Fetal Anatomy of the Human Spinal Cord

Abstract

Due to the development and improvement of medical technologies and diagnostic methods, in recent years, the interest of neuromorphologists, neuropathologists, neurosurgeons and reproductive specialists in the histogenesis of the structures of the central nervous system, in particular, the spinal cord, has increased. In the process of macro- and microscopic examination of the spinal cord of human fetuses of 20-21 weeks of intrauterine development, the topography of the thickenings in relation to the parts of the spinal column was established according to our own method, the morphometric parameters of the structures of the spinal cord segments and the regularities of cytoarchitectonics were determined. In 20-21 week old fetuses, the ratio of the length of the spine to the parietococcygeal length of the fetus is 65.0%, and the ratio of the length of the spinal cord to the parietococcygeal length of the fetus is 54.0 %. The border between the cervical and thoracic spine is projected onto a conditional line that connects the spine of the scapula. The border between the thoracic and lumbar regions of the spine is the line between the upper three quarters and the lower one quarter of the body length. The border between the lumbar and sacral parts runs along a conventionally drawn line that connects the posterior lower iliac spines, and the border of the transition of the sacral to the coccygeal is the level of the lower third of the gluteal region. The structure of the gray matter of the spinal cord segments in this age period corresponds to that in people of mature age – the presence of anterior, lateral and posterior horns. A large area of gray matter is observed in the cervical and lumbar segments, a smaller area in the thoracic and sacral segments. The structuredness of the white matter of the spinal cord segments in this age period corresponds to that in adults – the presence of anterior, lateral and posterior cords. The cervical and lumbar segments have a large area of white matter, and in magnitude they are the same. The nuclei of radial glial cells are relatively equal in size in all segments. The thickness of the matrix layer varies throughout the entire spinal cord, but reaches its greatest size in the ventral parts. The sizes of the nuclei of neuroblasts also fluctuate: the nuclei of motor neurons have large sizes, and the smaller ones are inserted and vegetative. The nuclei of glial cells have relatively identical sizes of different segments of the spinal cord, but 2-3 times less than the nuclei of neuroblasts.