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Spinal Cord
Prepared by: Maria Michaela Valenzuela, PTRP
Starts from
foramen magnum
to L1 or L2
Entirely enclosed
with Spinal or
Vertebral Bones
Dura Mater
Outermost
Arachnoid
Mater
Pia Mater
Innermost
MENINGEAL COVERINGS OF
THE
SPINAL CORD
SEGMENTAL DIVISIONS OF
THE
SPINAL CORD
SKULL
C1
T10
T11
T11
C7
C1
C7
C2
T1
T12
T12
C8
L1
L1
T1
C2
C3
T2
L2
T2
3 Columns (Funniculi)
- Posterior: between Dorsal Median
Fissure + Dorsal Horn
- Lateral: between Ventral Horn +
Dorsal Horn
- Anterior: between Ventral Median
Fissure + Ventral Horn
Each containing various tracts to
send/receive impulse to/from the brain
White matter is
divided/composed of
8 major tracts
- Sensory : ascending tracts
- Motor: descending tracts
Tracts
Origin
Lateral
BA 4,6
Corticospin
al
Medial/Ant BA 4,6
Corticospin
al
Tectospinal MB
Term
RL 8,9
& interineuron
RL 8,9
& interineuron
RL 8,9
interneuron
Decu
s
Function/s
MO
None
BS
Reflexly moves
axial & proximal
muscles in
response to
visual/auditory
stimuli
Tracts
Origi
n
Term
Decu
s
Medial
PONS
Vestibulosp.
RL 8,9 None
& inter- *BS
ineuron
Lateral
MO
Vestibulosp. PONS
RL 8,9 None
& interneuron
Rubrospinal MB
RL 8,9 BS
interne
uron
Medial
PONS
Reticulospin
RL 8,9
D.
None
BS
Function/s
Reflexly
adjust neck
and back
musclesposture
Reflexl moves
limb
extensorsposture
Reflexly
moves
contralat
Limb flexors
Modulation of
pain & spinal
Tracts
Origin Term
Decus Function/s
Dorsal
Column
RL
3,4,6
MO
Post/Ant
Spinocerbell
.
Ant/Lat
Spinothala
m
RL
Paleo
None
Unconscious
3,4,6,7 Cerebel Ant.-SC Proprioceptio
n
RL
Thalam SC
Ant
1,2,5
to BA
pain/temp
3,1,2,
Lat5,7
touch/pres
BA
3,1,2,
5,7
conscious
proprioceptio
n; cortical
sens.
Somatotopic Organization in
the Spinal Cord
Radicular Artery
- branch of Intercostal arteries
supply T1-L1
- Great Ventral Radicular Artery:
largest branch found entering T8
L4 (aka Artery of Adamkiewics)
EVALUATION
TREATMENT
PRECAUTION TO
PHYSICAL
AGENTS &
OTHER SEQUELA
RX OF
APPROPRIATE
EXERCISE AND
RETRAINING
DERMATOME
MYOTOME
NEURO LEVEL
FUNCTIONAL
PROGNOSIS
DEFINE THE
REAL PROBLEM
Clinical application