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Spinal Anatomy 101

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Anatomy 101

The spine is one of the most important parts our our body. It has three main functions:

  • Protects the spinal cord
  • Gives the body structure and support
  • Allows us to move freely

The Bones and Joints

The spine is made of 33 bones called vertebra that are stacked one above each other. There are:

  • 7 cervical vertebra in the neck,
  • 12 thoracic vertebra in the middle back and
  • 5 lumbar vertebra in the low back.

The sacrum is a wedged shaped bone in the pelvis made of 5 fused verterbra.The the tail end of the spine (literally) we have the coccyx made of 4 fused coccygeal vertebra. The vertebra are given names based on their position in the spine. L1 is the first lumbar vertebra. There are 2 bones that have special names because of their special function the atlas (C1) which holds up the head and the axis which allows the head to rotate from side to side.

Here you can see 2 vertebra stacked on on top of the other. The vertebra are joined to each other by 3 joints. The large disc in the front which is like a soft cushion and provides support and absorbs pressure. The disc has a poor blood supply and recieves it's nutrition via sucking the nutrients from the bony when you move. Behind the disc there are 2 facet joints. The facet joints guide the movement of the vertebra and have a large supply of nerves which feed you brain with information about where your spine is and how it is moving. Your brain uses this information when it is deciding how your organs should function. Some amazing research by Dr Akio Sato has been done in this field.This is why is it is so mportant to maintain the normal movement of you spine.

Between the facet joints and the disc is a gap called the intervertebral foramen or the IVF for short. The spinal nerves exit the spinal canal through the IVF.

There are a number of bumps on each vertebra. You can see the transverse and spinous processes in the picture. The muscles and ligaments of the spine attach to these bumps.

The Ligaments

There are a number of ligaments that cross between two vertebra. The ligaments hold the bones together while still allowing the joints to move. Some of the ligaments cross the intervetebral foramen and reduce the space the spinal nerves have to exit the spinal canal. When there is joint restriction the ligaments can rub twist and squash the nerves reducing there ability to carry healthy information from the brain to the body or the body back to the brain.

WIth age and lack of exercise the ligaments become shorter and harder. Make the joints stiffer. In the long term tight and stiff ligaments pull on the bones and produce bone spurs. Exercise and adjustments to maximise the health of the ligaments will minimise the effects of osteoarthrits in the future.

The Muscles

There are multiple layers of muscles in the back. Some are for supporting our spine and are called postural muscles or core muscles others are for moving our spine and are called the prime movers. The muscles are arranged in different patterns to bend our spine forwards backwards, sideways and rotate to each side.

Like all muscles of the body the spinal muscles require good exercise and stretching to maintain their health and the health of your spine. The Straighten Up Australia program has a series of exercises designed to be completed in everyday in three minutes. Studies around the world have found the people doing these exercises feel stronger and have better posture.

The Nerves

The Spinal Cord

The spinal cord is the information superhighway between you brain and your body. Without it you could not move any part of your body and your organs could not function. It is made of millions of nerves.

The spinal cord is protected by the bony spinal canal formed by the vertebra that are stacked one on top of the other. It is also protected by the dura mater, a tough covering around the cord. Between the dura mater and the spinal cord is the cerebro spinal fluid (CSF) The CSF is important for protection of the central nervous system (CNS), which includes the brain and the spinal cord and feeds the CNS with nutrients from the blood.

The Peripheral Nerves

The spinal nerves convey information between the central nervous system and the rest of the body. The spinal nerves exit the spinal canal through each of the intervetbral foramen between each pair of vertebra. Like the tributaries of a river the small spinal nerves form larger nerves, such as the sciatic nerve, which runs down the buttock into the leg. This is how your brain controls every single cell and organ in you body.

The following chart describes which spinal nerves innervate (supply) which parts of the body. You will notice that all the body parts actually recieve information from more than one spinal nerve and the nerves travel a great distance to get to the organ they are supplying. This is why the actual problem in the spinal can be a long way away from you you feel the problem.

Co

Pituarty gland, scalp, brain, ears, eyes

Atlas (C1)

Head, eyes, ears, tongue, heart

Axis (C2)

Face, neck, ears, shoulders, diaphragm

C3

Face, neck, ears, chest, diaphragm

C4

Neck, vocal cords. shoulder, upper arm, diaphragm

C5

Shoulders, arms, tonsils

C6

Shoulders, arms, wrists, hands, thryoid

C7

Shoulders, arms, elbows, wrists, hands

T1

Head, neck, heart, thyroid, oeosophagus, trachea, heart, elbow and hand

T2

Head, neck, heart, lungs, upper arms

T3

Head, neck, heart, lungs, chest, upper arms

T4

Head, neck, heart, lungs, gall bladder, upper arms

T5

Head, neck heart, liver, oeosphagus, blood circulation, upper arms

T6

Oesophagus, stomach, spleen, pancreas, duodenum, middle back

T7

Stomach, spleen, pancreas, duodenum, liver, gallbladder, middle back

T8

Stomach, spleen, pancreas, liver, gallbladder, adrenal glands, middle back

T9

Stomach,spleen, pancreas, adrenal glands, gall bladder, reproductive organs, liver, small intestine

T10

Stomach,spleen, pancreas, small intestine, reproductive organs, appendix, large intestine and leg

T11

Kidneys, reproductive organs, legs, small & large intestine, bladder, adrenal gland, ileoceacal valve

T12

Kidneys, reproductive organs, legs, small & large intestine, bladder, upper & lower back, ileoceacal valve

L1

Abdomen, reproductive organs, legs & feet, large intestine, bladder

L2

Abdomen, reproductive organs, legs & feet, large intestine, bladder, appendix

L3

Reproductive organs, legs & feet, large intestine, bladder, prostate

L4

Buttocks, legs & feet, prostate, muscles of the lower back

L5

Buttocks, legs & feet, toes, prostate

Sacral Plexus

Buttocks, legs & feet bladder, prostate, reproductive organs, bladder, rectum and anus

Coccygeal Plexus

Rectum and anus