00:01
All right, welcome back,
and welcome to the back.
00:05
Today we're going to talk
about the vertebral column,
and the regional variation
across the vertebral column.
00:11
We're going to talk
about the curvatures
that exist in the
vertebral column,
we're going to talk about
the parts of individual vertebra,
and how the vertebra differ in
different regions of
the vertebral column.
00:25
We're also going
to talk about how the
spinal cord fits into
the vertebral column.
00:29
We're going to
talk about the joints
that exist along the
vertebral column.
00:34
We're gonna talk about
how the back can move.
00:37
And finally,
the muscles that help with
the movement and
stabilization of the back.
00:43
So the back does a lot for us.
00:45
It provides postural support.
00:48
So even when we're not moving,
it's helping to keep us
in a very neutral position
using the least amount
of energy possible.
00:56
The back is also what
connects to the limbs
and helps coordinate
all of our movements,
especially running and walking.
01:06
Finally, the vertebral column
is the bony structure
and support that
protects our spinal cord.
01:13
So let's talk about
that bony support.
01:16
Namely, we're going to talk
about the vertebral column
something known as the backbone.
01:21
And backbone in everyday usage
is used to describe
something that's very essential,
like saying nursing is the
backbone of healthcare.
01:30
And that's because the back,
in this case, the vertebral column
really connects all of the
various parts of our body.
01:37
But it's not a single bone,
as the name backbone would imply.
01:41
It's made up of several
bones or vertebra.
01:44
So we have seven
vertebra in the cervical spine,
we have twelve in
the thoracic spine,
and we have five
in the lumbar spine.
01:55
Down towards the bottom,
we have the sacrum,
which is actually
five fused vertebra,
and the coccyx, which is
between 3-5 fused vertebra as well.
02:05
The backbone is also
not straight up and down
as you might have imagined it
because people
have probably told you,
"Hey, sit up straight
or stand up straight."
Well, our vertebral column
isn't perfectly straight.
02:17
At least it becomes
curved over time.
02:20
We get this curvature of the
thoracic spine called kyphosis,
where it bends
somewhat posteriorly,
relatively early in development.
02:31
Then we get this curvature
in the opposite direction
called lordosis up
in the cervical spine,
where the bend is
pointing more anteriorly.
02:42
And then the last to
develop with upright
positioning and walking
is lumbar lordosis.
02:49
Again, lordosis, meaning curvature
where it's pointing anteriorly.
02:52
But this time,
down in the lumbar spine.
02:56
And all this talk about
posture and curvatures
has probably got you thinking,
"Oh, I've been hunching
this whole time.
03:02
And now I'm suddenly
aware of my posture."
And that's one of the
important roles of the back
is to provide you with
your good posture.
03:10
Even I'm starting
to stand up a little bit
more straight now
that I think about it.
03:15
And the curvatures that exist,
put you into what we would
say an ideal alignment,
so that you're putting the least amount
of stress and strain on your joints,
and not taxing your
stabilizing muscles too much.
03:30
With let's say maybe a lot of
looking down at your cell phone
and hunching forward
of your shoulders,
you can get an exaggerated
curvature of the thoracic region,
we will call an
exaggerated kyphosis.
03:44
And so that you don't
basically fall over you get
an exaggeration of the
lordosis in the lumbar area
as well to compensate for it.
03:54
Conversely, some people have
what's called a flat back
where they do have a
straight up and down spine.
04:01
And that's not good either
everything out of its normal positioning
and start to not only put
stress and strain on the joints,
but wear out the
muscles that are trying to
stabilize the body in
this less natural position.
04:17
But those are all
on the sagittal view.
04:19
What about in a coronal view?
So you can also have abnormal
curvatures in the coronal plane,
or curvatures
that go out laterally
and that's something
called Scoliosis.
04:32
Typically, in a coronal view,
the spine is straight up and down.
04:36
There is no lateral curvature.
04:38
Scoliosis, on the other hand,
can cause so much curvature
that can actually in some
cases make it hard to breathe,
requiring a surgical correction
as you can see in the X-ray here.
04:49
More commonly,
the use of braces can help correct
and reduce and
hopefully eliminate any sort
of lateral curvature
that exists in the spine.