Clean FRCS notes with inline figures
Spine embryology
•3 embryological layers: ectoderm, mesoderm, endoderm
•At 3 weeks, they aggregate at midline, the ectoderm infolds onto itself in the midline and form the neural tube, which is the precursor for CNS development. Dorsal to neurotube are the neural crest cells, which become the PNS. The mesoderm forms the notochord, which induces the process of neurylation and becomes the nucleus pulposus at maturity.
•At 4 weeks, paraxial mesoderm also aggregate in the midline to form somites (dermatome, myotome and sclerotome), which unite around the notochord to form the vertebral body and around the neutral tube to form the neural arch. Each somite forms one disc plus the adjoining cranial and caudal halves of the vertebra. The central part undergoes apoptosis to form the disc. And the superior and inferior parts fuse to form a vertebral body (von Eber fissure)
•At 6 weeks, the spine undergoes chondrification
•At 9 weeks, the primary ossification center is formed, consisting of 1 primary at body, and 2 primary at neural arch
•At 2-6 years old, the arches fuse with the body
•At 12 years old, the secondary ossification centers appear at the spinous process, transverse process, apophyseal rings
•At 25 years old, the secondary fuses to the primary ossification center
•Apophyseal ring avulsion fracture can be associated with PID in teenager


