The sectional anatomy of vertebral column and CT\MRI. MENG Hai-wei
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1 The sectional anatomy of vertebral column and CT\MRI MENG Hai-wei
2 Boundaries and divisions Consists of the spinal column and the structures around it. Superiorly: external occipital protuberance Inferiorly: coccyx apex Divided into the cervical, thoracic, lumbar and sacral regions
3 Spine Vertebra Intervertebral disc nucleus and anulus fibrous Anterior and posterior longitudinal lig. Ligamenta flava Intervertebral foramina: the radix of spinal nerve, vessels, and fat tissue through it Zygapophysial joint
4 Vertebrae 椎骨 include 7 cervical vertebra 12 thoracic vertebra 5 lumbar vertebra 1 sacral bone 1 coccyx. vertebral body Vertebral foramen superior articular process Lamina of vertebral arch pedicle of vertebral arch transverse process Spinous process
5 (1)Cervical Vertebra : transverse foramen: the vertebral artery and vein through it transverse foramen
6 dental fovea dens Atlas 寰椎 Axis 枢椎 Median atlantoaxial joint
7
8 (2)Thoracic Vertebrae 胸椎 : Sup. Costal fovea Transverse costal fovea Transverse costal fovea Inf. Costal fovea
9 (3)Lumbar Vertebrae
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11
12 (4) Sacrum and Coccyx : promontory Anterior sacral foramina 横线 sacral cornu coccyx Pos. sacral foramina Auricular surface sacral hiatus
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15 Liga. flava nucleus pulposus anulus fibrous
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19 ( 三 )vertebral canal and its contents 1.The vertebral canal formed by the 24 vertebral foramina and sacral canal connected together Anterior wall: posterior suface of the vertebral bodies,the pos. border of intervertebral disc and the pos. longitudinal lig. Posterior wall: laminae of vertebral arches, ligamenta flava Lateral wall: the pedicles of vertebral arches, intervertebral foramina
20
21 2.spinal cord and its meninges and space dura mater arachnoid mater pia mater epidural space subdural space subarachnoid space: contains the cerebrospinal fluid. The space becomes wider from the lower end of spinal cord to the terminal cistern and contains the cauda equina
22 subarachnoid space spinal pia mater - Spinal Arachnoid Mater denticulate ligament. ant. and pos. internal vertebral venous plexus
23 Intervertebral disc Ant. Longitudinal lig. Anulus fibrous Nucleus pulposus Pos. Longitudinal lig. Spinal ganglion Subdural space Spinal pia mater Arachnoid mater Spinal dura mater epidural space Ligamenta flava ant. root of spinal n. denticulate lig. Sheath of Spinal n. pos. root of spinal n. Subarachnoid space
24 3. Internal vertebral venous plexus external vertebral venous plexus basivertebral vein 椎体静脉 Intervertebral vein
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32 Intervertebral disc Intervertebral foramen zygapophysial joint body Dura sac fat
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34 Transverse section of cervical vertebral region
35 Through atlas median atlantoaxial joint
36 Pedicle of vertebral arch Through 3rd cervical vertebrae Internal jugular v. internal carotid a. Vagus n. Spinal cord dura sac Ligamentum nuchae Spinous process Ligamenta flava
37
38 Through 4th cervical intervertebral disc Scalenus medius Supraspinal lig.
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40 Through 4th cervical intervertebral foramen 5th cervical n. Zygapophysial joint Ligamentum nuchae dura sac
41 Meningeal branch Uncus of vertebral body Sup. Articular process UTAC:unco-transverse-articular-complex: composed by uncus, transverse prosess, and articular prosess
42 Through median sagittal plane of cervical vertebral region
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44
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46 Through paramedian sagittal plane of cervical vertebral region Intervertebral foramina, zygapophysial joint
47
48 Transverse section of thoracic vertebral region
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50 Joint of costal head costotransverse joint
51 Zygapophysial joint
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54 Transverse section of lumbar vertebral region
55 Through 3rd lumbar vertebrae Cauda equina
56 Through 5th lumbar vertebrae Ala of ilium Superior articular process
57 Lateral recess
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59 Lumbosacral enlargement Conus medullaris Cauda equina
60 1.body 2.pos. longitudinal lig. 3.spinal dura sac 4.cauda equina 5. Psoas major 6.internal vertebral venous plexus
61 1.disc 2.pos. longitudinal lig. 3. Lumbar n. 4.zygapophysial joint 5.cauda equina 6.spinous process 8. internal vertebral venous plexus
62 1and 3 right and left common iliac v. 2 right common iliac a. 4and 5 internal and external iliac a. 6.disc 7lumbar n. 8.zygapophysial joint 9. Ala of ilium 10. Erector spinae
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65 Transverse section of sacral vertebral region
66 Sacroiliac joint Median sacral crest filum terminale
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