Skeleton AtlasAxis 102513

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    You have 24 vertebrae

    in your spinal column.

    Two are special enough

    to be individually named.

    Your atlas(C01) and axis(C02)are very important vertebrae. Withoutthem, head and neck movementwould be impossible.

    Lets take a look!

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    The atlasand axisare the most superior

    bones in the cervical vertebrae.

    Together, the atlas and axissupport the skull, facilitate

    head and neck movement, andprotect the spinal cord.

    The atlas is the top-most

    vertebra, sitting just below theskull. The axis is below it.

    (Think of the atlas and axis as best buds for life.You will never find one without the other.)

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    There are many types of vertebral

    joints, but the atlas and axis form

    the only craniovertebral joints in thehuman body.

    A craniovertebral joint is a joint

    that permits movement between

    the cervical vertebrae and the

    neurocranium.

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    The atlanto-axial joint

    connects the axis to the

    atlas. It permits rotational

    movement of the head.

    The atlanto-occipital joint

    (pictured) connects the atlas

    to the occipital bone. It flexesthe neck, allowing you to

    nod your head.

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    The atlanto-axial joint is a compound synovial joint.

    This pivot jointallows for rotation of the head and neck.

    A pivot joint is made by the end of one articulating bone rotating in aring formed by another bone and its ligaments.

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    Watch this

    joint in action!

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    The atlas and axis are part of

    the sevencervical vertebrae.

    These vertebrae have a fewunique features:

    They are the smallest ofthe vertebrae.

    C01C06 have threeforamina: one vertebraland two transverse.

    The protrusion that can befelt at the back of the neckis the nonbifid spinousprocessof C07.

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    The atlas and axis, like the rest of the vertebrae,

    protect the spinal cordand give passage to its

    dorsal and ventral roots.

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    All right.

    Lets take a break and review.

    The atlas and axis are the most

    superior vertebrae.

    They form a pivot joint, which allowsyou to turn your head and neck.

    The atlanto-axial joint connects the

    atlas to the axis.

    They are part of the vertebral column,

    which supports the peripheral nervoussystem.

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    Now lets review some

    bony landmarks.

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    The atlas (C01)is the first of the cervical vertebrae.

    Unlike the other vertebrae, theatlas does not have a body ora spinous process.

    It is ringlike and consists of an

    anterior and posterior arch, andtwo lateral masses.

    Posterior archLateral mass

    Anterior arch

    Lateral mass

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    The transverse processesof the atlas serve for

    attachment of muscles that assist in rotating the head.

    The holes in the processes,or foramina, give passage

    to the vertebral artery andvertebral vein.

    The obliquus capitis superior,obliquus capitis inferior, andsplenius muscles attach to

    the processes.

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    The inferior articular processesare flat and circular in shape, andpermit the rotatory movements of

    the head.

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    The inferior articular processesserve as the

    site for articulation with the axis.

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    The facet for the densis the site where the dens

    of the axis articulates with the atlas.

    The articulation of the atlas on the dens provides the head withapproximately 50% of its movement.

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    The axis (C02)is the second cervical vertebra.

    It is somewhat analogous to the

    other cervical vertebrae in thatit has a spinous processthat is not obviously bifidlike the rest of the cervical

    vertebrae.

    Factoid:The axis is also known as the

    epistropheus.

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    The spinous process serves as

    the attachment site for many

    muscles of the spine, as well as

    the nuchal ligament.

    The process is not as obviously

    bifidas the other cervicalvertebrae. Muscles closer tothe skull attach here, whereasmuscles that stretch along the

    length of the spine attach to theprocesses of the others.

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    The odontoid process, or dens, is a projection of

    bone that is fused with the atlas.

    The dens rises perpendicular

    from the upper surface of theaxis body.

    It articulates with the ring formedby the anterior arch and thetransverse ligament of the atlas,creating the pivot joint.

    Factoid:Dens is Latin for tooth; odontoid comes from the Greek root odon, also tooth.

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