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The nuchal ligament extends from the external occipital protuberance on the skull and median nuchal line to the spinous process of the seventh cervical vertebra in the lower part of the neck. [ 1 ] From the anterior border of the nuchal ligament, a fibrous lamina is given off.
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] However, the term atlas was first used by the ancient Romans for the seventh cervical vertebra (C7) due to its suitability for supporting burdens. [2]
Superior to the 7th cervical vertebra, the supraspinous ligament is continuous with the nuchal ligament. [ 2 ] : 45 It is thicker and broader in the lumbar region than in the thoracic region, and intimately blended with the neighboring fascia in both these regions. [ 3 ]
In some, the x-ray findings may correspond to symptoms of back stiffness with flexion/extension or with mild back pain. [2] Back pain or stiffness may be worse in the morning. [4] Rarely, large anterior cervical spine osteophytes may affect the esophagus or the larynx and cause pain, difficulty swallowing [5] [6] or even dyspnea. [7]
Patients with cervical fractures will likely be prescribed medication for pain control. In the long term, physical therapy will be given to build strength in the muscles of the neck to increase stability and better protect the cervical spine. Collars, traction and surgery can be used to immobilize and stabilize the neck after a cervical fracture.
The semispinalis capitis (complexus) is situated at the upper and back part of the neck, deep to the splenius muscles, and medial to the longissimus cervicis and longissimus capitis. It arises by a series of tendons from the tips of the transverse processes of the upper six or seven thoracic and the seventh cervical vertebrae , and from the ...
Common sources of neck pain (and related pain syndromes, such as pain that radiates down the arm) include (and are strictly limited to): [11] Whiplash, strained a muscle or another soft tissue injury; Cervical herniated disc; Cervical spinal stenosis; Osteoarthritis; Vascular sources of pain, like arterial dissections or internal jugular vein ...
There is a hook-shaped uncinate process on the side edges of the top surface of the bodies of the third to the seventh cervical vertebrae and of the first thoracic vertebra. Together with the vertebral disc, this uncinate process prevents a vertebra from sliding backward off the vertebra below it and limits lateral flexion (side-bending).
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