Find these structures:
Anatomy of typical vertebrae
Vertebral body
Vertebral arch
Pedicles
Laminae
Transverse processes
Spinous process
Intervertebral foramina
Superior vertebral notch
Inferior vertebral notch
Superior articular processes
Inferior articular processes
Vertebral foramen (canal)
Anatomy of ‘special vertebrae,’
Atlas (C1)
Axis (C2)
Cervical vertebrae
Transverse foramina
Sacrum
Sacral hiatus
Anterior sacral foramina
Posterior sacral foramina
Coccyx
Find these structures:
Laminae
Spinous processes
Supraspinous ligaments
Interspinous ligaments
Note: A variety of ligaments stabilize the vertebral column. Providing direct support to the bodies of the vertebrae and intervertebral discs are the anterior & posterior longitudinal ligaments. The posterior ligamentous complex -- consisting of the supraspinous & interspinous ligaments, ligamenta flava, and facet joint capsules -- support the laminae, spinous processes, and facet joints.
Note: Supraspinous ligaments are typically only present from C7 to L4, and are frequently sparse in areas. Supraspinous ligaments tend to connect 3-4 serial spinous processes, and they tend to blend with interspinous ligaments. Above C7, the ligamentum nuchae connects the apices of adjacent spinous processes. Below L4, supraspinous ligaments are functionally replaced by posterior thoracolumbar aponeurosis.
Note: Interspinous ligaments connect one spinous process to another from the root of the spinous process to the apex, and are best visualized from a lateral view. The interspinous ligaments differ with respect to region of the spine. Among cervical vertebrae, interspinous ligaments are typically absent. Among thoracic vertebrae, interspinous ligaments are gracile. Among lumbar vertebrae, interspinous ligaments are robust and often paired. These ligaments are more visible post-laminectomy.
Find these structures:
Ligamenta flava
Make two cuts per vertebra. Cuts should be on the lateral-most extent of the laminae before the transition to the transverse processes at an angle. Please refer to the photos and notes below to better understand this procedure.
Note:
Be sure to wear the appropriate personal protective equipment (PPE) for any type of bone cutting. This includes protective eyewear. When using an autopsy saw, a combination of protective eyewear and face mask must be worn.
Be very deliberate with cuts, and frequently refer to articulated skeletal specimens in the laboratory before and during this stage of the dissection.
As you cut, take care not to cut too deeply, which may endanger the roots of spinal nerves.
If done properly, this portion of the dissection will require the greatest amount of your lab time and effort.
Note: Do NOT use the autopsy saw to remove the posterior sacrum. The bone is very thin here, and removal can be completed by careful removal with bone shears, chisels, and hemostats.
Note: At the sacrum, do not cut too far laterally, as dorsal primary rami of spinal nn. exit the posterior sacral foramina in this area.
Note: Predominantly composed of yellow elastic tissue, ligamenta flava (sing. = ligamentum flavum; Latin = yellow ligament) are part of the posterior ligamentous complex. Ligamenta flava span the distances between adjacent laminae within the vertebral canal. Much like the interspinous ligaments, ligamenta flava become increasingly more robust in the more inferior portions of the vertebral column.
Note: You may choose to widen the window into the vertebral canal by trimming any remaining laminae with bone shears. Be sure to allow enough room to view the spinal cord and meninges in their entirety.
Find these structures:
Epidural fat
Posterior internal vertebral venous plexus
Dura mater
Filum terminale externum/Coccygeal ligament
Note: There are four vertebral venous plexuses (anterior & posterior external, anterior & posterior internal). External vertebral venous plexuses are found outside of the vertebral canal, whereas internal vertebral venous plexuses are located within the canal.These plexuses anastomose, and they are difficult to distinguish by any means other than location. Anastomoses of the vertebral plexuses occur in and around the intervertebral foramina.
Note: The nervous system is anatomically divided into the central nervous system (CNS) and the peripheral nervous system (PNS). The CNS consists of the brain and spinal cord, whereas the PNS consists of twelves pairs of cranial and thirty-one pairs of spinal nerves (and their components), and portions of autonomics.
Note: The CNS (and proximal portions of the PNS) are surrounded by the meninges: three layers of connective tissues which provide physical protection and support to structures contained within. The meninges consist of (superficial-to-deep): dura mater, arachnoid mater, and pia mater.
Note: The dura mater is composed of dense irregular connective tissue, and is the outermost covering of the CNS. The spinal dura differs from the cranial dura in that the spinal dura is a single layer, whereas the cranial dura is a bilayer.
Note: The filum terminale has two parts: internum and externum. The filum terminale internum is an extension of the pia mater after the conus medullaris (L2) which extends approximately to the coccyx. Its function is to anchor the spinal cord to the termination of the dural sac. The filum terminale externum is the dural part of the filum terminale, and is often referred to as the coccygeal ligament. After the dural sac terminates at S2, the externum envelopes the internum to attach to the coccyx. The filum terminale externum serves to anchor the dural sac to the coccyx.
Find these structures:
Arachnoid mater
Subarachnoid space
Pia mater
Dorsal rootlets and roots (of spinal nn.)
Ventral rootlets and roots (of spinal nn.)
Filum terminale internum
Denticulate ligaments
Cervical enlargement
Lumbosacral enlargement
Conus medullaris
Cauda equina
Posterior spinal aa.
Posterior spinal vv.
Note: In vivo, the bulk of the arachnoid mater adheres superficially to the dura mater, with extensions of the arachnoid anchoring these layers to the pia mater on the surface of the CNS (the space amongst these extensions, superficial to the pia mater, is known as the subarachnoid space). Cerebrospinal fluid (CSF) is found in the subarachnoid space. Often as a result of embalming, the entirety of the arachnoid mater may delaminate from the dura, and be found on the pia mater.
Note: A potential space, the subdural space, exists between the dura mater and the arachnoid mater. Trauma, hemorrhagic disorders, vascular malformations, anticoagulant therapy, or iatrogenic injury may lead to hemorrhages that fill actual spaces, or open potential spaces (Gordon et al. 2014). If a bleed is in the vertebral canal outside of the dura mater, it is an epidural (or extradural) hemorrhage. If a bleed is between the dura mater and arachnoid mater, it is a subdural hemorrhage. If a bleed is within the subarachnoid space, it is a subarachnoid hemorrhage. Blood within the substance of the spinal cord is known as hematomyelia.
Note: Spinal nerves exit the spinal cord at regular intervals as dorsal and ventral rootlets, which coalesce into dorsal and ventral roots, which join to form the trunk of the spinal nerve. The dorsal root is most obvious as it is associated with a mass of cell bodies known as the dorsal root ganglion (DRG). Dorsal roots (and rootlets) are entirely afferent (sensory), whereas ventral roots (and rootlets) are efferent (motor). The trunk of the spinal nerve exits the vertebral canal laterally via an intervertebral foramen and almost immediately bifurcates into a dorsal primary ramus (DPR) and a ventral primary ramus (VPR). These rami may further bifurcate along their courses.
Note: From your view, dorsal rootlets should be evident at each level of the spinal cord, extending inferolaterally into dorsal roots.
Note: The level of the spinal cord from which spinal nerve arise (via rootlets, then roots) does not necessarily align laterally with commensurately numbered intervertebral foramina. For instance, spinal n. C1 exits the vertebral canal between the occipital bone of the cranium and the first cervical vertebra (C1). Each successively numbered cervical spinal nerve (C2-C8) will exit the vertebral canal via the intervertebral foramen of the cervical vertebra above it (i.e. nerve C2 exits the canal through the intervertebral foramen between vertebrae C1 & C2). Spinal nerves of the thoracic and lumbar regions of the spinal cord exit the vertebral canal via intervertebral foramina below their commensurately numbered vertebrae (i.e. T1 nerve exits below the T1 vertebra, T12 n. exits below T12 vertebra, etc.).
Note: The pia mater has several specializations that should be observed:
Filum terminale internum - can be observed at the tip of the conus medullaris (~L2), traveling inferiorly through the dural sac, and enveloped by the filum terminale externum from S2 approximately to the coccyx. The filum terminale internum is opaque white compared to the surrounding cauda equina.
Denticulate ligaments - paired, extensions of pia mater that are located between the dorsal and ventral rootlets and roots of spinal nn., and also attach to the dural sac. There are 20-22 denticulate ligaments. These structures are opaque white compared to the rootlets and roots of spinal nn.
Note: The cervical enlargement of the spinal cord extends from C4-T1 segments, and lumbosacral enlargement extends from T11-S1 segments. These enlargements reflect an increased number of lower motor neurons servicing the upper (cervical) and lower (lumbosacral) limbs.
Note: The conus medullaris is the inferior end of the spinal cord and is typically located between T12-L3. It tapers to a point and is surrounded by the cauda equina - roots of spinal nn. (lumbar and sacral).
Note: The small, paired posterior spinal aa. and three posterior spinal vv. are found on the posterior portion of the spinal cord. The veins are typically more obvious than the arteries.
Find these structures:
Anterior spinal a
Anterior spinal vv.
Posterior longitudinal ligament
Intervertebral discs
Grey matter
White matter
Ventral horns
Dorsal horns
Lateral horns (intermediolateral nucleus = IML)
Note: Gross tissue of the CNS is referred to as either white or grey matter. White matter is predominantly comprised of axon tracts and commissures. Grey matter is predominantly comprised of cell bodies, dendrites, and capillaries.
Note: Grey matter of the spine is organized into horns: dorsal, ventral, and lateral. The ventral horn is the largest of the horns. The lateral horn is most obvious at T1-L2 spinal cord levels (associated with the sympathetic division of the autonomic nervous system), but is also present at levels S2-S4 (associated with the parasympathetic division of the autonomic nervous system).
Note: The posterior longitudinal ligament (PLL) supports the stacked vertebral bodies and intervertebral discs posteriorly. The PLL extends from the axis (C2) to the sacrum, and fuses with each anulus fibrosus of the intervertebral discs. The PLL is the most anterior feature of the vertebral canal.
Note: Intervertebral discs are found between vertebrae, and consist of two parts: the anulus fibrosus and the nucleus pulposus. The anulus fibrosus consists of collagen and fibrocartilage, and surrounds the nucleus pulposus. The nucleus pulposus, a remnant of the notochord, is an association of hydrated ground substance and collagen. As an individual ages, the nucleus pulposus becomes more homogenized with the anulus fibrosus.
Note: Intervertebral discs are separated by bone superiorly and inferiorly by articular (hyaline) cartilage. These types of midline joints consisting of fibrocartilage sandwiched between articular cartilage are known as symphyses.
Find these structures:
Dorsal root ganglion
Trunk of spinal n.
Dorsal primary ramus of spinal n.
Ventral primary ramus of spinal n.
Note: The trunk is very short and almost immediately bifurcates into the dorsal and ventral primary rami.
Note: Ventral primary rami (VPR) and dorsal primary rami (DPR) are mixed divisions of a spinal nerves. Not visible at this time are the rami communicantes (branches to and from the VPR and sympathetic trunk). VPR serve anterior and lateral aspects of the trunk and limbs, whereas DPR serve deep muscles of the back and skin of the back. VPR are larger than DPR and typically form named nerves.