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Anatomy of Spinal Stenosis

To understand spinal stenosis, it helps to understand the anatomy of the spine. The spine is a column of connected bones called vertebrae. There are 24 vertebrae in the spine, plus the sacrum and tailbone (coccyx). Most adults have seven vertebrae in the neck (the cervical vertebrae), twelve from the shoulders to the waist (the thoracic vertebrae), and five in the lower back (the lumbar vertebrae).



The sacrum is made up of five vertebrae between the hipbones that are fused into one bone. The coccyx is made up of small fused bones at the tail end of the spine.
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Nerve Structures If you look at an individual vertebra from the top, you see a disc of bone in front and a ring of bone with several prongs (called “processes”) at the back. The disc sections of the vertebrae are separated by rubbery discs of cartilage that pad them from each other. The ring section is called the lamina, and the prongs of adjacent vertebrae are padded with some cartilage where they touch each other. They are also connected by ligaments, which keep the vertebrae in their proper place. The spinal cord, the thick bundle of nerves that extends downward from the brain, passes through the ring in each vertebra, which line up into a channel called the spinal canal. Two nerves branch out of the spinal cord on either side of the spine between each vertebra, through openings called the intervertebral foramina.

Normally, the spinal channel is wide enough for the spinal cord and the intervertebral foramina are wide enough for the nerve roots. But either or both can become narrowed and lead to spinal stenosis.
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