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Spine Anatomy
Prepared By:
Rakesh Sankpal
1Rakesh Sankpal
The spine or vertebral column
Main functions of spine:
• Supporting the majority of body weight
• Supporting the head, trunk, and upper
extremities against the forces of gravity
• Protection to the spinal cord
• Shock absorption
2Rakesh Sankpal
Design of spine
33 vertical segments, divided into 5 regions:
• Cervical vertibrae (7)
• Thoracic vertibrae (12)
• Lumbar vertibrae (5)
• Sacral vertibrae (5, fused)
• Coccygeal vertibrae (4, fused)
3Rakesh Sankpal
4Rakesh Sankpal
Atlanto-occipital joint and atlanto-
axial joint
5Rakesh Sankpal
6Rakesh Sankpal
Thoracic vertebrae
7Rakesh Sankpal
8Rakesh Sankpal
9Rakesh Sankpal
Lumber vertebrae
10Rakesh Sankpal
Facet joint
11Rakesh Sankpal
Sacral and coccyx
12Rakesh Sankpal
The cauda equina
13Rakesh Sankpal
14Rakesh Sankpal
Intervertebral disc
• Between the individual vertebrae in the
cervical, thoracic and lumbar regions (not in
the sacrum and coccyx) are oval shaped pads
made of fibrocartilage called intervertebral
discs
15Rakesh Sankpal
Function
• They provide cushioning for the vertebrae and reduce the
stress caused by impact. By keeping the vertebrae separated
from each other, they act as a type of shock absorber for the
spine.
• They help protect the nerves that run down the spine and
between the vertebrae.
• They increase the flexibility of the spine and allow us to bend
over at the waist without rubbing the vertebrae into each
other.
17Rakesh Sankpal
Structure
The discs have a tough outer covering of cartilage that
provides support (the annulus fibrosus) and a soft, jellylike
center that provides the cushioning (the nucleus pulposus).
18Rakesh Sankpal
Spinal Procedures
• Deformity- Scoliosis, Kyphosis, Lordosis
19Rakesh Sankpal
Disc disorders
Rakesh Sankpal 20
• Listhesis- Various grades of spondylolisthesis
and retrolisthesis
21Rakesh Sankpal
• MIS (minimally invasive spine surgery)-
Anterior Lumbar Interbody Fusion (ALIF) with
Instrumentation
Posterior Lumbar Interbody Fusion (PLIF)
Transforaminal Lumbar Interbody Fusion (TLIF)
Direct Lateral Interbody Fusion (DLIF)
22Rakesh Sankpal
23Rakesh Sankpal
• Spinal Tumors
24Rakesh Sankpal
Thank you..!!
Rakesh Sankpal 25

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The spine anatomy