The spinous process protrudes where the laminae of the vertebral arch join and provides the point of attachment for muscles and ligaments of the spine. Spinous processes are the ridges that can be felt through the skin along the back of the spine.
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What is prominent spinous process?
The spinous process protrudes where the laminae of the vertebral arch join and provides the point of attachment for muscles and ligaments of the spine. Spinous processes are the ridges that can be felt through the skin along the back of the spine.

How do you assess spinous process?
Method Of Exam The examiner should stand behind the patient and observe the alignment of the spine in the flexed position to determine scoliosis. View the spine from the side to determine kyphosis. Ask the patient if he is aware of sore spots. Palpate the spinous process and be gentle with the sore spots.
Which cervical spinous process is most prominent?
C7
The spinous process (SP) of the seventh cervical vertebra (C7) is characterized as the most prominent, which makes it an anatomical landmark for the recognition of other SPs.
Why is C1 atypical?

C1 and C2 are considered atypical vertebrae because they have some distinguishing features compared to the rest of the cervical spine. The two vertebrae just below the skull are C1 (the atlas) and C2 (the axis).
What is the vertebral prominence?
Vertebra Prominens – Physiopedia Introduction Vertebra prominens is the name of the seventh cervical vertebra. The most distinctive characteristic of this vertebra is the existence of a long and prominent spinous process which is palpable from the skin surface, hence the name.
How do you test for C spine tenderness?
- Provide reassurance and analgesia.
- Whilst minimising neck movement, gently palpate the posterior midline of the neck.
- Repeat the process lateral to the midline on both sides.
- Tenderness may indicate vertebral or soft tissue injury.
Which vertebrae is most prominent?
seventh cervical vertebra
The seventh cervical vertebra is known as the vertebra prominens because of its prominent spinous process (Fig. 5-14). The spinous process of C7 is the most prominent of the cervical region, although occasionally C6 is more prominent (C6 is the last cervical vertebra with palpable movement in flexion and extension).
What can happens if your C1 is out of place?
In addition to the initial vertebral injury, the interference at the C1 and/or C2 level can cause the vertebral arteries to inflict neurological damage; leaving the brain without a vital source of blood. Symptoms following an injury to the cervical vertebrae C1 and C2 may include: Complete paralysis of arms and legs.
Is atlas misalignment serious?
Put this all together–atlas misalignment, causing neurological compromise, leading to postural imbalance, and ultimately causing or contributing to diminished body function, dis-ease (imbalance) within the body, and symptoms which may lead to chronic illness.
What is the function of C1?
The C1 vertebra, known as the atlas, is the superior-most vertebra in the spinal column. It plays vital roles in the support of the skull, spinal cord, and vertebral arteries and provides attachment points for several muscles of the neck.
What does the C1 lack?
The atlas (C1) lacks a body or spinous process. It has anterior and posterior arches with lateral masses. Its superior articular surfaces articulate with the occiput at the atlanto-occipital joint.
Can you feel spinous process?
A spinous process is the thin, bony projection that extends off the back of each vertebrae. If you run your hand down your back, you can feel the spinous processes.
How do you rule out a C spine fracture?
Imaging Studies A CT scan is the best test to verify that a fracture is or is not present. If no fracture is identified, but a patient has neck pain and was involved in large trauma or accident, flexion/extension x-rays are often obtained to verify that there if no evidence of ligamentous instability.