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Spinal
 cord
ANATOMY OF SPINAL CORD

 Continuation of medulla
 Within the vertebral canal
 Upper border of atlas to lower border
 of L1
 CONUS MEDULLARIS
MENINGEAL LAYERS AROUND THE
SPINAL CORD
► Duramater  …S2
► Arachnoidmater …S2
► Piamater …L1
  FILUM TERMINALE
  Linea splendens
  Ligamenta denticulata
TRANSVERSE SECTION OF SPINAL CORD
SPINAL NERVES & SPINAL SEGMENTS

► Gives off 31 pairs of nerves
► C8 T12 L5 S5 Co1
► Cervical & lumbar enlargements
► CAUDA EQUINA
► Does   not correspond to the vertebral
  level
► Cervical….1 segment
► Upper thoracic….2 seg
► Lower thoracic….3 seg
► Lumbar ….T11 &T12
► Sacral & Coccygeal….L1
INTERNAL STRUCTURE

Grey matter
 Ventral horn cells
 1.medial group
 2.lateral group
 3.central
Dorsal horn cells
1.Substantia gelatinosa of Rolando
2.nucleus proprius
3.Clarke’s column
4.Marginal zone
► Intermediate zone
 1.Intermediolateral
 2.Intermediomedial
REXED’S LAMINA
► 10 LAMINA


          I         Marginal zone

          II        SGR

          III, IV   Nucleus proprius

          V         Neck of dorsal grey
                    column
          VI        Base of dgc
VII        Intermed grey matter

VIII, IX   Ventral horn

X          Around central canal
… .INTERNAL STRUCTURE

WHITE MATTER
  Ascending tracts
 1.Dorsal column tract-FG & FC
 2.Spinothalamic tract-ANT & LAT
 3.Spinocerebellar tract-ANT & POST
 4.Spinotectal tract
 5.Spino olivary
Descending tracts

1.Corticospinal tract-ANT & LAT
2.Vestibulospinal tract
3.Reticulospinal
4.Rubrospinal tract
5.Tectospinal tract
6.Olivospinal tract
Blood supply
► Anterior spinal
► 2 Posterior spinal arteries
► Arteria vasa corona
► Main source of blood is the Vertebral
  arteries……cervical
► Radicular arteries…….spinal br. of
  vertebral, asc cervical, deep cervical,
  intercostal, lumbar and sacral art
► Arteria radicularis magna
DISTRIBUTION OF BLOOD SUPPLY

► Radicular art : grey & white matter
► Anterior spinal : ant two-third
   ventral grey matter,part of dorsal grey
  matter,ant and lat funiculi
► Posterior spinal : post one-third
   posterior horn and posterior funiculus
VENOUS DRAINAGE

1.Antmed 2.Antlat 3.Postmed 4.Postlat

        Venous vasa corona

          Radicular veins

          Epidural plexus
                   inter vertebral veins
          Regional veins
…….thank you

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Spinal cord

  • 2. ANATOMY OF SPINAL CORD Continuation of medulla Within the vertebral canal Upper border of atlas to lower border of L1 CONUS MEDULLARIS
  • 3.
  • 4. MENINGEAL LAYERS AROUND THE SPINAL CORD ► Duramater …S2 ► Arachnoidmater …S2 ► Piamater …L1 FILUM TERMINALE Linea splendens Ligamenta denticulata
  • 5.
  • 6. TRANSVERSE SECTION OF SPINAL CORD
  • 7. SPINAL NERVES & SPINAL SEGMENTS ► Gives off 31 pairs of nerves ► C8 T12 L5 S5 Co1 ► Cervical & lumbar enlargements ► CAUDA EQUINA
  • 8. ► Does not correspond to the vertebral level ► Cervical….1 segment ► Upper thoracic….2 seg ► Lower thoracic….3 seg ► Lumbar ….T11 &T12 ► Sacral & Coccygeal….L1
  • 9.
  • 10. INTERNAL STRUCTURE Grey matter Ventral horn cells 1.medial group 2.lateral group 3.central
  • 11. Dorsal horn cells 1.Substantia gelatinosa of Rolando 2.nucleus proprius 3.Clarke’s column 4.Marginal zone
  • 12. ► Intermediate zone 1.Intermediolateral 2.Intermediomedial
  • 13.
  • 14. REXED’S LAMINA ► 10 LAMINA I Marginal zone II SGR III, IV Nucleus proprius V Neck of dorsal grey column VI Base of dgc
  • 15. VII Intermed grey matter VIII, IX Ventral horn X Around central canal
  • 16.
  • 17. … .INTERNAL STRUCTURE WHITE MATTER Ascending tracts 1.Dorsal column tract-FG & FC 2.Spinothalamic tract-ANT & LAT 3.Spinocerebellar tract-ANT & POST 4.Spinotectal tract 5.Spino olivary
  • 18. Descending tracts 1.Corticospinal tract-ANT & LAT 2.Vestibulospinal tract 3.Reticulospinal 4.Rubrospinal tract 5.Tectospinal tract 6.Olivospinal tract
  • 19.
  • 20. Blood supply ► Anterior spinal ► 2 Posterior spinal arteries ► Arteria vasa corona
  • 21. ► Main source of blood is the Vertebral arteries……cervical ► Radicular arteries…….spinal br. of vertebral, asc cervical, deep cervical, intercostal, lumbar and sacral art ► Arteria radicularis magna
  • 22. DISTRIBUTION OF BLOOD SUPPLY ► Radicular art : grey & white matter ► Anterior spinal : ant two-third ventral grey matter,part of dorsal grey matter,ant and lat funiculi ► Posterior spinal : post one-third posterior horn and posterior funiculus
  • 23.
  • 24. VENOUS DRAINAGE 1.Antmed 2.Antlat 3.Postmed 4.Postlat Venous vasa corona Radicular veins Epidural plexus inter vertebral veins Regional veins