spinal cord

general

·      extends from brainstem to L1

·      extends to L3 at birth

cross-section

·      anterior fissure and posterior sulcus

Grey matter

·      cell bodies

·      H-shaped

·      anterior and posterior horns

·      central commissure

·      anterior horn falls short of cord

White matter

·      fibres

Dorsal columns

·      ascending fibres

·      transmit sensation

·      pressure

·      proprioception

·      vibration

·      lie between posterior horn and posterior sulcus

·      divided into

·      gracile tract (lower limb)

·      cuneate tract (upper limb)

·      fibres cross over in medulla

Lateral columns

·      lie between posterior and anterior horns

·      fibres cross over in cord

Lateral corticospinal tract

·      descending fibres

·      transmit voluntary motor

·      lie posteriorly close to posterior horn

·      arm is medial

·      trunk is intermediate

·      leg is lateral

Lateral spinothalamic tract

·      ascending fibres

·      transmit pain and temperature

·      lie anteriorly close to anterior horn

·      arm is medial

·      trunk is intermediate

·      leg is lateral

Anterior columns

·      lie between anterior horns and anterior fissure

·      fibres cross over in cord

Ventral corticospinal tract

·      descending fibres

·      transmit voluntary motor

·      lie medially

Ventral spinothalamic tract

·      ascending fibres

·      transmit light touch

·      lie anteriorly