Neurosurgery notes/Anatomy/Embryology/Spinal cord development

Spinal cord development

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Early Development of the Spinal Cord

  • Three layers of cells are formed from the proliferation and differentiation of the thick, pseudostratified neuroepithelium that makes up the wall of the neural tube.
    • Neuroepithelial layer
      • Innermost
      • Neuroepithelium (or ependymal)
        • A layer of ciliated columnar cells
        • Lines the future ventricles and central canal.
        • Gives rise to
          • Neuroblasts
            • Primitive neurons
            • Migrate peripherally to the mantle layer
          • Astrocytes and oligodendrocytes
            • Migrate peripherally to the mantle and marginal layers.
      Mantle layer
      • Middle
      • Will later form the gray matter of the spinal cord.
      • Neuroblasts in the mantle layer develop into mature neurons with cytoplasmic processes,
        • Cytoplasmic processes extend peripherally to form the outermost marginal layer that later becomes the white matter of the spinal cord.
      Marginal layer
      • Outer most
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  • Spinal Gray Matter
    • Sulcus limitans
      • Develops along the sides of the central cavity.
      • A longitudianl groove between the dorsal and ventral aspects of the neural tube produces
      Alar plate
      • Aka: dorsal horns
      • Dorsal thickening of the neural tube
      • Forms the dorsal Gray columns: Sensory afferent neurons.
      Basal plate
      • Ventral and lateral thickening of the neural tube
      • Contains somatic and autonomic motor neurons
      • Ventral gray columns (ventral horn)
        • Somatic motor neurons
      • Lateral gray columns (lateral horn)
        • Autonomic motor neurons
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Ventral and Dorsal Roots

  • For all
    • All start cranially to caudally
    • Eventually the spinal nerve carries
      • Somatic motor neurons
      • Somatic sensory neurons
      • Visceral efferent (sympathetic)
  • Motor neurons
    • Forms first D30
    • Motor neurons in the ventral gray columns
    • derived from the basal plate.
    • They project axons peripherally into the ventral motor roots .
    • Somatic motor neurons
      • in the ventral motor roots
      • join peripheral branches of the dorsal root ganglia in the region of the intervertebral foramina to form the spinal nerves.
    • Sympathetic motor neurons
      • in the ventral motor roots
      • join the spinal nerves but exit soon after in the white communicating ramus to reach the paravertebral and prevertebral ganglia.
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  • Sensory neurons
    • Forms second
    • Cell bodies located in the dorsal root ganglia
    • Derived from the neural crest.
    • Pseudounipolar neurons
    • Project both central and peripheral branches (axons).
      • Central branches of the dorsal root ganglia
        • Enter the spinal cord through the dorsal sensory roots
        • Synapse in the dorsal gray column (spinothalamic tract)
        • Ascend in the dorsal white column to terminate in the dorsal column nuclei (dorsal column-medial lemniscus tract).
        • Neurons in the dorsal gray column and the dorsal column nuclei are derived from the alar plate.
      • Peripheral branches of the dorsal root ganglia
        • Enter the spinal nerves
        • Course peripherally
        • Terminate as sensory endings in somatic or visceral structures.
  • Autonomic: sympathetic
    • Forms last
    • Derived from the neural crest.

Ascent of the Conus Medullaris

  • Early stages of development, the rate of growth of the spinal cord keeps pace with that of the vertebral column; thus, the spinal nerves pass through the intervertebral foramina at their respective level of origin in the spinal cord.
  • 3rd month of embryonic development:
    • Rate of growth of the vertebral column > spinal cord
    • End of the spinal cord assumes an increasingly higher position in relation to the vertebral column.
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  • Adults
    • Conus medullaris is at L1
    • Cervical spine:
      • Each vertebral level corresponds to the level of the succeeding cord segment (i.e., the sixth cervical spine corresponds to the level of the seventh spinal cord segment)
    • Upper thoracic spine:
      • Difference is two segments
    • Lower thoracic and upper lumber spine:
      • Difference is three segments
  • Filum terminale
    • a long thread of pia mater that attaches the conus medullaris to the periosteum of the coccygeal vertebrae
  • At what spinal level does the spinal cord end, during pre- and postnatal life?
    • Prenatal life:
      • 12 weeks at C5
      • 15 weeks at S3
      • 24 weeks at S1
    • Postnatal life:
      • Newborn (40 weeks) at L3
      • Adult at L1–L2, end of dural and arachnoid sac at S2
        • S1
          24 weeks
          L3
          40 weeks
          L1
          Adult