3. CERVICAL VERTEBRAE
Smallest of the vertebrae
Lies between the cranium and thoracic
vertebrae
Consists of 7 distinct vertebrae- C1-C7
Has 3 main characteristic features
Triangular vertebral foramen
Bifid spinous process
Transverse foramina 3
5. Typical cervical vertebrae
Large transverse foramina that transmit the
vertebral artery
Short and bifid spinous process
C3-C6
Atypical cervical vertebrae
C1,C2 and C7
C7 is also called vertebra prominens
because of its prominent spine
C7 is atypical in that its long spine is not bifid
but ends in a rounded tubercle and the
transverse foramen does not transmit the
vertebral artery 5
7. C1 VERTEBRA
Also known as Atlas
Has no vertebral body
Has no spinous process
Has lateral masses connected by an anterior
and posterior arch that serve as body for
weight bearing
Anterior arch contains a facet for articulation
with the dens of the axis
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10. C2 VERTEBRA
Also known as Axis
Presence of odontoid process (dens) that
extends superiorly from the anterior portion
of the vertebra
The dens articulates with the anterior arch of
the atlas creating the medial atlanto-axial
joint
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13. CLINICAL RELEVANCE
Jefferson fracture of atlas
Compression of the lateral masses of the
atlas due to a vertical fall onto an extended
neck
Causes them to be driven apart, fracturing
one or both anterior/posterior arches
Transverse ligament of the atlas may also
be ruptured if the fall occurs with enough
force
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14. HYOID BONE
U-shaped bone located in the
anterior neck.
Lies at the base of the mandible at
approx. C3 vertebra
Acts as site of attachment for the
anterior neck muscles
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16. STRUCTURE OF HYOID BONE
Body
Central part
Has anterior convex and posterior concave
surface
Greater horn
Projects from each end of the body
posteriolaterally
Lesser horn
Arises from the superior aspect of the hyoid bone
near the origin of the greater horn
Projects superioposteriorly toward the styloid
process
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18. MUSCULAR ATTACHMENTS
Unique bone- it does not articulate with
any other bones.
Suspended in place by the muscles and
ligaments that attach to it
Muscular attachments include; suprahyoid
muscles, infrahyoid muscles, muscle from
the pharynx and oral cavity.
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19. LIGAMENT ATTACHMENTS
Stylohoid ligament
From styloid process of temporal bone to lesser
horn of the hyoid bone
Thyrohyoid membrane
From superior border of the thyroid cartilage to
posterior surface of hyoid bone and greater
horns
Hyoepiglottic ligament
Connects the hyoid bone to anterior aspect of
the epiglottis 19
20. CLINICAL RELEVANCE
Fracture of hyoid bone
Relatively rare
Well protected by the mandible and cervical
vertebrae
Characteristically associated with
strangulation; therefore a significant post-
mortem finding
Can also occur as a result of trauma
Clinical features include; pain on speaking,
odynophagia and dsypnoea
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