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However, the cervical spine is comparatively mobile, and some component of this movement is due to flexion and extension of the vertebral column itself. This movement between the atlas and occipital bone is often referred to as the "yes joint", owing to its nature of being able to move the head in an up-and-down fashion.
In anatomy, the atlas (C1) is the most superior (first) cervical vertebra of the spine and is located in the neck.. The bone is named for Atlas of Greek mythology, just as Atlas bore the weight of the heavens, the first cervical vertebra supports the head. [1]
They allow for flexion and extension and limit lateral flexion in the cervical spine. Pathological processes that can occur in these joints include degenerative changes or hypertrophic arthritis, resulting in foraminal stenosis and nerve compression. Foraminal stenosis at this joint is the most common cause of cervical nerve root pressure.
Vertebral foramen - BlueLink Anatomy - University of Michigan Medical School; Atlas image: back_bone16 at the University of Michigan Health System - "Typical Lumbar Vertebra, Superior View; Lumbar Vertebral Column, Oblique Lateral View"
When the shoulder is fixed, levator scapulae rotates to the same side and flexes the cervical spine laterally. When both shoulders are fixed, a simultaneous co-contraction of both levator scapulae muscles in equal amounts would not produce lateral flexion or rotation, and may produce straight flexion or extension of the cervical spine.
Segments of vertebral artery lateral projection The fourth (intradural or intracranial) part pierces the dura mater and inclines medially to the front of the medulla oblongata; it is placed between the hypoglossal nerve and the anterior root of the first cervical nerve and beneath the first digitation of the ligamentum denticulatum.
Within these compartments, the neck houses the cervical vertebrae, the cervical portion of the spinal cord, upper parts of the respiratory and digestive tracts, endocrine glands, nerves, arteries and veins. The muscles of the neck, which are separate from the compartments, form the boundaries of the neck triangles. [2]
The number of vertebrae in a region can vary but overall the number remains the same. In a human spinal column, there are normally 33 vertebrae. [3] The upper 24 pre-sacral vertebrae are articulating and separated from each other by intervertebral discs, and the lower nine are fused in adults, five in the sacrum and four in the coccyx, or tailbone.
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