This article or section appears to contradict itself on Last's Anatomy states: "The internal vertebral plexus sends its efferent veins (the intervertebral veins) [...] to drain into the external vertebral venous plexus and thence into the segmental veins." This seems to contradict the content referencing Gray's Anatomy..(August 2023) |
Intervertebral veins | |
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Details | |
Identifiers | |
Latin | vena intervertebralis |
Anatomical terminology |
The intervertebral veins accompany the spinal nerves through the intervertebral foramina to drain the internal vertebral venous plexuses into the external vertebral venous plexuses. [1] They drain (in craniocaudal sequence) into vertebral vein, intercostal veins, lumbar veins, and lateral sacral veins. Upper posterior intercostal veins may additionally drain via brachiocephalic vens. They may drain to ascending lumbar veins. They may drain into the inferior vena cava directly, reaching it by winding around the surface of the vertebral body. [2]
It is unclear whether intervertebral veins contain functional venous valves; blood flow through intervertebral veins may be reversible, suggesting a possible mechanism for metastatic spread of e.g. prostatic cancer to the spine during temporary blood flow reversals (e.g. during periods of elevated intra-abdominal pressure or during postural alterations). [2]
Their drainage depends upon the part of the body:
A spinal nerve is a mixed nerve, which carries motor, sensory, and autonomic signals between the spinal cord and the body. In the human body there are 31 pairs of spinal nerves, one on each side of the vertebral column. These are grouped into the corresponding cervical, thoracic, lumbar, sacral and coccygeal regions of the spine. There are eight pairs of cervical nerves, twelve pairs of thoracic nerves, five pairs of lumbar nerves, five pairs of sacral nerves, and one pair of coccygeal nerves. The spinal nerves are part of the peripheral nervous system.
The inferior vena cava is a large vein that carries the deoxygenated blood from the lower and middle body into the right atrium of the heart. It is formed by the joining of the right and the left common iliac veins, usually at the level of the fifth lumbar vertebra.
In human anatomy, the thoracic duct is the larger of the two lymph ducts of the lymphatic system. The thoracic duct usually begins from the upper aspect of the cisterna chyli, passing out of the abdomen through the aortic hiatus into first the posterior mediastinum and then the superior mediastinum, extending as high up as the root of the neck before descending to drain into the systemic (blood) circulation at the venous angle.
The azygos vein is a vein running up the right side of the thoracic vertebral column draining itself towards the superior vena cava. It connects the systems of superior vena cava and inferior vena cava and can provide an alternative path for blood to the right atrium when either of the venae cavae is blocked.
In human anatomy, the spinal canal is the bony canal within the vertebral column that contains the spinal cord. It is a process of the dorsal body cavity. The spinal canal is enclosed within the foramina of the vertebrae. In the intervertebral spaces, the canal is protected by the ligamentum flavum posteriorly and the posterior longitudinal ligament anteriorly.
In human anatomy, the common iliac veins are formed by the external iliac veins and internal iliac veins. The left and right common iliac veins come together in the abdomen at the level of the fifth lumbar vertebra, forming the inferior vena cava. They drain blood from the pelvis and lower limbs.
The ligamenta flava are a series of ligaments that connect the ventral parts of the laminae of adjacent vertebrae. They help to preserve upright posture, preventing hyperflexion, and ensuring that the vertebral column straightens after flexion. Hypertrophy can cause spinal stenosis.
The intervertebral foramen is an opening between two pedicles of adjacent vertebra in the articulated spine. Each intervertebral foramen gives passage to a spinal nerve and spinal blood vessels, and lodges a posterior (dorsal) root ganglion. Cervical, thoracic, and lumbar vertebrae all have intervertebral foramina.
The posterior longitudinal ligament is a ligament connecting the posterior surfaces of the vertebral bodies of all of the vertebrae of humans. It weakly prevents hyperflexion of the vertebral column. It also prevents posterior spinal disc herniation, although problems with the ligament can cause it.
The lumbar veins are four pairs of veins running along the inside of the posterior abdominal wall, and drain venous blood from parts of the abdominal wall. Each lumbar vein accompanies a single lumbar artery. The lower two pairs of lumbar veins all drain directly into the inferior vena cava, whereas the fate of the upper two pairs is more variable.
The ventral ramus is the anterior division of a spinal nerve. The ventral rami supply the antero-lateral parts of the trunk and the limbs. They are mainly larger than the dorsal rami.
The external vertebral venous plexuses consist of anterior and posterior plexuses which anastomose freely with each other. They are most prominent in the cervical region where they form anastomoses with the vertebral, occipital, and deep cervical veins.
The internal vertebral venous plexuses lie within the vertebral canal in the epidural space, embedded within epidural fat. They receive tributaries from bones, red bone marrow, and spinal cord. They are arranged into four interconnected, vertically oriented vessels - two situated anteriorly, and two posteriorly:
The basivertebral veins are large, tortuous veins of the trabecular bone of vertebral bodies that drain into the internal and external vertebral venous plexuses.
The prostatic veins form a well-marked prostatic plexus which lies partly in the fascial sheath of the prostate and partly between the sheath and the prostatic capsule. It collects blood from the prostate, and the corpora cavernosa of penis. It communicates with the pudendal and vesical plexuses.
The following outline is provided as an overview of and topical guide to human anatomy:
The spinal cord is a long, thin, tubular structure made up of nervous tissue that extends from the medulla oblongata in the brainstem to the lumbar region of the vertebral column (backbone) of vertebrate animals. The spinal cord is hollow with a central canal, which contains cerebrospinal fluid, and is covered by meninges and enclosed by the neural arches. The brain and spinal cord together make up the central nervous system (CNS).
The vertebral column, also known as the backbone or spine, is part of the axial skeleton. The vertebral column is the defining characteristic of a vertebrate in which the notochord found in all chordates has been replaced by a segmented series of bone: vertebrae separated by intervertebral discs. Individual vertebrae are named according to their region and position, and can be used as anatomical landmarks in order to guide procedures such as lumbar punctures. The vertebral column houses the spinal canal, a cavity that encloses and protects the spinal cord.
The spinal column, a defining synapomorphy shared by nearly all vertebrates, is a moderately flexible series of vertebrae, each constituting a characteristic irregular bone whose complex structure is composed primarily of bone, and secondarily of hyaline cartilage. They show variation in the proportion contributed by these two tissue types; such variations correlate on one hand with the cerebral/caudal rank, and on the other with phylogenetic differences among the vertebrate taxa.
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