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Cervical vertebrae
DR . DEVI
1
17-4-19
2
Introduction
Identified by the presence of foramina
transversaria
Seven cervical vertebrae
3rd – 6th are typical
1st, 2nd, 7th – atypical
3
Typical cervical vertebrae
 Body
 Vertebral foramen
 Vertebral arch
4
Foramen transversarium
Pedicle
Ant tubercle
Post tubercle
Vertebral canal
Spine
lamina
Superior articular
facet
Costotransverse bar
Vertebral arch
Body
 Small & broader
 Concave superior surface with
upward projecting lip
 Anterior surface is beveled
5
 Inferior surface is
saddle shaped
 Anterior border
projects downward &
hide intervertebral disc
 articular column
 Inter vertebral foramina
(superior /inferior
vertebral notches in
pedicle)
6
Vertebral foramen
 Larger than body
 Triangular in shape
7
Vertebral
foramen
Bifid spine
Transverse
foramen
Vertebral arch
 Pedicles are directed backwards and laterally
 Superior and inferior notches are of equal sizes
 Laminae are relatively long and narrow, thinner above than below
 superior & inferior articular processes – form articular pillars , project
laterally at the junction of pedicle and the lamina
8
Transverse process :
 Pierced by Foramen
transversaria
 Each TP has two roots- ends
as tubercle – ant & post
tubercle
 Joined by costotransverse
bar
 Costal element = tubercles +
CT bar
 Site for articulation with ribs
 Ant tubercle of 6th CV is large
– carotid tubercle
9
 Spine – short & bifid
 Notch is filled by ligamentum nuchae
 Gives origin to deep muscles of the back of the neck
10
Attachments and relations
 Anterior & posterior longitudinal
ligaments are attached to the
upper and lower borders of the
body
11
 Upper borders and lower parts of the anterior
surfaces of the lamina provide attachment to the
ligament flava
12
Foramen transversarium :
 Vertebral artery
 Vertebral veins
 Branch of inferior cervical
ganglion
13
 Anterior tubercle: scalenus
anterior , longus capitis ,
oblique part of the longus
colli
14
 Posterior tubercle :
scalenus medius, scalenus
posterior, levator scapulae,
splenius cervicis,
longissimus
cervicis,iliocostalis cervicis
15
 Costotransverse bar – anterior primary rami of the
corresponding cervical nerve 16
Ossification
 Ossifies from 3 primary & 6 secondary centers
17
18
1. Body
Intervertebral disc
2. Transverse process
3. Ant. Tubercle
4. Post. Tubercle
5. foramen transversarium
Vertebral vessels (a. & v.)
6. superior Articular facet
7. post. Lamina
Ligamentum flava
8. Pedicle
9. Spine (short & bifid)
Interspinous ligament
Ligamantum nuchae (tip)
10 Vertebral canal
Spinal cord
1
8
2
3
6
5 5
7
7
4
3
2
4
10
7
9
8
Typical Cervical Vertebrae C3, C4, C5, C6
First cervical vertebra 19
First cervical vertebra- Atlas
 Ring shaped
 No body
 No spine
 Short ant arch
 Long posterior
arch
 Rt & Lt masses
 Transverse
process
20
 Posterior arch – longer than ant arch
 Median posterior tubercle
 Lateral mass: superior articular facet, groove
 Atlanto-occipital joint
21
 Inferior surface : inferior articular facet,
circular, more or less flat, directed
downward , medially and backward
 Articulates with corresponding axis vertebra
to form atlanto-axial joint
 Medial surface has a roughened tubercle-
transverse ligament
 transverse process projects laterally from
lateral mass – long , acts as lever for
rotatory movements of head , pierced by
foramen transversarium
22
Attachments of Atlas vertebrae
 Anterior tubercle- anterior longitudinal ligament
 On each side –longus colli
23
 Upper border of the anterior arch gives attachment to the anterior
atlanto-occipital membrane 24
 Posterior tubercle provides attachment to the
ligamentum nuchae in the median plane and gives
origin to the rectus capitis posterior minor on each
side
25
 Groove on the
upper surface of
the posterior
arch is occupied
by the vertebral
artery and by
the first cervical
nerve
26
 Transverse process- rectus capitus lteralis, superior oblique,
inferior oblique , levator scapulae, splenius cervicis, scalenius
medius
27
 Ossification :
28
3 years
7 years
29
1. Ant. Arch
Ant. atlanto-occipital membrane
2. Post. Arch
Post. atlanto-occipital membrane
3. Transverse process.
4. superior articular facet
5. Neural canal.
Spinal cord
6. Foramen transversarium
Vertebral vessles
7. Groove for vertebral a.
8. Tubercle for tr. Ligament.
9. Facet for dense of axis
10.Post. Tubercle
Ligamantum nuchae
11. Ant. Tubercle
Ant. Longitudinal ligament
1
1
1
2
2
2
3 3
4
4
5
6
6
7
7
9
11
10
Second cervical vertebra- Axis
 Identified by the presence of dens or odontoid
process (strong tooth like process projecting
upwards from the body )
30
Axis – Body & Dens
 Superior surface of the body- fused with Dens
 Dens articulates anteriorly with ant arch of atlas,
posteriorly with transverse ligament of atlas
 Superior articular facets
 Inferior surface – prominent ant margin which
projects downwards
31
Axis- vertebral arch
 Pedicle- superior articular facet (circular directed
upward and laterally)
 Inferior surface – deep wide inf vertebral notch
 Lamina- superior vertebral notch behind the sup
articular process
 Lamina – thick & strong
32
 Transverse process
 Spine : large , thick, very strong, grooved inferiorly,
bifid
33
Attachments of Axis vertebrae 34
35
Median atlanto
axial ligament
 Ant surface of body- longus coli, ant longitudinal
ligament
 Post surface of body-post longitudinal ligament,
cruciate ligament, membrana tectoria
 Tip of transverse process- levatoor scapulae, sclenus
medius
 Spine –ligamentum nuchae, vertebral muscles
36
37
1. Dense = odontoid process
2. superior Articular facet
3. Neural canal.
Spinal cord
4. Spine (short , not bifid)
Interspinous ligament
Ligamantum nuchae (tip)
5. Lamina
Ligamantum flava
6. Foramen trnasversarium.
Vertebral vessles (a. &v.)
7. Alar ligamant
8. Apical ligament.
9. Transverse groove for tr.
ligament
10.Post. Longitudinal ligament.
1
2
2
5
5
4
5 6
6
9
38
Cervical 7(C7)
Spinousprocessnot
bifid, largeproject
posteriorly
Vertebral Prominents
Seventh cervical vertebra – Vertebra
Prominens
 Long ,thick, horizontal spinous process
 Not bifid , ends in a tubercle
 Transverse process- large , post root is larger than
ant
 Ant tubercle is absent
 Small foramen transversarium - sometimes double/
absent
39
Attachment of vertebrae prominens
 Spine - ligamentum nuchae, trapezius , rhomboideus
minor, serratus posterior superior, splenius capitus ,
semispinalis thoracis , spinalis cervicis, multifundus
 Transverse foramen: accessory vertebral vein,
 Posterior tubercle- suprapleural membrane
 Lower border- levator costarum
40
Ossification :
 Similar to typical to cervical vertebra
 Separate center for each costal process appears
during sixth month of intrauterine life and fuses with
the body and transverse process during fifth to sixth
years of life
41
42
1. Body
Intervertebral disc
2. Transverse process
3. foramen transversarium
Vertebral vein only
4. superior Articular facet
5. post. Lamina
Ligamentum flava
6. Pedicle
7. Spine (long & not bifid)
Interspinous ligament
Ligamantum nuchae (tip)
8. Vertebral canal
Spinal cord
7
6
2 2
4
3 3
5
5
1
8
5
6
7th Cervical Vertebrae
Conclusion 43
Characteristics C3-c6 c1 c2 c7
Body
Ant arch
Post arch
Spinous process Bifid No Bifid Single long
Superior
articular facet
Bean shaped Bean shaped oval Bean shaped
Thank you !
44

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cervicalvertebra17-4-19-190528145645 (1).pdf

  • 1. Cervical vertebrae DR . DEVI 1 17-4-19
  • 2. 2
  • 3. Introduction Identified by the presence of foramina transversaria Seven cervical vertebrae 3rd – 6th are typical 1st, 2nd, 7th – atypical 3
  • 4. Typical cervical vertebrae  Body  Vertebral foramen  Vertebral arch 4 Foramen transversarium Pedicle Ant tubercle Post tubercle Vertebral canal Spine lamina Superior articular facet Costotransverse bar Vertebral arch
  • 5. Body  Small & broader  Concave superior surface with upward projecting lip  Anterior surface is beveled 5
  • 6.  Inferior surface is saddle shaped  Anterior border projects downward & hide intervertebral disc  articular column  Inter vertebral foramina (superior /inferior vertebral notches in pedicle) 6
  • 7. Vertebral foramen  Larger than body  Triangular in shape 7 Vertebral foramen Bifid spine Transverse foramen
  • 8. Vertebral arch  Pedicles are directed backwards and laterally  Superior and inferior notches are of equal sizes  Laminae are relatively long and narrow, thinner above than below  superior & inferior articular processes – form articular pillars , project laterally at the junction of pedicle and the lamina 8
  • 9. Transverse process :  Pierced by Foramen transversaria  Each TP has two roots- ends as tubercle – ant & post tubercle  Joined by costotransverse bar  Costal element = tubercles + CT bar  Site for articulation with ribs  Ant tubercle of 6th CV is large – carotid tubercle 9
  • 10.  Spine – short & bifid  Notch is filled by ligamentum nuchae  Gives origin to deep muscles of the back of the neck 10
  • 11. Attachments and relations  Anterior & posterior longitudinal ligaments are attached to the upper and lower borders of the body 11
  • 12.  Upper borders and lower parts of the anterior surfaces of the lamina provide attachment to the ligament flava 12
  • 13. Foramen transversarium :  Vertebral artery  Vertebral veins  Branch of inferior cervical ganglion 13
  • 14.  Anterior tubercle: scalenus anterior , longus capitis , oblique part of the longus colli 14
  • 15.  Posterior tubercle : scalenus medius, scalenus posterior, levator scapulae, splenius cervicis, longissimus cervicis,iliocostalis cervicis 15
  • 16.  Costotransverse bar – anterior primary rami of the corresponding cervical nerve 16
  • 17. Ossification  Ossifies from 3 primary & 6 secondary centers 17
  • 18. 18 1. Body Intervertebral disc 2. Transverse process 3. Ant. Tubercle 4. Post. Tubercle 5. foramen transversarium Vertebral vessels (a. & v.) 6. superior Articular facet 7. post. Lamina Ligamentum flava 8. Pedicle 9. Spine (short & bifid) Interspinous ligament Ligamantum nuchae (tip) 10 Vertebral canal Spinal cord 1 8 2 3 6 5 5 7 7 4 3 2 4 10 7 9 8 Typical Cervical Vertebrae C3, C4, C5, C6
  • 20. First cervical vertebra- Atlas  Ring shaped  No body  No spine  Short ant arch  Long posterior arch  Rt & Lt masses  Transverse process 20
  • 21.  Posterior arch – longer than ant arch  Median posterior tubercle  Lateral mass: superior articular facet, groove  Atlanto-occipital joint 21
  • 22.  Inferior surface : inferior articular facet, circular, more or less flat, directed downward , medially and backward  Articulates with corresponding axis vertebra to form atlanto-axial joint  Medial surface has a roughened tubercle- transverse ligament  transverse process projects laterally from lateral mass – long , acts as lever for rotatory movements of head , pierced by foramen transversarium 22
  • 23. Attachments of Atlas vertebrae  Anterior tubercle- anterior longitudinal ligament  On each side –longus colli 23
  • 24.  Upper border of the anterior arch gives attachment to the anterior atlanto-occipital membrane 24
  • 25.  Posterior tubercle provides attachment to the ligamentum nuchae in the median plane and gives origin to the rectus capitis posterior minor on each side 25
  • 26.  Groove on the upper surface of the posterior arch is occupied by the vertebral artery and by the first cervical nerve 26
  • 27.  Transverse process- rectus capitus lteralis, superior oblique, inferior oblique , levator scapulae, splenius cervicis, scalenius medius 27
  • 28.  Ossification : 28 3 years 7 years
  • 29. 29 1. Ant. Arch Ant. atlanto-occipital membrane 2. Post. Arch Post. atlanto-occipital membrane 3. Transverse process. 4. superior articular facet 5. Neural canal. Spinal cord 6. Foramen transversarium Vertebral vessles 7. Groove for vertebral a. 8. Tubercle for tr. Ligament. 9. Facet for dense of axis 10.Post. Tubercle Ligamantum nuchae 11. Ant. Tubercle Ant. Longitudinal ligament 1 1 1 2 2 2 3 3 4 4 5 6 6 7 7 9 11 10
  • 30. Second cervical vertebra- Axis  Identified by the presence of dens or odontoid process (strong tooth like process projecting upwards from the body ) 30
  • 31. Axis – Body & Dens  Superior surface of the body- fused with Dens  Dens articulates anteriorly with ant arch of atlas, posteriorly with transverse ligament of atlas  Superior articular facets  Inferior surface – prominent ant margin which projects downwards 31
  • 32. Axis- vertebral arch  Pedicle- superior articular facet (circular directed upward and laterally)  Inferior surface – deep wide inf vertebral notch  Lamina- superior vertebral notch behind the sup articular process  Lamina – thick & strong 32
  • 33.  Transverse process  Spine : large , thick, very strong, grooved inferiorly, bifid 33
  • 34. Attachments of Axis vertebrae 34
  • 36.  Ant surface of body- longus coli, ant longitudinal ligament  Post surface of body-post longitudinal ligament, cruciate ligament, membrana tectoria  Tip of transverse process- levatoor scapulae, sclenus medius  Spine –ligamentum nuchae, vertebral muscles 36
  • 37. 37 1. Dense = odontoid process 2. superior Articular facet 3. Neural canal. Spinal cord 4. Spine (short , not bifid) Interspinous ligament Ligamantum nuchae (tip) 5. Lamina Ligamantum flava 6. Foramen trnasversarium. Vertebral vessles (a. &v.) 7. Alar ligamant 8. Apical ligament. 9. Transverse groove for tr. ligament 10.Post. Longitudinal ligament. 1 2 2 5 5 4 5 6 6 9
  • 39. Seventh cervical vertebra – Vertebra Prominens  Long ,thick, horizontal spinous process  Not bifid , ends in a tubercle  Transverse process- large , post root is larger than ant  Ant tubercle is absent  Small foramen transversarium - sometimes double/ absent 39
  • 40. Attachment of vertebrae prominens  Spine - ligamentum nuchae, trapezius , rhomboideus minor, serratus posterior superior, splenius capitus , semispinalis thoracis , spinalis cervicis, multifundus  Transverse foramen: accessory vertebral vein,  Posterior tubercle- suprapleural membrane  Lower border- levator costarum 40
  • 41. Ossification :  Similar to typical to cervical vertebra  Separate center for each costal process appears during sixth month of intrauterine life and fuses with the body and transverse process during fifth to sixth years of life 41
  • 42. 42 1. Body Intervertebral disc 2. Transverse process 3. foramen transversarium Vertebral vein only 4. superior Articular facet 5. post. Lamina Ligamentum flava 6. Pedicle 7. Spine (long & not bifid) Interspinous ligament Ligamantum nuchae (tip) 8. Vertebral canal Spinal cord 7 6 2 2 4 3 3 5 5 1 8 5 6 7th Cervical Vertebrae
  • 43. Conclusion 43 Characteristics C3-c6 c1 c2 c7 Body Ant arch Post arch Spinous process Bifid No Bifid Single long Superior articular facet Bean shaped Bean shaped oval Bean shaped