Spine development
Embryonic Stages and Germ Layers
- 17th Day of Gestation:
- The embryo enters the triploblastic stage, consisting of three germ layers:
- Endoderm
- Ectoderm
- Mesoderm
- Through a process called gastrulation, these layers position themselves and begin interacting, setting the anteroposterior axis of the embryo and initiating neural development from the ectoderm.
- The embryo enters the triploblastic stage, consisting of three germ layers:
Formation of the Notochord and Neural Plate (Third Week)
- Notochord Formation:
- Appears during the third week.
- Acts as a foundation for the spinal column.
- Later transforms into the nucleus pulposus of intervertebral discs.
- Neural Plate and Neural Tube Formation:
- The notochord induces the formation of the neural plate.
- By the fourth week, the neural plate folds into the neural tube through a process called neurulation.
Somites and Spinal Development
- Somite Formation:
- Pairs of somites emerge from the mesoderm.
- Sclerotome: Becomes the vertebral body and annulus fibrosus.
- Myotome: Develops into muscles.
- Sclerotome Transformation (Fourth Week):
- Surrounds the notochord to form vertebral bodies and annulus fibrosus.
- Grows around the neural tube to form vertebral arches.
- Inter-segmentation occurs:
Front half of one sclerotome fuses with the back half of the next to form a single vertebra.
This explains the segmental blood supply pattern.
Ossification Process of Vertebrae
- 7-8 Weeks Gestation:
- Ossification begins, with the exception of C1 (atlas), C2 (axis), and the sacrum.
- Three Stages of Ossification:
- Starts in the lower thoracic and upper lumbar regions.
- Progresses cranially and caudally.
- Cartilage centers form and unite to create:
- Vertebral body
- Neural arch
- Apophyses on the transverse and spinous processes.
Key Developmental Stages
Stage | Developmental Activity |
---|---|
Week 3 | Formation of the notochord and initiation of the neural plate. |
Week 4 | Neural plate folds into the neural tube, somites form. |
Week 7-8 | Ossification begins, centers form in vertebral regions. |
Growth Zones in Vertebrae
- Three growth zones contribute to the structure of vertebrae:
- Center of the vertebral body
- Neural arch
- Transverse and spinous processes
- Each vertebra results from approximately 100 growth plates.
Neurocentral Synchondrosis
- Definition:
- A growth plate located at the junction between the vertebral body and the pedicle.
- Role in Growth:
- Critical for the development of the vertebral body and posterior arch.
- Developmental Timeline:
- Fusion by age 9 in humans, allowing for normal spinal development.
- Intervention Impact:
- Screw fixation crossing this plate before fusion can lead to scoliosis in growing animals, but not after the age of 10.
Key Milestones in Spinal Development
Developmental Stage | Key Event |
---|---|
Week 17 | Triploblastic stage and gastrulation begin. |
Week 3 | Notochord formation, neural plate development. |
Week 4 | Neural tube formation and somite development. |
Week 7-8 | Ossification of vertebrae begins. |
Age 9 | Neurocentral synchondrosis fuses. |