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Chapter 7  The Axial Skeleton   257

Table 7–1   Regional Differences in Vertebral Structure and Function

Feature               Cervical Vertebrae (7)                                 Type (Number)                       Lumbar Vertebrae (5)
                                                                   Thoracic Vertebrae (12)                       Inferior portion of back
                                                                                                                 Massive, oval, flat faces
Location              Neck                                         Chest
Body                  Small, oval, curved faces                                                                  Small
                                                                   Medium, heart-shaped, flat faces; facets for  Blunt, broad; points posteriorly
Vertebral foramen     Large                                        rib articulations                             Short; no articular facets or transverse
Spinous process       Long; split tip; points inferiorly           Medium                                        foramina
Transverse processes  Have transverse foramina                                                                   Support weight of head, neck, upper
                                                                   Long, slender; not split; points inferiorly   limbs, and trunk
Functions             Support skull, stabilize relative positions                                                                                          	7
                      of brain and spinal cord, and allow          All but two (T11, T12) have facets for rib     
                      controlled head movement                     articulations
                                                                   Support weight of head, neck, upper limbs,
Typical appearance (superior view)                                 and chest; articulate with ribs to allow
                                                                   changes in volume of thoracic cage
                                                                    

Table 7–1 includes a summary of the features of these cervical       vertebra is named after Atlas, who, according to Greek myth,
vertebrae.                                                           holds the world on his shoulders. The articulation between the
                                                                     occipital condyles and the atlas is a joint that permits you to
     Compared with the cervical vertebrae, your head is rela-        nod (such as when you indicate “yes”). The atlas can easily be
tively massive. It sits atop the cervical vertebrae like a soup      distinguished from other vertebrae by (1) the lack of a body
bowl on the tip of a finger. With this arrangement, small mus-       and spinous process and (2) the presence of a large, round ver-
cles can produce significant effects by tipping the balance one      tebral foramen bounded by anterior and posterior arches.
way or another. But if you change position suddenly, as in a
fall or during rapid acceleration (a jet takeoff) or deceleration         The atlas articulates with the second cervical vertebra, the
(a car crash), the balancing muscles are not strong enough to        axis. This articulation permits rotation (as when you shake
stabilize the head. A dangerous partial or complete dislocation      your head to indicate “no”).
of the cervical vertebrae can result, with injury to muscles and
ligaments and potential injury to the spinal cord. We use the        The Axis (C2)
term whiplash to describe such an injury, because the move-
ment of the head resembles the cracking of a whip.                   During development, the body of the atlas fuses to the body of
                                                                     the second cervical vertebra, called the axis (C2) (Figure 7–19d).
The Atlas (C1)                                                       This fusion creates the prominent dens (DENZ; dens, tooth),
                                                                     or odontoid (o. -DON-toyd; odontos, tooth) process, of the axis.
The atlas, cervical vertebra C1 (Figure 7–19d), holds up the         A transverse ligament binds the dens to the inner surface of
head. It articulates with the occipital condyles of the skull. This  the atlas, forming a pivot for rotation of the atlas and skull.
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