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CHAPTER 16 Answers to “What Did You Learn?” 1. The cervical enlargement is located in the inferior cervical part of the spinal cord. It contains the neurons that innervate the upper limbs. The lumbosacral enlargement extends through the lumbar and sacral parts of the spinal cord and contains neurons that innervate the lower limbs. 2. There are 31 pairs of spinal nerves: 8 cervical nerves (C1–C8), 12 thoracic nerves (T1–T12), 5 lumbar nerves (L1–L5), 5 sacral nerves (S1–S5), and 1 coccygeal nerve (Co1). 3. The denticulate ligaments are paired, lateral triangular extensions of the spinal pia mater that attach to the dura mater. They help suspend and anchor the spinal cord within the middle of the vertebral canal to prevent potential lateral displacement of the spinal cord. 4. The gray matter in the spinal cord is centrally located and its shape resembles an H or a butterfly. Bilaterally symmetrical right and left regions of gray matter are connected in the midline by a thin, horizontal bar of gray matter, called the gray commissure, which surrounds a narrow central canal. Gray matter regions on both sides are artificially separated into three projections, called horns (anterior, lateral, and posterior horns). The white matter is external to the gray matter and is partitioned into three regions, each called a funiculus. 5. The anterior horns are left and right anterior masses of gray matter. They primarily house the cell bodies of somatic motor neurons which innervate skeletal 16-1 muscle. The posterior horns are the left and right posterior masses of gray matter. The axons of sensory neurons and the cell bodies of interneurons are located in the posterior horns. 6. White matter is partitioned into three regions, each called a funiculus. The posterior funiculus lies between the posterior gray horns, the lateral funiculus is the white matter region on each lateral side of the spinal cord, and the anterior funiculus are the white matter tracts that are on each anterior side of the cord between the anterior gray horns and the anterior median fissure of the spinal cord. Each funiculus region contains both ascending and descending tracts. Thus, each funiculus contains both motor and sensory axons. 7. Cell bodies of the sensory neurons are housed in the posterior root ganglion that is attached to the posterior root. Each posterior root ganglion is located medial to the pedicles of the adjacent vertebrae. 8. The principal nerve plexuses, from superior to inferior, are the cervical, brachial, lumbar, and sacral. 9. The brachial plexus is formed from the anterior rami of spinal nerves C5 through T1. 10. The main nerves of the lumbar plexus are the femoral nerve and the obturator nerve. The main nerve of the sacral plexus is the sciatic nerve, which divides into the tibial and common fibular nerves. 11. The five steps in a reflex arc are: (1) activation of a receptor by a stimulus; (2) nerve impulse travels through a sensory neuron to the spinal cord; (3) the nerve impulse is processed in the integration center by interneurons; (4) a motor neuron 16-2 transmits a nerve impulse to an effector; and (5) the effector responds to the nerve impulse from the motor neuron. 12. In a monosynaptic reflex, sensory axons synapse directly on the motor neurons whose axons then project to the effector. Interneurons do not function in this type of reflex. More complex neural pathways are observed in polysynaptic reflexes, which may have a number of synapses involving interneurons within the reflex arc. 13. Most components of the cranial and spinal nerves form from neural crest cells that have split off from the developing neural tube. 14. The alar plates form the posterior horns of the gray matter and the posterior part of the gray commissure. Answers to “Content Review” 1. The major parts of the spinal cord, from superior to inferior, are the cervical part, thoracic part, lumbar part, sacral part, and coccygeal part. Each part of the spinal cord contains motor neuron cell bodies and sensory axons that contribute to spinal nerves of the same name. For example, the cervical part of the spinal cord contains the motor neurons whose axons contribute to the cervical spinal nerves and receives input from sensory neurons through these spinal nerves. The different parts of the spinal cord do not match up exactly with the vertebrae of the same name, because the spinal cord proper ends at the level of the L1 vertebra. 16-3 2. The epidural space lies between the dura mater and the periosteum covering the inner walls of the vertebrae. This space houses areolar connective tissue, blood vessels, and adipose connective tissue. 3. Anterior horns are the left and right anterior masses of gray matter. The anterior horns primarily house cell bodies of somatic motor neurons that innervate skeletal muscle. Lateral horns are found only in the T1–L2 regions of the spinal cord. They contain the cell bodies of autonomic motor neurons, which innervate cardiac muscle, smooth muscle, and glands. Posterior horns are posterior masses of gray matter. The axons of sensory neurons and the cell bodies of interneurons are located in the posterior horns. 4. The cervical plexuses are located deep on each side of the neck immediately lateral to cervical vertebra C1–C4. Branches of the cervical plexuses innervate the anterior neck muscles, as well as the skin of the neck, and portions of the head and shoulders. 5. The five major terminal branches of the brachial plexus are the axillary nerve, median nerve, musculocutaneous nerve, radial nerve, and ulnar nerve. (1) The axillary nerve supplies the deltoid and teres minor muscles. (2) The median nerve innervates most of the anterior forearm muscles, the thenar muscles, and the lateral two lumbricals. (3) The musculocutaneous nerve innervates the anterior arm muscles (coracobrachialis, biceps brachii, and radialis). (4) The radial nerve arises from the posterior cord of the brachial plexus. It innervates the posterior arm and posterior forearm muscles, as well as brachioradialis. (5) The ulnar 16-4 nerve arises from the medial cord of the brachial plexus. It innervates some of the anterior forearm muscles. It also innervates most of the intrinsic hand muscles. 6. The lumbar plexus is formed from the anterior rami of L1–L4. The femoral and obturator nerves are formed from this plexus. 7. The tibial nerve innervates most of the hamstring muscles (except the short head of the biceps femoris), the posterior leg muscles, and the muscles on the plantar side of the foot. The common fibular nerve innervates the short head of the biceps femoris, the anterior leg muscles, lateral leg muscles, and the muscles on the dorsum of the foot. 8. Reflexes are rapid, automatic, involuntary reactions of muscles or glands to a stimulus. Usually a conscious movement is somewhat slower and not predictable. 9. A withdrawal reflex is a polysynaptic reflex that is initiated by a painful stimulus causing the movement of a traumatized body part away from the source of harm. A stretch reflex is a simple, monosynaptic reflex that monitors and regulates skeletal muscle length. When a muscle is stretched, it reflexively contracts to shorten. A Golgi tendon reflex is a polysynaptic reflex that prevents skeletal muscles from tensing excessively. 10. The basal plates lie anterior to the sulcus limitans. The basal plates develop into the anterior and lateral horns, motor structures of the gray matter. They also will form the anterior part of the gray commissure. 16-5