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Multiple Choice
In an adult, the spinal cord typically ends at which vertebral level?
A
T12
B
L5
C
S1
D
L1-L2
Verified step by step guidance
1
Understand the anatomy of the spinal cord: The spinal cord is a cylindrical structure that extends from the brainstem and is protected by the vertebral column. It serves as a communication pathway between the brain and the rest of the body.
Learn the typical termination point of the spinal cord: In adults, the spinal cord does not extend the entire length of the vertebral column. Instead, it typically ends at the level of the L1-L2 vertebrae, forming the conus medullaris.
Recognize the significance of the conus medullaris: Below the conus medullaris, the spinal nerves continue as a bundle called the cauda equina, which resembles a horse's tail. This anatomical feature is important for understanding the transition from the spinal cord to peripheral nerves.
Compare the options provided: T12 is too high, as the spinal cord extends beyond this level. L5 and S1 are too low, as the spinal cord terminates before reaching these levels. L1-L2 is the correct range for the termination point in adults.
Apply this knowledge to clinical contexts: Understanding the termination point of the spinal cord is crucial for procedures like lumbar punctures, which are typically performed below L2 to avoid damaging the spinal cord.