Spine Anatomy

Rotation at each C-spine level

O-C joints
2-5 degrees
C1-C2
50%
subaxial spine
2-10 degrees/level

Cervical Spinal Ligaments

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Ligament Encyclopedia

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Ligament
Image
Facts
Apical
Alar
- connect dens to clivus
- injured in AOD (along tectorial membrane)
Transverse (part of Cruciate ligament)
- allows neck rotation
- inserts on medial tubercule of C1 lateral mass
- rupture → C1 onto C2 translocation
- holds odontoid aspect to posterior aspect of C1 anterior arch
- if this is violated, need to do a C1-C2 fusion, no odontoid screw is not enough

Spinal Tracts

Ascending Tracts (Sensory)

Tract
Functions
Notes
Posterior Columns
fine touch, vibration, proprioception, stereognosis, deep pressure
CG (T6): Cuneus: C spine to T6, Gracilius: below T6
Anterior spinothalamic
crude light touch (non-discriminiative)
transmit to VPL
Lateral spinothalamic
pain, temperature
transmit to VPL
Spinotectal
Dorsal spinocerebellar
Ventral

Descending Tracts (Motor)

Tract
Functions
Notes
Corticospinal tract
Tectospinal
Rubrospinal
MLF
 

Vascular Anatomy