Vertebrae: Atlas and Axis

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2–3 minutes

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A diagram of the human spinal column. The spine is shown from the back, consisting of individual vertebrae connected from the neck down to the pelvis. Brackets and labels identify the main sections: the cervical vertebrae at the top, followed by the longer section of thoracic vertebrae, and the lumbar vertebrae at the bottom above the pelvis
Diagram of the human spinal column, labeled with cervical, thoracic, and lumbar vertebrae
  • Odontoid process (axis)

The vertebral column can be intimidating. However, there are similarities in all the vertebrae. There are also similarities among those in specific locations.  Starting at the top, or superiorly, are the 7 cervical vertebrae associated with your neck. We number the vertebrae from the top to the bottom. Therefore, the first vertebra, on which the occipital condyles of the occipital bone sit, is C1. The thoracic spine has 12 vertebrae also with T1 superior to T12. Lumbar vertebrae are the last 5 vertebrae that are not fused. These are separate bones, whereas the sacrum and coccyx (discussed elsewhere) are fused bones. 

Anatomical illustration of the atlas vertebra (C1) shown in relation to the skull and other cervical vertebrae. The skull appears semi-transparent, with the atlas highlighted in natural bone color, sitting atop the cervical spine. This visual emphasizes the atlas's position as the first vertebra, directly connecting the spine to the skull.
Atlas vertebra highlighting its location in the human neck, attached to skull.
A back view of the upper skeletal structure highlighting the axis vertebra. The skull and ribcage are semi-transparent, to show how the axis vertebra connects to the head.
Axis vertebra detail within transparent skull and skeleton.

Atlas was the Titan who holds the weight of the world on his shoulders.  The top most vertebra, or C1, is called the atlas.  It sits on the axis.  Nod your head yes.  Do it.  As you do, your skull is rocking back and forth on the atlas here.  There are there these nubs on the occipital bone of the skull that rock on this surface here.  Now, shake your head no.  Not so vigorously.  The atlas is rotating around the axis.  There is this post on the axis called the odontoid process. The axis is C2.  Both of these cervical vertebrae are very specific.  They only generally reflect the shape of the other cervical vertebrae.

Let’s take a look at the cervical vertebrae.  The big hole in the center is called the vertebral foramen. All vertebrae have this hole that the nervous tissue of the spinal cord threads through. cervical vertebrae have a triangular shaped vertebral foramen, but so does lumbar vertebrae. The atlas and the axis have a vertebral foramen. It is a flattened triangle, whereas these other cervical vertebrae have a pretty upright triangle. 

Top-down 3D rendering of a cervical vertebra. The bone is beige against a white background. The body of the vertebra is squared off, while the spinous processes appear as two prongs projecting downward.
Cervical vertebra, viewed from above.

The transverse foramen of cervical vertebrae are the hole that are off to the side. In this picture of a generic cervical vertebra, the transverse foramen look like ears.

The spike pointing posteriorly is the spinous process. Like the vertebral foramen, every vertebra has this. This will always jut out to the posterior or back.  Ok, so, take a moment to orient your self.  The back of the vertebra is at the bottom of the picture.  The front, or anterior, of the vertebra is at the top of the picture. 

On the anterior side of the bone is the body. When we stack vertebrae on top of each other, we have fibrocartilage discs between them. Each disc is situated on the body of each vertebra. This makes me think of my mom with her “good” china. She would put paper plates between the good plates so they wouldn’t scratch each other.

One last feature on cervical vertebra are the superior articular facets. There are two, left and right. They are cup-shaped areas where the vertebra articulates (meets, joins, fits) with the vertebra above it. On this generic cervical vertebra, the superior articular facets are posterior to the transverse foramen.

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