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In humans, cervical vertebrae are the smallest of the true vertebrae and can be readily distinguished from those of the thoracic or lumbar regions by the presence of a foramen (hole) in each transverse process, through which the vertebral artery, vertebral veins, and inferior cervical ganglion pass. The remainder of this article focuses upon ...
They then proceed superiorly, in the transverse foramen of each cervical vertebra. [1] Once they have passed through the transverse foramen of C1 (also known as the atlas), the vertebral arteries travel across the posterior arch of C1 and through the suboccipital triangle [3] before entering the foramen magnum. [1]
In a typical vertebra, the vertebral foramen is the foramen (opening) of a vertebra bounded ventrally/anteriorly by the body of the vertebra, and the dorsally/posteriorly by the vertebral arch. [ 1 ] : 421
Specific to the cervical vertebra is the transverse foramen (also known as foramen transversarium). This is an opening on each of the transverse processes which gives passage to the vertebral artery and vein and a sympathetic nerve plexus. On the cervical vertebrae other than the atlas, the anterior and posterior tubercles are on either side of ...
They play a large role in the stability of the cervical spine alongside the laminae of C7. [2] The vertebral foramen is large, but smaller than the atlas. The transverse processes are very small, and each ends in a single tubercle. Each process is perforated by the transverse foramen, which is directed obliquely upward and laterally.
Accessory transverse foramen of the atlas is present in 1.4–12.5% across the population. [7] Foramen arcuale or a bony bridge above the vertebral artery on the posterior arch of the atlas may be present. This foramen has an overall prevalence of 9.1%. [8]
[2]: 424, 425 Each intervertebral foramen gives passage to a spinal nerve and spinal blood vessels, and lodges a posterior (dorsal) root ganglion. [2]: 425 Cervical, thoracic, and lumbar vertebrae all have intervertebral foramina. [citation needed]
They unite with small veins from the deep muscles at the upper part of the back of the neck, and form a vessel which enters the foramen in the transverse process of the atlas, and descends, forming a dense plexus around the vertebral artery, in the canal formed by the transverse foramina of the upper six cervical vertebrae.