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The conus medullaris (Latin for "medullary cone") or conus terminalis is the tapered, lower end of the spinal cord. It occurs near lumbar vertebral levels 1 (L1) and 2 (L2), occasionally lower. [1][2] The upper end of the conus medullaris is usually not well defined, however, its corresponding spinal cord segments are usually S1–S5.
The conus medullaris (or lower termination of the spinal cord) normally terminates at or above the L1-2 disk space (where L1 is the first, or topmost lumbar vertebra). After about 3 months of age, a conus below the L1-2 disk space may indicate a tethered cord and termination below L3-4 is unmistakably tethered.
Sectional organization of spinal cord. The spinal cord is the main pathway for information connecting the brain and peripheral nervous system. [3] [4] Much shorter than its protecting spinal column, the human spinal cord originates in the brainstem, passes through the foramen magnum, and continues through to the conus medullaris near the second lumbar vertebra before terminating in a fibrous ...
The conus medullaris (bottom of the spinal cord) terminates at the level of L1 in adults, but may range in term neonates (newly born babies) from L1–L3 levels. [31] It is important to insert the spinal needle below the conus medullaris at the L3/L4 or L4/L5 interspinous levels. [32]
Cauda equina syndrome, a rare disorder affecting the bundle of nerve roots (cauda equina) at the lower (lumbar) end of the spinal cord, is a surgical emergency. [3] Cauda equina syndrome occurs when the nerve roots in the lumbar spine are compressed, disrupting sensation and movement. [4] Nerve roots that control the function of the bladder and ...
5384, 5414. FMA. 83977. Anatomical terminology. [edit on Wikidata] The filum terminale ("terminal thread") is a delicate strand of fibrous tissue, about 20 cm in length, extending inferior-ward from the apex of the conus medullaris to attach onto the coccyx. [1][2] The filum terminale acts to anchor the spinal cord and spinal meninges inferiorly.
Medication, physiotherapy, injections, surgery. Lumbar spinal stenosis (LSS) is a medical condition in which the spinal canal narrows and compresses the nerves and blood vessels at the level of the lumbar vertebrae. Spinal stenosis may also affect the cervical or thoracic region, in which case it is known as cervical spinal stenosis or thoracic ...
The transpyloric plane, also known as Addison's plane, is an imaginary horizontal plane, located halfway between the suprasternal notch of the manubrium and the upper border of the symphysis pubis at the level of the first lumbar vertebrae, L1. It lies roughly a hand's breadth beneath the xiphisternum [1] or midway between the xiphisternum and ...