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Anatomy of Back Pain
The Spinal Column

The human spine consists of a number of vertebrae, or units of bone, arranged in a vertical structure – a structure known as the spinal column.

In new-born children, the column comprises 33 distinct, or physically separate, vertebrae. Over time, however, the units at the base of the column fuse together to form the coccyx, or ‘tailbone’, and the sacrum, which forms part of the pelvis.

As can be seen from the diagram, the column itself actually consists of five, distinct regions – these are known (from top to bottom) as the:
  • cervical spine (red)

  • thoracic spine (yellow)

  • lumbar spine (green)

  • sacrum (turquoise)

  • coccyx (dark blue)

spinal column - posterior view

The table below provides more detail on each region:

Level No. Vertebrae Labels Fused Region
Cervical 7 C1 - C7 No Neck
Thoracic 12 T1 - T12 No Mid Back
Lumbar 5 L1 - L5 No Lower Back
Sacral 5 S1 - S5 Yes Sacrum
Coccygeal 4 Co1 - Co4 Yes Coccyx



The mechanical function of the spine is two-fold: it must provide structural support for the body, and allow us to move freely in three dimensions (bending over and rotating as necessary); the neurological function of the spine, of course, is to innervate (or provide a nerve supply to) the rest of the body.

In order to understand how both of these functions are achieved, we first need to understand the structure of the individual vertebrae, and how they come together to form the column itself.



Next >>> The Vertebrae

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Anatomy of Back Pain

Spinal Column

Vertebrae

Facet Joints

Nervous System