A fundamental part of our nervous system that has multiple roles.
When we think of the nervous system, we tend to think almost exclusively of the brain.
Focusing on this organ is logical due to its special relevance, but it is often forgotten that the nervous system is precisely a system, that is, a set of interrelated elements. In other words, not everything is the brain. Furthermore, within the nervous system there are two major divisions, the central nervous system and the autonomic nervous system.
In addition to the king organ, in the central nervous system we can also find another large component: the spinal cord, through which most of the innervations of the body pass.
What is the spinal cord?
The spinal cord is the most caudal part of the central nervous system, beginning in the medulla oblongata and ending in the lower back.
It is the lower part of the neuroaxis, with a slightly flattened and asymmetric cylindrical shape that, like the brain, is strongly protected as it is surrounded by the spinal column. Likewise, it also enjoys the protection of the meninges and cerebrospinal fluid, which prevent most of the damage caused by the elements of the environment.
In a sense, it is a part of the nervous system that is not completely anatomically separated from the brain, but many of the elements involved in the latter work at the same time in the spinal cord. However, it is possible to identify the beginning of this structure just below the brainstem.
This part of the nervous system is the point of connection between the brain and the rest of the body, passing the vast majority of nerve fibers through the spinal cord. The transmission of information does not generally occur through a single neuron, but as a general rule, the neurons that make up the different nerves of the body make one or more intermediate synapses, either within the medulla itself or outside it (such as with the neurons of the nerve ganglia).
The spinal cord receives both inputs and outputs, that is, it has both neurons that receive information from the receptors of the different organs and structures and others that send information and orders to these areas.
On the other hand, it must be borne in mind that the spinal cord is not simply a kind of conduit through which nerves from all parts of the body travel towards the brain and vice versa; its composition and functions are more complex than they appear, and it is even possible to find similar elements between this part of the nervous system and the brain. For example, in both structures we find an envelope of meninges, cerebrospinal fluid and a differentiation between white matter and gray matter.
Although the division into vertebrae has more to do with the configuration of the spinal column, that is, the bony protection of the spinal cord that in turn serves as a supporter of the body position, it may be useful to take it into consideration to locate the situation of the parts of the medulla that innervate the different areas of the body.
Most human beings are born with a total of 33 vertebrae, including seven cervical, twelve thoracic, five lumbar, five sacral, and four coccygeal vertebrae. As we develop, the number is reduced as the lower ones merge to form the sacrum and coccygeal bones, only the first 24 are considered vertebrae, ending in L5 or lumbar 5. The beginning of the spinal cord is located a little earlier of its covering by the vertebral column, being attached to the medulla oblongata. The point where the cord ends can vary from one person to another, generally culminating between the L1 and L3 vertebrae.
In general, the nerve connections correspond to the spinal cord correspond to the area where they are. Thus, in the part of the cord located between the thoracic vertebrae are the nerve connections that innervate the thorax, and so on. Regarding the nerves that connect to the medulla, we have a total of thirty-one pairs, being eight cervical, twelve thoracic, five lumbar, five sacral and one coccygeal. A point to highlight is the presence of two areas in which the medulla is somewhat wider, because in these areas are the nerve connections with the extremities.
Between the C4 and T1 vertebrae there is an area somewhat wider than the rest of the spinal cord. This area, known as cervical intumescence, is thicker because in this place are the nerve connections that connect with the upper extremities
Towards the lower end of the medulla, a thickening can be observed, between the vertebrae T11 to L1, called lumbosacral intumescence. It is the part of the medulla that innervates the lower extremities, and which together with the so-called horsetail connects with the parts of the body located at the lower end.
Regarding the just mentioned horse’s tail, which receives its name due to the similarity of its shape with the tail of said animal, it is the set of nerve fibers that connect with the spinal nerves. This shape is due to the fact that the spinal cord is shorter than the spinal column, so the areas below the lumbar area must project their nerve endings to the spinal nerves located below it.
Parts of the medulla
It has been observed that the medulla has different nerve connections that innervate different areas of the body. However, it may be of interest to analyze the internal structure of the spinal cord.
As in the brain, in the medulla we find both gray matter and white matter. However, the arrangement is reversed, the white matter being located in an external position and the gray in the internal part of the medulla. Generally, the transmission of information occurs ipsilaterally, that is, the right side of the body is treated by the left side of the spinal cord while the left side works with the right side.
The gray matter has this coloration because it is a set of cells or nuclei of neurons, which project their axons to other areas. That is, it is in these areas where the bodies of neurons accumulate, information processing centers (although this processing is very cursory since it is not in the brain).
The gray matter is structured in different horns or antlers, the main ones being the ventral horn, the dorsal horn and the intermediate zone. There is also the lateral horn, but only in the thoracic area and the beginning of the lumbar.
The dorsal horn is responsible for receiving information systems innervated by the Bone Marrow to. In other words, it is the part of the spinal cord that ensures that the external or internal stimulation detected by the receptors can be sent to the brain.
The ventral horn of the spinal cord, unlike the dorsal horn, has the main function of emitting information to the nerves, causing the body to react to external or internal stimuli. Through it voluntary movement is exercised.
With regard to the intermediate zone, interneurons abound, which are those whose main function is to serve as a link between two other neurons. They are connecting bridges between distal areas.
Although it only appears in the thoracic area and part of the lumbar area, the lateral horn is of great importance, innervating different structures and participating in the sympathetic and parasympathetic systems of the autonomic nervous system. In this sense, it plays a fundamental role in homeostasis, the process by which the body establishes a balance or harmony between different areas of the body so that all organs function in a healthy and coordinated way.
The white matter is formed mainly by the axons of the neurons, interconnecting the medulla and the brain. It is organized into different fibers that are named after the areas with which they connect, and can be ascending or descending. In the medulla you can find three columns, the dorsal, the lateral and the ventral.
The dorsal column is mainly made up of somatic-type afferent fibers. In other words, as with the dorsal horn in the gray matter, which is responsible for transmitting sensory information, from the brain to the spinal cord and vice versa depending on whether it is ascending or descending.
The ventral and lateral columns are tracts and fascicles, which tend to be of the efferent type, carrying the motor orders given by the brain.
Thus, in general, the distribution of the white matter and the gray matter of the spinal cord is inverted with respect to what happens in the brain: while in the latter the white matter predominates in the interior and the gray matter in the more superficial layers, here it is the other way around.
Functions of the spinal cord
The importance of this part of the central nervous system is beyond doubt. It is only necessary to observe the effects that damage has in this area to understand that it is a fundamental section for normal operation. And it is that the spinal cord is more than the channel through which the brain communicates with the rest of the body; You can also perform certain automated activities, such as reflex arcs.
In summary, the main functions that make this section of the nervous system so relevant are the following.
1. Transmission of sensory and motor information
The spinal cord is the relay nucleus for neurons and nerve fibers present in most parts of the body. This means that both when the brain gives the order to perform an action (for example, kicking a ball) and when a part of our body perceives some stimulus (a caress on the arm), the information first passes to the spinal cord, which will send the information to the muscles or brain for processing.
Thus, the spinal cord acts as an elevator for afferent information and efferent information.
2. Information processing
Although it is in the brain where the stimulation becomes conscious, the medulla makes a quick judgment of the situation in order to determine whether to only send the information to the brain or to provoke an emergency action even before it arrives.
Thus, in relation to mental processes, it allows the appearance of a type of shortcut in which the information does not have to wait to be processed by higher instances to generate a response.
3. Immediate reaction: reflexes
As we have just seen, sometimes the spinal cord itself produces an action without the information having yet been transmitted to the brain. These performances are what we know as reflexes. To illustrate, we can think of accidentally putting a hand on fire: the hand is withdrawn immediately, unplanned and without the information having yet passed to the brain.
The role of reflexes is clear: to offer a quick reaction to potentially dangerous situations. As the sensory information already produces a response when it reaches the spinal cord, without having to wait to be captured by the brain, time is saved, something very valuable in the event of an animal attack or when it can be injured by falls or by Burns. In this way, programmed actions are carried out in the design of the spinal cord, and they are always executed in the same way.
These types of functions fit in with the logic that governs the nervous system in general (and therefore also the spinal cord): speed is often more important than precision or considerations about whether taking a certain action fits or not with social norms. The time we save with this can save us a lot of problems when our physical integrity is at stake.
However, in the case of babies there are also reflexes that are lost during the first months after birth and whose basic function is not always to react quickly, but to perform acts that favor survival, such as sucking breast milk. In this case we speak of primitive reflexes, the absence of which may be a sign of illness.
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