The spine is a central structure in our body that serves as a support and locomotor system. It keeps us upright and enables us to move in different directions. The spine consists of several segments: 7 cervical vertebrae, 12 thoracic vertebrae, 5 lumbar vertebrae and the sacral area, which includes the sacrum and coccyx.
Each intervertebral disc consists of an elastic core surrounded by a fibrous ring. The posterior part of the spinal canal is formed by the vertebral arches, which end in an extension and between which a strong ligament is stretched. The spinal cord itself extends only to the first lumbar vertebra, below which nerve roots continue through the spinal canal, exiting bilaterally between vertebrae. The spine has two crucial functions: It enables the body to move in all directions and absorbs the strain that certain movements put on the body. It also provides protection for the spinal cord and the emerging nerve roots, similar to the way the skull protects the brain. The optimal balance of vertebrae, intervertebral discs, muscles and ligaments enables us to move in all directions and helps us to cope with stress in everyday life and especially during physical activity.
The spine is a central structure in our body that serves as a support and locomotor system. It keeps us upright and enables us to move in different directions. The spine consists of several segments: 7 cervical vertebrae, 12 thoracic vertebrae, 5 lumbar vertebrae and the sacral area, which includes the sacrum and coccyx.
Each intervertebral disc consists of an elastic core surrounded by a fibrous ring. The posterior part of the spinal canal is formed by the vertebral arches, which end in an extension and between which a strong ligament is stretched. The spinal cord itself extends only to the first lumbar vertebra, below which nerve roots continue through the spinal canal, exiting bilaterally between vertebrae. The spine has two crucial functions: It enables the body to move in all directions and absorbs the strain that certain movements put on the body. It also provides protection for the spinal cord and the emerging nerve roots, similar to the way the skull protects the brain. The optimal balance of vertebrae, intervertebral discs, muscles and ligaments enables us to move in all directions and helps us to cope with stress in everyday life and especially during physical activity.
Each vertebra consists of a vertebral body, a vertebral arch, a vertebral foramen and several projections. The front, almost square vertebral body bears the main load. On its back lies the vertebral arch, which forms a horseshoe-shaped vertebral foramen. All the vertebral foramen together form the spinal canal through which the spinal cord runs.
The intervertebral discs act as natural shock absorbers. They are located between the individual vertebrae and contribute to the spine's mobility. Each intervertebral disc consists of a gelatinous core (nucleus pulposus) and a surrounding fibrous ring (annulus fibrosus).
The nucleus acts as a shock absorber and can change shape to compensate for the pressure exerted on the spine during movement. The fibrous ring holds the nucleus in place and prevents it from moving too far from its natural position.
A herniated disc occurs when the fibrous ring ruptures and part of the gelatinous nucleus leaks out. This can put pressure on the surrounding nerves and cause pain, numbness and weakness in the back and legs or the arms. A herniated disc can occur at any disc level, but the three lowest discs in the lower back are most commonly affected. This is where we find around 90% of herniated discs in the lumbar spine. They mostly occur between the 4th and 5th lumbar vertebrae or between the 5th lumbar vertebra and the sacrum.