebral vessels Spinal cord Meninges Vertebral plexus of veins Ant Spinal A Post spinal A Facet joint (syn plane Intervertebral disc 2ry cartilaginous J Anterior long lig Post long lig Ligamentum flavum Interspinous lig Accessory Vertebral vein Spinal cord Meninges Vertebral plexus of veins Ant Spinal A Post spinal A THORACIC VERTEBRA LUMBAR VERTEBRA LUMBAR VERTEBRA Typical (1st, 2nd, 3rd & 4th LUMBAR VERTEBRA Typical (1st, 2nd, 3rd & 4th) Last L5 • • • • Facet for articulation with tubercle of rib Facet articulating with head of corresponding rib Facet articulating with head of rib below Facets for articulation with vert above and below All these joints are synovial plane • Ant long ligament • Inter-spinous lig • Supra-spinous lig • 2ry cartilaginous joint: Annulus fibosus & nucleus bulbosus • Ligamentum flavum • Inters-spinous lig • Supra-spinous lig • inter-transverse lig • Costo-transverse lig • Anterior long ligament • Posterior long lig SACRUM