1.6. A Typical Thoracic Vertebra

Overview
Note the following features of a typical thoracic vertebra.
Body of the vertebra
Pedicle
Lamina
Spinous process (remember, only one of these!)
Transverse processes (remember, two of these - one on each side)
Vertebral foramen
Articular processes (two superior and two inferior)
Costal facets (remember, one superior demi facet and one inferior demi facet)
Transverse costal facet (remember, two of these - one on each side)
Intervertebral foramen
Note that the intervertebral foramina are the gaps in between the vertebral pedicles where the spinal nerves leave the spinal cord after the two nerve roots (dorsal and ventral) merge. For the thoracic vertebrae, the T1 spinal nerve leaves at T1, the T2 spinal nerve leaves at T2, and so on. It's worth pointing this last statement out because this organisation is not the case for the cervical vertebrae.
Clinical Top Tip:
Thoracic back pain
Thoracic back pain is a red flag symptom - in particular for malignancy. It forms part of the TUNA FISH mnemonic for red flags in back pain:
Trauma / thoracic pain
Unexplained weight loss
Neurological signs and symptoms (incl bilateral sciatica).
Age >50.
Fever
IV drug use
Steroids
History of cancer
